Why Choose iMEC?

iMEC delivers affordable health benefit solutions that assist employers in avoiding penalties. The iMEC Plans have specific employee coverage criteria. Unlike traditional insurance, iMEC Plans are funded through a captive model, preventing random increases in rates. The iMEC advantage includes:

• A comprehensive iMEC solution from the start

• Employer contributions are tax-deductible

• Unused iMEC funds are tax-exempt; taxed upon refund to the employer

• Consistent plan coverage across all 50 states

• Superior healthcare management services

• Cost-effective responses to PPACA obstacles.

Key Features

• Policy issuance requires a minimum of five employees in most states; Florida and Ohio mandate a minimum of 51 employees.

• Coverage eligibility for employees working 15+ hours weekly after completing their waiting period.

• No exclusions based on pre-existing conditions or health questionnaires.

• Coverage is guaranteed for all eligible groups.

• Employer contributions are not mandatory.

• Benefits can be directly assigned to healthcare providers.

Non-insurance benefits include:

• Assistance with locating and verifying coverage for providers within the national PPO network.

• 24/7 access to unlimited doctor consultations via phone and email.

• Access to a wellness line managed by nurses.

• insureCap’s Patient Advocacy Service to handle all member queries in English and Spanish.

• An Employee Assistance Program (EAP) for additional support.

• Administration of COBRA benefits.

• Section 125 - Premium Only Plans (POP) for pre-tax benefits.

Choose Your iMEC

insureCap offers 4 different iMEC plans options to help your employers decide which iMEC plan is best for them. Leverage them as standalone solutions or enhance them with insureCap’s iHealth Complete for broader benefits. Merging iMEC with supplemental coverage enriches the benefits, yielding a tailored health care package at an economical rate. All iMEC plans can be combined with COBRA, Telemedicine, Hospital Indemnity and Voluntary Benefit coverages.

iMEC (1) - Simplicity with Care

The iMEC (1) plan is designed to support employee health proactively while managing costs. This basic plan covers:

• Preventive and wellness services

• Prescription discount cards

• Employees benefit from up to 64 preventive care instances, including adult, women’s, and children’s services:

  • 15 preventive services for adults, such as diet counseling and cancer screenings

  • 23 preventive services for women, such as pregnancy screenings and mental health counseling

  • 26 preventive services for children, like blood tests and vaccines.

iMEC (2) - Essential Care Combined with Peace of Mind

Elevate employee health benefits with iMEC (2), encompassing all iMEC (1) PLUS:

• Preventive and wellness services

• Primary care office visits

• Specialist office visits

• Urgent care services

• Outpatient X-rays

• Laboratories

• Emergency room services

• Prescription discount cards

• Provider visits, labs, X-rays, and other medical essentials.

iMEC (LB) - Comprehensive Limited Medical Plans

iMEC (LB) introduces Limited Medical plans, providing comprehensive benefits to mitigate medical costs in various aspects like:

• Doctor appointments

• Emergency Room visits for sickness or injury

• Wellness checks

• Vision and Hearing services

• Outpatient diagnostics

• X-ray and lab services

• Ambulance services

• Hospital stays

• Intensive Care Unit treatments

• Skilled nursing facilities

• Indemnity outpatient prescription drugs

iMEC (LB) offers fundamental insurance coverage for employees and their dependents, detailing specific payouts for particular services. Although iMECLB is not a substitute for a major medical plan (like iMECMSL), it’s highly beneficial for employers with part-time and hourly staff, enhancing employee attraction and retention. Enhance iMEC (LB) with iMEC (1-3) for added Preventive Services by incorporating sickness and injury benefits.

Add Optional iMEC Health Indemnity Products

iMEC Plans with added iMEC Health policies can offset high deductibles and full out-of-pocket expenses so that an emergency does not become a financial crisis. These supplemental health insurance plans are designed to cover the gaps left by high-deductibles and copayments in primary insurance plans. Often additional benefits are needed to help pay for nonmedical expenses associated with a catastrophic accident or serious illness.

