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31SN0184 R11/14 Blue Cross and Blue Shield of Louisiana is incorporated as Louisiana Health Service & Indemnity Company and an independent licensee of the Blue Cross and Blue Shield Association. Solutions Ancillary PRODUCT 2015

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Page 1: Ancillary Solutions PRODUCT · Ancillary PRODUCT 2015. Life ... A product of Southern National Life Insurance Company, Inc. OFFeRInG YOuR eMplOYees peaCe OF MInd 4 Whether your company

31SN0184 R11/14 Blue Cross and Blue Shield of Louisiana is incorporated as Louisiana Health Service & Indemnity Company and an independent licensee of the Blue Cross and Blue Shield Association.

SolutionsAncillary

Product

2015

Page 2: Ancillary Solutions PRODUCT · Ancillary PRODUCT 2015. Life ... A product of Southern National Life Insurance Company, Inc. OFFeRInG YOuR eMplOYees peaCe OF MInd 4 Whether your company

Life ......................................................................................................3

Disability ............................................................................................7

Vision ................................................................................................ 13

Dental ............................................................................................... 17

Customer Service Information ......................................................24

Page 3: Ancillary Solutions PRODUCT · Ancillary PRODUCT 2015. Life ... A product of Southern National Life Insurance Company, Inc. OFFeRInG YOuR eMplOYees peaCe OF MInd 4 Whether your company

Southern National Life Insurance Company, Inc. is a subsidiary of Blue Cross and Blue Shield of Louisiana, independent licensees of the Blue Cross and Blue Shield Association.

Bundle up & save

We know how important the right benefit package can be to recruiting and retaining quality employees. That’s why we offer the Blue Bundle. Employers have the option to bundle employee benefits with affordable, high-quality health and wellness benefits.

With one team to administer all their benefits, employers save time, and time is money.

We provide employers of all sizes a full suite of employee benefits

that are among the best in the market today. We work with employers

to develop complete and competitive benefit packages that provide

employees protection from the unexpected. We call this package the

Blue Bundle and it is brought to you by Blue Cross and Blue Shield of

Louisiana and its subsidiaries.

pROTeCTInGdReaMs FOR THe FuTuRe

TOdaY

SOLUTION.SOURCE.BILL.ONE

Page 4: Ancillary Solutions PRODUCT · Ancillary PRODUCT 2015. Life ... A product of Southern National Life Insurance Company, Inc. OFFeRInG YOuR eMplOYees peaCe OF MInd 4 Whether your company

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Page 5: Ancillary Solutions PRODUCT · Ancillary PRODUCT 2015. Life ... A product of Southern National Life Insurance Company, Inc. OFFeRInG YOuR eMplOYees peaCe OF MInd 4 Whether your company

3

LiefSouthern National Life is an independent licensee

of the Blue Cross and Blue Shield Association.

EMPLOYEE BENEFITS

A product of Southern National Life Insurance Company, Inc.

Page 6: Ancillary Solutions PRODUCT · Ancillary PRODUCT 2015. Life ... A product of Southern National Life Insurance Company, Inc. OFFeRInG YOuR eMplOYees peaCe OF MInd 4 Whether your company

OFFeRInG YOuR eMplOYees peaCe OF MInd

4

Whether your company has two employees or 10,000, we have plans that fit.

Life insurance is something that no one likes to think about. All the same, 86 percent of Americans believe that life insurance is something most people need, and most of us have some.1 That’s the good news.

The bad news is that most Americans don’t have enough. More than a third don’t have any life insurance at all, and those who are insured have coverage equal to less than four times their annual income.2 Most experts believe that coverage equal to 10 times one’s annual income is a more reasonable rule of thumb.

1 LIMRA and LIFE Foundation 2011 Insurance Barometer Study 2 LIMRA International, Trends in Life Insurance Ownership, 2011

BasIC GROup TeRM lIFe/ad&d

Employee and dependent life coverage paid for by

the employer.

Did you know…

• Stronglifeinsurancecoverageisessentialtocreatingarobustandcompetitive benefit package for your employees.

• Lifeinsuranceoffersyouremployeesandtheirfamiliesasafeguardfrommany unexpected expenses if something should happen to them.

• Employerscanofferthishigh-valuebenefitatagreatpriceandemployer-funded plans generally count as a business deduction for employers.

vOlunTaRY TeRM lIFe/ad&d

Optional employee and dependent life coverage paid for by the employee

through the convenience of payroll deduction.

