Benefits & Services Medical Benefits

Comprehensive Major Medical Plans

Comprehensive Major Medical and Consumer Centered Preferred Provider Network (PPN) Plans, Major Medical High Performance Network with a number of deductible, copayment, benefit percentage, and out of pocket options.

Consumer Driven Healthcare Plans

Defined benefit plans versus traditional plans focus on the development of a healthier employee population, which creates a healthier and more productive workforce. This program incorporates the following:

  • Section 125 Flexible Spending Arrangement (FSA)
    • Grace Period - 2 month and fifteen day extension
    • $500 Unreimbursed Healthcare Maximum Carry Over
    • Premium Only Plan
    • Prohibition of FSA Stand Alone Plans
    • Qualifying Event $500 Unreimbursed Healthcare Maximum Carry Over
      • Maximum Carry Over
        • Health Reimbursement Arrangement (HRA)
        • IEBP provides discrimination testing per request
    • Prohibition of HRA Stand Alone Plans
      • Retiree Reimbursement Arrangement (RRA)
      • Health Savings Account (HSA)/High Deductible Plans
      • Consumer Centered Pool Plan Options

Telehealth Services

Telehealth medical consultation services is expanding in the United States, servicing approximately 3 million consumers. Access to care 24/7/365 on consumer demand via phone and online video consultations is delivered to the Pool membership by the value added addition of the telehealth benefit.

Telehealth services do not replace your primary care physician, but can be used when you need immediate physician care for non-emergent medical issues. The telehealth level of care is an affordable, more convenient alternative to urgent care and ER visits.

The covered individual will be responsible for completing a health history overview prior to receiving medical telehealth services. Consultations can be conducted in English or Spanish and are available to children and adults who are covered individuals under IEBP’s benefit plan.

  • Teladoc
    • 24 hour availability of Medical Consults
    • Behavioral Health Level of Care
    • Dermatology Level of Care
 
 
For more information about how TML MultiState IEBP can help you manage your benefit costs, please Contact Us today!