COMPANY HEALTH INSURANCE - Americas Health Options · 2 Call us: 1.877.545.5433 Visit us: Email us:...

COVERAGE INCLUDES

Americas Health Options Groups works alongside your company to enhance the total benefits package you offer employees. Our goal is to make it easy for you to offer a robust benefits program that strengthens the relationship between your company and your employees.

COMPANY HEALTH INSURANCE

Your employee benefits program made simple

PREVENTATIVE CARE & WELLNESS

FIXED BENEFITPLAN

CRITICALILLNESS

ACCIDENT

DENTAL

2 Visit us: www.americashealthoptions.comCall us: 1.877.545.5433 Email us: [email protected]

AVAILABLE STATES

We are proud to present Minimum Essential Coverage (MEC), an ACA compliant solution that extends to groups of any size.

We have an exclusive platform for self-employed individuals and groups of any size with Minimum Essential Coverage! MEC is the minimum amount of coverage an individual is required to have according to the Affordable Care Act “Obamacare.” MEC Coverage defines that males receive 63 wellness/preventative service and females 67. This satisfies Internal Revenue Code 4980H(a) also known as the individual mandate. Available exclusively to the self-employed at additional cost.

EXCLUSIVEOFFERING

Now available with TELEDOC & SCRIPTSAVE at NO EXTRA COST

PREVENTATIVE CARE & WELLNESS (Note: Product optional, self-employed only)

We will provide you with unparalleled control to customize your self-funded fully-insured prescription plan. With a fully insured prescription drug plan, you will find peace-of-mind in choosing a plan within your budget, and knowing that the cost is guaranteed for at least 12 months.

PRESCRIPTION DRUG PLAN (Note: Product can be purchased individually)

Note: Not all products available in all states.


As you consider a voluntary benefits program for

your company, keep in mind that few insurance

carriers specialize in this market. You’ll want to

choose an experienced industry leader.

Washington National Insurance Company works

alongside your company to enhance the total

benefits package you offer employees. Our goal is

to make it easy for you to offer a robust benefits

program that strengthens the relationship

between your company and your employees.

For more than 100 years, Washington National

Insurance Company has helped Americans

protect themselves and their families from the

financial hardship of critical illness, accidents

and loss of life. Our supplemental health and

life insurance products help give employees and

their loved ones peace of mind.

Today we serve more than 25,000 employer

groups—both large and small—including

private and public entities, governments, school

districts, financial institutions, hospitals,

medical practices, small businesses and more.

CHOOSE WASHINGTON NATIONAL


ADD UP THE ADVANTAGES Our supplemental products offer features that can help employees

overcome the financial challenges of a serious diagnosis, and that

help protect families in the event of loss of life.

Plus, our wellness services and educational tools may help

employees learn how to prevent accidents, injuries and illnesses.

Use them to help employees take control of their health and enjoy

a fuller, more rewarding life.

Working with Washington National, you can add to your

traditional core products and offer a diverse range of voluntary

benefits from a market leader.

ONE SOURCE ADVANTAGES FOR EMPLOYERS Washington National supports you through every step of benefits

enrollment and administration. Your employees have access to

attractively priced products, all managed through one carrier, for

great long-term value.

Washington National

ONE SOURCE, our suite of supplemental health and life insurance products and cutting-edge technology, can enhance your employee benefits program, while minimizing your administration. Our state-of-the art platform streamlines the enrollment process to help employees choose benefits quickly, and helps you efficiently manage your supplemental benefits program.

WASHINGTON NATIONAL ONE SOURCESM


SUPPLEMENTAL HEALTH AND LIFE INSURANCE HELPS YOUR ASSOCIATES PROTECT THEMSELVES AND THEIR FAMILIES.

With Washington National and our partners, we offer the total coverage solutions you

need. Our products are flexible and customizable. They’re easy to understand at the time

of sale and easy to use when filing claims.

Many of our products offer portability or extended portability, so employees can keep

their Washington National coverage if they change jobs—and even if your company

decides to discontinue the coverage.

