What benefits can build.sm

Transcription

1 What benefits can build.sm

2 A Look Inside Group Products... 4 Individual & Worksite Products... 6 Extra Benefits & Services... 8 Online Tools Customer Service Request a Quote Member Survey

3 Building your benefits program just got simpler. AlwaysCare simplifies supplemental benefits with valuable insurance, easy plan administration, and personalized service at every step. We provide flexible, affordable group benefits including Dental, Vision, Critical Illness, Accident, Life, Short and Long Term Disability, with employer-sponsored and voluntary plans to fit almost any need. For more than 30 years, we ve grown and prospered with an expanding base of loyal clients for one simple reason: We make benefits administration and management easy. AlwaysCare offers our entire non-medical portfolio on ONE bill, with ONE point of contact, ONE phone number, ONE customer service center (with extended hours) and ONE selfservice website. However you define success, we provide the building blocks you need to get there. 3

4 Group Products Building a great program starts with solid benefits. AlwaysCare is committed to providing our clients with the most sought-after ancillary benefits through flexible and affordable plans made simple. Dental Insurance All of our dental plans offer access to our national PPO network of more than 270,000 access points and our standard plan enhancements: Additional cleaning for pregnant women in their 2nd or 3rd trimesters Adjunctive, pre-diagnostic test for members at risk for oral cancer or suspicious lesions Carryover Benefit Members are rewarded with extra benefits for taking care of their teeth. Vision Insurance Vision plans include flexible allowances and co-pays with access to an extensive national provider network of independent practitioners and large national and regional retail chains. Vision care and materials may be received at the same or separate locations No restrictions on frames or labs Special discounts on optical materials and laser vision procedures (where permitted by state laws) Critical Illness Insurance Our Critical Illness plans provide lump-sum cash benefits with multiple benefit payouts and support services on diagnosis of some of the most common critical illnesses. Plus, we offer optional cancer and wellness benefits to enhance plans. 4

5 Accident Insurance AlwaysCare s Accident plans pay cash benefits directly to the member for more than 60 covered accidents. Our benefits are guaranteed without coordination of other benefits and include a standard Accidental Death benefit in all plans. Optional wellness benefits are also available. Life Insurance Our group life insurance includes Basic and Voluntary Life plans that offer flexible coverage options, guaranteed issue, and optional Accidental Death and Dismemberment (AD&D) benefits, all to help protect families and loved ones from financial distress after a loss. Disability Insurance AlwaysCare has excellent group/client service representation, always very responsive and highly professional. Insurance Agent/Broker AlwaysCare goes above and beyond. You show once again the true meaning of AlwaysCare. Group Administrator AlwaysCare s Short Term and Long Term Disability plans provide income protection for employees recovering from injury or sickness. Our plans include seamless claim administration when both STD and LTD are offered, return-to-work incentives, and a rehabilitation program for LTD that gives employees additional support for recovery and helps employers maintain productivity. 5

6 Individual & Worksite Products AlwaysCare Benefits and Starmount Life Insurance offer a comprehensive suite of individual and worksite insurance products to fit the needs and budgets of our clients. Individual products are available online or with enrollment support for worksite sales. We also offer combined billing when group and individual products are offered together. All individual and worksite products include our hearing savings plan and prescription discount card at no additional cost to policyholders. Individual Dental & Vision Plans Our ONEplus SM Individual Dental plans offer guaranteed coverage and a range of benefit options to fit any budget or lifestyle need. Individuals may also add a fully insured vision plan to any dental plan. Our All-Star Dental plans are federally Qualified Dental Plans, and are available in select states for both individuals and small groups. Individual Life Insurance Receive affordable lifetime protection with up to $75,000 in modified whole life insurance up to age 120 or term life to age 95. Our plans offer a living benefit and accumulate cash value. It s simple to apply with just a few health questions and typically no medical exams required! Jumbo Accidental Death Insurance Plans offer guaranteed coverage for two different levels of protection for fatal accidents, with no exam required. Benefits paid are based on the type of accident with a minimum of $100,000 for covered accidents, $200,000 for automobile accidents, and up to $1,000,000 for common carrier accidents. Plus, coverage is available for the entire family for only $2 more per month. 6

7 Accidental Death & Dismemberment AD&D Insurance is guaranteed issue with no health questions and no medical exams. Individual or family coverage is available up to $250,000 in benefits, and every plan includes dismemberment, commercial airline, seat belt, and anti-inflation benefits. Youth Life SM Insurance Parents and grandparents can guarantee their children are covered for life with our Modified Whole Life Insurance available for ages 2 months to 26 years. Plans start as low as $3.34 per month and convert to permanent whole life at age 26, providing coverage that is guaranteed for life as long as premium is paid. Response to service is second to none Time and time again AlwaysCare goes to the max to help get the deal done... When there is a problem (and in our profession, there are always problems), top to bottom, we have full commitment to get the issue resolved working with AlwaysCare. Insurance Agent/Broker 7

8 Extra Benefits & Services Stretch benefit dollars while building more benefits and services into your employees plans. Hearing Savings Plan At no additional cost with any AlwaysCare or Starmount Life plan, members receive discounts off name-brand hearing instruments and accessories with home delivery for hearing aid batteries. Fully Insured Hearing Rider Our optional hearing rider covers annual screenings, advanced testing, allowances for hearing aids, and exclusive discounts. (Available for group dental and vision clients.) 8

9 Health Advocacy Program Group Accident and Critical Illness plans include unlimited access to a web portal, healthcare professionals and assistance with a variety of tasks: Insurance guidance with claims assistance and health plan benefits support Medical provider referrals, hospital planning, care coordination and other healthcare services Lifestyle Assistance to help with rehabilitation services and home healthcare services Employee Assistance Program We strive to make life easier for you by providing important resources with desired benefits. Our Group Life and LTD members receive support and services to cope with challenges: Counseling with qualified grief counselors, financial planners and legal consultants Personalized web portal and access to a work/life expert Referrals to local resources and services 9

