Information About ColoHealth

With increasing reform in the health insurance field, new products are being revealed at unprecedented speeds. ColoHealth is proud to offer Assurant's newest plan, the Clarity PPO/HSA to our clients. These plans are currently available in several areas throughout Texas, Colorado, and Nebraska*.  These plans are not HSA-qualified.

With most insurance plans, before leaving the doctor's office, you will either have a co-pay, or even worse, be paying the entirety of your bill upfront. To get your money reimbursed, you have to fill out tedious claims forms and submit them to the insurance company on a time table. to the thing we like about Assurant's new Clarity plan is that both of these inconveniences are a thing of the past. With the Clarity plan, all of your doctor bills are paid directly by the insurance company. There are no co-pays or reimbursement forms, and most importantly, no money out of your pocket. Assurant will simply bill you for your portion of the charges after verifying you are billed the correct discounted rate.

Time Insurance, formerly known as Fortis Health, is an Assurant Health member company

The Assurant Clarity plan has two variations; a deductible plan, and a zero deductible plan. While the plans function slightly differently, they both share several convenient features.

Patient Health Care Statement – One of the largest logistical difficulties facing anyone who regularly uses their health insurance is keeping all of the various payments and documents organized and under control. With the Assurant Clarity plan, this is all eliminated. You will receive one statement every month for the entirety of your medical expenses.  One bill. One payment. No headache.

TeleDoc Service – Assurant's TeleDoc service gives you access to a doctor 24 hours a day, 365 days a year for phone consultations. This is available at the nominal fee of $35 per call.

HealthyDiscount – Assurant will reward you with a 10% discount for maintaining good health when you renew your plan.

*The Clarity plan in available in the following area codes: 800-803; 80817, 29, 31, 41; 809

Plans at a Glance:

(1) Deductibles and out of pocket maximums listed are for individual plans. Family plans are double the amount listed.

**

Includes kidney, cornea and skin transplants, regardless of provider, as well as other various transplants when performed at a designated transplant provider. Lifetime benefit maximum of $100,000 per person applies when transplant isn’t performed at a designated provider. Plan also includes up to $10,000 toward travel expenses to a designated transplant provider, and up to $10,000 toward donor expenses.

This information is presented only as a very brief overview of some of the benefits of this plan, and is intended only for general education. The amount of benefits provided depends on the plan selected. Premium will vary with the type of benefits selected. These plans contain exclusions from and limitations of coverage. Please see the product brochure for more complete information, as well as information about terms of renew ability, preexisting conditions, out-of-network penalties, and notification requirements. Plans are subject to health underwriting. To be considered for reimbursement, expenses must qualify as covered expenses. Expenses are also subject to reasonable and customary limits, unless you use a network, and all other policy provisions, including determinations of medical necessity.

Optional Features:

Suite Solutions

This option allows you to increase your coverage and reduce your personal medical costs. This feature reimburses you for qualified expenses regardless of your deductible. Two options are available in the Suite Solutions benefit.

Features Secure Solution Select  Solution* Accident Medical Expense Benefit Benefit Options: $2,500, $5,000, or $10,000 $100 Deductible (per insured, per accident) Accidental Death and Dismemberment Benefit Up to $10,000 for the primary insured and up to $1,000 for the spouse and each child Weekly Accident Indemnity Benefit 70% of basic weekly salary up to $250 per week for up to 52 weeks, for primary insured only Critical Illness Expense Benefit Benefit Options: Must be the same as the Accident Medical Expense Benefit Covers life-threatening cancer, heart attack, stroke, paralysis, renal failure, coma, transplants and more for primary insured and spouse   Identity Network Child Safety Services Pre-registry of children using photos and descriptions   Identity Theft Benefit Up to $2,500 in financial relief, including reimbursement for related costs, lost wages, legal fees and expenses   Travel Assistance Emergency medical, financial, legal and communication assistance, plus a multilingual information service available before and during travel, for members who are traveling 100 or more miles from home   Discounts** Up to 60% off items such as health club dues, hearing aids and hotels and travel packages

*Select Solutions is not available in all states
**Not all discounts are available in all states.

Dental Insurance

This option pays a small cash benefit to offset the cost of routine, basic, and major dental services if selected.