Did you know…

• Voluntaryplansofferextravaluetoemployeesatnoaddedcosttotheemployer’s company. Premiums are payroll-deducted, which means benefits are convenient for employees and economical for employers.

• VoluntaryTermLifeinsuranceisawaytoprovidethesameprotectionasourBasic Group Term Life in a way that is cost-effective to both employers and their employees.

• EmployerscanofferVoluntaryTermLifecoveragewithanyBasicLifeplanorasa stand-alone plan.

• Thisoptionallowsemployeestopurchaseadditionalcoverageabovewhatan employer may offer with our Basic Life insurance. This helps provide financial stability and would protect employees’ families from some unexpected expenses, if something were to happen to them.

vOlunTaRY HIGH-lIMIT ad&d

Accidental Death & Dismemberment (AD&D) coverage provides protection

for accidents.

Why add Voluntary High-Limit AD&D?

• It’safactoflife–accidentshappen.BychoosingVoluntaryHigh-LimitAccidental Death & Dismemberment (AD&D) coverage, employees can give themselves and their family members 24-hour protection in case of accidental loss of life, limb, hearing or sight.

• WeofferVoluntaryAD&Dcoveragetoemployersandtheiremployeesatlow, affordable rates. This option can also be offered with any group life insurance coverage or as a stand-alone plan.

• JustlikewithourVoluntaryLifecoverage,premiumsarepaidforbytheemployee through payroll deduction.

• Thisplanrequiresnounderwritingandit’sallguaranteedissue!

Page 7: Ancillary Solutions PRODUCT · Ancillary PRODUCT 2015. Life ... A product of Southern National Life Insurance Company, Inc. OFFeRInG YOuR eMplOYees peaCe OF MInd 4 Whether your company

lIFe BeneFITs

GROup

COnTRIBuTORY

vOlunTaRY

100% Participation Required

75% Participation Required

Greater of 25% or 10 eligible enrolled

plan Options • Employee Only

• Employee + Spouse

• Employee, Spouse and Child

standard Features • Accelerated Death Benefit (living benefit)

• Terminally ill employees can receive up to 50% of their voluntary life insurance benefit up to $125,000 while they are still living, if they are given a terminal diagnosis of 12 months or less.

• Premium waiver

• Coverage may continue without paying premium if the employee becomes disabled prior to age 60.

• Conversion Privilege

• Employees/dependents may apply to convert all or part of their group life insurance to an individual policy, if they terminate or are no longer eligible for coverage.

• Portability standard with Voluntary Product

• The option to continue a portion or all of their life insurance coverage when employees leave employment.

Optional Features Accidental death & dismemberment

• Accident benefits are equal to the amount of life benefits for accidents resulting in loss of life, limbs, hearing or sight.

• Seat belt benefit pays an additional 10% of the principal sum amount to a maximum of $10,000.

• Air bag banafit pays an additional 5% of the principal sum amount to a maximum of $5,000, if seat belt is also used.

• Exposure and disappearance benefit allows covered benefits to be paid within 12 months of disappearance, if due to a forced landing, stranding, sinking or wrecking of a conveyance.

5

Page 8: Ancillary Solutions PRODUCT · Ancillary PRODUCT 2015. Life ... A product of Southern National Life Insurance Company, Inc. OFFeRInG YOuR eMplOYees peaCe OF MInd 4 Whether your company
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Lief

Dsabi ityli

Southern National Life is an independent licensee of the Blue Cross and Blue Shield Association.

7

EMPLOYEE BENEFITS

A product of Southern National Life Insurance Company, Inc.

Page 10: Ancillary Solutions PRODUCT · Ancillary PRODUCT 2015. Life ... A product of Southern National Life Insurance Company, Inc. OFFeRInG YOuR eMplOYees peaCe OF MInd 4 Whether your company

8

IMpaCT OF dIsaBIlITY On THe wORkFORCe

These are alarming statistics. It just goes to show how important protection against lost income can be to a workforce.

Unfortunately, many people have not planned for the financial burden they will face if they should become disabled

and unable to work for an extended period of time.

Helping employees stay at work.

Ourdisabilitycoverageencouragesemployeestocontinueworkingaslongastheyaresafelyable–protectingtheir

eligibility for benefits and without penalty.

• Employeesareabletosatisfytheeliminationperiodwithonlyalossofduties.

