Assurant/Time HSA Plans

Get the Strong, Broad Financial Protection and Peace of Mind You and Your Family Need with an Individual Major Medical Plan from Assurant/Time.

Assurant Health
Time Insurance HSA

Assurant offers two different plans nationwide – the HSA-compatible One Deductible HSA/PPO and the Core Med PPO

Assurant also offer their Health Access fixed indemnity plan, where you receive a fixed dollar amount per procedure or doctor visit, and has some of the lowest premiums on the market.

For our clients in Nebraska, Assurant also offers their Clarity plan.  This plan makes insurance as simple as possible by eliminating co-pays and reimbursement forms, bills are paid directly by the insurance company.

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

Time Assurant Apply Online

Supplemental Accident Coverage
The perfect complement to any HSA

Assurant Plans at a Glance

Assurant offers two different plans nationwide – the HSA-compatible One Deductible HSA/PPO and the Core Med PPO.  Expand this section on the right for a quick comparison of these plans.  This is a general overview of the plan features.  The policy contains the actual terms and conditions.  Waiting periods, limitations and exclusions apply...

Features

OneDeductible

CoreMed

Deductible

Please run an instant quote for deductibles in your area

In-Network Co-insurance

100%, 80% or 50% after deductible

100%, 80%, 70% or 50% after deductible

Out-of-Network Coverage

Emergency services are covered at the in-network percentage - subject to determination of medical necessity.
Non-emergency services are covered at the non-network deductible and coinsurance rates:

2x selected plan deductible

Coinsurance = 50% for 100 and 80% plans

Coinsurance = 30% for 50% plan

Coinsurance = selected amount minus 20%

Individual: For $500, $1,000 and $25,000 deductibles: selected deductible + $2,000
For deductibles from $1,500 to $15,000: 2x selected deductible

Family: 2x individual out-of-network deductible met collectively by 2 or more people

Co-insurance Out-of-Pocket Maximum

Individual: $0 to $2500 depending on coinsurance

Individual: $0 to $7500 depending on coinsurance

Family: Double the Out-of-Pocket Maximum, met collectively by 2 or more members.

Doctor's Office Visits

100% after deductible

Option 1: No copays; office visits subject to deductible and coinsurance; includes TelaDoc
Option 2: $35 copay for 4 office visits per person; additional visits subject to deductible and coinsurance

Prescription Drugs

Covered, subject to plan deductible and coinsurance

Option 1: Subject to plan deductible and coinsurance5
Option 2: $15 copay for generics; $500 individual deductible/$25 copay + 50% coinsurance for brand; family deductible $1,000, met collectively by 2 or more people

Diagnostic Imaging, Laboratory Services, Outpatient Hospital, Surgical Center, Urgent Care Facility,  and Professional Ground and Air Ambulance

Covered

Covered

Emergency Room

Covered with $75 dollar fee; waived if admitted

Health Care Practitioner Services

Covered

Covered

Outpatient Physical Medicine

Covered

Covered

Home Health Care

Up to 160 hours

Up to 160 hours

Inpatient Rehabilitation Facility, sub Acute Rehabilitation, and Skilled Nursing

Up to 90 days

Up to 90 days

Transplants

Covered in network**

Covered in network**

Behavioral Health and Substance Abuse

Subject to plan deductible then 50% until out of pocket maximum is met, then 100%

Not Covered

Optional Features

Suite Solutions, Dental Insurance, Dental/Vision Discount Plan, Term Life Insurance

Suite Solutions, Dental Insurance, Dental/Vision, Discount Plan, TermLife Insurance

**

Kidney, cornea, bone marrow, heart, liver, and lung transplants are covered as any other service. 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.
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Coverage Synopsis

Below is a coverage synopsis of the two different plans Assurant offers – the HSA-compatible One Deductible HSA/PPO and the Core Med PPO.  Expand this section on the right for a coverage synopsis of these plans...

One Deductible HSA/PPO

This is the most popular Assurant Insurance plan.  This plan offers one deductible for the entire family, so you don't have to worry about keeping track of individual expenses.  After you have met your family deductible, the plan pays 100%, 80% or 50% of all covered expenses including prescription expenses.  This plan also covers wellness services, with no deductible or coinsurance.

