Proud to be a Veteran-Owned Business
Fully Insured
Small group ACA (affordable care act)
Only 2 or more eligible employees working 30 or more hours per week (cannot be married spouses)
Requires 50% participation of all eligible employees to enroll
Employer must contribute 50% of employee only premium (must meet affordability test of 9.5%)
No underwriting
Guaranteed issue
No Pre-existing conditions
100% paid preventive care on all plans
Level Funded
Fully underwritten with employee applications
In most cases, rates lower than traditional ACA plans with select carriers
Potential claims refund after contract period
ONLY need 5 Full Time employees
More carrier options
Premier One
Benefits the Employer
Opportunity to offer a fully insured insurance plan to employees
Employer sets contribution amounts
Once convenient monthly invoice
Employee payroll deduction same as group plans
Modest administration fees
No Cobra
No Participation requirements
Employees select their own fully insured ACA healthcare plan based on their individual healthcare needs
Many employees are eligible for subsidy premium taxcredits and cost sharing benefits
Family members can not be denied for pre-existing conditions
Plan premiums are funded by the employer with pre-tax contributions and/or the employee through convenient payroll deduction
(HRA) Health Reimbursement Arrangement
MEC Plan (Minimal Essential Coverage)
Maximizes employee healthcare benefits
Works for employers not offering group health plans
Enhanced benefit for employers offering group plans
Provides tax savings for employers
Business determines eligibility and rules
Employees incur expenses and submit claims
Business reimburses employee tax-free for approved expenses
MEC plans generally cover preventive and wellness-related tests and treatments. While they meet certain requirements outlined under the Affordable Care Act (ACA) and ERISA, they are not what most think of as traditional health insurance
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