abacus medical support · the abacus medical support insurance plan is offered by the word &...

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Abacus Medical Support Insurance Plan FOR EMPLOYERS TM A simple concept to help reduce your group medical insurance cost.

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Page 1: Abacus Medical Support · The Abacus Medical Support Insurance Plan is offered by The Word & Brown General Agency and is part of the Abacus Series underwritten by Madison National

Abacus Medical SupportInsurance Plan

FOR EMPLOYERS

TM

T

A simple concept to help

reduce your group

medical insurance cost.

Page 2: Abacus Medical Support · The Abacus Medical Support Insurance Plan is offered by The Word & Brown General Agency and is part of the Abacus Series underwritten by Madison National

Abacus Medical SupportInsurance PlanWhen you team up with Word & Brown, you get access to products that give you flexibility tohelp your employees get the most out of their health care dollars. That’s why we have puttogether the Abacus Medical Support Insurance Plan.

We make it easier.

EMPLOYER CONTRIBUTION PLAN

To provide the best benefits at the best value,Abacus has developed a program where youincrease your group’s health benefits deductiblesand co-pays and free up dollars to help pay forthe Abacus Medical Support Insurance Planavailable through Madison National LifeInsurance Company. It provides more first-dollarbenefits at a lesser cost – a win for both you andyour employees.

Or, you may choose to leave your current benefitplans in place and still provide the Abacus Medical Support Insurance Plan as an addedbenefit for your employees.

VOLUNTARY BENEFITS PLAN

As the cost of health insurance continues toescalate, you may think your only alternative tohigher premiums is shifting some of the addedcosts to your employees – through increaseddeductibles and plan co-pays. The AbacusMedical Support Insurance Plan providesemployees with the option to purchase avoluntary, supplemental plan that may helpreduce the out-of-pocket hospital deductibleswith a First Day in Hospital benefit.

No one plans to get sick or injured –but your employees can be prepared if ithappens to them.

This brochure contains a summary of benefits.For complete information please refer to the policy.Available in California and Nevada only.

Page 3: Abacus Medical Support · The Abacus Medical Support Insurance Plan is offered by The Word & Brown General Agency and is part of the Abacus Series underwritten by Madison National

Plan highlights for employees and employers alike include:

• Guaranteed Issue

• Employer contribution plan: two enrolled employees;no pre-existing condition limitation

• Minimum voluntary group size: two enrolledemployees; 12/12 waiting period on pre-existingconditions for Critical Care

• Composite rates: one rate regardless of age or gender

• Easy claims filing: telephonic claims initiation

• Benefit payment: pays directly to the Insured inaddition to any other plans

• No physician or hospital restrictions: you chooseyour own provider

First Hospital ConfinementPays the benefit amount for an insured’s first hospital confinement up to 3 days at $1500 perday. Limited to the First Hospital Confinement each Calendar Year for each Insured and willnot exceed:

Day-1 - $1500 Day 2 - $1500 Day 3 - $1500

Critical CareMakes a one-time payment of the benefit amount if one of the following specified healthevents occurs for the first time in the insured person’s lifetime while the Rider is in force:Heart Attack, Stroke, Life Threatening Internal Cancer, End Stage Renal Failure, CoronaryArtery Bypass, Major Organ, or Permanent Paralysis. Subject to a 30-day waiting period. Pre-Existing Condition limitations may apply.- Requires diagnosis by a Doctor. Once the maximum benefit has been paid, coverage underthis Rider terminates for the insured person.

Accident ExpensePays the lesser of the benefit amount or actual expenses for covered charges incurred by aninsured person as a result of a covered Accidental Bodily Injury which occurs whilecoverage is inforce under this Rider.- Initial charges must be incurred within 90 days of the covered Injury and while coverage iscontinuously inforce.

Summary / OverviewThrough your employer, you are presently covered under your group medical plan, with benefits that are mandated through the “PPACA”Patient Protection and Affordable Care Act, which was passed into law by Congress. Based on your specific plan benefits, your coveragehas deductibles and co-pays that may require you to pay out of pocket expenses for as much as $6,350.00 on an individual and $12,750.00 onthe family. You can’t stop medical cost from rising! You can’t prevent gaps in coverage from occurring! However, you can help manage the cost youwill incur through deductibles and co-pays by purchasing the Abacus Affordable Supplemental Plan.

This brochure contains a summary of benefits, limitations and exclusions. Some provisions, benefits, exclusions or limitations listed herein may varydepending on your state of residence. Not available in all states. For complete information, please refer to the policy.

Madison National Life Insurance Company is rated “A” Excellent by A.M. Best

EmployeeEmployee & Spouse

Employee & Child(ren)Employee & Family

BENEFITBENEFIT

$4,500

$5,000 first occurrence; lifetimemax benefit of 1 day

$2,500 per Injuryper year

WEEKLY PREMIUMSEmployer Paid Voluntary

$6.66 $11.11$15.09 $25.15$11.89 $19.81$18.84 $31.39

No Health Questions to answer2 Enrolled with Group Contribution0 Pre-Existing Condition Limitations on HI and Accident12/12 Pre-ex on Critical Illness2 Enrolled - No Percentage Participation RequirementNo Physician/Hospital RestrictionsPays directly to the insured & in addition to all other plans

Guarantee IssueMinimum Group Contribution SizeEmployer Paid or Voluntary

Voluntary OfferBenefit PaymentTelephonic Claims Initiation

Highlights

Page 4: Abacus Medical Support · The Abacus Medical Support Insurance Plan is offered by The Word & Brown General Agency and is part of the Abacus Series underwritten by Madison National

For more information, contact your regional Word & Brown

representative or visit us online at wordandbrown.com

WB.GA.1349110.A.12.15

Northern California 800.255.9673 Los Angeles 800.560.5614 Inland Empire 877.225.0988 Orange 800.869.6989 San Diego 800.397.3381

The Abacus Medical Support Insurance Plan is offered by The Word &

Brown General Agency and is part of the Abacus Series underwritten

by Madison National Life Insurance Company.

Trusted for more than 30 years, the Word & Brown General Agency is

the largest general agent in California and Nevada focusing on group

and individual and family insurance.