What is currently the most popular group health insurance plan design?
$2500 or $5000 deductibles, 80/20% coinsurance, $25/$50 or $35/$70 office visit co-pays, $150, $300 or $500 Emergency Room co-pays, $50 or $70 Urgent Care co-pays, Unlimited Lifetime Maximums, Drug Card $10/$35/$60 copays.
How large does our company have to be to have group benefits?
Health, Dental, Life/AD&D, Vision, Short Term Disability and Long Term Disability needs 2+ employees. Dental w/ Orthodontics = 10+ employees.
Does our group have to wait until renewal time to move health carriers?
How do we add/delete new hires/terminations on all group benefits?
Call/Email/Fax Account Manager,VICTORIA LOCKLEAR. She will email you the proper form, if needed. Complete form and email/fax back to her at (704) 333-3255. Within 48 hours we will follow-up with you the carriers confirmation for your records.
Who do we call with group health insurance claim issues?
Account Manager, VICTORIA LOCKLEAR at (704) 333-3255 or E-Mail firstname.lastname@example.org.
What is an EOB?
Explanation of Benefits, this comes from the insurance carrier and explains how the benefits were paid.
What is our first step solving a group health insurance claim issue?
Fax/Email EOB to Account Manager, VICTORIA LOCKLEAR.
How long do we have to add a new employee?
30 days, after waiting period.
What is a “Qualifying Event”?
Loss of other coverage, Marriage, Divorce, Death, Birth or Adoption of Child.
How long do we have to make changes after a “Qualifying Event”?
Do I need to call anyone when I get married or move?
Yes,VICTORIA LOCKLEAR at (704) 333-3255 to discuss the change and what forms are needed to notify insurance carrier.
What is HIPAA?
Health Insurance Portability and Accountability Act. Assures both small and large employers certain protections under federal and state law to receive group health insurance. It also requires that privacy procedures are followed when dealing with personal medical information.
What is COBRA?
Consolidated Omnibus Budget Reconciliation Act. Provides former employees the right to temporary continuation of health coverages at group rates, for up to 36 months. Groups of 20+. This is governed by the U.S. Department of Labor.
What is State Continuation?
Provides former employees the right to temporary continuation of health coverage at group rates for 18 months. Groups of less than 20. This is governed by the State Department of Insurance.
Regarding owners waiving themselves off of Worker’s Comp., is an “on the job” injury covered by our group insurance?
This depends on which group health carrier you are with.
Can we have a Short Contract Year with our group health insurance? For example: 6 months or 18 months instead of the normal 12 month contract?
Depends, an exception would have to be requested to that specific health carrier and granted.
What is the best way to find out if a doctor is an “In-Network” doctor?
Call doctor’s office and ask if your doctor is a “Participating In-Network” doctor with your insurance carrier.
Regarding Non-Payment of group health insurance premiums, how many days grace do we have before cancellation?
What is the NCDOI web address and phone number?
www.ncdoi.com or 1.800.546.5664.
Dental Insurance FAQs
What is currently the most popular dental plan design?
$100 Lifetime Deductible, 100% preventative / 80% basic / 50% major, Endonotics and Periodontics in Basic Level, $1500 annual benefit. Implants included. No Orthodontics.
Life Insurance FAQs
What is Term Life Insurance?
Term insurance provides one-year term insurance that is renewed automatically each year. Term has level, guaranteed premiums for the term of years, followed by annually increasing guaranteed premiums to the insured’s age 90 (age 80 in NY).
What is Permanent Life Insurance?
Whole Life is a level-premium, permanent life insurance product providing a level lifetime death benefit. Premiums are payable to age 100 of the insured. The policy provides cash value accumulation and the payment of dividends.
What is a Captive Agent?
An agent who works for only one insurance carrier.
What is an Insurance Broker?
A Broker works with any number of insurance carriers.
Can we recommend anyone for Worker’s Comp, General Liability or other Business Insurance needs?
Yes, we highly recommend Carolina Underwriters and Financial Group.
Call Brandon Younce at 704.849.8080 or fax 704.849.8050. Email email@example.com
How long have we been in business?
What is the Holiday Schedule for closing the office?
New Year’s Eve, New Year’s Day, MLK Jr Day, Good Friday, Easter, July 4th, Memorial Day, Independence Day, Labor Day, Thanksgiving, Christmas Eve and Christmas.