Employee Benefits Explained - Products and ServicesBusiness / Commercial Insurance
Medical Insurance
PPO (Preferred Provider Organization) - a form of HMO (Health Maintenance Organization) - a form of managed care in which you receive all your care from participating providers. You usually must obtain a referral from your primary care physician (PCP) before you can see a specialist. POS (Point-of-Service Plan) - a form of managed care plan in which primary care physicians coordinate patient care but there is more flexibility in choosing doctors and hospitals than an HMO. High Deductible Health Plan - a plan that provides comprehensive coverage for high-cost medical events. It features a high deductible and an annual limit on out-of-pocket expenses. This type of plan is usually coupled with a health spending account (FSA) or a health savings account (HSA). Health Savings Account (HSA) - an account established by an employee or an employer to save money toward medical expenses on a tax free basis. Any balance remaining at the end of the year rolls over to the next year. Your HSA account is portable; the funds remain with you regardless of employment. Health Reimbursement Account (HRA) - an account established by an employer to pay for an employee's medical expenses. Only the employer can contribute to a health reimbursement account. Can save employer money on employee provided health benefits. Flexible Spending Account (FSA) - employees use pre-tax dollars to set-up these accounts and draw on them to pay for qualified medical expenses during the year. Unused amounts are forfeited at the end of the year.
DHMO (Dental Health Maintenance Organization) - this type of plan, also known as "capitation plan", operates like a medical HMO. It provides a comprehensive dental care to enrolled patients through a designated provider office (dentist).
PPO ( Dental Preferred Provider Organization) - a dental PPO allows a particular group of patients to receive dental care from a defined panel of dentists. The participating dentist agrees to charge less than usual fees to this special patient base. If the patient chooses to see a dentist who is not designated as a "preferred provider", that patient may be required to pay a greater share of the fee-for-service. Dental Insurance - Indemnity Plan - this is a type of dental plan where you choose your own dentist. This type of dental insurance plan pays the dentist on a traditional fee-for-service basis. An insurance company usually pays 50%-80% of the dentist fees for covered procedures and the remaining 20%-50% is then paid by the client.
Depending on the type of vision plan your company signs up for, coverage may range from comprehensive eye examinations including glaucoma screening, frames and/or lenses (frequency may be applicable), contact lenses and Lasik surgery.
An optional feature to term life insurance is AD&D (Accidental Death and Dismemberment) - this feature pays an enhanced benefit to the employee's beneficiary in the case of accidental death and dismemberment.
There are voluntary plans that offer employees additional coverage by allowing them to purchase a stand-alone policy or additional amounts of insurance. This may require insurance underwriting.
An STD (Short Term Disability) Plan provides protection for your employees in the event they are unable to work due to an illness or injury. The benefit duration for an STD plan is limited and benefits are paid usually less than a year.
A LTD (Long Term Disability) Plan provides additional protection for employees when they suffer from an injury or illness and the disability is expected to last more than a year or more.
Long Term Care Insurance
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The following Employee Benefits are explained further below :
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