Everwell Info

Transcription

Everwell Info

Everwell
Welcome to
Everwell was born out of the idea that providing
quality benefits shouldn’t be overshadowed by
the complexity of having to manage them. It’s
that simple. It’s Everwell.
CHERYL MAUS
(785) 282-6248
[email protected]
NCK SPECIAL EDUCATION COOP
205 F STREET SUITE 235
Industry Code: 8211030
Z140026EXC
5/14
Now you’re in control
of your benefits.
• Attract and retain talent
• Navigate health care reform
• Administer benefits all in one place
Enrollment Simplified
Clear product descriptions and effortless navigation
make it easy for employees to point, click and enroll.
•Y
our employees select plans
• View and compare plan costs
Communication Simplified
Informative, educational updates keep employees in
the know with the latest offerings and healthcare news:
• Downloadable brochures and product education videos
• Simplify benefits decisions with easy-to-use tools
Administration Simplified
Customizable, permission-based dashboard allows
you to manage all your business’ benefits needs:
•A
dminister and manage accounts in real-time
• Manage qualifying events
• Enhanced billing and payment
Just in case
Accident
Plans to help with those unexpected medical costs and everyday expenses.
Why Accident?
Protects against unexpected
out-of-pocket costs that
major medical may not cover
• 1 out of 8 people seek medical attention for
an injury in the U.S. each year.1
•2
9.3 million people make a trip to the ER for
unintentional injuries in the U.S. each year.1
1
Injury Facts, 2013, National Safety Council.
Accident1
Help Your Employees Hold
On To What’s Theirs
From initial emergency-room treatment
to follow ups and more:
• Benefits are paid directly to employees
• Broken teeth, concussions and lacerations
• Fast claims processing—usually in an
average of 4 days2
• Hospital confinement
• Cash benefits to help cover everyday living
expenses such as:
– Rent & Mortgage Groceries
• Wheelchairs, crutches, other medical appliances
– Transportation
• Ambulance, ground and air transportation
• Surgery and anesthesia
• Burns, lacerations, fractures
• Physical therapy
EXAMPLE OF BENEFITS PAYMENT
$6,130
ACCIDENT INDEMNITY
ADVANTAGE®
coverage is selected.
Policyholder falls off of a
ladder. Ambulance ride
to the ER.
Physician visit & X-ray
in the ER reveals a
dislocated hip and a
broken wrist.
ACCIDENT INDEMNITY
ADVANTAGE®
insurance policy
provides the following:
TOTAL BENEFITS
In Arkansas, Policy A35200. In Idaho, Policy A35200ID. In New York, Policy NY35200. In Oklahoma, Policy A35200OK. In Pennsylvania, Policy A35200PA. In Texas, Policy A35200TX. In Virginia, Policy
A35200VA.
Aflac company statistics, December 2013, year end.
This is a brief product overview only. The policy has limitations and exclusions that may affect benefits payable. Policy may not be available in all states. Benefits are determined by state and plan level
selected. The example above is based on a scenario for Accident Indemnity Advantage® that includes the following benefit conditions: Ground ambulance transportation (Ambulance Benefit) of $200,
physician visit (Accident Emergency Treatment Benefit) of $120, x-ray (X-Ray Benefit)of $25, dislocated hip – open reduction under general anesthesia (Accident Specific-Sum Injuries Benefit) of $2,500,
broken wrist – closed reduction (Accident Specific-Sum Injuries Benefit) of $325, Initial Accident Hospitalization Benefit of $1,000, Accident Hospital Confinement Benefit (hospitalized for 5 days) of $1,250,
Major Diagnostic Exams Benefit (CT scan) of $200, Physical Therapy Benefit (8 treatments) of $280, Appliances Benefit (wheelchair) of $125, Accident Follow-Up Treatment Benefit (3 days) of $105. Coverage
1
2
is underwritten by American Family Life Assurance Company of Columbus. In New York, coverage is underwritten by American Family Life Assurance Company of New York. Worldwide Headquarters | 1932 Wynnton
Road | Columbus, Georgia 31999
Rate Sheet
Aflac Accident Indemnity Advantage | 24-Hour Accident-Only Insurance | Plan 2
Monthly rates
Age Range
Individual
Named Insured/Spouse
One Parent Family
Only
Two Parent Family
18 to 70
$21.58
$30.55
$45.50
$34.97
RATE TOOL DISCLAIMER
The estimated premium rates created by this online tool should not be construed as an agreement to extend health insurance coverage, or to otherwise guarantee prices for such coverage. The estimated
premium rates are for illustrative purposes only and reflect projected costs of coverage that are based upon employee census data provided to the above referenced insurance carrier(s), or their agents,
by the employees’ employer. Everwell and the insurance carriers listed herein disclaim any warranty or liability related to the census data provided by an employer and upon which the estimated premium
rates are based. Exact premium rates can only be determined after an underwriting review and may be different than what is reflected in this proposal.
