Cost and Coverage Comparisons
Assurant offers three comprehensive Health Plan options - BLUE, GREEN and ORANGE.
These Plan options have different deductibles, coinsurance, out-of-pocket maximums and per paycheck contributions. Under all three Plan options:
- Coverage is provided for both in-network and out-of-network care
- In-network preventive care is 100 percent covered
- Prescription drug coverage is included
- Care from specialists can be covered even without a referral
- Coverage offers protection from catastrophic expenses
- Wellness programs are available for you and your family
The BLUE Plan option has a Health Reimbursement Account (HRA). The GREEN and ORANGE Plan options have a Health Savings Account (HSA). These health accounts work differently so be sure that you fully understand the benefits of each.
- "Family" includes Employee & Spouse/Domestic Partner, Employee & Child(ren), and Employee & Family
- There is a $20,000 lifetime maximum benefit on infertility treatment.
- If you elect Employee & Family coverage under the BLUE or GREEN Plan option, benefits begin once the entire family deductible is met (except for preventive care benefits and preventive prescription drugs). If you elect Employee & Family coverage under the ORANGE Plan option, benefits begin for a family member once that family member satisfies the individual deductible. Benefits begin for the entire family once the entire family deductible is met.
- If you elect Employee & Family coverage under the BLUE, ORANGE or GREEN Plan option, eligible expenses for all covered family members can be combined to meet the family annual in-network Out-of-Pocket Maximum. However, under the ORANGE and GREEN Plan options, an individual enrolled in Employee & Family coverage may also meet the individual in-network Out-of-Pocket Maximum and covered eligible expenses for that individual will be paid at 100 percent.
- Generic preventive prescriptions are covered at 100 percent. Brand name preventive prescriptions are not subject to the Plan's deductible. All non-preventive prescriptions are subject to the Plan's deductible.
- Caremark periodically reviews their formulary. Certain formulary medications may be excluded from coverage from time to time and impacted members will be notified.
Additional Notes:
- Assurant will not cover fees related to any HSA if you are not enrolled in the GREEN or ORANGE Plan option.
- Benefit coverage for non-tax-qualified dependents, which includes domestic partners, must be made on an after-tax basis. In addition, the employer contribution toward the cost of benefit coverage for a non-tax-qualified dependent will be included in your taxable income and income taxes will be withheld from your paycheck each pay period based on this amount. This amount, also known as imputed income, will be included in your annual gross income for federal tax purposes and shown on your Form W-2.
- Any amount accumulated toward your in-network deductible/out-of-pocket maximum also will count toward your out-of-network deductible/out-of-pocket maximum (and vice versa).
Cost and Coverage Comparisons
Assurant offers three comprehensive Health Plan options - BLUE, GREEN and ORANGE.
These Plan options have different deductibles, coinsurance, out-of-pocket maximums and per paycheck contributions. Under all three Plan options:
- Coverage is provided for both in-network and out-of-network care
- In-network preventive care is 100 percent covered
- Prescription drug coverage is included
- Care from specialists can be covered even without a referral
- Coverage offers protection from catastrophic expenses
- Wellness programs are available for you and your family
The BLUE Plan option has a Health Reimbursement Account (HRA). The GREEN and ORANGE Plan options have a Health Savings Account (HSA). These health accounts work differently so be sure that you fully understand the benefits of each.
- "Family" includes Employee & Spouse/Domestic Partner, Employee & Child(ren), and Employee & Family
- There is a $20,000 lifetime maximum benefit on infertility treatment.
- If you elect Family coverage under the BLUE or GREEN Plan option, benefits begin once the entire family deductible is met (except for preventive care benefits and preventive prescription drugs). If you elect Family coverage under the ORANGE Plan option, benefits begin for a family member once that family member satisfies the individual deductible. Benefits begin for the entire family once the entire family deductible is met.
- If you elect Family coverage under the BLUE, ORANGE or GREEN Plan option, eligible expenses for all covered family members can be combined to meet the family annual in-network Out-of-Pocket Maximum. However, under the ORANGE and GREEN Plan options, an individual enrolled in Family coverage may also meet the individual in-network Out-of-Pocket Maximum and covered eligible expenses for that individual will be paid at 100 percent.
- Generic preventive prescriptions are covered at 100 percent. Brand name preventive prescriptions are not subject to the Plan's deductible. All non-preventive prescriptions are subject to the Plan's deductible.
- Caremark periodically reviews their formulary. Certain formulary medications may be excluded from coverage from time to time and impacted members will be notified.
Additional Notes:
- Assurant will not cover fees related to any HSA if you are not enrolled in the GREEN or ORANGE Plan option.
- Benefit coverage for non-tax-qualified dependents, which includes domestic partners, must be made on an after-tax basis. In addition, the employer contribution toward the cost of benefit coverage for a non-tax-qualified dependent will be included in your taxable income and income taxes will be withheld from your paycheck each pay period based on this amount. This amount, also known as imputed income, will be included in your annual gross income for federal tax purposes and shown on your Form W-2.
- Any amount accumulated toward your in-network deductible/out-of-pocket maximum also will count toward your out-of-network deductible/out-of-pocket maximum (and vice versa).