The Affordable Care Act, requires that all health plans with less than 50 employees must comply with a common set of benefit requirements. This means the popular Optima Association Plans will no longer offer additional “Value Added” benefits starting 1/1/2014. The current value added benefits include a $5 reduction in the doctor’s office co-pays along with additional free Employee Assistance Program (EAP) visits. These benefits will no longer be included effective with your company’s first renewal on or after 1/1/2014.
This unfortunate change only affects companies with 2 to 50 employees. Companies insured through the Optima VSRA association plan with more than 50 employees are able to keep the value-added benefits.
There is no action you need to take at this time. The change will automatically be included in your 2014 renewal from Optima. Although the value-added benefit is gone, your association will continue to receive the monthly marketing payment from Optima for each employee enrolled with Optima through the association.
If you have further questions about this change, please contact our endorsed broker, Gregg Kennerly with Advanced Benefit Strategies at (757) 536-4554, or email gregg@absofva.com.
Please click on the documents below to view:
- FAQs
- Three marketing flyers:
1. Group Advantages, Association Advantages, Agent Advantages
2. Group Advantages, Association Advantages
3. Group Advantages
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