Insurance policies have terms, and limitations and exclusions which may affect your coverage. Insurance policies may not be available in all states, and benefits may vary by state, coverage, and plan
level selected.
The insurance agents assisting with this proposal cannot provide legal or tax advice. You should discuss any specific questions about benefits decisions with your independent legal counsel or tax
advisors. This piece is intended to be an information presentation to the employer only. It must be accompanied by the brochure.
Generated on 07/24/2015
Rates are valid for 07/24/2015 and are subject to change.
Get well soon
Hospitalization
Picks up where major medical insurance
leaves off to help with unexpected costs.
Why Hospitalization?
Hospital costs have doubled
in the last decade, but what
major medical covers has not.
• $30,000 is the average cost of a 3-day
hospital stay in the U.S.1
•O
ver 35 million people are admitted to hospitals and nearly
118 million people in their emergency departments each year.1
Healthcare.gov (2013). Accessed on December 1, 2013 from https://www.healthcare.gov/why-should-i-have-health-coverage/
1
Hospital1
Aflac plan benefits are predetermined and
are paid regardless of any other insurance
policyholders have.
With Aflac Hospital Advantage Policies
here’s what policyholders can expect.
Aflac Hospital Advantage Policies pays
for things like:
•E
mergency Room Visit
• Transportation and ambulance costs,
•H
ospital Confinement
•M
ost claims process in an average of 4 days2
• Emergency room
• Doctors’ visits
• 100% Employee Funded
• 100% Guaranteed-Issue
EXAMPLE OF BENEFITS PAYMENT
ESSENTIALS
PREFERRED
$500
$1,000
$50
$100
$550
$1,100
confinement
AFLAC HOSPITAL
ADVANTAGE
coverage
is selected.
Employee
has high fever and
goes to ER.
Doctor performs exam and
admits employee
into a hospital room for
24 hours of
observation.
Employee is feeling
better and is
released from
the hospital.
ER visit
total
confinement
ER visit
total
In Arkansas, Policies A49100AR and A49200AR. In Idaho, Policies A49100ID and A49200ID. In New York, Policies NY46100 and NY46200. In Oklahoma, Policies A49100OK and A49200OK. In Oregon, Policies
A49100OR and A49200OR. In Pennsylvania, Policies A49100PA and A49200PA. In Texas, Policies A49100TX and A49200TX.
Aflac company statistics, December 2013, year end.
This is a brief product overview only. The policy has limitations and exclusions that may affect benefits payable.Policy may not be available in all states. Benefits are determined by state and plan level selected. The
example above is based on a scenario for Essentials and Preferred levels of coverage. Coverage is underwritten by American Family Life Assurance Company of Columbus. In New York, coverage is underwritten by American
1
2
Family Life Assurance Company of New York. Worldwide Headquarters | 1932 Wynnton Road | Columbus, Georgia 31999
Rate Sheet
Aflac Hospital Advantage | Option 2
Monthly rates
Age Range
Benefit Amount
Individual
Named
Insured/Spouse
Only
18 to 75
$500
$21.45
$31.59
$29.64
$35.62
18 to 75
$1,000
$34.58
$52.26
$47.84
$59.28
18 to 75
$1,500
$46.54
$71.76
$62.01
$77.87
One Parent Family
Two Parent Family
level selected.
Rate Sheet
Monthly rates
Age Range
Benefit Amount
Individual
Named
Insured/Spouse
Only
18 to 75
$500
$29.38
$44.98
$37.96
$48.88
18 to 75
$1,000
$41.86
$65.78
$56.16
$72.67
One Parent Family
Two Parent Family
level selected.
