Benefit Summary A brief description or outline of your plan’s coverage, including the amounts or percentage you pay for certain services, the amounts or percentage your plan pays, and the services for which coverage is limited or excluded.
DAL (Data Access License) is one user account.
Defined Contribution is an employer contribution model where the employer pays a lump sum dollar amount by tier. The employee can apply the dollar amount to any plan that is offered. (The contribution amount is dictated by the medical plan tier level.)
Dollar Medical is an employer contribution model where the employer pays a specific dollar amount to a medical insurance plan, and a percentage to dental, vision and life insurance plans.
Employer Contribution the amount of money an employer contributes towards an employee’s healthcare plan each month.
Percentage Medical is an employer contribution model where the employer pays a specific percentage of the employee’s health insurance costs. The percentage amount can be applied to all plans offered or a single base plan.
- All Plan Percentage Medical - allows the employer to apply a percentage contribution to multiple plan offerings
- Base Plan Percentage Medical - allows the employer to apply the percentage contribution amount of one plan (base plan) to multiple plan offerings. For example, if plan A is the base plan and costs $100. The employer has agreed to pay 50% of plan A which equals $50. The employee may apply that $50 to plans B, C and D. No matter the cost of any additional plan offered the employer has committed to contribute $50 (50% of plan A).
Tier refers to the possible insurance coverage levels an insurance carrier may offer. (Ex. – Employee, Employee plus Spouse, Employee plus Child, Family)
Total Monthly Cost insurance costs before employer contributions are deducted.
Your Monthly Cost insurance costs after employer contributions are deducted (out of pocket).
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