Our premium-return feature on many products enables employees to get back all of their

premiums, less paid claims, after a certain time.

Quality coverage your employees wantThe One Source product suite increases the total benefits you offer to associates. Based on

your budget and objectives, you can pay all, part or none of the premiums.

COVERAGE OPTIONS:

ONE SOURCE PRODUCTS

• Cancer

• Critical illness

• Accident

• Short- and long-term disability

• Hospital indemnity

• Medical gap

• Voluntary dental

• Voluntary vision

• Permanent and term life

• Health savings account (HSA)

• Flexible spending account (FSA)

• Health Reimbursement Arrangement (HRA)

• Section 125 premium-only plan (POP)

• Wellness programs

• Telemedicine


ONE SOURCE EMPLOYEE BENEFITS

Premium-return featureMany of our products offer a premium-return option. This popular

feature enables employees to get back all of their premiums, minus

paid claims, after a stated time.

Family coverageInsurance plans can cover employees and their spouses, children

and grandchildren.

WellnessWith wellness options and resources, your employees can choose

a healthier lifestyle, manage their health care costs, improve

productivity at work and minimize downtime. The wellness

benefits included with some Washington National plans pay for

routine physicals and screenings, helping employees and covered

dependents maintain optimal health.

WE’VE RETURNED MORE THAN $2.2 BILLION IN PREMIUMS TO OUR

POLICYHOLDERS SINCE 1995.1

Health AdvocateTM supportCertain Washington National plans

include full access to Health Advocate,

which helps employees navigate the health

care system and maximize their available

benefits. A personal health advocate

works on each customer’s behalf to

resolve clinical and administrative issues

before, during and after treatment. This

time and stress-saving service is available

for any health need at any time.

Benefit increasesOur Automatic Benefit Increase rider, included in the Worksite UL2®

product, enables insured persons to increase their life insurance

face amount without any additional underwriting requirements.

Employees who might not qualify for higher coverage levels can

use this rider to boost their life insurance protection over time.


Online resourcesAt WashingtonNational.com, employees can view customer

testimonials, learn about our community partnerships and

access our Resource Center. Here they’ll find answers to

common health care questions and be able to download

information on wellness and prevention, care and treatment,

and the financial impact of diagnoses.

ScriptSave® discountsThe ScriptSave Rx Savings Plan provides valuable discounts on

prescription drugs, vision care, hearing care, daily living products,

diabetes care and other medical supplies. This easy-to-use program

is FREE to all of your employees and their family members.2

Educational materialsWashington National helps you educate employees to make

healthier lifestyle choices, manage and prevent common illnesses

and accidents, and understand how voluntary benefits can protect

the people they love.

OFFERING VOLUNTARY PRODUCTS HELPS EMPLOYEES EXPAND THEIR PERSONAL INSURANCE COVERAGE.

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A GUIDE TO SUPPLEMENTAL HEALTH INSURANCE

bridging the gapa guide to preventing

accidents at home

and in the workplace

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security, protection and peace of mind

term life insurance

TERM-BOOK

Washington National Insurance Company11825 N. Pennsylvania StreetCarmel, IN 46032

WashingtonNational.com© 2013 Washington National (04/13) 147466WN-BR-STDY1

Media contact:Jennifer Born(312) [email protected] contact:[email protected]

WNInstituteforWellness.com

Middle-Income America’s Perspectives on Critical Illness and Financial SecurityApril 2013 | Consumer study

WN-BR-STDY1

My journey.

My mindset.My mission.

by Shannon Miller Seven-time Olympic medalist

Competing with Cancer

WN-BOOK-SM

The choice is yours—we offer both

group and individual products so you

can choose based on the best solution for

your benefits program.

INDIVIDUAL: Better value for healthier

employees, plus more individual choice

of benefits.

GUARANTEE-ISSUE: All employees can

participate regardless of health history.

Voluntary products can help associates

fill coverage gaps left by high-

deductible medical plans and overall

health care costs.