Rate Sheet
Monthly rates
Age Range
Benefit Amount
Individual
Named
Insured/Spouse
Only
18 to 75
$500
$39.39
$63.68
$48.58
$63.81
18 to 75
$1,000
$52.13
$84.56
$66.96
$87.84
One Parent Family
Two Parent Family
level selected.
Income
Disability
Plans designed to provide income
for employees even when they can’t.
Why Disability?
It helps protect
employees’ paychecks.
•3
0% of all employed people (35-65 years
old) experience some form of disability in
their careers1
•O
ver 37 million Americans are classified as
disabled — more than 50% of them are in
their working years2
1
2
HealthGuidance (2013). Accessed on December 1, 2013 from http://www.healthguidance.org/entry/11799/1/Why-Disability-Insurance-Is-Important.html
Council for Disability Awareness (2013). Accessed on December 1, 2013 from http://www.disabilitycanhappen.org/chances_disability/disability_stats.asp
Rate Sheet
Aflac Short-Term Disability | 3 month benefit period
Monthly rates
Age Range
0/7 Days
0/14 Days
7/7 Days
7/14 Days
14/14 Days
18 to 49
$2.86 per $100
$2.08 per $100
$2.73 per $100
$1.82 per $100
$1.69 per $100
50 to 64
$2.99 per $100
$2.08 per $100
$2.86 per $100
$1.95 per $100
$1.82 per $100
65 to 74
$3.64 per $100
$2.47 per $100
$3.51 per $100
$2.34 per $100
$2.21 per $100
level selected.
Rate Sheet
Aflac Short-Term Disability | 6 month benefit period
Monthly rates
Age Range
0/7 Days
0/14 Days
7/7 Days
7/14 Days
14/14 Days
0/30 Days
30/30 Days
18 to 49
$3.64 per $100
$2.34 per $100
$3.51 per $100
$2.08 per $100
$1.95 per $100
$1.56 per $100
$1.30 per $100
50 to 64
$3.90 per $100
$2.73 per $100
$3.77 per $100
$2.47 per $100
$2.34 per $100
$2.08 per $100
$1.82 per $100
65 to 74
$4.94 per $100
$3.38 per $100
$4.68 per $100
$3.12 per $100
$2.99 per $100
$2.60 per $100
$2.34 per $100
level selected.
Hope & Support
Cancer/
Specified Disease
Plans to help with those unexpected medical costs and everyday expenses.
Cancer
Helps protect against unexpected
out-of-pocket costs that
major medical may not cover
• In the United States, men have slightly less
than a 1 in 2 lifetime risk of developing cancer.1
• In the United States, women have slightly more
than a 1 in 3 lifetime risk of developing cancer.1
1
Cancer Facts & Figures 2012, American Cancer Society.
Cancer/Specified Disease*
Select – Cancer Indemnity Insurance
• Helps with covered cancer treatments like
chemotherapy, radiation therapy, and
experimental treatments
• Four levels of coverage to choose from that fit
most budgets, with one rate for all eligible ages
• Initial Diagnosis Benefit paid upon initial
diagnosis of a covered cancer, which doubles
for dependent children
• $40 Cancer Wellness Benefit paid to encourage
early detection and prevention
• Daily Hospitalization Benefits payable for
covered hospital stays with increased benefits
• Transportation and Lodging Benefits payable
for travel to receive cancer treatment
• Dependent children are covered at no additional cost
CANCER CARE EXAMPLE
$18,190
AFLAC
CANCER CARE SELECT
Policyholder suffers
from frequent
infections &
high fevers.
Physician visit
& bone marrow
biopsy reveals
diagnosis of
leukemia.
AFLAC
CANCER CARE SELECT
insurance policy
TOTAL BENEFITS
In Arkansas, Policy A78200AR; Riders A78050, A78051. In Idaho, Policy A78200ID; Riders A78050ID, A78051ID. In New York, Policy NY78200; Riders NY78050, NY78051. In Oklahoma, Policy A78200OK; Riders A78050OK,
A78051OK. In Oregon, Policy A78200OR; Riders A78050, A78051. In Pennsylvania, Policy A78200PA; Riders A78050PA, A78051PA. In Texas, Policy A78200TX; Riders A78050TX, A78051.