• Wecanextendtheeliminationperioduptoayearfordisabledemployeeswhodonotmeettheearningslossamount.

• Anemployeedoesn’thavetobetotallydisabledtoreceivebenefits.

• Ourdisabilitycoverageallowsdisabledemployeestoreturntoworkforuptoone-halfoftheeliminationperiod

without restarting it if they are unable to endure their return to work.

Protecting employers and employees.

Ourdisabilitycoveragehelpsprotectemployees,whichinturnprotectstheemployer’scompany.Hereareafew

highlights–seethisbookletformorespecificdetails.

• Ourdisabilitycoveragedoesnothavelimitationsforsymptomsthatareself-reportedorsubjective.Wemanageall

employees’ claims carefully and effectively.

• Thereisa“treatment-free”periodwithinthepre-existingconditionlimitation.Duringthisperiod,iftheemployee

does not receive treatment for the pre-existing condition, he or she may qualify for benefits before completing the

continuous days of coverage period.

Almost 3 in 10 workers entering the workforce will become

disabled before age 67.

National Safety Council, Injury Facts, 2010 Ed.

Approximately 90% of disabling accidents and illnesses are not work related; therefore, not covered by workers’ compensation.

Council for Disability Awareness, CDA 2010 Long Term Disability Claims Review

In the last 10 minutes, 490 Americans became

disabled.US Social Security Administration,

Social Security Basic Facts, Aug. 2009

paYCHeCk COveRaGeIMpaCT OF dIsaBIlITY On THe wORkFORCe

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Dsabi ityli

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lOnG-TeRM dIsaBIlITY

GROup

COnTRIBuTORY

vOlunTaRY

100% Participation Required

75% Participation Required

Greater of 25% or 10 eligible enrolled

standard Features • Waiverofpremium

• Survivorincomebenefit

• Returntoworkincentive

• Workplacemodification

• Disabilityguidance(EAP)

• Mental,nervousandsubstanceabusecoverage

Optional Features • Costoflivingadjustment

• ActivitiesofDailyLiving

• Accidentaldismemberment/lossofsightbenefit

• 24monthsownoccupationandanyoccupationthereafter

• Lossofoneoressentialdutyduringeliminationperiod

product eligibility • Mustbeinbusinessaminimumof2years

• Mustnotinsuremorethan50%immediatefamilymembers

• Canbewrittenstand-aloneorwithanyotherlifeordisabilityproduct

sHORT-TeRM dIsaBIlITY

GROup

COnTRIBuTORY

vOlunTaRY

100% Participation Required

75% Participation Required

Greater of 25% or 10 eligible enrolled

standard Features • Group-NoPre-existinglimitation

• Continuityofcoverage

• Maternityincluded

Optional Features • Totallydisabledordisabledandworking

• Lossofdutiesandincome

product eligibility • Mustbeinbusinessfor2years

• Mustnotinsuremorethan50%immediatefamilymembers• GroupSTDcanonlybewrittenwithGTL;stand-aloneSTDisnotavailable

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STDCLAIM

LTDCLAIM

At the mid point of STD, the claim is given to an LTD analyst who manages the end of the STD

claim, gathers LTD information and develops a plan for ongoing claim

management.

seaMless dIsaBIlITY ClaIM TRansITIOn

The above illustration assumes disability insurance premiums are not deducted on a pre-tax basis in an employer-sponsored cafeteria plan. Blue Cross and Blue Shield of Louisiana is not engaged in rendering tax, legal or investment advice. We recommend you seek the guidance of a tax professional or financial advisor.

HOw aRe BeneFITs

Taxed?

Non-Contributory Employer pays 100%

.............................. No .............................. Yes

Contributory Employer pays 50% Employee pays 50%

.............................. 50% .............................. 50%

Voluntary Employee pays 100%

.............................. Yes .............................. No

pReMIuM TaxaBle?wHO paYs THe pReMIuM? BeneFIT TaxaBle?

TelepHOnIC sTd InTake

Telephonic Intake analyst

Gathers information from employee.

Contacts the employer.

short-Term disability analyst

Reviews employee’s claim based on automatic system prompt or

referral from intake analyst.

Utilizes specialized resources to make decisions and determines ongoing

case management plan.

dedicated Rehabilitation expert

Reviews claims for return to work potential at specific intervals.

Coordinates with employee, physician and employer to facilitate faster,

smoother return to work.