Dental/Vision Discount Plan

This option allows you to save between 15 and 50% on dental services, and 10 to 60% on eyewear by using our nationwide network of providers.

Term Life Insurance

This option allows you to purchase term life insurance plans for any individual included in your Assurant Clarity plan. Choices for covered members include primary insured only, spouse only, primary insured and spouse only, dependents and primary insured and/or spouse. Choices for insurance amounts are: Primary insured or spouse  - $50000 to $200000 Dependents aged 1-18 years - $10000 to $25000 Dependents aged 2-12 months - $2000

Rates

Preferred rates without riders are available on our instant quote page. The quoted rates are for the $8 million maximum benefit, and do not include optional benefits such as term life, supplemental accident, maternity, and Rx riders. Check to see if you qualify for preferred rates.

Please contact us by phone or email for rates on the optional benefits. All rates depend on gender, smoking status, zip code, and health status.

The premium can be paid via quarterly, semi-annual, or annual billing or credit card payment. Premiums can be paid monthly via bank draft, or by credit card in AZ, CT, KS, NC, and OH. There is a one-time $20 application fee, which is refunded if the application is declined or not accepted. The initial premium can be paid with a check or credit card.

Initial Monthly Premium: Unlike most companies, Time Insurance will allow you to submit an application on a C.O.D. basis. What this means is that you may submit your application without submitting the first month's premium, which would not be due until your application has been approved. At that time, you will instantly be billed for your first month's coverage. At times, depending upon your requested effective date, your first bill may be for two month's coverage, as you will be billed for the period of time that you have been covered prior to receiving your approval (if applicable), as well as the full premium for the next month of coverage.

PPO Network

Please visit the Time Insurance PPO Network for complete information. In most areas, Time uses the Private Health Care Systems (PHCS) network. Having access to the PPO network can mean substantial discounts in what you pay for your health care, even before you meet your deductible. See details on the participating providers in that network.

Underwriting

If you are in good health, Assurant has the quickest underwriting in the industry. About 25 percent of our applications go through the Express Yes approval, and you can print out your insurance card today. Just apply online, and if you answer “no” to all 17 questions and the electronic check of your Medical Information Bureau and Rx record comes back clean, you will be approved immediately.

Seventy-five percent of the remaining apps are approved within 48 hours. If medical records are needed, then it may take significantly longer while the underwriter waits for the physician to send the records.

Certain conditions may be wavered with a temporary rider (usually for one to two years), or an indefinite rider. If pre-existing conditions are disclosed on the application they will not be determined to be pre-existing and will be considered for coverage.

It is standard practice to request a Blood Pressure Inquiry on all applicants who are currently being treated for or who have recently discontinued treatment for high blood pressure.

Effective dates

Time Insurance coverage can go into effect as quickly as one day, though you risk being declined if claims are submitted before the underwriting process is completed. You may request an effective date any time between the day after you sign the application and 45 days later, with the exception being that an application cannot become effective the 29, 30 or 31 of any month.

Please note, if you are requesting an effective date of less than 21 days from the time you complete the application, you may not receive notification of your approval until after your effective date. If you have claims during this period, they will be eligible for coverage if submitted after you have been approved. Also note that you will be billed starting on your requested effective date, even if you have not yet been notified that you have been approved. This is very good for someone who does not have any present coverage and would like for their benefits to begin right away. For those who are already covered, it is suggested that you maintain your current coverage in force until you have received notice from either ColoHealth or directly from Time Insurance that your coverage has been approved and is in force.

About Time Insurance

Time Insurance, formerly known as Fortis Health, is an Assurant Health member company, Milwaukee, WI. Time Insurance, in business for more than a century, serves more than 1 million members.

For more than 110 years, Time Insurance has maintained a solid reputation for high quality products, financial stability and a commitment to the health insurance industry. The company offers Individual Medical and Small Group plans, which include Health Savings Accounts, Health Reimbursement Arrangements, comprehensive major medical plans as well as a lower cost major medical plan. The company is also the number one seller of temporary health insurance (Short Term) in the United States.

Time Insurance has been assigned a rating of A (Excellent) from the A.M. Best Company, an independent insurance rating organization.

ColoHealth is an independent authorized Time Insurance agent.