When we have a part-time job, balancing benefits usually doesn’t seem like an easy task. It is not easy for the employer to provide benefits since their workforce can usually be geographically distributed. Hence, it is best to invest in a system that benefits workers. For this reason, it is essential to know the American Worker Insurance benefits, which are specialists in providing insurance for hourly and part-time employees.
These services offer coverage that significantly reduces out-of-pocket costs. Thanks to this program, different services and doctors can be provided so employees can be treated easily.
What is the American Worker Insurance?
The American Worker has specialized in providing insurance services for different groups of hourly employees for more than 20 years. They offer a comprehensive service for employees and serve over 250,000 subscribers, with the main office being in Austin, Texas.
Over time they have developed unique solutions for clients, and each client’s demands are different from those of other employers. It is because it acts as a limited private independent third-party administrator and is part of the Fringe Benefit Group.
The plans they offer can be covered by the largest insurance providers in the country. They specialize in customized fully insured fixed indemnity medical plans, which can stand alone or be combined with self-funded plans.
In addition, they offer stop-loss coverage plans, which protect employees against devastating losses. The combined option provides a cost-effective alternative to typical major medical plans and addresses the major components of medical plan utilization in the most economical way.
Major Medical Coverage
Employers must maintain major medical coverage but understand the need for alternative group plan designs. However, real-world cost reduction in this environment is difficult.
For this reason, American Worker Insurance has expanded and enhanced its portfolio of programs and services. It will effectively fill the gap left by high deductibles or co-payments. At the same time, it provides a beneficial option for important claims protection.
It is a company that focuses on never losing sight of our company’s objective. This way, all the benefits are affordable to business partners and its diverse clientele.
What services does this insurance offer?
Some of the services offered by American Worker Insurance will be:
Claims administration
Claims processes can be complicated and time-consuming, so there are different solutions and services in response to the needs of the industry. To that end, there are ways to make the claims administration process smoother.
We can have a dedicated claims representative and full management or multi-step claims review. These services have a response time of 7 to 10 business days, and we can achieve 99% payment accuracy.
Premium Administration
Payroll administration and billing are core to the benefits program. To this end, they offer:
- Payroll cycle: Employees can report based on payroll frequency and eliminate any problems with collections or payments.
- Automated payroll deductions: Technology’s widespread use has optimized processes. Thanks to this, the programs’ processing of deductions is done, making them much more efficient.
- Intelligent billing: thanks to the single factums, all employee benefit premiums will be reflected, and eligibility for the chosen program can be better controlled.
Registration Process
For the enrollment process, there are two easy-to-use options:
- Single Source Call Center: this serves as a point of contact for benefits clarification and enrollment management. Hours of operation are Monday through Friday from 7 am to 7 pm CT.
- Online services: thanks to current technology, it will be possible to work with the client easily so that the ideal enrollment can be made remotely. In this way, the services can be contracted in the most convenient way for them.
Communication
Effective communication will be the key to successful enrollment, so The American Worker has different parts that allow employees to understand the enrollment processes and steps.
The benefits of the program will be discussed, and basic issues will be addressed to ensure its effectiveness. For this reason, each program will be tailored to each client’s specific needs.
Employee health insurance
By purchasing an insurance policy from The American Worker, administrative solutions can be obtained that allow hourly workers to operate on an hourly basis. These services will ensure that physicians receive benefits at the right time.
MEC Plans
Minimum essential coverage, or MEC, is insurance that includes one of the essential health benefits outlined in the Affordable Care Act. All companies must provide medical services, and the coverage must meet specific conditions for comprehensive health care.
Individuals who do not have the minimum necessary coverage will be penalized at tax time. The penalty is normally 2.5% of the family income, although as of 2019, these penalties were repealed.
On the other hand, for employers with more than 50 full-time employees, a heavy penalty of at least 95% of the workers may be applied. A weak penalty, structured to cover at least 60% of an employee’s health care costs, may also apply.
The maximum amount that can be charged to an employee is 9.69% of their annual salary; however, a non-deductible penalty of $3,390 may apply if the minimum requirements are not met.