Personal / Medical
Employee Benefits consist of all the programs that people have access to solely as a result of the Employer-Employee relationship, including but not limited to the following items:
Group Medical
Medical insurance is the biggest and most important Benefit most Employers offer because this is the coverage that assists Employees with the cost of all of their doctor, hospital, and prescription coverage costs (to name a few). There are 2 main plan types, HMO or PPO, and inside those 2 plan types are 4 tiers of plan options: Platinum, Gold, Silver, and Bronze. Employers choose plans to offer to their Employees from a suite of 100’s of plans in California from 8 major providers: Aetna, Anthem Blue Cross, Blue Shield, Cigna, Health Net, Kaiser, Oscar, and United Healthcare. Every State has their own Carriers and plan types.
Do I need Group Medical Insurance? It is not required by law to carry medical insurance, however medical debt is the number 1 source of personal bankruptcy filings in the U.S. and an estimated 40% of Americans are in debt as a result of a medical issue.
Group Dental
Dental insurance covers the cost of preventive cleanings 2 times per year, minor services such as cavities and extractions, and major services like root canals and crowns. Many plans help with the cost of orthodontia as well. Unlike Medical plans, Dental plans have a fee schedule of specific services that are covered.
Do I need Group Dental Insurance? Dental insurance is helpful to people concerned with the cost of maintaining their teeth and can be valuable when the cost for the dental plan is reasonable. It is important to evaluate whether an HMO or PPO dental plan is better for you and your family.
Group Vision
Vision insurance provide deep discounts on the cost of eye exams, contact lenses, and frames on either an annual or bi-annual basis. Individuals that require these things greatly benefit from this type of coverage.
Group Long Term Disability
Provides reimbursement of up to 66% of your salary if for any reason you are unable to go back to work. This benefit typically begins to pay after 90-120 days of disability have already passed and may continue to pay up until an individual is eligible for social security depending on the circumstances.
Group Short Term Disability
Provides reimbursement of up to 66% of your salary if for any reason you are unable to go back to work. This benefit typically begins to pay after 7 days of disability have already passed and may continue to pay for up to a year (or a Long Term Disability policy begins) depending on the circumstances.
Group Life
Pays a flat dollar amount to the designated beneficiary(ies) of an Employee in the event of their untimely death. May also pay itemized amounts in the case of loss of a limb, and/or in the event of a terminal diagnosis.
Critical Illness
These policies are designed to pay a fixed benefit at the first diagnosis of a critical illness, including heart attack, stroke, paralysis, and more. The benefit paid can help cover out of pocket medical and non-medical expenses.
Accident Insurance
This is designed to provide fixed benefits for events ranging from accidental injuries to accidental deaths. The fixed benefit schedule lists payments for hospitalization, fractures and dislocations, emergency room visits, major diagnostic exams, physical therapy and more.
Pet Insurance
Provides deep discounts on veterinarian bills for common injuries, illnesses, accidents, surgeries, x-rays, prescription medications, and more for employee’s covered pets. Does not cover any pre-existing conditions. Primarily meant to cover cats and dogs only.