This is a brief product overview only. The policy has limitations and exclusions that may affect benefits payable. Policy may not be available in all states. Benefits are determined by state and plan level selected. The above
example is based on a scenario for Aflac Cancer Care – Select that includes the following benefit conditions: Physician visit (Cancer Wellness Benefit) of $40, bone marrow biopsy (Surgical/Anesthesia Benefit) of $62.50, NCI
Evaluation/Consultation Benefit of $500, Initial Diagnosis Benefit of $2,000, venous port (Surgical/Anesthesia Benefit) of $62.50, Injected Chemotherapy Benefit (10 weeks) of $3,000, Immunotherapy Benefit (3 months)
of $525, Antinausea Benefit (3 months) of $150, Hospital Confinement Benefit (10-week hospitalization) of $11,000, Blood/Plasma Benefit (10 transfusions) of $850. Coverage is underwritten by American Family Life
Assurance Company of Columbus. In New York, coverage is underwritten by American Family Life Assurance Company of New York. Worldwide Headquarters | 1932 Wynnton Road | Columbus, Georgia 31999
*
Rate Sheet
Aflac Cancer Care | Select
Monthly rates
Age Range
Individual
One Parent Family
Only
Two Parent Family
18 to 75
$20.28
$32.24
$32.24
$20.28
level selected.
Classic – Cancer Indemnity Insurance
CANCER CARE EXAMPLE
$35,175
AFLAC
CANCER CARE CLASSIC
from frequent
infections &
high fevers.
Physician visit
& bone marrow
biopsy reveals
diagnosis of
leukemia.
AFLAC
CANCER CARE CLASSIC
insurance policy
TOTAL BENEFITS
example is based on a scenario for Aflac Cancer Care – Classic that includes the following benefit conditions: Physician visit (Cancer Wellness Benefit) of $75, bone marrow biopsy (Surgical/Anesthesia Benefit) of $125,
NCI Evaluation/Consultation Benefit of $500, Initial Diagnosis Benefit of $4,000, venous port (Surgical/Anesthesia Benefit) of $125, Injected Chemotherapy Benefit (10 weeks) of $6,000, Immunotherapy Benefit (3 months)
of $1,050, Antinausea Benefit (3 months) of $300, Hospital Confinement Benefit (10-week hospitalization) of $22,000, Blood/Plasma Benefit (10 transfusions) of $1,000. Coverage is underwritten by American Family Life
*
Rate Sheet
Aflac Cancer Care | Classic
Monthly rates
Age Range
Individual
One Parent Family
Only
Two Parent Family
18 to 75
$33.93
$57.20
$57.20
$33.93
level selected.
Premier – Cancer Indemnity Insurance
CANCER CARE EXAMPLE
$52,900
AFLAC
CANCER CARE PREMIER
from frequent
infections &
high fevers.
Physician visit
& bone marrow
biopsy reveals
diagnosis of
leukemia.
AFLAC
CANCER CARE PREMIER
insurance policy
TOTAL BENEFITS
example is based on a scenario for Aflac Cancer Care – Premier that includes the following benefit conditions: Physician visit (Cancer Wellness Benefit) of $100, bone marrow biopsy (Surgical/Anesthesia Benefit) of $175,
NCI Evaluation/Consultation Benefit of $1,000, Initial Diagnosis Benefit of $6,000, venous port (Surgical/Anesthesia Benefit) of $175, Injected Chemotherapy Benefit (10 weeks) of $9,000, Immunotherapy Benefit (3 months)
of $1,500, Antinausea Benefit (3 months) of $450, Hospital Confinement Benefit (10-week hospitalization) of $33,000, Blood/Plasma Benefit (10 transfusions) of $1,500. Coverage is underwritten by American Family Life
*
Rate Sheet
Aflac Cancer Care | Premier
Monthly rates
Age Range
Individual
One Parent Family
Only
Two Parent Family
18 to 75
$47.97
$83.20
$83.20
$47.97
level selected.
Take control of your
benefits today.
• Attract and retain talent
• Navigate health reform
• Administer benefits all in one place
• Simplify Enrollment
• Schedule enrollment date
• Educate employees through email, group
presentation or one-on-one meetings
Point,click
and enroll.
Thank
you!

Everwell Info

Transcription

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