SUMMARY
GEO Group-- The Employer's Option
Long Term Comprehensive Group
Medical, Life, Dental and Indemnity Plan for
U.S. Multinational Corporations and International Associations that Require
Coverage Outside the United States.
|
 Plan Overview:
International employees and their families moving,
traveling or living abroad traditionally encounter entirely new cultural systems. Even for
those who have acclimated, the societal differences are magnified when the need arises for
medical care.
The employees' distant location
separates them from access to U.S. health care providers. Time zone differences limit the
availability of most plan administrators - especially in the event of an emergency.
Language and cultural traditions may also hinder communication between the medical
provider and the employee or plan administrator. Most significantly, the levels of medical
provider training and public health care services in many countries lag far behind minimum
U.S. standards.
Providing appropriate benefit plans for
these complex situations is a formidable challenge faced by all multinational corporations
and international organizations. Benefit managers must furnish a program that, in essence,
surpasses the domestic benefit plan. In addition to full coverage for treatment while in
the U.S., the international program must provide employees worldwide access to quality
care, global portability, professional international benefit administration and special
assistance coverage during medical emergencies.
Organizations confronting these
difficult issues have had few options for international benefits ... until now.
GEO Plus InternationalSM
is an international group employee benefit plan specifically designed to meet the
expatriate requirements domestic programs fail to address:
Access to health care anywhere in the
world (including the U.S.)
Complete portfolio of medical, life,
dental and indemnity benefits
Specialized administration with
international claim adjudication expertise
24-hour / 7-day-a-week availability
International emergency assistance,
including medical evacuation
Full portability between countries
Multi-lingual capability
Currency conversion experience
Domestic and international
continuation as required by U.S. law.
GEO GroupSM allows employers to carve out the international component of
their employee population and to provide U.S. style benefits. Employees with considerable
international experience have found it prudent and cost-effective to separate these risks.
Employers are able to quantify costs, limit liability and contain expenses relating to
overseas operations, which are often separate profit centers. Additionally, lower
international medical costs are reflected in the international premium levels.
With the investment for expatriate
employees growing, employers must offer competitive benefit coverage during an employee's
service abroad and upon their return home.
GEO GroupSM
offers domestic style benefits, complete portability, seamless coverage, worldwide access
to medical care, expert international claims management and cost-effective 24-hour peace
of mind for both employers and employees.
Administration
& Coverage:
Worldwide Coverage
GEO Group provides coverage for U.S. or Canadian citizens while residing abroad, and while
in the U.S. or Canada temporarily (less than 12 months), as well as for overseas local and
third country national employees.
 Provider Choice
You may use the doctor or hospital of your choice at home or abroad. If you select a
doctor or hospital from the Geo Group Preferred Provider Organization, your deductible and
coinsurance will be waived. If you select an alternative doctor or hospital, normal
benefits apply with no penalty.
Deductible and Coinsurance
You may choose between five deductible plans: $250, $500, $1,000 and $2,500. After the
deductible is satisfied the Company will pay 80% of the next $5,000 of eligible medical
expenses, then 100% of eligible medical expenses to $1,000,000 (internal policy limits may
apply). The deductible and coinsurance is waived if treatment is rendered by an Geo Group
Preferred Provider. After three members of a family have satisfied their deductible during
a Calendar Year, the deductible is waived for further family members. After the deductible
and coinsurance has been met by three members of the same family, further claims from the
family will not be subject to the deductible and coinsurance during the Calendar Year.
Schedule of Benefits:
Hospitalization
GEO GROUP provides hospitalization coverage for hospital room and board, intensive care,
surgery, medical treatment, laboratory tests, x-rays, chemotherapy, anaesthetists fees,
emergency room treatment and nursing.
Outpatient
GEO GROUP provides coverage for outpatient services including medical consultations,
diagnosis, pathology, radiography, laboratory, x-rays, surgery and chiropractors.
Prescription Medication
Inpatient and Outpatient prescription medication is covered.
Human Organ/Tissue Transplant
GEO GROUP provides up to $500,000 lifetime benefit for Heart, Heart/Lung, Lung, Kidney,
Kidney/Pancreas, Liver, and Allogeneic and Autologous Bone Marrow Transplants. The
procedure and related services must take place in the Managed Transplant System Network,
which presently consists of 22 centers of excellence across the US.
Maternity and Newborn Benefits
Maternity is covered on the same basis as any other illness, after 10 months of continuous
coverage. If the Maternity is covered, the Newborn is covered from the moment of birth.
