Business owners provide benefit programs and other fringe benefit packages to preserve their valuable employees. Here’s a new niche product that you can bring to the table to meet their top concern. It is the medical reimbursement plan administered by BeniComp Group and insured by Assurity Life Insurance Company.

What is a Medical Reimbursement Plan?
How does BeniComp Select work?
What is a Flexible Benefit Schedule?
Is the underlying plan required to be employer based?
Some plans have an expanded definition for those age 19-25. They do not have to be a student if they are unmarried, living at home, a recent graduate, or caring for a parent.
Why should we purchase medical reimbursement instead of flex?
 
What is a Medical Reimbursement Plan?

A Medical Reimbursement Plan is a fully insured reimbursement plan that allows an employer to reimburse key employees for most medical, vision, hearing and dental expenses not otherwise covered by their existing benefit plan.

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How Does BeniComp Select Work?

Insured Medical Reimbursement is a product that assists the employer weather the storms of the rise in medical insurance costs for their employees. While employer coverage is skyrocketing, the employer’s today seem to pass some of these expenses to their employees. Either by raising the premium contribution, or more commonly, raising the employees out of pocket (deductible and coinsurance). The impact of these added costs are lessoned when the employer provides the employee the ability to fund these expenses partially with tax savings.

IRS, code section 105 has provided the means for an employer to provide funding for un-reimbursed medical expenses, but this code requires the employer make those programs available to everyone. Further, code section 125 (commonly called a flex plan) provide tax saving possibilities when the employee budgets in advance the amount the employee wishes to set aside to fund these expenses, should they occur. Draw backs to a 125 plan is that it requires the employer to make this available to everyone, but it also requires the employee to anticipate how many dollars he/she wishes to set aside at the beginning of the year. This opens one of the biggest concerns of most employees and it is called the “use it or lose it” provision. The employee is required to use all of their budgeted deposits or they forfeit them when the year ends.

An employer pays an annual premium for key executives (determined by class) to be covered under the reimbursement plan. When an insured has eligible reimbursable expenses, they are submitted to BeniComp Select for reimbursement. The claim is submitted by the employer, and BeniComp Select reimburses the key executive directly.

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What is a Flexible Benefit Schedule?

The employer selects the desired classification for each participating employee and his/her eligible dependents from the following schedule:

Plan Maximums
$10,000, $15,000, $20,000, $25,000, $35,000, $50,000, $75,000, $100,000
Administration premium percentage is based on number of covered employees
Accidental Death Benefit equal to annual maximum Included
Plan Maximums $100,000, $200,000
Administration premium percentage is based on number of covered employees
Accidental Death Benefit equal to annual maximum Included

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Is the underlying plan required to be employer based?

No. It can be an employer group plan, individual policy, spousal policy or Medicare.

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Some plans have an expanded definition for those age 19-25. They do not have to be a student if they are unmarried, living at home, a recent graduate, or caring for a parent.

This process will be managed based on the specific state mandates.

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Why should we purchase medical reimbursement instead of flex?

A few of the reasons one should purchase medical reimbursement instead of flex are:

  • No pre-funding
  • No use it or lose it concern
  • Can discriminate in favor of any group
  • Highly compensated employees are allowed to participate
  • Completely funded by employer

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