Easy to sell, easy to use.
Multi-Life Programs
S502-MLP For Agent Use Only
Easy to sell, easy to use.
AFFILIATION PROGRAM
S502-MLP For Agent Use Only
Easy to sell, easy to use.
Affiliation
Definition
Associations
Qualifications:
• Constitution and /or By Laws
• Member Based vs. Customer Based
• Minimum of 5 Members
Employers
Qualifications:
• Minimum 5 Employees
S502-MLP For Agent Use Only
Easy to sell, easy to use.
Affiliation
Eligibility
Individuals age 18 to 85 and:
• Affiliation Member; or
• Care Partners of Affiliation Member; or
• Family of Affiliation Member; or
• If Affiliation is Employer, Retirees of Employer
S502-MLP For Agent Use Only
Easy to sell, easy to use.
Affiliation
Program Features
•
•
•
•
10% Discount
No Limits on Plan Design
No Defined Open Enrollment Period
Rate Structure :
All Underwriting Rate Classes available
(Rate Class I premium 15% less than Standard )
Care Partner 1 - 20% *
Care Partner 2 - 40% *
* CT: 15%/30%, NY: 10%/20%
S502-MLP For Agent Use Only
Easy to sell, easy to use.
Affiliation
Billing/Payment Options
Payroll Deduction
Minimum 10 participants
Monthly Only
Direct Billing
Employee Paid - Annual, Semi-Annual, Quarterly, Monthly
(EFT or Credit Card only)
Employer Paid or Billed to Employer
Minimum 5 participants
Monthly or Annual
Payment Methods
EFT, Credit Card, Check
S502-MLP For Agent Use Only
Easy to sell, easy to use.
How to Quote and Submit an
Case
Affiliation
• Complete Affiliation Authorization Form prior to
submitting application.
• Home Office will assign Group Number.
• Hold Applications until minimum number is reached if
Payroll Deductions or Employer Paid billing option
selected.
S502-MLP For Agent Use Only
Easy to sell, easy to use.
EMPLOYER PROGRAM
S502-MLP For Agent Use Only
Easy to sell, easy to use.
Employer Program
Qualifications
Minimum enrollment of 15 Active Employees
age 18 - 65
who work 30 or more hours per week.
S502-MLP For Agent Use Only
Easy to sell, easy to use.
Employer Program
Eligibility
•
•
•
•
Employees / Retirees
Care Partners of Employees / Retirees
Families of Employees / Retirees
Ages 18 to 85
S502-MLP For Agent Use Only
Easy to sell, easy to use.
Employer Program
Program Features
 15% Group Discount
 Simplified Underwriting for Active Employees
 Four Plan Designs (Options A,B,C,D)
 Defined Open Enrollment Period
 Single and blended Care Partner premium rates.
 Blended Rate less than Single Rate by
Approximately:
 25% in CT, 17% in NY, and 34% in all other states
 Commission Reduction
25% 1st Year
5% years 2-10
*
S502-MLP For Agent Use Only
Easy to sell, easy to use.
Employer Program
Underwriting
• Active Employees: Simplified (During Open Enrollment)
Must answer “NO” to questions 1 - 6 on page three of application.
• Active Employees outside open enrollment, Retirees, Care
Partners and Family Members: Standard
S502-MLP For Agent Use Only
Easy to sell, easy to use.
Employer Program
Billing/Payment Options
Payroll Deduction
Minimum 10 participants
Monthly Only
Direct Billing
Employee Paid - Annual, Semi-Annual, Quarterly,
Monthly (EFT or Credit Card only)
Employer Paid or Billed to Employer: 5 Minimum
Monthly or Annual
Payment Methods
EFT,Credit Card, Check
S502-MLP For Agent Use Only
Easy to sell, easy to use.
How to Quote & Submit an Employer Case
•
•
•
•
•
Create a group case file in the system
Complete employer information worksheet
Provide census information electronically
Submit worksheets and census to Supervising Agency
Receive approval,case number, and unlock file from
MedAmerica
• Create sponsor plan design and quotes
• Submit forms and plan design to MedAmerica when case is
sold
S502-MLP For Agent Use Only
Easy to sell, easy to use.
Multi-Life Program Comparison
Feature
Employer Program
Affiliation
15%
10%
Minimum Group Size
15
5
Minimum Participation
Enrollment of 15 eligible EE’s
1
Underwriting
Simplified Issue
Active EE’s age 18 to 65 - 6 Questions
Standard
Rate Structure
Rate Class II
Blended CP Rate
Rate Classes I, II, and III
CP1: 20%, CP2: 40%*
*CT: 15%/30%, NY: 10%/20%
Plan Design
Commission Reduction
4 Options
No limits
25% 1st year
5% years 2-10
5% years 1-10
S502-MLP For Agent Use Only