EMPLOYEE

Frequently Asked Questions and Answers

Who is Essentials Health Plan?

Quote Next Door a Grow with MKG Company has partnered with a number of top insurance companies (Attentive, Companion Life, Boston Mutual, TransAmerica, Allstate and others) allowing the Essentials Health Plan to deliver not only basic MEC coverage but also other benefits such as dental, vision, accident and others.

Why does the paycheck look different?

Your paycheck total amount will not change and may even increase by a nominal amount. The regulations governing cafeteria plans allow for a pre-tax contribution and a post tax premium for all the included benefits. The tax savings from this transaction allows for your benefits to be delivered with no net cost. Government regulation requires full transparency of this transaction even though the net change is nominal.

How much does the Essentials™ cost?

As explained above, there is a cost for all the items provided by EHP, however the cost comes out of tax savings, so there is no net cost to you.

Can I unenroll from the Essentials Health Plan™ at any time?

Because the EHP follows all regulations and ACA rules unless an employee experiences a Qualifying Life Event, an employee who enrolls in EHP will not be eligible to make changes until the end of the plan year.

My primary health plan covers preventive care also, is this duplicate coverage?

If an employee’s primary health plan is ACA compliant, there will not be a need to add the MEC portion from EHP. Those benefits will instead be replaced by other supplements the employee will find beneficial or be placed in the Universal Life plan.

How will I know when I need to participate?

Every month, employees will receive push notifications (messages and text reminders) and emails providing them with important information about their plan benefits and information intended to be used to help improve their health.

What happens if I do not participate?

If you do not use the service even once the entire year, all deductions will become taxable. For this reason, we recommend you take the health assessment in the first 30 days, fulfill your yearly obligations and start your journey to a healthier lifestyle.  Of course nothing beats the advice of a doctor, so we hope you will also schedule your free yearly physical at the very least.

What benefits do I get with the Essentials Health Plan™?

1.) Primary Care, specialist, and urgent care office visits 

2.) 24/7 virtual direct primary care 

3.) Prescription drugs for acute and prevention 

4.) Health Coaches 

5.) Dental / Vision

6.) Accident / hospital indemnity

7.) Universal life

8.) Software that helps employees take a proactive approach to their health

What types of benefits are covered under “Preventive Care”?

All Preventive Care benefits cover the services required to be covered under ACA guidelines for the employee.

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