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LTC Employees Are Contacting Us Asking “How Can I Enroll in This Health Plan?”
Dave KylloAHCA/NCAL Insurance Solutions offers a new minimum essential coverage health plan to members. The new plan was developed by Compass Total Benefit Solutions and offers two new affordable options for providing many of the health insurance benefits that are important to long term care employees with no deductibles and low co-pays.
The plan was built to help AHCA/NCAL members recruit and retain frontline staff who cannot afford major medical health plans and to save members money on their health benefit expenditures. Employees from member facilities have heard about the new plan and are asking us how they can enroll to get access to the health benefits they want. The answer: through their AHCA/NCAL member employer.
The new plans feature affordable premiums and co-pays for valued and commonly used services, including prescriptions, physician visits and free unlimited 24/7 access to TELADOC. The Compass 1 plan costs about $1 per hour for a full-time employee or $161 per month. The Compass 2 plan costs $182 per month. The Compass 2 plan costs a little more because it includes higher indemnity payments for hospitalizations. Here’s the rate schedule:
|
Monthly Premiums
|
Compass 1
|
Compass 2
|
|
EE
|
$161.29
|
$181.75
|
|
EE & Spouse
|
$264.70
|
$306.39
|
|
EE & Children
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$244.19
|
$279.94
|
|
Family
|
$356.70
|
$417.20
|
The plan was designed with long term care staff members in mind to help those employees who cannot afford Affordable Care Act (ACA) compliant plan premiums or the high deductibles associated with many ACA plans. Even though traditional ACA compliant plans are classified as “affordable,” they are not an option that many long term care employees can afford.
Employers decide the level of contribution for plan expenses for coverage for employees, their spouses, their children or family coverage. Employers can pay all the costs, share the costs with employees, or have employees pay for coverage completely as a voluntary option. Or LTC employers can increase their employer contribution over time based on an employee’s length of service. Both plans are flexible. In addition, employers have options such as covering all the costs for employee coverage but having the employee pay the premiums for their spouse and/or children.
While this new AHCA/NCAL Insurance Solutions plan satisfies all 71 benefits required under the Affordable Care Act, it is not a fully compliant ACA plan. It is considered a minimum essential coverage (MEC) plan and should be offered alongside a traditional ACA compliant plan to avoid any ACA employer penalties.
There is no additional underwriting for the Compass plan and no mandatory wait periods for new employees to join the Compass MEC plans. Any wait periods are determined by the employer. There is a minimum of five employees that must be enrolled to offer the plan to employees.
The ability to offer a health insurance plan at little to no cost to employees allows AHCA/NCAL members to market their facilities as superior employers in comparison to competing employers. This plan is much less expensive to an employer compared to a traditional employee health benefit plan and costs less than the expense of an employee who turns over.
Read this Q&A document for more information about Compass plans for AHCA/NCAL members. Versions of the Compass Plan are available in all 50 states. Changes to the Hospital Indemnity benefit vary based on state approvals.
To see what's available in your state, please contact Nick Cianci at 202-898-2841 or Dave Kyllo at 202-898-6312 or email ahcainsurancesolutions@ahca.org. For those attending the AHCA/NCAL annual convention in San Diego October 7-10, stop by Booth 1722 in the Expo Hall on Monday or Tuesday to learn more about this cost saving plan!
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