Who is eligible?
Advisors, their full-time staff [working more than 30 hours per week], and the respective families of each, are eligible 30 days after the date of contract or date of hire (1st of the month following 30 days). Some states may have rate restrictions for group health plans or may prohibit independent contractor participation in this type of plan. In this case, alternative coverage will be offered to residents of such states. Please contact Solution Advisors, LLC at (877) 834-4469 for more information.
Who insures the health, dental, vision and life insurance program?
The health insurance program is insured by Life Insurance Company, a leading national health and life insurer committed to providing quality insurance plans and customer service. Trustmark has a reputation for maintaining product integrity in the US for over 90 years. Trustmark is a mutual insurance holding company managed for the benefit of its policyholders.
Who administers the claims and provides customer service support for the insurance program?
The health and benefits program is administered by Health in Wichita, Kan., a leader in employee benefit design, consulting and third party administration since 1933. Health serves clients ranging from small employer groups to large companies withthousands of employees nationwide.
Approach to benefit plan management is based on providing custom solutions for employers seeking ways to handle increasing benefit costs. Fiserv delivers health benefits, care management, pharmacy benefit administration, benefit consulting, life, disability, vision, dental, flex administration, consumer-driven health plans and voluntary benefit programs that are expertly tailored to meet the standards of its customer base. What network of doctors and hospitals will I use?
Advisors will access Healthcare Systems (HCS). Please visit http://www.phcs.com to search for providers in your area.
The HCS Network is the largest proprietary preferred provider organization (PPO) network in the country. With nearly 450,000 providers and over 4,000 facilities in our Network, health plan members have access to a quality network of providers wherever they may be.
What if the HCS network does not provide adequate coverage in my area?
Regional networks are available should the HCS network not provide adequate provider coverage in your area. Should you find that the provider coverage level is inadequate to serve your needs, please call 877-834-4469 and ask a customer service representative for assistance.
Who will issue me my ID Card, Certificate of Insurance, and Detailed Benefit Summary?
Fiserv Health will provide Advisors their ID Card, Certificate of Insurance, and Detailed Benefit Summary. Coverage for all benefit lines selected will renew January 1, 2010.
What is an HSA plan?
HSAs pair a high-deductible health insurance plan with a health savings account to cover medical expenses until the deductible is reached.
What are the advantages of an HSA insurance plan?
- HSA contributions are made using pre-tax dollars of the participant paying for coverage.
- HSAs are controlled and owned by the participant paying forcoverage.
- HSAs accumulate from year to year (not use it or lose it), and are portable.
- HSA payouts for qualified medical expenses are tax-free.
- HSAs accumulated capital, interest and dividends are tax-free until retirement.
- HSAs are expected to encourage participants to become better health care consumers.
Where can I open an HSA account?
Advisors may open an HSA account using the Financial Institution of their choice. Advisors may also choose to visit www.hsaadministrators.com to establish their account, or to find additional information concerning the advantages of participating in an HSA plan.
How do I get answers to questions I may have about the medical plans to be offered?
Additional questions concerning benefits to be offered, timelines for submission, application and enrollment, and other related questions can be addressed by e-mailing your question to GroupInsurance@hsallc.net, or by calling toll free, 877-834-4469. A customer service representative will answer your questions during normal business hours, Monday thru Friday, 8:30 AM to 5:00 PM EDT.
Will this plan have any pre-existing limitations I need to be aware of?
If you have at least 12 months of continuous creditable coverage, pre-existing condition exclusions to your coverage do not apply. Creditable coverage includes most kinds of health insurance. Should you experience a significant break in coverage (63 or more days in a row without health insurance coverage), a pre-existing condition limitation will apply. In those situations, Trustmark will not pay for treatment related to a pre-existing condition but will pay for unrelated treatment.