TRIO – MEC COVERAGE PLAN

Ensure ACA compliance and provide exceptional health benefits with InnovativeHIA.

Our Innovative Health Benefits Are Right for Your Company, Right Now

Employers seek to offer benefits that ensure compliance, retain their workforce, and attract new talent.

MEC plans from Innovative Health Insurance Advisors present an ideal solution for employers focused on affordability. These plans provide essential health benefits and daily usable coverage, addressing the high costs of Major Medical insurance while keeping employees satisfied and healthy.

ADMINISTRATIVE SERVICES

All MEC penalty A compliant plans include the following administrative services:

Cobra Administration
Census Enrollment
Benefit ID Cards
Employer/Employee Plan Management Portal
Bilingual Enrollment Material

PLAN OPTIONS

Choose from any combination of the following options to offer your employees:

WellCare

freshbenies Power Package

Telehealth – Primary Care Unlimited – $0 fee
Rx Saving Plan Included

Rx Benefits

Generic Rx – non-preferred Discount Only
Brand Rx – Discount Only
Brand Rx – Discount Only

EliteCare

Wellness & Preventative Services Covered 100%

freshbenies Power Package

Telehealth – Primary Care Unlimited – $0 fee
Rx Saving Plan Included
Behavioral Telehealth Unlimited – $85 fee
Advocacy – healthcare navigation Included
Doctors Online – Specialist email consult Unlimited – $0 fee
Dermatologist Telehealth Unlimited – $75 fee

freshbenies freshSAVINGS

Dental, Vision, Chiropractic, Hearing Aid, Lab Test, MRI/CT, Medical Equipment, Diabetic Included

Daily Usable Benefits

Primary Care Visit Unlimited – $15 copay
Urgent Care Unlimited – $50 copay
Specialist Visits Unlimited – $15 copay
Laboratory Services Unlimited – $15 copay

Rx Benefits

Generic RX – Preferred Tier 1 – $10 Copay
Generic Rx – non-preferred Tier 2 – $25 Copay
Brand RX – Preferred Tier 3 – $50 Copay
Brand RX – NonPreferred Tier 4 – $75 Copay

MVP

Wellness & Preventative Services Covered 100%

Annual Deductible $6500 Individual /$13,000 Family
Max out of Pocket $6500 Individual /$13,000 Family

Primary Care Visit Unlimited – $15 copay
Urgent Care Unlimited – Covered at 100% after deductible
Specialist Visits Unlimited – $15 copay
Out Patient Labs/X rays Unlimited – Covered at 100% after deductible

Emergency Care Subject to RBP after deductible is met
Inpatient Service Subject to RBP after deductible is met
Outpatient Services Subject to RBP after deductible is met
Surgery – Inpatient Only Subject to RBP after deductible is met
All Additional Covered Services Subject to RBP after deductible is met
Telehealth – Primary Care Unlimited – $0 fee

Rx Benefits

Generic Rx Subject to RBP after deductible is met
Inpatient Services Subject to RBP after deductible is met

EXCEPTIONAL CUSTOMER SERVICE

Receive dedicated support tailored to meet your unique needs.

AFFORDABLE ACA COMPLIANT BENEFITS

Offer comprehensive benefits that meet ACA requirements without high costs.

RAPID ENROLLMENT TURNAROUND

Quick and efficient enrollment process for immediate coverage.

A COMPLETE SOLUTION

Our offerings include implementation enrollment, efficient administration, and accurate reporting.

MINOR MEDICAL

Ensure your employees have access to essential healthcare services. Achieve ACA compliance without breaking the bank.

PORTAL ACCESS

Easily make plan changes, order ID cards, check claim status, and empower employees to manage their own profiles.

Navigating the complexities of the Affordable Care Act (ACA) is essential for every employer, particularly when it comes to the Employer Mandate.

Understanding the associated penalties for non-compliance is crucial to avoid significant financial consequences.

THE EMPLOYER MANDATE

Penalty A (4980H(a)) for the 2024 Tax Year

For the 2024 tax year, the 4980H(a) penalty amount is $247.50 a month or $2,970 annualized, per employee. This penalty applies if:

An employer does not offer Minimum Essential Coverage (MEC) to at least 95% of its full-time employees (and their dependents) for any month during the tax year.
At least one full-time employee receives a Premium Tax Credit (PTC) for purchasing coverage through the Marketplace.

THE EMPLOYER MANDATE

Penalty B (4980H(b)) for the 2022 Tax Year

For the 2022 tax year, the 4980H(b) penalty, or Employer Shared Responsibility Penalty for failure to offer coverage that meets affordability and Minimum Value (MV), is $371.67 a month or $4,360 annualized, per employee. This penalty is assessed monthly for every full-time employee who did not receive an offer of coverage, received an unaffordable offer, or received an offer that did not provide MV, and received a PTC for that month.

Innovative Health Insurance Advisors | Las Vegas, NV | Phone: Toll Free: 800-339-0688 | Email: info@innovativehia.com

DISCLAIMER
The information contained in this website is for general information purposes only. The information is provided by Innovative HIA, LLC and while we endeavor to keep the information up to date and correct, we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the website or the information, products, services, or related graphics contained on the website for any purpose. Any reliance you place on such information is therefore strictly at your own risk.

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