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Voluntary Mart SM Employer Informational Session. Insurance products are underwritten by Fortis Insurance Company and presented by Time Insurance. Voluntary Mart SM. A portfolio of supplemental insurance products that pay cash benefits directly to policyholders. - PowerPoint PPT Presentation
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1
VoluntaryMartSM
Employer Informational Session
Insurance products are underwritten by Fortis Insurance Company and presented by Time Insurance.
VoluntaryMartS
M
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What is VoluntaryMartSM?
A portfolio of supplemental insurance products that pay cash benefits directly to policyholders.
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The Need for VoluntaryMart
Rising health care costs translate to a bigger cost burden for you and your employees
• Higher premiums
• Higher health insurance deductibles
• Higher copays
• Higher out-of-pocket costs
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Today’s Reality
Benefits play a key role in recruiting and keeping good employees, but benefit costs are going up fast.
VoluntaryMart supplemental insurance
• Helps you attract and retain good employees and• Increases your employees’ sense of financial security
and peace of mindwithout adding any additional cost for you!
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VoluntaryMart helps hold the line on health care costs
• You provide employees with a higher out-of-pocket health insurance plan that reduces your premium costs and
• At no cost to you, offer employees VoluntaryMart plans – low-cost options for supplementing employer-provided health care benefits
How?
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VoluntaryMart Employer Advantages• Plans require almost no employer
administration
• Product offerings are customized to meet your company needs
• Affordable premiums are paid by employees
• Your benefit package is enhanced with protection that bridges employee coverage gaps
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VoluntaryMart Employer Advantages
• You decide which products to offer
• Your employees choose and pay for the ones they want
• Convenient employee worksite enrollment
• Policies are mailed directly to employees
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Other VoluntaryMart Advantages
• Individual policies that are portable
• Same rates for payroll deduction, EFT or credit card
• Rates are designed to be affordable are not expected to change
• Often sold in Section 125 context
• All plans may be sold to someone purchasing an HSA and a qualified High Deductible health plan
• Preferred/Standard rates on easily determined criteria
• Simplified or guaranteed issue
• Benefits paid regardless of other coverage
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Section 125 Advantages
• Section 125
POP plans administered at no charges
Full flex plans available at competitive rates• FSAs reduce your FICA tax wage base
• Employer FICA and FUTA tax savings typically offset all of the administration fees
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VoluntaryMart Convenience
• VoluntaryMart Website
24 hour/7day access
Online Plan administration
Online Claim Status
Online Customer Service
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The VoluntaryMartSM Products
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VoluntaryMartSM
Supplemental Insurance Plans
Choose from 8 Plans (with Optional Riders) • Accident• Cancer• Dental• Heart/Stroke• Hospital Confinement Sickness Indemnity• Hospital Indemnity• Short Term Disability• Term Life With (Optional) Critical Illness Rider
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General Eligibility
Most Products
• Adult issue age: 18 through 70
• All unmarried eligible children through age 18
(22 if a full-time student)
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Dental At-a-GlanceBase Plan(s)
Coverage for 4 Types of Care Type 1 – Wellness: preventive care, cleanings, etc. Type 2 – Basic: fillings Type 3 – Major: crowns, root canals, oral surgery Type 4 – TMJ procedures
• Benefits are assignable • Dental ID Card Issued
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Dental At-a-GlanceBase Plan(s)• Scheduled Plans – no Reasonable & Customary cutbacks• No Networks• Graded Benefits*• Children 15 or younger are eligible for Orthodontic Rider
Type of Service Year 1 Year 2 Year 3+
Type 1 – Wellness
Full schedule
Type 2 – Basic 50% of schedule Full schedule
Type 3 – Major 20% of schedule 50% of schedule Full schedule
Type 4 – TMJ 2 year waiting period Full schedule
*Replacement policies receive up to one year credit, in effect, advancing benefits by 1 year.
Individuals who replace existing coverage receive up to a 1-year
credit which advances benefits by 1 year.
Example: 100% of Type 2 benefits are paid during the 1st year instead of the
50% that is usually paid for 1st year policyowners.
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Dental At-a-Glance
• Issue-age Rated based on each adult’s own characteristics
• Group discount given with the greater of 3 or more employees or 25% participation
• 10% 2-adult discount
• Per-child rate for Base/All-child rate for Orthodontic Rider
• Family Type – Individual, Individual & Spouse and per child rate
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Dental At-a-Glance Benefit Summary
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Dental Policy
Optional Riders
Inflation Rider
Orthodontics Benefits Rider
Expanded Coverage - Optional Riders
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Cancer At-a-Glance
General Eligibility
Cancer-related medical questions for Base Cancer policy- There are only a few basic questions to answer and no medical exam to take.
