SUMMARY
MULTINATIONAL SERIES
International Group Employee Benefit Plan
A simple
and easy way to insure groups of international employees for
major medical, dental, life and AD&D insurance
Group
Coverage that Makes Sense
Why Buy an International
Group Employee Benefit Program?
Whether you are a US based organization with employees overseas, or a
non-US organization employing expatriates, third country nationals or key local nationals,
a dependable and cost effective international group benefit program is a necessity.
Outside the United States, American employees find their traditional group benefit
programs to be non-responsive, in benefits and service, to the unique situations facing
them as they seek healthcare abroad.
International employees and their families moving, traveling, or living
abroad traditionally encountered 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 plan plans for these complex situations is a
formidable challenge faced by all multinational corporations and international
organization. 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.
Our Group Benefit
Plans allow employers to
carve out the international component of their employee population and to provide U.S.
style benefits. Employers 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 and employee's service abroad and
upon their return home.
Our Group Benefit
Plans offer 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
employer and employee.
Is my
organization eligible for the International Group Benefit Plan?
If you are a US based organization with a subsidiary or division operating outside
the US, with 5 or more international employees, your organization is eligible.
If your
organization is based outside the US, and you have 5 or more employees, your organization
is eligible.
WHAT ARE
THE BENEFITS OF THE
A MULTINATIONAL GROUP BENEFIT PLAN?
| BENEFIT |
LIMIT |
| Deductible |
All Deductibles are Per Insured Person per Calendar Year, with a maximum of 3
Deductibles per Family per Calendar Year. Deductible options are: $150, $250, $500, $1,000
or $2,500. |
| Coinsurance - Claims incurred in US or Canada |
After the Deductible, Underwriters will pay 80% of Eligible Medical Expenses up
to $5,000, then 100% to the Maximum Limit per Insured Person. The Coinsurance will be
waived if satisfied with expenses incurred within the Preferred Provider Network. |
| Coinsurance - Claims incurred outside US or Canada |
After the Deductible, Underwriters will pay 100% of Eligible Medical Expenses up
to the Maximum Limit per Insured Person. |
| Maximum Limit |
$1,000,000 Lifetime or $5,000,000 Lifetime |
| Outpatient Prescription Drugs |
Option 1 - Usual, Reasonable and Customary (Subject to Deductible and
Coinsurance)
Option 2 - $7 Co-pay Rx card (including mail order) |
| Inpatient Prescription Drugs |
Usual, Reasonable and Customary (Subject to Deductible and Coinsurance) |
| Mental or Nervous Disorders |
$25,000 Lifetime Maximum after 12 months of continuous coverage, subject to the
following sub-limits: Outpatient Treatment: 50% of a Maximum charge of $100 per visit with
a Maximum of 52 visits per Calendar Year per Insured Person. Inpatient Treatment: Limited
to $10,000 per Calendar Year per Insured Person. |
| Transplant Expense |
Subject to Special Transplant Pre-certification Requirements, and only when
treatment is provided within the PPO. Covered Transplants are: Heart, Heart/Lung, Lung,
Kidney, Kidney/Pancreas, Liver and Allogeneic and Autologous Bone Marrow. |
| Second Surgical Opinion |
Subject to Deductible and Coinsurance unless requested by Underwriters (payable
at 100% if requested by Underwriters) |
| Maternity and Newborn Care |
Subject to Special Maternity Pre-certification requirements, same as any other
illness after 10 months of continuous coverage. |
| Hospital Room and Board |
Average Semi-private, including nursing service. |
| Intensive Care Unit |
3 times the Average Semi-private room rate |
| Physical Therapy |
$50 Maximum per visit charge. |
| Local Ambulance |
$3,000 Maximum per Calendar Year |
| Wellness |
Up to $150 per Calendar Year for a Routine Physical Examination, including Pap
Smear and Mammogram, after 24 months of continuous coverage, for Insured Persons age 35
and older. |
| Emergency Medical Evacuation |
Up to $25,000 Lifetime Maximum, for Insured Persons under the age of 65. |
| Eligible Medical Expenses |
Usual, Reasonable and Customary |
Pre-existing conditions are
covered after 12 months of continuous coverage under the A+MultiNational Series. If the
A+MultiNational Series is replacing another group insurance plan, time insured under the
prior plan will reduce the 12 month wait for coverage of Pre-existing Conditions.
Outpatient
Prescription Drug Card Option:
If you select this Option, each employee will receive a Prescription Drug Card recognized
by 98% of the pharmacy outlets in the US. There is a co-pay of $7 per prescription for
Generic drugs, and $15 per prescription for Brand drugs, charged when the medication is
acquired.
Wellness:
For employees age 35 and older, the A+MultiNational Series
provides up to $150 for an annual routine physical exam, after 24 months of continuous
coverage. If the A+MultiNational Series is replacing another group insurance plan that
also featured a Wellness benefit, time insured under the prior plan will reduce the 24
month wait for the Wellness Benefit.
Maternity and Newborn Care:
Maternity expenses, including pre-natal care, delivery and post-natal care, are covered on
the same basis as any other Illness, after 10 months of continuous coverage. Newborns are
covered from the moment of birth, provided the delivery is covered, and provided the
Newborn is properly enrolled within the first 31 days of life. If the A+MultiNational
Series is replacing another group insurance plan, time insured under the prior plan will
reduce the 10 month wait for Maternity and Newborn Care benefits.
Emergency
Medical Evacuation:
Emergency Medical Evacuation to the nearest medical
facility qualified to treat the life threatening condition is covered. .
Group Term Life and
AD&D Insurance:
For groups with 10 or fewer employees, group term life insurance is required. For larger
groups, it is optional. You can select life insurance amounts of $10,000, $25,000, $50,000
or a multiple of salary, up to $100,000. Higher life amounts are available, subject to
special underwriting requirements.
WHO IS THE INSURER?
Lloyd’s, the largest and oldest insurance market in
the world is the insurer of the A+MultiNational Series. Rated A by AM Best Company, and A+
by Standard and Poors, Lloyd’s provides financial strength and security that is
unparalleled in the worldwide insurance market. Lloyd’s is recognized as a market
leader in the accident and health insurance arena, and is well known for its innovative
products and services.
Literally millions of people, in almost every
country of the world, rely on Lloyd’s for their accident and health insurance needs.
For more information 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
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Experience
