We understand that each company has specific concerns; therefore our product choices are both flexible and comprehensive so you can offer your clients what they need. We will evaluate the needs and concerns of your client, then assist them in developing a meaningful employee benefit program.
We will work with you to develop a competitive, cost efficient employee benefit program that is effecient for your client. With the phasing in of the Affordable Care Act employee benefits are continually changing. We keep up with the latest changes and how they affect your client.
The Affordable Care Act (ACA) requires most individuals to have minimum essential coverage (MEC), or they will pay a penalty for each month they are uninsured. MEC is a health coverage that will meet certain standards. Most insurance, such as coverage provided by employers, Medicare and most Medicaid, is MEC and satisfies the ACA’s individual responsibility requirement, also known as the individual mandate.
First dollar coverage is an insurance that covers health care expenses without copayments or deductibles needing to be paid first. It pays expenses beginning with the first dollar charged for health care or hospitalization depending on the type of policy purchased.
Deductible programs are the amount the insurer will deduct from the loss before paying up to its policy limits. After the insurer pays their deductible, they usually only pay a copayment or coinsurance for covered services, while the insurance company pays the rest. Usually, the amount of the deductible is not subtracted from policy limits.
While some believe benefits are company-paid and employee-paid, the company usually pays for most types of benefits (holiday pay, vacation pay, etc.). However, some benefits, such as medical insurance, are often paid, at least in part, by employees because of the high costs of medical insurance.
We offer an exceptional plan for administration and recordkeeping services: easy-to-read participant statements, leading-edge technology, comprehensive plan accounting, and fully integrated systems— all overseen by a single point of contact to effeciently manage conversion and administration from start to finish for your client.