Group Limited Indemnity + MEC

Group Limited Indemnity + MEC  

Overview

You may choose one of two plan options: Both Option 1 and Option 2 include Group Limited Indemnity Insurance, with PPO network access and telehealth benefits. Option 2 also includes Minimum Essential Coverage benefits.

 

The Group Limited Indemnity (GLI)1 (offered under plan options 1 and 2 only) pays a fixed benefit amount for a set number of days that can be used for certain medical expenses, due to sickness or injury.

Note: Group Limited Indemnity is NOT major medical insurance or comprehensive health coverage.

 

The Minimum Essential Coverage (MEC)2 (offered under plan option 2 only) covers 100% of the cost of certain preventive services, when delivered by a network provider. These services are approved by the Centers for Medicare and Medicaid Services (CMS).

  

The package also includes access to these non-insurance benefits3: First Health PPO Network and Teladoc® telehealth services. 

 

THE GLI IS NOT MAJOR MEDICAL INSURANCE AND IS NOT A SUBSTITUTE FOR MAJOR MEDICAL INSURANCE. THIS BENEFIT IS NOT INTENDED TO REPLACE ANY COMPREHENSIVE MEDICAL COVERAGE YOU MAY HAVE.

ONCE YOU ARE ENROLLED IN GLI + MEC, YOU MUST WAIT UNTIL THE NEXT ANNUAL ENROLLMENT PERIOD OR UNTIL YOU EXPERIENCE A QUALIFYING LIFE EVENT TO DISENROLL OR MAKE CHANGES.

 

Tell Me More

GLI plan options 1 and 2 cover these medical services at a fixed amount:

  • Hospital indemnity benefits: Hospital confinement and hospital admission
  • Emergency room benefits: ER visits for sickness and for injuries
  • Physician’s office benefits: Physician’s office and urgent care visits


GLI option 1 only covers these medical services at a fixed amount:

  • Surgery benefits: Outpatient major and minor surgeries
  • Diagnostic testing benefits: Outpatient x-ray and major diagnostic testing<

 

The MEC plan covers 100% of the cost of certain preventive health services when delivered by a network provider, such as:

  • For Adults: Screenings for blood pressure, cholesterol, colon cancer, HIV, immunizations, diagnostic testing for COVID-19 and more
  • For Women: Screenings for breast cancer, cervical cancer, osteoporosis, HPV, as well as pregnancy services and more
  • For Children: Immunizations, plus screenings for child development, vision, hearing, diagnostic testing for COVID-19 and more


Please note, diagnostic testing for COVID-19 is covered under the MEC plan.

 

Monthly cost of coverage:

 

Option 1

Option 2

Employee

$49.80

$106.75

Employee + Spouse/Domestic Partner

$89.80

$180.25

Employee + Child(ren)

$69.80

$147.25

Family

$109.80

$220.75


Illustrated rates include Beazley GLI premium and fees for MEC, FirstHealth PPO access and Teladoc services.

MEC, FirstHealth PPO and Teladoc are not insurance; they are not offered or underwritten by Beazley.

 

GLI+MEC BROCHURE - English

GLI+MEC BROCHURE - Spanish

LIST OF MEC COVERED SERVICES

 

To look up a provider under the MEC plan, visit www.firsthealthlbp.com or call 1-800-226-5116.

Enrollment

 

Please have bank account information ready to set up payments.

How It Works

 

For GLI benefit definitions, benefit amounts and annual benefit maximums, visit HallmarkVoluntaryBenefits.com.
NOTE: MEC services are free only when delivered by a provider in your plan’s network.

 

1 Group Limited Indemnity Insurance is underwritten by Beazley Insurance Company, Inc., 30 Batterson Park Road, Farmington, Connecticut, 06032. Beazley is rated A by A.M. Best. Beazley is licensed in all 50 states and the District of Columbia. CA License #2868-8. The Group Limited Indemnity policy is offered under Policy Form Series AHGLIMM001. Coverage may not be available in all states. Benefits may vary by state. Premium will vary based on the plan chosen. A waiting period for late entrants may apply. This policy is renewable at the option of Beazley. Refer to the Master Policy and Certificate for all terms, conditions, exclusions and limitations.

2 Beazley does not underwrite MEC or non-insurance benefits.

Contact Us

 

 Phone
1-855-251-0909
 Hours
 M-F 8a-5p CT
 Email
customer.service@mercer.com
 Address
Mercer Voluntary Benefits
12421 Meredith Drive
Urbandale, IA 50398