2010 Insurance FQA

 

Q & A  INSURANCE MARKETING, INC.    FAQ
 
● What is Open Enrollment?
                -Employers can add, delete or change plans, waiting periods and
     contributions for health plans offered to employees.
                -All eligible employees can add, delete or change health plan
                 offered by employer.
 
● When is Open Enrollment?
                -During February and March. Deadline for original applications is February 28, 2010.
                -Effective April 1, 2010.
 
● What is the website: www.qaia.com  You can get all forms from this site.
                -If you prefer we can send you an Administrative Packet that has all form
                 templates and enrollment instructions- Just request one.
 
● How to move to a different plan with the same carrier?
-Complete a “Transfer List” for each company.
-If the change is from a PPO to HMO or visa-versa, a new application must be completed.
 
● How  can you change Carriers?
                -Only plans chosen on PA (Participation Agreement) are available.
                -Complete a new application for medical or a CHANGE form for ancillary products.
 
How do we add/delete dependents to existing plans?
                - Complete a CHANGE form, marking identifying sections and the changes desired.
 
● What is legally required minimum employer contribution?
                -50% of lowest plan, per carrier, offered by employer.
 
● When can employees come onto the program?
                -At completion of company’s waiting period for full time employees
     and foronly 30 daysthereafter. After that they are INELIGIBLE!
                -If they lose other coverage elsewhere
                -Qualifying Event-Life status change: marriage, divorce, loss of employment, birth, etc.
 
● When will my ID cards come? Medical, Vision & Chiro/Acup
                -Usually within 30 days of the effective date. Call us if you haven’t received them.
                -Metlife Dental & Metlife Life do not send cards. Tell your provider you have
               ‘Metlife’ and the subscriber’s Social Security number.
 
● How do I change doctors?
                -The HealthNet system will not allow us to change your doctor. You must do it
     yourself. Go online towww.healthnet.com , click ‘member’and follow prompts
     for needed info.
    -Only you can change your doctor through Kaiser. Call Member Services at 800-464-4000.
 
● What do I do with billing errors?
                -To the best of your ability, write a description of the problem, fax it and
     a copy of the bill with notations where the problem seems to be to:
     Paul Wensloff, 415-989-7443 ext.241, but he will still need the written information.
 
● Most questions can be answered in the Administrative Packet. If you haven’t received one,
   or have any questions please call  800-595-1339.
 
 
Submit all original applications, declinations, forms, correspondence with ownership/tax copies to:
   Q & A Insurance, 5075 Hillsdale Cir., Ste.#250, El Dorado Hills, Ca. 95762
Faxes will not be accepted!
 

Q&A Insurance Marketing, Inc.                 Denise Haycock - 1-800-595-1339                         Lic. #OB17048