Page 25 - Precision Health Plans - Brochure 2024

Solutions Series Value Proposition Precision Health Plans: Solutions Series

The Solutions Series provides low-cost strategies for ACA compliance on TO BEST UNDERSTAND STRATEGIES FOR ACA COMPLIANCE IN

various levels. Employers in many industries find themselves challenged NUMEROUS SCENARIOS, LET’S FIRST REVIEW SOME DEFINITIONS IN
  by the employer mandate of the ACA. This series offers creative and simple TERMS WE CAN ALL UNDERSTAND:

solutions to an otherwise complex problem. 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

From the lowest cost Minimum Essential Coverage (MEC) - Preventive provides only the most minimum mandated benefit.
Only option to the Concord II, combined with any other Precision Health VALUABLE COVERAGE OR MINIMUM VALUE PLAN (MVP) - MEC that
  Plan, the entire spectrum of qualified benefits under the ACA can be expects to pay at least 60% of the cost of covered benefits after deductibles, co-

delivered in a single source solution. payments and other cost sharing by employees (and covers most traditional
benefits). Please see NHMVP below and ask your benefit professional for more

detail.

MEC and Concord II are guaranteed issue* (subject to basic requirements) AFFORDABLE COVERAGE - Employer-sponsored coverage, where the employee
and can often support solutions for more comprehensive coverage and contribution for self-only MVP coverage meets certain criteria. To qualify as

  participation demands. In addition, these plans complement strategies to Valuable and Affordable, the employee contribution for self-only coverage of the
prevent significant ACA employer penalties. least expensive MVP offered cannot exceed a certain percentage of the employee’s
wages.

NON-HOSPITAL NON-PHYSICIAN SERVICES MINIMUM VALUE PLAN
  Maximize employee satisfaction and employer budgeting strategies by (NHMVP) - This term describes a program that meets the 60% actuarial value
offering up to four Precision plan designs to your employees.
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

Our exclusive Self-Funded Exchange Marketplace with electronic satisfy all employer mandated provisions. See the Concord II Plan in this brochure
  enrollment and Group Risk Assessment provides efficiency and educated for an example.

direction for your benefit strategies. 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

*Ask your representative about guaranteed-issue MVP not shown in this brochure. 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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