Sean Rekemeyer
Regional Manager
 
(817) 277-9000

NPN #1329285

Option 2

Defined Contribution Plans


 Defined contribution plans are set up by your employer and provide a way for you and your employer to pay your health insurance premiums out of pre-tax dollars.  It operates much like your 401K retirement plan in that money is held out of each paycheck and put in an HRA account that you then access to pay your health insurance premiums and health expenses.

Anyone with a pre-existing condition or any family member(s) with preexisting conditions should enroll in an ACA major medical plan through this exchange. These premiums can be paid from pre-tax dollars if your employer has established one of several defined contribution plans. If they have not set up a defined contribution plan, have them contact us to find out how financially beneficial it is to both the employees and the employer.

For healthy members of your family, the concept is reasonably simply.  Buy low-cost basic health insurance while you're healthy, and when you get sick, move up to the more expensive, full-featured, ACA-compatible, guaranteed-issue health plans.

You will receive excellent coverage and lower your health insurance costs by 40% to 70% over ACA compatible plans by purchasing  non-ACA compatible health insurance.  These plans typically provide $2-$5 million in annual coverage and do not cover pre-existing conditions.  They can also be paid out of pre-tax dollars.

​In the event that someone has an accident or contracts a major illness during the time a non-ACA compatible policy is in force, the plan will cover any necessary treatments after deductible and co-insurance are met up to 100% of the annual limit ($2-$5 million).  During ACA open enrollment between October and December of that year, you can elect to move to an ACA compatible plan via this exchange and obtain unlimited coverage for any and all preexisting conditions beginning January 1st of the following year.

​So once again, the concept is reasonably simply.  If you are healthy, buy low-cost major medical insurance (non-ACA compatible) now, and when you get sick, move up to the more expensive insurance with guaranteed acceptance.