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Published byChristopher Henderson Modified over 8 years ago
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MARK LANE GARITYADVANTAGE AGENCIES Seniors Choice Group Retiree
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About Us
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National Field Marketing Organization Senior Market
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Group Retiree Medical Medicare Advantage Medicare Supplement Prescription Drug Hospital Indemnity Final Expense Senior Dental Critical Illness STC/LTC
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Our Value Exceptional Service Comprehensive Training Marketing Support Lead Programs Market Expertise We’ll show you the path to your success!
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Merchants Benefit Administrators, Inc. (MBA) Third Party Administrator, Scottsdale, AZ 15+ years administering Seniors Choice Trust is over 20 years old
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Guarantee Trust Life (GTL) Mutual Reserve Insurance Co Founded in 1936 Health Accident Life Special Risk
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National Guardian Life Groups 250 + or…
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Medco Pharmacy Benefit Manager
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Seniors Choice Group Retiree Medical
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What is it? Group Medical Plan Retirees 65+ Active Employees* 65+ Medicare Parts A & B must be active Medicare must be primary
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Why Seniors Choice?
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#1 Employer concern is rising employee benefit cost Finding innovative ways to control those costs gives you an edge in getting (or keeping) their group business.
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Who’s it for??
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Tax Equity & Fiscal Responsibility Act of 1982 TEFRA
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20 + = Medicare Secondary
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1 - 19 = Medicare Primary Non - TEFRA
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Large Companies At least 20 + Employees
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Seniors Choice is a Group Retiree Plan
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Group Medical and Rx coverage Retirees only Contributory or non-contributory Creditable Part D Plan Brand Name Coverage through the Gap
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For small companies Fewer than 20 employees or just 1
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Seniors Choice is a Group Medical Plan for working, benefit eligible employees as well as retirees Must be 65+ Must have Medicare Part A & Part B Available down to 1 life
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Why is carving out Seniors a good idea?
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Reduces the average age of the group = Lower Group Rates
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Lower Rates =
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Employer Contributions are still deductible as Employee Benefit expenses
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Improves coverage and lowers costs for 65+ Reduces out of pocket costs vs most benefit plan designs
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Seniors Choice Features
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Multiple Deductible Options $0 deductible - $4,000
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No Medical Questions
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See any Medicare Provider
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Extends Hospitalization Coverage 365 Days beyond Part A
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No Primary Care Physician
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No Referrals Necessary
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Creditable Part D Coverage
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Foreign Travel Emergency Care 1 st 60 days outside the USA $50,000 Lifetime max
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Eligibility Must be sponsored by an employer group Non-Profits May be sold to: Proprietorships Partnerships LLC’s Corporations Unions Government Entities
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8% years 1 & 2 7% years 3+ Commissions not payable on Administration Fees
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Questions??
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Thank You! GARITYADVANTAGE AGENCIES The Path to Your Success! www.garityadvantage.com 1-800-234-9488 mlane@garityadvantage.com
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