MEC Plans & More...
A Complete Workforce Solution.
MEC PLANS
Choices to fit your budget, your healthcare needs, and ACA Compliant.
MEC Plan Features
To add even more value, our plans include added benefits.
Telemedicine
At no cost to you, talk to a doctor by phone or video call 24/7 and receive diagnosis and even prescriptions when necessary. Use while on vacation, at the office, or in place of a doctors visit. Convenient care 24/7.
Virtual Behavioral Health
For a $50 Copay, talk to a therapist by phone whenever you need one.
MEC Companion
With our exclusive MEC Companion card, receive discounts on benefits like dental, vision, durable medical equipment, diabetic supplies, pet care, fitness, and more...
HOSPITAL INDEMNITY
Add on a Hospital Indemnity Plan to the Ultimate MEC Plan for even more coverage.
Hospital Indemnity benefits can help pay for out-of-pocket costs associated with being hospitalized in addition to your medical coverage, and can give you more of a financial safety net for unplanned expenses brought on by a hospital stay. Payments are made directly to you, even if you did not actually incur any out-of-pocket expenses.
Ancillary
Ask to see plan designs from our suite of ancillary benefits.
Critical Illness
Critical illnesses include stroke, heart attacks, Parkinson’s, cancer, and more. Our policies can cover over 30 major illnesses. If you happen to get diagnosed with one of these illnesses, our plans can pay you a lump sum of up to $50,000.
Accident
Accident insurance pays you a lump sum in cash after you suffer an accident like a severe burn, broken bone or emergency room visit. Our accident insurance policies also offer a special benefit that pays extra for children injured while playing an organized sport.
Dental
Dental coverage helps protect your overall oral care. That includes things like preventive cleanings, x-rays, restorative services like fillings, and even more serious forms of oral surgery that you might need one day.
Vision
Vision insurance covers benefits not typically covered under your medical insurance plan. It includes things like routine eye exams and discounts on the purchase of new eyeglasses, contact lenses, or corrective surgery like Lasik.
Frequently Asked Questions
HOW LONG DOES IT TAKE TO GET MY EMPLOYEES ID CARDS?
Once all of the group enrollment documents are submitted, we can often get cards to our members within a week.
WHAT IS MEC?
MEC stands for Minimum Essential Coverage and it satisfies the ACA's mandate.
HOW AFFORDABLE IS OPTIONS PLUS COVERAGE?
Coverage is less than $100/mo for many of our offerings. This makes healthcare accessible to lower wage earners as well as those who choose not to invest in traditional major medical.
HOW DOES HOSPITAL INDEMNITY WORK?
Hospital indemnity insurance can be particularly helpful since a majority of Americans don’t have enough savings to cover unplanned medical bills.1 The plan pays cash directly to employees even if they don’t incur any out-of-pocket expenses. The payments can be used for any purpose, including medical copays, deductibles, and regular expenses, such as food, rent, and utilities
WHAT ARE THESE “MANDATES”?
The Employer Mandate (Penalty A)
Employers must offer at least Minimum Essential Coverage (MEC) to any benefit eligible employee. Non-compliance will generally result in a penalty of $2,500.00 PER eligible employee.
The Employer Mandate (Penalty B)
Employers must offer a minimum value plan that meets 60% actuarial value including hospitalization services. The MV plan must be offered at a maximum contribution of 9.86% of the employee’s income - YOU pay the difference. Ex: CA Minimum Wage Employee – A $10.00/hour employee working a minimum 30 hours per week has a maximum employee contribution of $128.18 per month. If the plan cost is $300 - YOU pay the difference of $171.82 per month. Non-Compliance will generally result in a $3,750.00 penalty PER employee whom enrolls in coverage through the state exchange AND receives a premium subsidy.
The Individual Mandate
The individual mandate will be going away starting January 1st, 2019 for the majority of Americans. Those individuals living in the District of Columbia, Massachusetts or New Jersey will still continue to be penalized for the individual mandate. To learn more about the penalty, please ask your SBMA representative.