Assurance Basic and Plus Plans

Question 1

Carrier for Assurance Basis and Assurance Plus

Answer 1

Axis

Question 2

Ternian is what?

Answer 2

Managing General Underwriter

Question 3

MGU for Assurance Basic and Assurance Plus

Answer 3

Ternian

Question 4

Plan Administrator for Assurance Basic and Assurance Plus

Answer 4

Hooray Healthcare

Question 5

Third Party Admin for Assurance Basic and Plus

Answer 5

MBA

Question 6

Third Party Claims for Assurance Basic and Plus

Answer 6

ACI

Question 7

Who provides Member Support?

Answer 7

Westpark Communication

Question 8

Who provides Medical Concierge service?

Answer 8

Nav Central

Question 9

Who provides Telemedicine service?

Answer 9

My Telemedicine

Question 10

Does Assurance Basic & Plus include Discount Dental and Vision?

Answer 10

No

Question 11

If minimum eligibles is under 50, what is the minimum enrollment for Assurance Basic & Plus?

Answer 11

5

Question 12

If minimum eligibles is over 50, what is the minimum enrollment for Assurance Basic & Plus?

Answer 12

20

Question 13

How many states are available for the Assurance Basic & Plus plans for large and small groups?

Answer 13

42

Question 14

How many well visits is paid for @ $125 per year?

Answer 14

1

Question 15

Price for Assurance basic for employee only?

Answer 15

$99

Question 16

Price for Assurance basic for employee + spouse?

Answer 16

$149

Question 17

Price for Assurance basic for employee + children?

Answer 17

$139

Question 18

Price for Assurance basic for employee + family?

Answer 18

$229

Question 19

How many outpatient visits per year on Assurance Basic and Plus?

Answer 19

5

Question 20

How much will HH pay for the 5 outpatient visits per year for Assurance Basic and Plus?

Answer 20

$125 for Level 1 visit, $175 for Level 2 visit

Question 21

How much is paid Accident Benefit amount?

Answer 21

$5,000 per year

Question 22

What percentage of the benefit is paid?

Answer 22

100% of Usual & Customary

Question 23

What is the Admin Benefit for Assurance Plus?

Answer 23

$2000 for 1 day

Question 24

How many days of inpatient hospital benefit do you get on Assurance Plus after your Admin Benefit day?

Answer 24

4

Question 25

On Assurance Plus, how many days do you get $1,000 per day for inpatient hospital ICU benefits?

Answer 25

5

Question 26

On Assurance Plus, how many surgical days are included in your benefit and how much?

Answer 26

$1,500 for one day

Question 27

On Assurance Plus, what is the look back period for pre-existing condition limitation?

Answer 27

6 months

Question 28

On Assurance Plus, a pre-existing condition will limit the hospital confinement and surgery benefits for how many months?

Answer 28

12 months

Question 29

Can an employee continue with Assurance Basic and Assurance Plus plans after employment ends?

Answer 29

yes

Question 30

What age range must a person be within to be eligible for Assurance Basic and Assurance Plus plans?

Answer 30

18-64

Question 31

What is the age cut off for dependent child for Assurance Basic and Plus plans?

Answer 31

26

Question 32

Is there a critical illness plan in Assurance Basic and Plus plans?

Answer 32

No

Question 33

How long are rates guaranteed on the Hooray Health insurance plans?

Answer 33

one year

Question 34

What state is the insurance policy issued in?

Answer 34

Situs state

Question 35

What is Situs State?

Answer 35

The state where the business legal entity resides.

Question 36

Does Assurance Basic and Plus co-ordinate benefits?

Answer 36

No, we are exempt

Question 37

Are there any pre-existing conditions limitations for Assurance Basic plan?

Answer 37

No