To address the needs of companies with large populations of traditionally
uninsured employees including part-time, hourly, or other workers without
access to traditional benefits, three health insurance products with a
flexible suite of options are available.
Benefits Plus Plan
MedPlus Plan
PPO Plu$
What are these benefit Plans?
Companies determine the level of benefits they want to provide, obtain
costs, and then allocate these total costs into the company's portion and the
employees' contribution. Employer contributions range from completely
voluntary, 100% employee paid, to non-contributory plans, 100% employer paid.
It's far better to determine up front what the company can afford to pay and
then shape that plan to fit that figure. That's how fixed benefit plans, often
called first dollar health plans, work. The company determines its
benefits' budget for the upcoming year, along with the employees'
contributions, and then adjusts the scale for utilization of services.
For many companies struggling with high benefits costs and low employee
satisfaction - and especially those companies that now offer no medical
coverage at all - the mini-med plan may just be the right solution!
Best of both worlds
Combining a national provider network and the network providers' discount
charges, a fixed-benefit plan is even more effective.
By utilizing these products, we are able to target several markets:
Part Time Employees: Many times these employees are left without
healthcare coverage or benefits due to minimum work requirements. As such, a
low price group or voluntary product could provide the healthcare benefits that
part-time employees can afford and is easily implemented by employers.
Blue-Collar workforce: Often times the blue-collar workforce is only
presented a traditional PPO, POS or HMO policy in which to participate. The
consequence is the employee dilemma regarding healthcare benefits for
their dependents. Even though the employer has gone to great lengths to provide
healthcare benefits to the employee, often the plan is too expensive for
the employee to select dependent coverage due to the fast-rising cost of
medical care. this can result in adverse selection on dependent coverage which,
over time, exacerbates the situation. Plans can be offered on an employer-paid
or an employee-paid voluntary participation basis.
Prevailing Wage Employees: Workers of companies working on government
contracts (Federal, State and Local Living Wage) requiring individual tailored
benefit plans.
Traditional Major Medical Replacement: As traditional major medical
plans become more expensive, employers are looking for affordable options. The
PPO Plus$® is a consumer driven health plan that combines the benefit of first
dollar coverage under the scheduled indemnity or expense incurred portion of
the plan, while providing higher benefit levels for catastrophic events.