Page 13: Ancillary Solutions PRODUCT · Ancillary PRODUCT 2015. Life ... A product of Southern National Life Insurance Company, Inc. OFFeRInG YOuR eMplOYees peaCe OF MInd 4 Whether your company

Dsabi ityli

When an employee becomes disabled, coming back to work is often a long and bumpy road. Our disability coverage provides support to help smooth out the bumps and make a healthy return to work easier for employers and their employees.

Our Disability Guidance service provides insured employees, whether disabled or actively at work, with Long-Term Disability up to five counseling sessions per year that give confidential support for emotional, legal and financial issues.

eMplOYee assIsTanCe pROGRaM

Telephonic assessments and counseling that include confidential sessions with a counselor, financial planner and/or an attorney.

24-hour access to counselors with master’s or doctoral degrees in counseling via a dedicated toll-free phone number 365 days a year.

Referrals to resources and services in callers’ communities are provided, such as community and governmental agencies serving the disabled, homemaker services, assistive equipment and day care for children and elderly parents.

Employees are provided access to self-assessment tools, information and other resources through a password-protected interactive website.

dIsaBIlITY GuIde: suppORTInG a HealTHY ReTuRn TO wORk

Page 14: Ancillary Solutions PRODUCT · Ancillary PRODUCT 2015. Life ... A product of Southern National Life Insurance Company, Inc. OFFeRInG YOuR eMplOYees peaCe OF MInd 4 Whether your company
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EMPLOYEE BENEFITS

A product of Blue Cross and Blue Shield of Louisiana

Page 16: Ancillary Solutions PRODUCT · Ancillary PRODUCT 2015. Life ... A product of Southern National Life Insurance Company, Inc. OFFeRInG YOuR eMplOYees peaCe OF MInd 4 Whether your company

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IN-NETWORK BENEFITS (when visiting a Davis Vision Provider) VISION PLAN OPTIONS

plan 1 plan 2 plan 3

Frequency - Once Every:

EyeHealthExaminationIncludingDilation(whenprofessionallyindicated) 12 Months 12 Months 12 Months

Spectacle Lenses 12 Months 12 Months 12 Months

Frame 12 Months 24 Months 24 Months

Contact Lens Evaluation, Fitting and Follow Up 12 Months 12 Months 12 Months

Contact Lenses (in lieu of eyeglasses) 12 Months 12 Months 12 Months

Copayments

EyeHealthExamination $0 $0 $10

Eyewear (Spectacle Lenses and/or Frames) $0 $15 $25

OuT OF NETWORK BENEFITS Member reimbursment schedule applies

BeneFITs YOu Can seestandard vision Benefits

national network Networkofmorethan45,000providersincluding optometrists, ophthalmologists and regional retail locations.

eye exams Your employees pay little or no copayment for a comprehensive eye exam.

eyeglass lenses Your employees pay little or no copayment for single vision, bifocal or trifocal lenses.

eyeglass frames Your employees pay little or no copayment for frames fromtheDavisVisionCollection*,orreceiveuptoa$150 allowance toward the cost of other frames. *Collection is available at most participating independent provider offices.

Contact lenses Your employees pay no copayment for contact lenses and receive up to a $130 allowance toward the cost of contact lenses.

lasik surgery Your employees may access discounts from participating providers but this is not an insured benefit.

DavisVisionisanindependentcompanythatprovidesanextensivenetworkofvisioncareprovidersonbehalfofBlueCrossandBlueShieldofLouisiana.

(WhenvisitingaDavisVisionnetworkprovider)

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There’s no such thing as a plan that’s too good. That’s why each of our vision plans is packed with

features that don’t cost you or your employees anything extra.

One-year breakage warranty Eyeglasses covered by your plan come with a one-year for eyeglasses warranty for repair or replacement, which begins on the date you receive your glasses. Your plan covers:

• Spectaclelenses

• DavisVisionCollectionframes

• Nationalretailerframes,whereexclusivecollectionis not displayed

Medically necessary contacts Your provider may presrcibe contact lenses in lieu of eyeglasses for treatment of certain conditions. When contact lenses are medically necessary, they will be covered subject to prior approval and applicable copayments and allowances.

Replacement contact lens It’s easy to replace your contacts through the Lens 1-2-3 program mailorderprogram.Justcall1-800-LENS-123orvisit www.lens123.com with your prescription to get started.