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Cancer At-a-Glance Benefit Summary
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Cancer Policy
Optional Riders
Hospital Intensive Care RiderReturn of Premium Rider
Specified Disease Rider
Expanded Coverage - Optional Riders
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Heart/Stroke At-a-Glance
Base Plan(s)
• 2 Plan choices
• Waiting Period Work site with less than five W-2 employees – 30 days from
Effective Date
Work site with five or more employees – None
• If Heart Attack, Stroke or diagnosed Heart Disease within first 30 days of coverage, no benefits for 2 years
• Waiver of Premium if totally disabled for 90 days due to Heart/Stroke
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Heart/Stroke At-a-Glance Benefit Summary
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Heart/Stroke Policy
Optional Riders
Hospital Intensive Care RiderReturn of Premium Rider
Expanded Coverage - Optional Riders
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Accident At-a-Glance
Base Plan(s)
• 2 Base platforms Base Plan Covering Off-the-Job Accidents Only Base Plan Providing 24-hour coverage for
Accidents
• 2 Benefit Levels
• Base Accident policy can cover all family members
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Accident At-a-Glance
General Eligibility
• Adult issue age: 18 through 64
• All unmarried children through age 18 (through age 22 if a full-time student)
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Accident At-a-Glance Benefit Summary
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Expanded Coverage - Optional Riders
Accident Policy
Optional Riders
Off-the-Job Accident Disability Rider
On-the-Job Accident Disability Rider
Sickness Disability Rider
Spouse Off-the-Job Accident Disability Rider
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Hospital Confinement Sickness Indemnity At-a-Glance
Base Plan(s)
• 3 Benefit Level options
• Covers sickness
• Limited benefits for accidents
• 6/6 pre-existing conditions limitation
• 270-day Waiting Period for pregnancy
• 30-day Waiting Period for sickness
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Hospital Confinement Sickness Indemnity Benefit Summary
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Hospital Confinement Sickness Indemnity Policy
Optional RidersAdditional Initial Hospital Rider
Hospital Intensive Care Rider
Expanded Coverage - Optional Riders
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Hospital Indemnity At-a-Glance
Base Plan(s)
• 3 Benefit Levels
• 5 Elimination Periods for sickness-related confinements
• All benefits for Accident and Sickness
• Outpatient surgery benefit
• 270-day Waiting Period for Pregnancy
• 30-day Waiting Period for Sickness
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Hospital Indemnity At-a-Glance Benefit Summary
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Expanded Coverage - Optional Riders
Hospital Indemnity Policy
Optional Riders
Accident Benefits Rider
Accident and Sickness Benefits Rider
Additional Initial Hospital Rider
Hospital Intensive Care Rider
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Short Term Disability At-a-GlanceBase Plan(s)
• Monthly Benefit amount in units of $100
• Maximum Issue amount, the lesser of:
60% of gross income
70% for all in-force disability policies
$5,000 monthly benefit
• Choice of:
Accident Elimination Period
Sickness Elimination Period
Benefit Period
Benefit Amount
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Short Term Disability At-a-Glance
Base Policy Benefits
• Policyowner Off-the-Job disability due to accident
• Policyowner disability due to sickness
• Waiver of premium
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Short Term Disability At-a-Glance
General Eligibility
• Adult issue age: 18 through 64
• Minimum annual salary $10,000
• Must be employed full time
• Guaranteed renewable to age 70
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Short Term Disability Policy
Optional Riders
On-the-Job Accident Disability Rider
Spouse Off-the-Job Accident Disability Rider
Expanded Coverage - Optional Riders
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Term Life (with Optional Critical Illness Rider)
General Eligibility
• Adult issue age: 18 through 64
• Employee or any adult in whom employee has an insurable interest
• Policy terminates the earlier of 20 years or age 70
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Term Life At-a-GlanceBase Plan(s)
• Minimum Face Amount $10,000 or $150 annual premium. Maximum is $250,000.
• Available in units of $1,000 or on a dollar-purchase basis
• Two times the face amount for death due to accidents
• Waiver of Premium after 3 months of total disability
• Monthly Accelerated Benefit for Long Term Disability
• Life and Accidental Death benefit paid to Beneficiary – All other benefits paid to Policyowner
• No Reduction in Face Amount due to age
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Term Life At-a-Glance
Advantages
• VoluntaryMart is level term insurance – rates never increase with advancing age
• Unique product features included in base policy are:
Waiver of Premium
Accidental Death Benefit
Monthly Accelerated Benefit for long term disability
Death benefit restored after 5 years of recovery from long term disability
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VoluntaryMart Riders Recap (Available by Policy)
□ ACCIDENT POLICY (Variability in language should accommodate 24hr & Off the Job Accident policies rather than two forms)
Optional Riders
Off The Job Accident Disability Rider
On The Job Accident Disability Rider
Sickness Disability Rider
Spouse Off The Job Accident Disability Rider
□ CANCER POLICY
Optional Riders
Hospital Intensive Care Rider
Return of Premium Rider
Specified Disease Rider
□ SHORT TERM DISABILITY POLICY
Optional Riders
On The Job Accident Disability Rider
Spouse Off The Job Disability Rider
□ DENTAL POLICY
Optional Riders
Inflation Rider
Orthodontic Benefits Rider
□ LIFE POLICY
Optional Riders
Accelerated Benefit For Qualifying Critical Illness Rider
Spouse Rider
Dependent Child Rider
□ HOSPITAL CONFINEMENT SICKNESS INDEMNITY POLICY
Optional Riders
Additional Initial Hospitalization Rider
Hospital Intensive Care Rider
□ HOSPITAL INDEMNITY POLICY
Optional Riders
Accident Benefits Rider
Accident and Sickness Benefits Rider
Hospital Intensive Care Rider
Additional Initial Hospitalization Rider
□ HEART/STROKE POLICY
Optional Riders
Hospital Intensive Care Rider
Return of Premium Rider
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VoluntaryMart Customer Service
• Dedicated Customer Care Center 8am-7pm EST 1-866-387-3405
Policyholder Customer Care 1-866-387-3406
FAX line 24/7/365 www.voluntarymart.com 24/7/365
• Web site - administration, online EOBs and claim status
• World Class Customer Service and Claims Administration
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Easy Enrollment Process
• Employee informational meetings
• PowerPoint presentation followed by question-answer session
• Applications taken on the spot
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VoluntaryMartSM
Questions?
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VoluntaryMartS
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Added Protection
Superior Solutions