The key to a well-rounded voluntary

benefits package is finding an insurance

carrier that offers a combination of

supplemental health and life products

for groups and individuals.

GROUP• Guarantee issue available• Participation requirements• More employer involvement• Sometimes portable• May be partially funded by employer

INDIVIDUAL• Individually underwritten• No participation requirements• Little employer involvement• Always portable• 100% Employee-paid

1 The premium-return amount is based on return of premium or cash value (in MO, “cash return”) payments to Washington National policyholders from January 1, 1995, through December 31, 2014.

2 The ScriptSave Rx Savings Plan is subject to state availability. It is not insurance, nor is it a part of any Washington National Insurance Company insurance policy. Discounts are available exclusively through participating pharmacies.


Enrollment simplifiedWith our highly-efficient enrollment and administration system,

Washington National is able to enroll supplemental benefits only, or

support your total core benefits enrollment. Our One Source platform

can be loaded with your employees’ data and product options, so

enrollers can complete multiple applications for each person in just

a few minutes. During enrollment, employees can view each of their

options, make selections and quickly return to work.

ONE SOURCE TECHNOLOGY & ADMINISTRATION

Claims supportEmployees want affordable

solutions with straightforward,

timely claim payments they can

depend on.

Our fast claims-payment service

ensures employees get benefits

right when they need them most.

We pay within 2 days on average

through our Fast Pay service, and

in 4-6 days for all other claims.

Washington National has paid

out more than $4.7 billion in

supplemental health and life

insurance benefits, including

more than $1.4 billion in

supplemental health claims,

$1.1 billion in life insurance

claims and more than $2.2 billion

through our return of-premium

and cash value benefits.*

Employee administrationOne Source offers a leave-behind employee administration system

to help you manage your employees, even those who may not

be enrolled in a health plan. This system helps you track hours,

salaries, time off, life events and much more. This free-of-charge

system is available when you offer our products, however some

limitations may apply.

One Source also integrates with our administrative and billing

systems to eliminate manual data entry. This ensures fast policy

issue and accurate statements. With our consolidated billing

feature, you can review data for third-party and core benefits.

Employee administration system at no cost to you.


Payroll administrationWashington National’s designated worksite administrators provide you with

superior service—in person, on paper, over the internet and on the telephone.

For more than 80 years, we’ve been serving customers in the workplace.

Today, we process more than 300,000 premium transactions each year for

more than 25,000 groups. Our experienced administrators work with you

to create and manage a successful benefits program.

Billing options on your termsYou choose your payroll deduction schedule and determine how billings are

set and run for your company. With Washington National’s flexible, efficient

process, you can coordinate your deduction with 11 payment modes:

• Ensures efficient, accurate enrollments.

• Help employees enroll in core benefits and supplemental options.

• Reduces enrollment time to mere minutes.

• Integrates with human resource information systems.

• Eliminates manual data entry.

• Consolidates reporting.

• Streamlines employee enrollment data files.

• Monthly• Quarterly• Semiannually• Annually

• Turnaround bills• 9-pay• 10-pay• 13-pay

• 20-pay• 24-pay

• 26-pay

Smooth administration and invoicingTo reduce time and paperwork, wnezBill® offers online review and

invoice payment. With this flexible, efficient process, you or your payroll

administrator can determine how the payroll deduction schedule and

billings are set up and run.

For each billing cycle, you’ll receive an email with a link to your invoice.

Simply make changes from the previous cycle, if needed, and submit your

payment. Plus, you can visit WashingtonNational.com any time to access

worksite service forms, account information and bills.

* The return of premium (ROP) or cash value (CV) (in MO, “cash return”) benefit is subject to state and product availability. The benefit has an additional charge and may pay minus claims or regardless of claims based on the policy selected. The policy must remain in force until the end of the ROP/CV period for the benefit to be paid. The premium-return amount is based on ROP/CV payments to Washington National policyholders from January 1, 1995, through December 31, 2014.

Visit us: www.americashealthoptions.comCall us: 1.877.545.5433 Email us: [email protected]

To learn more about Shannon Miller, ask your agent for a

copy of her book, “Competing with Cancer.”

