The Seattle Southside Chamber of Commerce now provides an innovative two group health benefits solution designed to help employers strategically manage healthcare costs while still providing employees great benefits! Affordable group health coverage represents one of the top challenges for Chamber members and we have a solution that can help you!
The Seattle Southside Chamber of Commerce now provides an innovative group health benefits solution designed to help employers strategically manage healthcare costs while still providing employees great benefits! Affordable group health coverage represents one of the top challenges for Chamber members and we have a solution that can help you!
MEDICAL - DENTAL - VISION
WHY IS LIFESTYLE HEALTH’S PROGRAM SO UNIQUE?
1. Level-funded group medical plans underwritten by “A” rated carriers
2. Up to a $500 deductible credit available to all wellness participants
3. Integrated cash rewards and incentives for lifestyle improvement
4. 24/7/365 telemedicine access
5. Innovative prescription, outpatient lab, and diabetic supply coverage included
6. Proactive cost-management measures integrated into every plan design.
7. Premium Savings of 5-15% from Traditional Insurance Plans
8. Chamber-negotiated Economies of Scale Pricing
9. Integrated Wellness with Deductible Credits and Cash Rewards
10. Consumer-driven Features for Proactive Cost Containment
YOUR COMPANY CAN ENJOY: Flexible, Level-funded Group Medical Plans Value-added Benefits to Save Out-of-pocket
Q: Because this program is technically a ‘Self- Funded’ Program, does that mean our group has to have reserves set aside to cover the claims in case of a bad month (or year)?
A: NO. Because of the insurance components of the program, we have taken the best aspects of a self-funded program and the best aspects of a fully-insured program and blended them together. This is a fixed-cost, level-funded program. Your rates are your rates, period.
Q: What does Level Funded mean?
A: The Lifestyle Health Program is ‘level funded’ meaning that by design, any risk to the sponsoring employer has been removed beyond the 12 months of premium paid. Based on employer size, we can offer a unique, self-funded health benefit program that maximizes the benefits to employees, while implementing cost-saving opportunities for employers to stabilize benefit costs without reducing benefits.
Q: If our claims exceed the allotted amount, what happens? Do we have to come up with the difference at the end of the year?
A: NO. The Lifestyle Health Program is level funded by your monthly premiums. Regardless of what your claims experience is in any given plan year, you will never pay more than the monthly cost quoted to you
Q: If we choose to leave the program at the end of the plan year, is there a termination cost associated with the plan?
A: NO. All run out costs are accounted for within the monthly premiums.
Q: During our plan year, what if our claims run better than expected?
A: Once all claims have been paid for the plan year, any unused dollars in the claims fund will be used to reduce future premium rate increases. In the event of a plan termination, each employer is eligible to receive back any unused dollars in the claims fund after the run out period.
Q: Will our employees and administrators have to do more work on this type of program?
A: NO. By partnering with Medova Healthcare, the program’s Third-Party Administrator (TPA), administrative burdens are removed from both the employee and the employer. Employees play their usual role including seeing providers within their PPO Network, using their ID card at the provider’s office, paying a copay and then paying their shared responsibility. The employer simply pays their monthly premiums. Medova then handles the rest! No claims filing, no separate accounting, no extra work!
Q: Are there any startup costs to our Lifestyle Health Plan?
A: The only start-up cost is your first monthly premium payment.
Medical, dental and vision is just part of a comprehensive benefits package. The Seattle Southside Chamber of Commerce has partnered with American Fidelity to bring a whole suite of VOLUNTARY / ENHANCED employee benefits to its members
WHY AMERICAN FIDELITY VOLUNTARY EMPLOYEE BENEFITS?
1. Voluntary employee benefits are typically employee paid
2. Policies pay the policy holders directly-NOT DOCTORS OR HOSPITALS
3. Policies can be offered with ANY medical plan or STAND ALONE
4. Benefits do not coordinate with any other type of insurance
5. Chamber member companies that have 2+ employees can participate
6. Chamber-negotiated Economies of Scale Pricing.
Q: Do I need to participate in the LIFESTYLE MEDICAL PLAN in order to participate in the AMERICAN FIDELITY voluntary benefits?
A: NO. Voluntary benefits can work alongside your existing health plan or as a standalone option.
Q: Is this like AFLAC or COLONIAL LIFE?
A: YES, these plans are defined benefit plans that work exactly the same.
Q: How are claims payments made?
A: Claims are paid directly to the policy holder. Policy holders can file claims via the AF smartphone APP or online at www.americanfidelity.com
Q: How are AF premiums paid?
A: AF plans are flexible. They can be 100% EMPLOYEE paid or partially/fully EMPLOYER PAID.