20% discount At most of our network retailers, you’ll get a 20%1 discount on items not covered by your plan, like second pairs, sunglasses, etc. In most cases, disposable contact lenses are available at a 10%1 discount.

laser vision correction You can get up to 25% off of the cost of laser vision discounts correction surgery when you use doctors in the Eye Centers of Excellence network.

For consistency and accuracy, when adding vision benefits to existing medical insurance with a first-of-the-month billing date, the new benefits will have a first-of-the-month effective date. The same applies for groups with a 15th-of-the-month billing date.

Eligibility for actively at work, full-time employees requires a minimum of 30 hours per week for our medical, vision and other ancillary products.

Groups may only choose one vision plan and one premium funding contribution type.

General Conditions

Features

Groups with 2-9 eligible employees may only choose employer-paid contribution.

employer-paid:

Contributory:

voluntary:

100% Employer funding 100% of eligible employees must enroll

25%-99% Employer funding Greater of 75% or 10 eligible employees must enroll

0%-24% Employer funding Greater of 25% or five eligible employees must enroll for groups with 10-50 eligible employees

Greater of 25% or 10 eligible employees enrolled for groups with more than 50 eligible employees

Contribution Requirements participation Requirements

1 Discount not available at Walmart, Sam’s Club, and Costco locations.

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D ntaleEMPLOYEE BENEFITS

A product of Blue Cross and Blue Shield of Louisiana

Page 20: Ancillary Solutions PRODUCT · Ancillary PRODUCT 2015. Life ... A product of Southern National Life Insurance Company, Inc. OFFeRInG YOuR eMplOYees peaCe OF MInd 4 Whether your company

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• 164millionworkhoursarelosteveryyeartodentalhealthissues.1

• Nearly75percentofAmericanadultssufferfromvariousformsofgumdisease–fromsimpleinflammationtoseverecases–anddon’tevenknowit.2

• Morethan90percentofallsystemicdiseaseshaveoralhealthsymptoms.3

• Peoplewithdentalcoverageexhibithealthierbehaviorsandbetteroralhealthhabits–includingbrushingwithfluoridetoothpastetwiceaday,flossingdailyandvisiting the dentist regularly.4

12010 report from Pew Center 2AmericanDentalHygienistAssociation 3Academy of General Dentistry 42009reportfromNADP

dId YOu knOw?

BeneFITs THaT Make YOuR eMplOYees sMIle

protecting Your employees’ Oral Health

With the recent research showing how important oral health is to overall health, having a dental insurer who is dedicated to affordable, quality dental care is more important than ever.

Whether you’re looking for a dental plan to fit a business budget or your employees’ checkbooks, Blue Cross has the solution.

Regardless of the dental plan you choose, making the decision to secure dental coverage for your employees is the right choice.

Page 21: Ancillary Solutions PRODUCT · Ancillary PRODUCT 2015. Life ... A product of Southern National Life Insurance Company, Inc. OFFeRInG YOuR eMplOYees peaCe OF MInd 4 Whether your company

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denTal plans

Blue CROss and Blue sHIeld OF lOuIsIana Has a denTal sOluTIOn THaT’s RIGHT FOR YOu

• Available for groups with a reported Medical Loss Ratio (MLR) employee count of 50 or fewer employees.

• UtilizestheAdvantagePlusPPONetwork,anextensivenetworkof nationwide dentists.

• Allows employers to give their employees the benefits they want with little or no costs to the employer.

• Choose from three Certified and three Traditional plans that offer a variety of comprehensive dental services.

• Available for groups with a reported MLR employee count of 51+ employees or groups with ASO medical.

• UtilizestheBlueCrossDentalNetwork,givingyouremployeesthe freedom to choose from a large network of Louisiana dentists.

• Several cost-effective standardized dental plans are available Customized plans are also available based on group size.

• Fully-insured and ASO funding options are available.

• Ideal for individuals and families that do not have dental insurance offered through their employer.

• UtilizestheAdvantagePlusPPONetwork,anextensivenetworkof nationwide dentists.

• Choose from three Certified and three Traditional plans offering reliable and convenient dental coverage.