The iMEC Health Program is a uniquely designed supplemental health product for today’s employers. Most supplemental health plans offer a set of “pre-packaged” benefits that don’t always fit with the different deductibles and various out-of-pocket costs in health plans. iMEC Health is a better option! Here are some great reasons why:

1. Flexibility to Match Your Needs
2. Fills Gaps in Health Coverage
3. Benefits Paid Directly to Insured
4. No Coordination of Benefits
5. Not an Association Group Plan
6. Issue Age Rates: Not One Rate for All
7. Guaranteed Renewable for Life
8. Simplified Underwriting
9. Use with HSA-Qualified Plans
10. Portable Coverage

The iMEC Health Options:

1. Supplemental Cancer Insurance: Protects you financially and offers optional benefits you can customize to fit your unique needs. Benefits of Supplemental Cancer:

   • You have the option to select a rider to receive an upfront lump sum benefit

   • for First Occurrence

   • Base policy benefits reset each year

   • Benefits are not coordinated with major medical benefits and are paid

   • directly to you in addition to medical benefits that you may have

   • Significant pricing discounts to large groups

   • Simplified or guaranteed issue in some cases

2. Critical Illness: Can help offset initial out-of-pocket costs when help is needed most. Partial List of what is covered: Heart Attack, Stroke, End Stage Renal Failure, Paralysis, Coma, Severe Burns. Benefits of Critical Illness:

   • Available for ages 17-69

   • Benefits paid for first occurrence and additional occurrence or reoccurrence of a defined critical illness at 100%

   • Annual health screening tests for adults for $50 per calendar year after a 60-day waiting period

   • No deductibles or No copays

3. Hospital Indemnity Plan: Supplemental benefit that may help ease the financial strain of rising health care prices. Benefits of Hospital Indemnity:

   • This benefit pays the daily hospital confinement benefit amount for each day an insured person is confined to a hospital** beginning on the day following the elimination period shown in the Schedule of Benefits due to an accident or sickness.

   • Daily benefit amount from $100 up to a max of $5000

   • Max number of days per period of confinement from 31 up to 365 days

   • Daily Intensive Care Confinement Benefit:

   • This benefit pays two times the daily hospital confinement benefit incurred by an insured person when confined to an intensive care unit due to an injury from a covered accident or sickness as listed in both the group policy and employee certificate.

     • Daily benefit amount 2x Hospital benefit from $200 up to a maximum of $10,000

     • Max number of days per period of confinement same as hospital benefit

4. Accidental Death and Dismemberment with Accident Medical Expense: Coverage that can help cover some costs incurred from accidents that may be left behind by major medical plans. Coverage Benefits: Issue Ages for Insured & Spouse 18-65: Dependent Children Up to Age 25.

• Life when two or more Insured persons covered under the same certificate are in the same accident covered by the policy 200% for all insured persons covered under the same certificate.

• Loss of both hands or both feet or sight of both eyes 100%

• Loss of one hand and one foot 100%

• Loss of one hand or one foot and sight of one eye 100%

• Loss of speech or hearing 100%

• Loss of one hand or one foot or sight of one eye 50%

• Loss of speech or hearing 50%

• Loss of thumb and index finger on same hand 25%

• Pre-Existing Sickness or Injury Will not pay if accident occurred before the certificate effective date

• Accident & Medical Expense

  • Hospital Room and Board

  • Medical Services and Supplies: Dental Services, Prescription Drugs

  • Ancillary Hospital Charges

  • Medical Emergency Care and Treatment

  • Outpatient Surgical Charges in an Outpatient Surgical Facility

  • Eyeglasses, Contact Lenses, and Hearing Aids

  • Physicians Services

  • Artificial Instruments

  • Physical Medicine (Physiotherapy) Rehabilitation Treatment

  • Ambulance Services

  • Skilled Nursing Facility

  • Medical Equipment Rental

5. Dental, Vision, Hearing: Health insurance for employees that offers effective and appropriate dental care.

   • Dental Insurance: Your smile says it all. Dental health is a vital part of your overall well-being. LifeShield dental insurance plans give you choices to help cover the costs associated with maintaining your dental health. Choose a LifeShield dental plan and keep smiling bright! Plan Benefits Include:

     • Guaranteed issue

     • Guaranteed renewable

     • Choice of $1,000, $2,000 or $5,000 maximum annual benefit

     • Preventive care from day one

     • Choice of $100 Flat Deductible or Vanishing Deductible

     • Major Tier Waiting Period waived with evidence of prior creditable coverage

   • Vision & Hearing Insurance: Caring for your vision and hearing is key to living a quality life. As we age, quality of life is more important than ever. A vision and hearing discount plan from LifeShield can help cover the costs of care such as eye exams, glasses, hearing aids and other services that may not be covered by Medicare. Live the quality life you choose with a LifeShield vision and hearing discount plan.