Proprietary MEC / MVP Products
ARCHER JORDAN: GA’s and Product Developers
A MEC plan is an Affordable Plan to Comply with Health Care Reform
- Complies with the ACA’s Employer and Employee Mandate
- Covers 100% of Preventive and Wellness care
- Available to ALE, Applicable Large Employer groups > 51 eligible lives
- Available to small groups
- No participation requirement, available down to “1” participant (premium rate for under 10 lives)
- HSA Compliant (Unique plan design)
- Men Well Visits
- Out-of-Network paid at 130% of allowable Medicare
- Reinsurance mitigates employer’s risk
- Can be funded with any combination of employer and employee funds
Optional Plan Additions?
MEC plans can be paired with additional Supplemental Health products, providing first dollar coverage, creating more robust benefit offerings. A Limited Benefit Indemnity plan would be one such product.
Anticipated Program Outcomes . . .
- Savings compared to traditional major medical plans
- Lower cost point for entry into offering insurance options
- Provides built in employer expense predictability
Benefits to Employees
- First dollar coverage
- Easy access to PPO network providers and discounts
- Full flexibility in a changing environment
What is a MVP Plan?
MVP Solution Components
- Covers 100% of Preventive and Wellness care (MEC)
- Provides extensive benefits for outpatient care
- Includes a substantial co-pay prescription benefit
- Meets a “minimum value” of 60% actuarial value
- If partially self-funded, is not required to meet all ACA and State mandated requirements
- Solves for all penalties (if “affordable”)
- Affordable option that may require minimal contribution
Optional Plan Additions
MVP plans can be paired with additional Supplemental Health products,to cover in-patient claims, providing first dollar coverage, creating more robust benefit offerings.
Anticipated program outcomes
- Savings compared to traditional major medical plans
- Lower cost point for entry into offering insurance options
- Provides built in employer expense predictability
Benefits to employees
- Compliant and affordable