Or visit ShannonMillerLifestyle.com for her fitness, health

and lifestyle tips.

Shannon Miller is a paid endorser for Washington National.

Olympic gymnast, wife, mother, business owner... and cancer survivor.Shannon Miller was a member of the “Magnificent Seven”

Olympic women’s gymnastics team who won gold at the Atlanta

games in 1996. Since retiring from competition, she began her

own business, Shannon Miller Lifestyle, leads the Shannon Miller

Foundation, hosts a weekly radio show, develops fitness videos,

health tips, has written two books, and travels the country as a

motivational speaker.

After a battle with aggressive ovarian cancer in 2011, she’s now

cancer free and seeks to empower women to make their health

a priority through education and awareness. She has partnered

with Washington National Insurance Company to promote

wellness and increase awareness of how supplemental health

insurance can help.

PROMOTING WELLNESS WITH SHANNON MILLER

My journey.

My mindset.

My mission.

by Shannon Miller Seven-time Olympic medalist

Competing with Cancer

WN-BOOK-SM

As an employer, you have an amazing opportunity to teach your employees about how supplemental health insurance can help lessen the financial impact of a cancer or critical illness diagnosis.

As a cancer survivor, I get to share a message of hope...to encourage you and your employees to make their health a priority...to protect themselves and their families with supplemental health and life insurance before something happens.


Learn more about HOPE at HopeMembers.com

YOUR SATISFACTION IS HOW WE MEASURE SUCCESSOur customer service teams are ready to help you and answer your questions. Call (800) 458-9156 to speak with a friendly, dedicated professional.

Washington National in the community We go beyond the reach of our insurance

products to partner with hard-working

organizations dedicated to research, treatment,

education and recovery from cancer, critical

illness and major accidents.

HOPE (Health Opportunity through Partnership

in Education) works to promote good health,

encourage scientific research and disseminate

information about the prevention, detection and

treatment of cancer and other serious diseases

and accidents. Since 2010, HOPE has contributed

more than $500,000 in grants to these and other

leading non-profit organizations.


Washington National Insurance CompanyHome Office11825 N. Pennsylvania StreetCarmel, IN 46032

WashingtonNational.com

© 2015 Washington National (05/15) 157670

WNOS-BR-ER

LIMITED BENEFIT POLICIES: The policies listed in this brochure have limitations and exclusions. For costs and complete details of coverage, please contact your agent.

Insurers and their representatives are not permitted by law to offer tax or legal advice. The general and educational information here supports the sales, marketing and service of insurance policies. Based upon individuals’ particular circumstances and objectives, they should seek specific advice from their own qualified and duly-licensed independent tax or legal advisers.

Washington National Insurance Company is an insurance product provider only. It does not act as a plan sponsor, plan trustee, plan administrator or ERISA fiduciary.

Policies and benefits are subject to state availability.

Most policies underwritten by Washington National Insurance Company. Certain life products, as well as GAP, dental, vision and wellness products are offered through one of our third-party carriers.


Benefits Live Here.ACA Compliance Should Too.

We Learned a Lot in 2015. Functionality:- IRS Compliant Form Generation- IRS Electronic Form Filing- Lookback Reporting Options- IRS Form Fulfillment Options- Automated IRS Code Determinations- Automated Affordability Calculations

Service:- Full-Service ACA Manager*- Setup/On-boarding Assistance - IRS Form Generation Assistance

Convenience:- One System , One Solution- Option-based Pricing To Fit Your Needs

IRS FormGeneration & Filing



Lookback Monitoring Lookback Monitoring

Employee 1095-C Mailing

$200Flat Fee Per Month

$0.20Per Employee Per Month

$1.50 Per Form $1.00 Per Corrected Form

< 500 Employee

s

501-5

,000 Employee

s

+ 5,001 E

mployees


$0.85 Per MonthPer Medical Eligible Employee($10.20 Annually / 12 Months)

$0.20 Per Employee Per Month


Lookback Monitoring


$0.65 Per MonthPer Medical Eligible Employee ($7.80 Annually / 12 Months)


IRS Form Generation and Filing is required to select the Lookback Monitoring and/or Employee 1095C mailing options. * ACA support includes 2016 onboarding assistance. Support in excess of 20 hours annually will be billed separately.

