Employee Benefits
___________________________________________________________________________________
Executive Summary

The Business Store of Insurance and Financial
Services allows you to focus on what you do best while we effectively administer
your benefit plans. The Business Store offers state-of-the-art technology and
the talents of a knowledgeable and experienced professional staff.
Benetrac is a web-based employee benefit system
designed to allow employee enrollment, additions and deletions on-line, once
an insurance carrier has been selected. There is a one-time set-up charge of
$200 with a minimal scheduled monthly fee.
COBRA Administration is included in our
service. We handle billing, notification and compliance status on former employees
electing COBRA benefits.
Cafeteria Plans /POP Plans (IRS Section 125)
allow employees to fund additional benefits through payroll deductions on a
before-tax basis. Employee participation in these plans lower the employer’s
FICA, FITA and Workers’ Compensation premiums allowing significant savings for
both the employer and employee.
Multiple Benefit Plan Options. Each employer will have access to a variety of insurance
carriers and multiple rate plans for each carrier, with rates based on age and
location. This custom approach will provide an estimated 20% - 30% rate reduction
in medical premium costs compared to current offerings. A simple application
form including the choice of a personal doctor is all that is required. Plans
are guaranteed issue for groups under AB1672. The table below summarizes the
available plan options:
|
BENEFIT PLAN OPTIONS |
|||||
|
|
|
|
|
|
|
|
PLAN TYPE |
OFFICE VISIT |
HOSPITALIZATION |
OUT PATIENT |
PRESCRIPTION |
PLAN PROVIDER |
|
|
|
BENEFITS |
SERVICES |
DRUGS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Blue Shield |
|
HMO |
$5/$10/$15 |
$0, $100, $250 |
$50, $75, $100 |
$10/$15/$20 |
Community Health Group |
|
|
|
|
|
|
Health Net |
|
|
|
|
|
|
Kaiser |
|
|
|
|
|
|
National HMO |
|
|
|
|
|
|
Sharp Health Plan |
|
PPO |
$10/$20/$30 |
$100,20%, 50% |
$75,20%, 30%, 50% |
$10/$15/$20 |
VHP Healthcare |
|
|
|
|
|
|
Universal Care |
|
|
|
|
|
|
Western Health Advantage |
|
|
|
|
|
|
Dental Benefit Providers |
|
|
Pre-Paid Plans |
See Schedule |
|
|
Universal Care Dental |
|
DENTAL |
Fee-for-service
Plans |
100/80/50 |
|
|
Denticare |
|
|
PPO Plans |
100/80/50 |
|
|
PacifiCare Dental |
|
|
|
|
|
|
Safeguard Dental |
|
CHIROPRACTIC/ |
$10, $15 |
|
|
$5 Herbal |
American Specialty Health |
|
ACCUPUNCTURE |
20 visits annually |
|
|
Supplements |
|
|
|
|
Lenses |
Frames |
Contact Lenses |
|
|
|
$10, $25 Co-pay |
|
|
|
AVP Vision Plans |
|
12mo/12mo/24mo |
$20, $25 |
$100 allowance |
$120 allowance |
Vision Service Plan |
|
|
|
12mo/24mo/12mo |
|
|
|
|
|
GROUP LIFE & |
In amounts of |
|
|
|
Standard |
|
AD&D |
$15k to $500k |
|
|
|
|