Blue denTal FOR sMall GROups

laRGe GROup denTal

Blue denTal FOR IndIvIduals

Page 22: Ancillary Solutions PRODUCT · Ancillary PRODUCT 2015. Life ... A product of Southern National Life Insurance Company, Inc. OFFeRInG YOuR eMplOYees peaCe OF MInd 4 Whether your company

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D ntale C verao gesmall GROUP

If you are like most employers, you consider

dental coverage an essential part of your

employees’ overall health care plan. Our Blue

dental Traditional and Certified plan options

offer a wide range of benefits and services

that will encourage your employees to be the

healthiest and most productive they can be.

We are excited to offer three new Traditional Blue Dental Plans that include comprehensive coverage for adults and children, along with optional cosmetic orthodontic coverage for dependents. These plans are designed for small groupswhoserequiredpediatricdentalessentialhealthbenefits(EHBs)aresatisfiedthroughthegroup’squalified

health plan.

plan a plan B plan B Ortho

Provides excellent coverage for Diagnostic and Preventive services, along with Basic Services.

All benefits covered in Plan A are included in Plan B. In addition, Plan B includes coverage for Major Services.

Plan B Ortho includes the same benefits as Plan B, with the addition of dependent orthodontic coverage up to age 19.

each Traditional plan includes:

• preventive care incentives to encourage routine oral care. Charges for diagnostic and preventive services, like cleaning and x-rays, will not count toward the annual maximum, leaving more benefit dollars for other covered dental procedures.

• Choice of $1,000, $1,500 or $2,000 annual benefit maximum per member

• $50 per member deductible/$150 per family

• no waiting periods

participation:

•EmployerPaid:100%ofeligibleemployeesmustenroll(groupsize2–50)

•Contributory:Greaterof70%or10eligiblemustenroll(groupsize10–50)

•Voluntary:Greaterof20%or10eligiblemustenroll(groupsize10-50)

NEW TRadITIOnal Blue denTal plans

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Three Certified Blue Dental plan options are also available, which are CMS certified and include all the required pediatricdentalEHBs.IfyoursmallgroupmedicalpolicydoesnotincludethepediatricEHBrequirements,thenacertified Blue Dental plan is right for you.

preferred plus preferred essential

Preferred Plus has the highest adult annual benefit maximum of $1,500 and a $50 annual deductible per member.

The Preferred plan covers the same services as Preferred Plus, but with a lower adult annual benefit maximum of $1,000, with a $50 annual deductible per member.

This lower cost plan option offers a $1,000 annual benefit maximum, $75 annual deductible per adult and $50 annual deductible per child, and a slightly lower level of coverage.

each Certified plan option includes:

• an unlimited annual benefit maximum and no waiting periods for the majority of dental services for children under age 21.

• Traditional and medically necessary orthodontia for dependents up to age 21

participation:

• Greaterof20%or10eligibleemployeeswithaminimumof2eligibleemployeesenrolled(groupsize2-50)

CeRTIFIed Blue denTal plans

CeRTIFIed Blue denTal plansPreferred Plus, Preferred and Essential

TRadITIOnal Blue denTal plansPlan A, Plan B and Plan B Ortho

Pediatric Dental Essential Health Benefits

Includes all the required Pediatric DentalEHBs

DoesnotincludePediatricDentalEHBs

Benefits Separate benefits for adults and children under age 21

Same benefits for adults and children

Child Orthodontia Medically necessary and traditional orthouptoage21;24-monthwaitingperiod

Traditionalorthouptoage19;no waiting period

Waiting Periods Adult waiting period applies Nowaitingperiodsforadultsorchildren

Premiums Premium reflects rates per covered persons (member level premium)

Tier-rated premiums (employee/spouse/child/family)

Blue denTal plans: CeRTIFIed vS. TRadITIOnal

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save your employees money:

save your employees time:

Give your employees freedom:

NetworkdentistshaveagreedtoaccepttheBlueCrosspayment,plusyourdeductible and coinsurance, as payment in full for covered services. They will not bill for any balance over that amount.

Networkdentistsautomaticallyfileclaimswithus,soit’sonelessthingfor your employees to do. Since we pay dentists directly, there’s no waiting for reimbursement.

Neitheryouremployeesnortheirfamilymembersaretiedtoonedentist.With access to the extensive Advantage Plus network, all family members can choose a dentist they like.

