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Have questions about Individual, Small Business, Group, Student, or Family Health Insurance? Call us at 877.56PLANS
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Insurer |
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Plan |
HSA 100® |
Plan type |
HSA |
Application Url |
Click here for Application |
Brochure |
Brochure
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Umbrella Brochure |
n/a |
Plan Features |
Take more control of your health care dollars! HSA plans are designed for people interested in controlling how their health care dollars are spent. The HSA 100 plan features one calendar year deductible per family and 100% coverage for covered expenses (hospital stays, surgery, prescriptions, doctor office visits and more) after deductible is satisfied. Includes access throughout UnitedHealthcare's extensive network. Optional benefits also available. |
Brochure |
OnLine - Yes Postal Mail - Yes Download - Yes |
Application |
Paper Application |
Submit And Eff Dates |
later of 30 days after an app is recvd or the date reqstd (but no> than 60 days).Mail or fax w/n 3 days of sig date;separate effective dates for injury and illness eliminated 9.1 |
Fees |
no app fee; No$3 FACT fee as of 11/20/08; For Child(ren) only policy, when primary applicant is less than 18 years of age, please note there will not be a $5 monthly admin fee per policy as of 11/20/08 |
Payment Methods |
Initial: Credit Card (Visa, MasterCard), check, money order, pre-auth charge via E-Store; Ongoing: Monthly EFT; Quarterly Bill: FACT fee of $9 / quarter will be collected (not in CT, DE, GA, KS&LA), plus $10 fee.Direct Montly Bill:$10 Fee applies |
Eligibility Requirements |
birth - 64.5, Unmarried, living with and financially dependent on the primary insured and up to age 25 |
Referrals Required |
No |
Free Look Period |
24 days |
Cancellation Policy |
ok via phone or letter; any unused portions of prem returned from date request made |
Pre Screens |
Log in to E-Store, click on Services, then the preliminary eval link, answer questions on the form, click submit, you will receive auto verification, ck E-Store acct after 3 hrs to view response |
Pre Ex |
12 months forward, 12 months back |
Rate Guarantee Period |
12 months |
Company Checks Accepted |
No |
Child Only Policies |
No |
World Wide Coverage |
Coverage will not be issued if leaving the country w/n 6 months an traveling more than a month outside the US (except FL) |
HSA Banking Partner |
OptumHealthBank |
Broker Service Unit |
800.474.4467 |
(877)567-5267
