Monday, April 29, 2013

Group Health

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Group Health


Value-Added Group Health Products

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Summary of Benefits & Coverage (SBC)
Employers
Employees

Federated’s group health insurance plans called Federated Health Choice® (FHC) are specifically designed for small- to medium-sized businesses. Our plans are available in these states (highlighted in maroon):
Contact your Federated representative in these states for more information or a quote for Federated Mutual® group health insurance plans. See Locate Your Federated Representative.
Federated Health Choice® is offered exclusively through your local Federated representative and includes group medical, life, disability income, and dental plan options.

Federated Insurance does not offer individual health insurance plans.

    

Group Medical

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Group Health Products with Value-Added Service

Federated offers business owners affordable employee benefit plans with choices. Our plans include these features:
  • Plans of choice – Preferred Provider Organization (PPO) – You choose your provider – no referrals needed, no gatekeepers.
  • National PPO Networks – Network doctors available to you while traveling, on vacation, or for children away at school.
  • Catastrophic transplant coverage – Full policy limits apply – no hidden sublimits.
  • Open formulary list for prescription drugs – No list that omits certain drugs.
  • Case management for catastrophic claims – We work with you and your providers to make sure care is appropriate and cost-effective.
  • Claims service with personalized, individual attention – When you call our claims office, you speak with a friendly, caring person.

Value-added premium savings choices

  • Many plan designs and options – Numerous plan design options available, choose from a variety of deductible, coinsurance and copay plan designs.
  • Defined Reimbursement Plans (DRP) – A DRP offers options to help you and your employees control health care expenses. Freedom Services provides administration services for our DRP.
  • Quality service – Local marketing representatives offer quality products and service for all lines of coverage you choose to purchase from Federated.
  • Medical management program – Helping you get the right care at the right time in the right setting. Federated partners with a utilization management program to help you make an informed decision about the appropriateness of the care you receive.
  • Prescription drug plan – Federated works with Express Scripts, a leading provider of prescription benefit services in the United States. As one of the nation’s leading prescription benefit managers, they are recognized as being at the forefront of pharmacy and medical cost management. Use of preferred brands on your drug list may save you money.
  • Vision discount program – Federated offers this program through Careington International, one of the largest, most comprehensive, privately-held discount health care companies in America. The program provides significant savings opportunities across a broad spectrum of vision products and services.
More than 100 local, state, and national trade associations recommend Federated’s group products to their members.
*This is general information only and should not be relied on for specific coverage information. The provisions of the policy will determine coverage. Contact your Federated representative for further details.
    

Group Dental

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Dental Coverage for Your Employees

Many employers like to offer their employees dental coverage along with their group medical benefit. Group dental insurance is available to businesses with five or more employees covered under a Federated Group Medical Plan.

Benefit options available

  • $500 for each covered individual (per calendar year)
  • $1,000 for each covered individual (per calendar year)
  • $1,500 for each covered individual (per calendar year)
  • $2,000 for each covered individual (per calendar year)

Calendar-year deductible

  • For each insured family member - $50
  • Aggregate family deductible - $100
The deductible does not apply to preventive services.

Coinsurance

  • Dental plans written after 2006 pay 100 percent of preventive services
  • Dental plans written prior to 2007 pay 80 percent of preventive services
  • Dental plan pays 80 percent of basic services
  • Dental plan pays 50 percent of major services
Contact your Federated representative for more information on all Federated Group Plans.
*This is general information only and should not be relied on for specific coverage information. The provisions of the policy will determine coverage. Contact your Federated representative for further details.

Group Life

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Do Your Employees Have Life Insurance?

You can include life insurance among your employee benefits with a Federated Group Life Insurance plan. This important protection is available to businesses covered under a Federated Group Medical Plan.

Level amount option

Employer chooses a flat amount of coverage for all employees, with amounts between $15,000 and $50,000 (or up to $100,000 if 10 or more employees are enrolled).

Class-based amount option

Employer chooses the schedule. The amount for each employee is based on the employee’s occupation or position – $15,000 to $50,000 (or up to $100,000 if 10 or more employees are enrolled).
Accidental death and dismemberment coverage is included for both the level amount and class-based options.
Contact your Federated representative for more information on all Federated Group Plans.
*This is general information only and should not be relied on for specific coverage information. The provisions of the policy will determine coverage. Contact your Federated representative for further details.

Group Disability Income

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Protection When You Can’t Work

Disability income protection is important to your employees if they can’t work because of an illness or injury. Federated offers a group disability income plan, available to businesses covered under a Federated Group Medical Plan.
You can select from Weekly Income Benefit schedules for 26 weeks:
  • $100
  • $150
  • $200
  • $300
  • $400
  • $500
The amount in the schedule is paid for time lost from work due to illness or injury not covered by workers compensation.
Payments are limited to two-thirds of an employee’s weekly earnings up to a maximum of $500.
Contact your local Federated representative for more information on all Federated Group Plans.
*This is general information only and should not be relied on for specific coverage information. The provisions of the policy will determine coverage. Contact your Federated representative for further details.

Health Care Reform

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Patient Protection and Affordable Care Act (“PPACA” or “ACA”)

Enacted March 23, 2010
The highly publicized health care reform bill (Patient Protection and Affordable Care Act (PPACA or ACA) – what is commonly known as Health Care Reform (HCR) is now law and the arduous task of interpretation and implementation has begun.

ACA only created the outline for what will happen over the next several years – most provisions take effect in 2014 and many do not come into play until years after that. It is only as regulations implementing ACA are written that we are beginning to know what it really means. Regular updates will be posted to this website. This site will provide you with links to information from the various sources involved in implementation of HCR. This information will help you determine how ACA may affect you and your employees.

Affordable Care Act – General Information

Affordability

Age Rating

Employer Penalties

Essential Benefits

Exchanges

Fraud

Grandfathered Plans

Guarantee Issue

Health Care Costs

Health Insurance Tax

Medical Loss Ratio

Personal Coverage Requirement

Preventive Care Benefits

W-2 Reporting

    

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