voluntary mart sm employer informational session

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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

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3

What is VoluntaryMartSM?

A portfolio of supplemental insurance products that pay cash benefits directly to policyholders.

4

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

5

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!

6

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?

7

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

8

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

9

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

10

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

11

VoluntaryMart Convenience

• VoluntaryMart Website

24 hour/7day access

Online Plan administration

Online Claim Status

Online Customer Service

12

The VoluntaryMartSM Products

13

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

14

General Eligibility

Most Products

• Adult issue age: 18 through 70

• All unmarried eligible children through age 18

(22 if a full-time student)

15

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

16

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.

17

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

18

Dental At-a-Glance Benefit Summary

19

Dental Policy

Optional Riders

Inflation Rider

Orthodontics Benefits Rider

Expanded Coverage - Optional Riders

20

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.

21

Cancer At-a-Glance Benefit Summary

22

Cancer Policy

Optional Riders

Hospital Intensive Care RiderReturn of Premium Rider

Specified Disease Rider

Expanded Coverage - Optional Riders

23

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

24

Heart/Stroke At-a-Glance Benefit Summary

25

Heart/Stroke Policy

Optional Riders

Hospital Intensive Care RiderReturn of Premium Rider

Expanded Coverage - Optional Riders

26

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

27

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)

28

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

30

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

31

Hospital Confinement Sickness Indemnity Benefit Summary

32

Hospital Confinement Sickness Indemnity Policy

Optional RidersAdditional Initial Hospital Rider

Hospital Intensive Care Rider

Expanded Coverage - Optional Riders

33

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

34

Hospital Indemnity At-a-Glance Benefit Summary

35

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

36

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

37

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

38

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

39

Short Term Disability Policy

Optional Riders

On-the-Job Accident Disability Rider

Spouse Off-the-Job Accident Disability Rider

Expanded Coverage - Optional Riders

40

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

41

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

42

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

43

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

44

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

45

Easy Enrollment Process

• Employee informational meetings

• PowerPoint presentation followed by question-answer session

• Applications taken on the spot

46

VoluntaryMartSM

Questions?

47

VoluntaryMartS

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Added Protection

Superior Solutions

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