Routine well-baby care for the first 14 days of life is also covered.
Emergency Evacuation
Geo Plus provides a $25,000 lifetime benefit for Emergency Evacuation to the nearest
qualified medical facility while outside the US. All evacuations must be coordinated by
the Plan Administrator. Emergency Evacuation Benefits terminate at age 65.
Mental or Nervous Disorders
GEO Plus includes $10,000 per Policy Year, $20,000 lifetime limit, for treatment of mental
or nervous disorders, after 12 months of continuous coverage.
Local Ambulance Expense
GEO Plus includes up to $2,500 lifetime for transportation by ambulance.
Wellness Benefit
Males over age 40 and Females over age 35 are covered for up to $100 per Policy Year for a
Routine Physical Examination, including Pap Smear and Mammogram, after 24 months of
continuous coverage. This benefit is not subject to the Deductible or Coinsurance.
Eligibility, Limitations & Enrollment:
Eligibility
- Full time employees (30 hours per week), and their
Spouses, at least age 19 and not yet 65 as of their initial effective date.
- Dependent Children under the age of 19, or 23 if full
time student primarily dependent on the employee for support.
Limitation On U.S. Coverage
Initial departure from the US must occur within 30 days of the employee's initial
effective date. Coverage terminates on the earliest of the following dates:
- The date the employee ceases to be an active full
time employee; or
- The date the employee becomes eligible for any other
medical benefit plan, whether or not the employee elects to become covered under such
plan; or
- Twelve months following return to the United States.
Pre-Existing Conditions
A pre-existing condition is any Injury, Illness (including Pregnancy), or Mental or
Nervous Disorder, including complications and consequences associated with these
conditions, for which diagnosis or treatment was received or prescription medications or
drugs were taken or for which a reasonably prudent person would have sought diagnosis
and/or treatment during the 90 days just prior to the employees or dependents initial
effective date. Benefits for Pre-existing Conditions are covered after six months during
which no treatment (including prescription medications or drugs) is recommended or
received, or after twelve months of continuous coverage under the GEO Group plan,
whichever first occurs.
Takeover Provision
This provision allows you to implement GEO Plus without requiring that your employees
start over on waiting periods for Maternity, Mental and Nervous, Wellness and Pre-existing
Condition benefits.
Underwriting Requirements
For groups of 10 or less employees, Evidence of Insurability is required for each
employee. For groups of 11+ employees, Simplified Evidence of Insurability is required for
each employee. The Company, at its sole discretion, may waive these requirements if claims
experience is provided.
Cobra
Medical insurance continuation is available as required by U.S. law.
Term Life And AD&D
Insurance Daily Indemnity Insurance
The Underwriter
GEO Plus Term Life and AD&D Insurance is underwritten by Certain Underwriters at
Lloyd's London.
The Benefits
Term Life Insurance:
You may select from the following Principal Sum plans:
$25,000 per employee
$50,000 per employee
1 X Annual Salary, minimum $25,000, maximum $100,000*
2 X Annual Salary, minimum $25,000, maximum $100,000*
3 X Annual Salary, minimum $25,000, maximum $100,000*
* Higher amounts are available, subject to full
medical underwriting and approval.
Accidental Death and Dismemberment
| Accidental Loss of
Life |
Principal Sum |
| Accidental Loss of Two
Members |
Principal Sum |
| Accidental Loss of One
Member |
50% of Principal Sum |
Daily Indemnity Insurance $75 per day in Hospital
Daily Indemnity Insurance Benefits are paid directly to the employee. In order to receive
benefits the Hospitalization must be covered under the Indy+Plus Medical Benefit Plan.
Hospitalization due to Maternity is excluded.
Eligibility
If you are eligible for GEO Plus Medical Benefits, you are eligible for Geo Plus Term Life
and AD&D insurance and Daily Indemnity Insurance. The only exceptions are:
1. All benefits reduce 50% at age 65 and terminate at age 70 or retirement, whichever
first occurs.
2. Benefits do not become effective until the employee initially departs the US.
Underwriting Requirements
The requirements are the same as the requirements for Geo Plus Medical Benefits. Term Life
and AD&D Insurance is required for groups of 20 or less employees.
For more
details and
quotes, please contact us
today.
info@internationalriskmanagement.com
877-211-3654 or
559-294-0316
Thank you for
visiting our website.
www.InternationalRiskManagement.com
|
Experience
