| About EBT |
Q: What is the EBT healthcare plan?
A:
EBT is a new employee healthcare benefit program designed exclusively for evangelical organizations. EBT is a employee benefit plan designed to meet all the federal regulations. Some of the major plan features include:
• Comprehensive medical and prescription drug coverage
• Large claims are re-insured by qualified “A” rated insurers
• Dental, vision, group life and short term disability are also available
• Easy access to selected local, regional, and national PPO networks
• Benefits up to $1 million per covered person per year
• Plan deductibles starting at $250 per person per year
• H.S.A. and HRA options available
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Q: Is the EBT healthcare plan an insurance plan?
A:
EBT is a fully funded single employer “church plan” as defined under section 33(A) of the Employee Retirement Income Security Act of 1974 as amended. EBT however, purchases insurance direct from the world insurance market under one policy. Larger claims are re-insured by certain qualified “A” rated Underwriters at Lloyd’s, London.
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Q: Will the EBT healthcare plan save my church or church related organization money?
A:
The church employer may select and provide the employee benefit plan that fits their pocketbook and all other things being equal, the cost of providing benefits under the new Plan has been reduced by 10% to 15% and in some cases as much as 20% or more when compared with other available commercially insured group benefit programs.
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Q: Are HSA plans available? And, how about HSA account administration?
A:
HSA accounts are available and becoming more and more popular. Our standard HSA account has a single employee deductible of $1100 and a deductible of $2500 for employees and their dependents. HSA have great tax advantages. You are able to readily predict what your maximum out-of-pocket expense at its most can be. With regards to HSA account administration. We are constantly building new relationships with financial institutions and those who manage HSA accounts. You are free to choose your own account manager, but your Account Executive is also glad to discuss with you what is available to fill this need.
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Q: I have looked at a variety of healthcare programs for my employees and nobody has been able to deliver 10-15% savings on our employee benefit costs. How do you do it?
A:
In order to deliver these cost reductions, we have, reduced acquisition costs, reduced insurance related costs and margins, reduced administration costs and other related expenses through volume purchasing without sacrificing financial security.
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Q: Do I need to be a ESOC member in order to sign my company up for this program?
A:
Yes, in order to participate in EBT program your organization must maintain an annual membership in ESOC.
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Q: Is group life insurance available under EBT?
A:
Yes. $15,000 employee life insurance is standard, although higher limits are available.
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Q: Can EBT provide international coverage?
A:
Yes. The plan can provide seamless coverage for domestic and international employees. While abroad, special provider services are tailored to meet the international employee’s needs.
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Q: What are the maximum limits of the Plan?
A:
$1,000,000 per person annually and up to $2,000,000 per person lifetime.
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Q: What PPO´s are available?
A:
Before you change doctors, we’ll change networks for your employer group. EBT has access to several national and regional PPO networks. To see a complete list go our PPO map and/or PPO list. The link to these pages is on our home page. Look for the PPO map button.
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| About Administrator |
Q: How are employee and dependent benefit rates established?
A:
EBT is a pooled benefit program. Just as commercial health insurers, the Administrator subscribes to the on line, frequently updated rating services of a national actuarial firm to establish the employee and dependent rates. Rating assumptions specific to EBT are reviewed frequently by two outside independent actuaries specializing in the group healthcare business. The group employee and dependent group rates are established based on actual fixed overhead cost; the cost of medical services in the specific geographical area; the age; sex; and family status, and general medical condition of the specific employer group.
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Q: Who is Medical Benefits Administrators of MD (MBA)?
A:
MBA is a full service benefit administration firm specializing in national employer association benefit programs. MBA is an affiliate of R. J. Wilson & Associates Ltd. the reinsurance intermediary negotiating the insurance for the Trustees of EBT and other national association benefit programs. MBA utilizes the state of the art Trizetto Quicklink System (formerly known as Resource Information Systems or “RIMS”) in the management of benefit claims. MBA also employs Solucient Auto Audit and other similar systems and has access to INGENIX (formerly Medicode) data in the administration of benefit claims.
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Q: Does MBA and affiliates provide benefit services for other organizations as well?
A:
Yes. MBA and affiliate companies currently provide benefit services for twenty national employer associations and the number is growing.
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Q: How long has MBA, RJW and affiliated companies existed?
A:
R. J. Wilson & Associates Ltd. (RJW) a Maryland corporation was founded in 1978 and currently has several affiliate firms providing both benefit and specialty insurance services. MBA an RJW affiliate also domiciled in Maryland was founded in 1992. Advance Benefit Services LLC (ABS) was recently formed to provide special benefit design and enrolment services for employer association benefit programs. Another affiliate Dayspring Management LLC provides benefit management and consulting services for twenty additional national trade associations. Another early affiliate of RJW is Canton Agency a national general agent, and managing underwriter providing property and casualty insurance for the railroad industry since 1969.
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Q: How many people are covered under healthcare plans served by MBA and affiliates?
A:
The number continues to grow and it is estimated that the number nationally by year end 2006 will equal over 90,000 for MBA itself and more than double that amount by all MBA affiliates.
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Q: What role does MBA have in the EBT program?
A:
MBA is the first party administrator and “Plan Administrator” providing in force employer and employee customer service; claims processing and adjudication services; access to and management of the PPO networks; and compliance management for EBT. RJW as an affiliate of MBA negotiates, places, and files, the insurance on a wholesale basis with world insurers. Actuarial services are provided by an outside actuarial firm.
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Q: Who is Advance Benefit Services LLC (ABS)?
A:
Advance Benefit Services as an affiliate of MBA and RJW assists association member employers in the implementation, design, presentation, and enrollment of employees and dependents under national association benefit programs. ABS will be assisting individual association member employers that wish to participate in EBT.
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