Page 24 - Precision Health Plans - Brochure 2024

Solutions Series Value Proposition
The Solutions Series provides low-cost strategies for ACA compliance on
various levels. Employers in many industries find themselves challenged
  by the employer mandate of the ACA. This series offers creative and simple
solutions to an otherwise complex problem.
From the lowest cost Minimum Essential Coverage (MEC) - Preventive
Only option to the Concord II, combined with any other Precision Health
  Plan, the entire spectrum of qualified benefits under the ACA can be
delivered in a single source solution.
MEC and Concord II are guaranteed issue* (subject to basic requirements)
and can often support solutions for more comprehensive coverage and
  participation demands. In addition, these plans complement strategies to
prevent significant ACA employer penalties.
  Maximize employee satisfaction and employer budgeting strategies by
offering up to four Precision plan designs to your employees.
Our exclusive Self-Funded Exchange Marketplace with electronic
  enrollment and Group Risk Assessment provides efficiency and educated
direction for your benefit strategies.
*Ask your representative about guaranteed-issue MVP not shown in this brochure.
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Precision Health Plans: Solutions Series
TO BEST UNDERSTAND STRATEGIES FOR ACA COMPLIANCE IN
NUMEROUS SCENARIOS, LET’S FIRST REVIEW SOME DEFINITIONS IN
TERMS WE CAN ALL UNDERSTAND:
MINIMUM ESSENTIAL COVERAGE (MEC) - Any employer-sponsored
qualified health and welfare benefit for employees and their dependents. The lowest
common denominator for this type of coverage is a “Preventive Only Plan,” which
provides only the most minimum mandated benefit.
VALUABLE COVERAGE OR MINIMUM VALUE PLAN (MVP) - MEC that
expects to pay at least 60% of the cost of covered benefits after deductibles, co-
payments and other cost sharing by employees (and covers most traditional
benefits). Please see NHMVP below and ask your benefit professional for more
detail.
AFFORDABLE COVERAGE - Employer-sponsored coverage, where the employee
contribution for self-only MVP coverage meets certain criteria. To qualify as
Valuable and Affordable, the employee contribution for self-only coverage of the
least expensive MVP offered cannot exceed a certain percentage of the employee’s
wages.
NON-HOSPITAL NON-PHYSICIAN SERVICES MINIMUM VALUE PLAN
(NHMVP) - This term describes a program that meets the 60% actuarial value
rule for valuable coverage, but does not provide substantial coverage for hospital
or physician services. In many situations, these plans play a valuable role in an
employer’s compliance strategy; however, the mere offer of such a plan does not
satisfy all employer mandated provisions. See the Concord II Plan in this brochure
for an example.
NOW CONSIDER THE MANY PROBLEM SOLVING STRATEGIES!
The Solutions Plans target offerings from the most basic MEC Preventive Care Only
to a NHMVP to MVPs. These can be offered in conjunction with any of our more
traditional plans in the Industrial, Commerce, and Financial Series, all at a price
employers can afford to sponsor. In many of our combined strategies, employers are
better able to afford full compliance to absolve themselves of Part A or Part B penalties
under PPACA. This is often of critical importance.
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