Core Med PPO

This is the more traditional Assurant Insurance plan, offering co-payments for doctor visits and prescriptions drugs, before your deductible is met.  After you have met your family deductible, the plan pays 80%, 70% or 50% of all covered expenses including prescription expenses.  This plan also covers wellness services, with no deductible or coinsurance.  Core Med is not HSA-qualified.

Additional Benefits

TelaDocTM - 24-hour access to doctors by telephone

Trying to schedule an appointment or see a doctor when you’re sick is never convenient. Assurant Clarity customers can speak directly to a physician by phone - without the wait - from home, work or on the road. Plus, you get access to a national pediatric network, so you can also call when your kids - of any age - are sick. Consultations are only $35 each! For more information, call 800-TELADOC (800.835.2362).

Patient Care - Helps you find the best value for medical services

Patient Care has independent advocates who can help you navigate the health care system. These advocates complement your Front Desk team by researching and comparing costs among doctors and hospitals — to save you money — as well as answering your questions about Assurant policy. To contact a Patient Care Advocate, call 800.305.0377, 7 a.m. to 7 p.m. Central time, Monday through Friday.

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Optional Features

Assurant also offers a variety of optional features to compliment your Assurant health insurance plan.  These features include accident, dental, vision, maternity, and other coverage.  Expand this section on the right to see a listing and explanation of all the optional features Assurant offers...

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)
Time Insurance Checkmark
Time Insurance Checkmark
Accidental Death and Dismemberment Benefit
Up to $10,000 for the primary insured and up to $1,000 for the spouse and each child
Time Insurance Checkmark
Time Insurance Checkmark
Weekly Accident Indemnity Benefit
70% of basic weekly salary up to $250 per week for up to 52 weeks, for primary insured only
Time Insurance Checkmark
Time Insurance Checkmark
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
 
Time Insurance Checkmark
Identity Network Child Safety Services
Pre-registry of children using photos and descriptions
 
Time Insurance Checkmark
Identity Theft Benefit
Up to $2,500 in financial relief, including reimbursement for related costs, lost wages, legal fees and expenses
 
Time Insurance Checkmark
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
 
Time Insurance Checkmark
Discounts**
Up to 60% off items such as health club dues, hearing aids and hotels and travel packages
 
Time Insurance Checkmark

* Select Solution 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.

Accident Medical Expense

In the event of an accident this benefit will pay up to $500, $1,000, or $2,500, whichever amount you choose, before you pay any copay, access fee, deductible or coinsurance.

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 - $50,000 to $200,000
  • Dependents aged 1-18 years - $10,000 to $25,000
  • Dependents aged 2-12 months - $2,000.

Maternity Benefit *

Assurant Health does not provide coverage for routine maternity coverage.  However, if you have complications with your delivery, your policy will cover those expenses just as if you were hospitalized for any other illness.  In Colorado, Montana, and Minnesota, routine maternity expenses are treated the same as any other covered services.

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Rate Information

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 via 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.

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PPO Networks

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.

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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 HSA for America or directly from Time Insurance that your coverage has been approved and is in force.

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HSA Administrators

Your Health Savings Account is totally separate from your health insurance, and you may use any approved bank or trustee as your HSA administrator.  We recommend that you choose one from our HSA administrator page, where you can compare rates and features.  Assurant also offers two different ways to set up your HSA account with them...

HSA Fundamentals - This is a basic interest-bearing account administered by Assurant Health. You can set this account up to automatically reimburse you for out-of-pocket expenses every time a claim is paid or you can leave it to earn interest until you request a release of funds. There is no administrative fee for this account.

HSA Tools - This account gives you the ability to control your funds. You can invest in money market accounts or mutual funds; learn more about investing options and plan for account disbursements all from your home computer. This account also provides a VISA debit card for qualified medical expenses.

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About Assurant / Time Health 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. 

HSA for America is an independent authorized Time Insurance agent.

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Assurant Stays Neutral
We reiterate our Neutral recommendation on the shares of Assurant prior to the fourth quarter earnings release.

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