Medical eligible employee count will be based on the # of 1095 forms filed by the employer. Price includes PDF generation & filing. Lookback Monitoring Pricing is based on a monthly charge for the number of employees with pay history data loaded in the system.


www.selerix.com

Our 2016 Pricing is Simple: Pay Only For What You Use. Step One: IRS Form Generation & Filing

Step Two: Add Services To Complete Your Compliance Checklist

1 1

22

21

2

Benefits Live Here.ACA Compliance Should Too.

We Learned a Lot in 2015. Functionality:- IRS Compliant Form Generation- IRS Electronic Form Filing- Lookback Reporting Options- IRS Form Fulfillment Options- Automated IRS Code Determinations- Automated Affordability Calculations

Service:- Full-Service ACA Manager*- Setup/On-boarding Assistance - IRS Form Generation Assistance

Convenience:- One System , One Solution- Option-based Pricing To Fit Your Needs




Lookback Monitoring Lookback Monitoring


$200Flat Fee Per Month



< 500 Employee

s

501-5

,000 Employee

s

+ 5,001 E

mployees


$0.85 Per MonthPer Medical Eligible Employee($10.20 Annually / 12 Months)

$0.20 Per Employee Per Month


Lookback Monitoring


$0.65 Per MonthPer Medical Eligible Employee ($7.80 Annually / 12 Months)


IRS Form Generation and Filing is required to select the Lookback Monitoring and/or Employee 1095C mailing options. * ACA support includes 2016 onboarding assistance. Support in excess of 20 hours annually will be billed separately.

Medical eligible employee count will be based on the # of 1095 forms filed by the employer. Price includes PDF generation & filing. Lookback Monitoring Pricing is based on a monthly charge for the number of employees with pay history data loaded in the system.


www.selerix.com

Our 2016 Pricing is Simple: Pay Only For What You Use. Step One: IRS Form Generation & Filing


1 1

22

21

2

IRS Form Generation and Filing is required to select the Lookback Monitoring and/or Employee 1095C mailing options. * ACA support includes 2016 onboarding assistance. Support in excess of 20 hours annually will be billed separately. 1Medical eligible employee count will be based on the # of 1095 forms filed by the employer. Price includes PDF generation & filing. 2Lookback Monitoring Pricing is based on a monthly charge for the number of employees with pay history data loaded in the system.

Our 2016 Pricing is Simple: Pay Only For What You Use.Step One: IRS Form Generation & Filing



www.selerix.com

Have Questions? ACA Can Have That Effect.

We Are Here to Help.Below are some frequently asked questions to help get you started.

What has changed from your 2015 offering?Employers have expressed a need for acomprehensive end‐to‐end ACA solution thatincludes services such as electronic IRS filing and1095 fulfillment/mailing options. Selerix nowoffers the option to add these additional services toyour current ACA package. Our option‐basedpricing allows you to simply select the services yourequire and ensure your organization is on its way toACA compliance.

** ACA support includes 2016 onboarding assistance. Support in excess of 20 hours annually will be billed separately.

What tasks will I (the employer) beresponsible for throughout the year?

With increased penalties and tightened standards for2016 ACA reporting, it is crucial that employers remaininvolved in the ACA process throughout the calendaryear. While your ACA manager will assist with the setupof your ACA tool and reports, it is the employer'sresponsibility to manage, analyze, and approve eligibilitychanges identified in the Lookback reporting process.Employers will also need to identify the necessary ACAparameters (measurement/stability/admin periods,transition relief and EIN structure) and communicatethose parameters to their ACA manager. Employers willalso need to review and approve all IRS forms prior toemployee mailing (if elected) and electronic filing (ifelected).

