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Select Plan (Level Funded)
The Select Plan is a level funded solution administered by Aetna. Level funding allows firms to enjoy the benefits of self-funding while reducing risk. Firms pay insurance premiums to a third-party administrator (TPA) which includes a fee to manage claims and enrollment.
Potential Premium Rebate
At the end of the policy period, if your firm had lower costs than expected, your firm will receive 50% of the remaining funds back*. If costs are higher than expected, you’re covered by the Trust.
Provider Network
Members access the Aetna Choice POS II preferred provider organization (PPO) national network with pharmacy benefits managed by CVS caremark.
*Firm must renew plan with the Trust and be eligible to receive an experience refund. Contracts are for eligible claims incurred in 12 months and paid within 48 months of the contract effective date. Subject to additional terms and conditions.
Plan Options
The Select Plan has over 90 plan offerings. For a detailed listing of all plans, please click here. Plans offered include low deductible plans starting with deductibles as low as $250 all the way up to $8,000 depending on your firm’s needs. The Trust offers over 40 plans which are HSA compliant. Contact us to discuss your specific needs.
Plan Availability
*Select Plan is available in the blue states above subject to regulatory requirements. States noted in orange are eligible to join the Select Plan, but there are restrictions. Rhode Island (10 - 100 employees only), New Hampshire (100+ employees only), New York (100+ employees only), Maine (11+ employees only), Wyoming (2-100 employees only), Delaware (5+ employees only), Kentucky (5+ employees only), Alaska (51+ employees only), Arkansas (51+ employees only), Oregon (51+ employees only). Please contact us at [email protected] to see if your firm is eligible.
Select Plan Features & Benefits
Underwritten premium which considers the unique experience of each participating firm
Pharmacy rebates are returned to the firm in the form of an administrative fee credit
An annual accounting of premium and claims incurred during the policy period
Increased premium and claim visibility through TPA tools and services
Dedicated Aetna and ACEC Life/Health Trust service team
Virtual Care
Members on our level funded Select Plan have access to the telehealth services of CVS Virtual Care. CVS Health is an industry leader in 24/7 virtual care services and offers Primary Care, Specialty and Behavioral Health Care.
Online Services & Features
From the portal, employers can monitor utilization through a suite of financial and utilization reports. Employers gain access to the Aetna portal to manage enrollment, eligibility and billing.