AHCA/NCAL Insurance Solutions is pleased to offer a
new minimum essential coverage health plan to members. The new
plan
was developed by Compass Total Benefit Solutions and offers two new affordable
options for providing many of the health insurance benefits that are important
to long term care employees.
The new
plans feature affordable premiums and co-pays for valued
and commonly used services, including prescriptions, physician visits and free
unlimited 24/7 access to TELADOC. The Compass 1 plan costs about $1 per hour
for a full-time employee or $161 per month. The Compass 2 plan costs $182 per
month. The Compass 2 plan costs a little more because it includes higher
indemnity payments for hospitalizations. Here’s the rate schedule:
|
Monthly Premiums
|
Compass 1
|
Compass 2
|
|
EE
|
$161.29
|
$181.75
|
|
EE &
Spouse
|
$264.70
|
$306.39
|
|
EE &
Children
|
$244.19
|
$279.94
|
|
Family
|
$356.70
|
$417.20
|
The plan
was designed with long term care staff members in mind to help those employees
who cannot afford Affordable Care Act (ACA) compliant plan premiums or the high
deductibles associated with many ACA plans. Even though traditional ACA
compliant plans are classified as “affordable,” they are not an option that
many long term care employees can afford.
Employers decide the level of contribution for plan
expenses for coverage for employees, their spouses, their children or family
coverage. Employers can pay all the costs, share the costs with employees, or
have employees pay for coverage completely as a voluntary option. Or LTC
employers can increase their employer contribution over time based on an
employee’s length of service. Both plans are flexible. In addition, employers
have options such as covering all the costs for employee coverage but having
the employee pay the premiums for their spouse and/or children.
While this new AHCA/NCAL Insurance Solutions plan
satisfies all 71 benefits required under the Affordable Care Act, it is not a
fully compliant ACA plan. It is considered a minimum essential coverage (MEC)
plan and should be offered alongside a traditional ACA compliant plan to avoid
any ACA employer penalties.
There is no additional underwriting for the Compass plan
and no mandatory wait periods for new employees to join the Compass MEC plans. Any
wait periods are determined by the employer. There is a minimum of five
employees that must be enrolled to offer the plan to employees.
The ability to offer a health insurance plan at little
to no cost to employees allows AHCA/NCAL members to market their facilities as
superior employers in comparison to competing employers.
This plan is much less expensive to an
employer compared to a traditional employee health benefit plan and costs far
less than the expense of an employee who turns over.
contact Nick Cianci at 202-898-2841 or Dave Kyllo at
202-898-6312 or email ahcainsurancesolutions@ahca.org.
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