Although you can use any licensed dentist with a Blue Dental plan, a network dentist will:

visit an advantage plus network dentist for Maximum value

With Blue Dental, our members may access the Advantage Plus PPO Network*. This extensive dental network of nationwide dentists provides our members:

•Accesstoover900dentistsand1,600locationsthroughoutLouisiana

•Accesstoover78,000credentialeddentistsnationally

•45%ofalldentistsnationwideparticipatein-network

•Strongruralandsuburbanfocus

•Over99%ofdentistsin-networkareacceptingnewpatients

*AdvantagePlusNetworkPPOisadministeredbyUnitedConcordiaCompanies,Inc.UnitedConcordiaisanindependentcompanythatadministersdentalbenefitsonbehalfofBlueCross and Blue Shield of Louisiana members.

advanTaGe plus ppO neTwORk

Find a dentist: TofindadentistintheAdvantagePlusPPONetwork,visitwww.bcbsla.com/FindADoctor. If your dentist is not currently participating in the network, you can nominate your dentist by calling 1-800-332-0366.

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Blue Cross and Blue shield of louisiana has seven dental options

for large employers that offer a variety of dental services.

D ntale C verao geLARGE GROUP

CHOOse THe plan THaT Is RIGHT FOR YOuR GROup

•Seven dental plans to choose from

•Deductiblesperbenefitperiodrangefrom$50to$100

•Maximumbenefitsperbenefitperiodrangefrom$1,000to$2,000

•DiagnosticandPreventiveServicesarecoveredat100%withnowaitingperiods

•BasicServicesarecoveredat80%andcoverageforMajorServicesrangesbetween50%and60%

•CoverageforMajorServicesrangesbetween50%and60%

•Traditionalorthodontiaiscoveredinsomeplans

product eligibility

•Large groups with a reported Medical Loss Ratio (MLR) employee count of 51+ employees or groups with ASO medical are

eligible to purchase large group dental

•Employercontributionis50%ofemployeecost

•50%participationisrequired

laRGe GROup denTal COveRaGe

Product of Blue Cross and Blue Shield of Louisiana

TheBlueCrossDentalNetworkisalargenetworkofdentistslinkedtogetherwithBlueCrosstobringourmembersa more cost-effective dental plan. For a list of dentists in your area, go to www.bcbsla.com/FindaDoctor.

• Allbenefitsarebasedonallowablechargesforcoveredservicesandparticipatingdentistshaveagreedtoacceptthe Blue Cross payment (plus your deductible and coinsurance) as payment in full for covered services. They will not bill for any balance over that amount. All claims payments go directly to the participating dentist for covered services rendered.

• Ifyouchooseanon-participatingdentist,youmayhavetofileyourownclaimsandberesponsibleforpayingthedentist for all charges. This amount may include any difference between the Blue Cross allowable charge and the fee charged by the dentist.

Blue CROss denTal neTwORk

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1-800-495-Blue (2583)We’reavailableMondaythroughFriday,8a.m.–5p.m.

www.bcbsla.comFind help online 24 hours a day.

5525 Reitz ave.Baton Rouge, louisiana 70809

We have eight regional offices around the state. Find us at any of the following locations. We’d love to see you.

phone

Online

Mail

local

We’re easy to find and happy to help you. If you need to reach us:

Alexandria

318-448-16604508 Coliseum Blvd., Suite A

Alexandria, LA 71303

Baton Rouge

225-295-25565525 Reitz Ave.

Baton Rouge, LA 70809-3802

Houma

985-223-34991437 St. Charles Street, Suite 135

Houma,LA70360

Lafayette

337-232-75275501JohnstonSt.,Suite200

Lafayette, LA 70503

Lake Charles

337-562-0595219 West Prien Lake Road

Lake Charles, LA 70601-8450

Monroe

318-323-14793130 Mercedes Dr. Monroe, LA 71201

New Orleans

504-832-58003501NorthCausewayBlvd.,Suite600

Metairie, LA 70002

Shreveport

318-795-0573411 Ashley Ridge Blvd. Shreveport, LA 71106

Regional Offices

CusTOMeR seRvICe

Contact your Blue Cross Regional office for more product information and rates.More info

Page 27: Ancillary Solutions PRODUCT · Ancillary PRODUCT 2015. Life ... A product of Southern National Life Insurance Company, Inc. OFFeRInG YOuR eMplOYees peaCe OF MInd 4 Whether your company
Page 28: Ancillary Solutions PRODUCT · Ancillary PRODUCT 2015. Life ... A product of Southern National Life Insurance Company, Inc. OFFeRInG YOuR eMplOYees peaCe OF MInd 4 Whether your company