1.
Traditional (80% or 50% Plan)
2. Preferred Provider Organization (PPO)
3. Point of Service (POS)
4. Health Maintenance Organization (HMO)
Lifetime
Maximum Options
$2,000,000
$5,000,000
Doctor
Office Visit Co-Pay Options
$10
$15
$20
$25
(Not subject to deductible)
Prescription
Drug Card Options
$10
Generic/$20 Brand Name
$15 Generic/$25 Brand Name
Deductible
Options
0-
$250
$500
$1,000
$2,500
Co-Insurance
Traditional
Plans
80% or 50% PPO/POS Plans
100% In Network/80% Out of Network
90% In Network/70% Out of Network
80% In Network/60% Out of Network HMO Plan
100%
Participation
Options
Owner(s)
Only
All Eligible Employees
Optional
Benefits
-
Maternity (Paid the same as any illness)
- Supplemental Accident ($300 per accident,
Paid at !00%)
- Life/AD&D - $10,000; $15,000; $20,000;
$30,000
- Dental - $50 Deductible; Benefits available
at 100% Preventative. 80% Basic; 50% Major.
(Optional Benefits may not be available
for firms with 1 employee)