10 Easy Online Tools From claims and benefit information to plan enrollment and administrative tasks, we provide our members, providers and benefit professionals with online tools and resources that make benefits management easy at any time. AlwaysAssist Mobile ID Card: AlwaysAssist SM Online Benefit Management Tool Group administrators and members can manage their benefits online: Search for dental & vision providers Print ID cards View benefit information Access wellness links & benefit tools Access dental health estimator Update contact information Members can also: View claims and coverage amounts View and print EOBs Group administrators can also: Enroll & administer employee benefits Access bills and billing history 10

11 AlwaysAgent SM Agents and brokers can instantly access the information to manage their business through our secure online portal, AlwaysAgent. Obtain group and individual information Receive commissions through direct deposit View commission statements View bonus qualification status Access the latest marketing materials Obtain 1099 forms The AlwaysCare Blogs AlwaysCare is a class act and a pleasure to work with. Insurance Agent/Broker AlwaysCare publishes two blogs to help answer the most frequently asked questions about employee benefits. Benefits Perspective gives benefit managers and HR professionals answers to common benefit questions and covers other voluntary benefits and wellness communications topics. Agent Insight answers agents and brokers questions and covers industry news and topics, such as the latest market trends and enrollment issues. Wellness Information I feel encouraged to get regular dental care, and it s easy to access information. AlwaysCare Member We provide wellness information and tools to promote overall health through prevention and detection, including online Dental and Vision Health Centers, featured articles and customized employee communications. 11

12 Customer Service AlwaysCare s Customer Service Representatives are available six days a week. The in-house call center averaged a 19-second answer time last year and 95% first-call resolution. Extended Customer Service Hours Monday - Friday: 7:30 am - 8:30 pm (CST) Saturday: 9:00 am - 3:00 pm (CST) Our integrated services and team of in-house professionals offer a high level of service and accessibility for a personalized experience. Our Customer Service Team can: Explain benefits Answer billing and claim questions Locate providers Check eligibility Order ID cards and more ONE Contact Makes It Simple An AlwaysCare team is assigned to each of our groups. You will have a single point of contact for your AlwaysCare service needs literally under one roof, including enrollment services, billing, provider relations, customer service and more. Our single-source operation provides ONE toll-free number, (888) , for customer service, account management, provider relations and billing. CLAIMS ACCURACY 100% T HIR D PARTY A U DIT Accurate Claims Payment Our secure automated system, knowledgeable claim personnel and efficient support professionals maintain fast, accurate claims management. Annual, outside claim audits reveal nearly perfect accuracy with dental and vision claims for the last three years, closing the year with 100% accuracy. 12

13 Complete Implementation and Enrollment Support AlwaysCare provides our new groups with comprehensive new group implementation and an effortless takeover process for a quick and smooth transition. With AlwaysCare s electronic enrollment and on-site support, annual enrollments will be painless. Consolidated Bill I really appreciate how quickly we were able to begin our coverage with AlwaysCare! Group Administrator Experience the convenience of ONE bill for all AlwaysCare non-medical plans with ONE billing contact from our single-source administration. I am so glad a person answered and not a computer! You have been so helpful. You don t get to talk to a live person much these days! AlwaysCare Member 13

14 Request A Quote Today! Our professional sales force is ready to serve you with a consultative approach focused on your wants and needs. For the most competitive proposal, please complete a Quote Request Form by visiting us at and clicking on Agent Services. Please send all proposal requests to Quotes@AlwaysCareBenefits.com; fax to (888) ; or call (888) , Ext. 5. The Council of Insurance Agents & Brokers For all products, please include: Group name Proposed effective date Nature of business (SIC Code) Selected benefit design and options Census with DOB, gender and zip code of eligible employees We look forward to earning your business! 14 THE COUNCIL

15 Product-Specific Information Needed for Quotes: Dental and Vision Group Life Short Term and Long Term Disability If there is an existing plan, provide a copy of the plan design, census and current rates. Earnings and Occupations of all eligible employees, volumes and class descriptions Earnings and Occupations of all eligible employees and class descriptions 100+ Lives: Claims experience Premium history Enrollment by month 500+ Lives: Current plan design Plan, rate and premium history Paid claims (3-5 years) including waiver claims Premium history (3-5 years) Renewal rates if available 100+ Lives (STD) 500+ Lives (LTD) Current plan design Plan, rate and premium history Incurral exhibit (if not available, please provide the open and closed claims listing) Life years exposure if available (3-5 years) Renewal rates if available This booklet is not a contract of insurance. Products and provisions not available in all states. Please note: This is a brief description of the AlwaysCare Benefits product offerings. It should be used only as a guide. It does not contain complete plan details; plan details may vary. Terms and conditions, including a complete list of benefits, limitations and exclusions are defined in the Member certificate issued following enrollment in the plan. If questions arise concerning coverage, the Member certificate and riders will govern. Products underwritten by National Guardian Life Insurance Company (NGL) and/or Starmount Life Insurance Company and administered by Starmount Life or AlwaysCare Benefits, Inc. NGL is not affiliated with The Guardian Life Insurance Company of America, a.k.a. The Guardian, or Guardian Life. MKT KIT

16 (888) (888) , Ext Mon. - Fri. 7:30 AM - 8:30 PM (CST) Sat. 9:00 AM - 3:00 PM (CST) Mailing Address: Physical Address: P.O. Box Goodwood Boulevard Baton Rouge, LA Baton Rouge, LA