How are these services/charges calculated?IRS form Generation and Filing: The fee is charged based on the number of forms thatwill need to be generated & filed –all full time medicaleligible employees loaded in the system. In someinstances, Employers may choose to offer medicalbenefits to PT employees averaging less than the 30Hour ACA threshold. If the employer chooses togenerate/file 1095 forms for these PT employees,they will be counted and charged based on the same(Per Form Charge) structure.

Lookback Monitoring: Tracking whether part‐time employees should beoffered medical coverage when they average morethan 30 hours/week during the employer’sMeasurement Period and maintain coverage after theStability Period is completed is an employercompliance requirement. If an employer hasalternative method to track this they are not requiredto use the Selerix ACA Lookback Reporting capability.This is an optional service for Selerix offers.

Employee 1095‐C Mailing:Employers are required to provide a 1095‐C tomedically eligible employee before January 31, 2017for calendar year 2016. Fulfillment of the printing andmailing of forms is another optional service Selerixprovides for 2016. For employer who have securedthe proper employee permission electronicdistribution is also an alternative.

How and when will you bill me?

ACA services are based on a calendar yearcommitment; billing is executed within the calendaryear that services are rendered. Billing invoices forACA services will be issued quarterly in advance. Forclients who elect Lookback reporting, a true‐upprocess will be performed at the end of the year. Thetrue‐up process accounts for any variance inemployee count throughout the course of the year.

www.selerix.com

Have Questions? ACA Can Have That Effect.

We Are Here to Help.Below are some frequently asked questions to help get you started.

What has changed from your 2015 offering?Employers have expressed a need for acomprehensive end‐to‐end ACA solution thatincludes services such as electronic IRS filing and1095 fulfillment/mailing options. Selerix nowoffers the option to add these additional services toyour current ACA package. Our option‐basedpricing allows you to simply select the services yourequire and ensure your organization is on its way toACA compliance.


What tasks will I (the employer) beresponsible for throughout the year?

With increased penalties and tightened standards for2016 ACA reporting, it is crucial that employers remaininvolved in the ACA process throughout the calendaryear. While your ACA manager will assist with the setupof your ACA tool and reports, it is the employer'sresponsibility to manage, analyze, and approve eligibilitychanges identified in the Lookback reporting process.Employers will also need to identify the necessary ACAparameters (measurement/stability/admin periods,transition relief and EIN structure) and communicatethose parameters to their ACA manager. Employers willalso need to review and approve all IRS forms prior toemployee mailing (if elected) and electronic filing (ifelected).

How are these services/charges calculated?IRS form Generation and Filing: The fee is charged based on the number of forms thatwill need to be generated & filed –all full time medicaleligible employees loaded in the system. In someinstances, Employers may choose to offer medicalbenefits to PT employees averaging less than the 30Hour ACA threshold. If the employer chooses togenerate/file 1095 forms for these PT employees,they will be counted and charged based on the same(Per Form Charge) structure.

Lookback Monitoring: Tracking whether part‐time employees should beoffered medical coverage when they average morethan 30 hours/week during the employer’sMeasurement Period and maintain coverage after theStability Period is completed is an employercompliance requirement. If an employer hasalternative method to track this they are not requiredto use the Selerix ACA Lookback Reporting capability.This is an optional service for Selerix offers.

Employee 1095‐C Mailing:Employers are required to provide a 1095‐C tomedically eligible employee before January 31, 2017for calendar year 2016. Fulfillment of the printing andmailing of forms is another optional service Selerixprovides for 2016. For employer who have securedthe proper employee permission electronicdistribution is also an alternative.

How and when will you bill me?

ACA services are based on a calendar yearcommitment; billing is executed within the calendaryear that services are rendered. Billing invoices forACA services will be issued quarterly in advance. Forclients who elect Lookback reporting, a true‐upprocess will be performed at the end of the year. Thetrue‐up process accounts for any variance inemployee count throughout the course of the year.


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COMPANY HEALTH INSURANCE - Americas Health Options · 2 Call us: 1.877.545.5433 Visit us: Email us:...

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