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ENROLL, INSURE & RETAIN with SF Chamber Care Employee Benefits
Our employee benefits for your growing company offers:
• Competitive Pricing
• Robust Plan Options
• Stress-Free Enrollment
• Simple Administration
Effective January 1, 2020
Contents
About the SF Chamber Care ..................................................................................................................................................................1
About the San Francisco Chamber of Commerce ........................................................................................................................2
SF Chamber Care Highlights ..................................................................................................................................................................3
UnitedHealthcare Products
Medical Plan ..........................................................................................................................................................................................5
Dental Plan ............................................................................................................................................................................................8
Vision Plan .............................................................................................................................................................................................9
Additional Non-Medical Products
Delta Dental......................................................................................................................................................................................... 11
VSP Vision Care Inc. ........................................................................................................................................................................ 13
About the Administrative Platform ..................................................................................................................................................15
About the Managing General Agent ..............................................................................................................................................16
SF Chamber Care Page 1
About SF Chamber Care
Combining Simplicity with SavingsThe San Francisco Chamber of Commerce supports the City and the region by helping companies recruit and retain top talent with access to affordable and comprehensive health and wellness benefits with SF Chamber Care.
Easy to join and easy to manage, SF Chamber is an ideal option for growing businesses, with simple billing, plug-and-play administration and little to no operational burden for employers.
Choose from multiple plan options designed specifically for small to medium-sized Bay Area businesses, including medical, dental and vision insurance from UnitedHealthcare, along with additional non-medical opportunities from Delta Dental and VSP Vision Care Inc.
Health Insurance at Your FingertipsSF Chamber Care provides a suite of employee benefit options, turn-key administrative features, and award-winning customer service designed specifically for Bay Area businesses with 2-100 employees.
Leverage your SF Chamber membership by designing a custom suite of employee benefit options that best fit the needs of your employees’ unique needs.
Affordable, convenient and comprehensive, SF Chamber Care is managed by Advanced Professionals Insurance & Benefit Solutions, a leading General Agent in managing benefits for the small and mid-sized employer market. Through this relationship, SF Chamber Care delivers to its members the best possible benefit plans to the San Francisco business community.
Get a Quote TodayGetting started is easy. Simply call your insurance professional and ask for SF Chamber Care or contact us directly at 206.602.3558 or email [email protected].
About the San Francisco Chamber of Commerce
The San Francisco Chamber of Commerce is San Francisco’s most vibrant business network.
A global economic force, San Francisco is the most inclusive and passionate city for innovation and entrepreneurship, and SF Chamber works hard on its behalf.
MissionSF Chamber attracts, supports and grows business through advocacy, economic development and business development.
HistoryFounded during the Gold Rush in May 1850, SF Chamber has been a leading champion of entrepreneurialism and economic prosperity for more than 160 years. From the transcontinental railroad to the Panama-Pacific International Exposition, the Chamber has a long history of championing the initiatives that make San Francisco a global landmark.
PartnersSF Chamber partners include businesses of every size, industry and neighborhood across San Francisco and the region, as well as other business organizations, community benefit districts and industry associations. The Chamber and its partners represent the nearly 800,000 employees of San Francisco businesses and their innovative work.
WorkFocused on three pillars – advocacy, business development and economic development – SF Chamber delivers events, programs and initiatives to boost business and economic success. The Chamber provides leadership on issues important to business and take collective action to advance sustainable economic growth and a better San Francisco.
SF Chamber Care Page 3
SF Chamber Care Highlights UnitedHealthcare Products
Medical Plan• For employers with fewer than 100 employees
• All Metallic benefit levels available:
» Platinum
» Gold
» Silver
» Bronze
• PPO and HMO network options with deductibles that range from $0 to $7,200
• Health Savings Account (HSA) products available with deductibles of $2,300 to $6,900
• Mix and match plans to meet your specific benefit goals
Dental Plan• Annual maximums from $1,500 to $5,000
• All plans feature a $50/$150 deductible
• Available for groups of two or more employees
• Both Group plans and Voluntary plans are available
• Ortho available with some plans
Vision Plan• Available for groups of two or more employees
• Multiple plan options with varying frame and lens allowances
• $10 co-pay for routine eye exam for glasses
• $25 co-pay for routine eye exam for contacts
• Exclusive discounts on laser vision, extra eyewear, lens options
• Voluntary plans available
SF Chamber Care HighlightsAdditional Non-Medical Products
Delta DentalDental Plan• Annual maximums from $1,000 to $2,000
• Child and adult orthodontia riders (10 or more employees)
• All plans include the Delta Dental PPO Network
• All plans feature a $50 / $150 deductible
• Available to groups with two or more employees
• Rates exclusive to SF Chamber members
VSP Vision Care Inc.Vision Plan• Two plan options with distinct benefit frequencies
• $10 co-pay for exams
• Materials allowance and co-pays vary by plan
• Choice Network included with both plan options
• Available to groups enrolled in a Kavi dental plan with two or more employees
• Rates exclusive to SF Chamber members
SF Chamber Care Page 5
UnitedHealthcare offers a broad range of plans for small to medium-sized businesses based in California that can be viewed on the following pages. Below are highlights from some of the more popular plans.
Platinum plans• PPO $250 deductible in-network, $3500 out of pocket, $10 Primary Care Dr. (PCP) copay
• HMO $0 deductible, $3,500 out of pocket(OOP), $20 PCP copay
Gold plans• PPO $500 deductible in-network, $6,500 OOP, $25 PCP copay
• HMO $500 deductible, $6,500 OOP, $30 PCP copay
Silver• PPO $1,500 deductible, $8,150 OOP, $50 PCP copay
• HMO $2,250 deductible, $8,150 OOP, $55 PCP copay
Bronze• PPO $7,200 deductible, $8,150 OOP, 40% employee cost share
• HMO $7,200 deductible, $8,150 OOP, 40% employee cost share
HSA• Silver PPO – $2,300 deductible, $6,650 OOP, 30% employee cost share
• Bronze PPO - $6,900 deductible, $6,900 OOP, 100% employee cost share
• Bronze HMO - $6,900 deductible, $6,900 OOP, 0%
UnitedHealthcareMedical Plan
Cal
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ploy
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nuar
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ical
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Plan
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ct P
lus
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Plat
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00$3
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%$1
0$2
510
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%N
/AN
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50N
/AN
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Plat
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Plat
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anta
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00$3
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$7,0
0020
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%$0
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20%
20%
N/A
N/A
$150
Embe
dded
No
BR
-JH
BR
-JN
C34
Gol
dN
/A$1
,000
$6,5
00$1
3,00
030
%50
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5$5
030
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%N
/A$2
50$2
50N
/AN
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35
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00$1
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020
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020
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%$2
50$2
50$2
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oB
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4B
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75
Gol
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,000
$2,0
00$6
,500
$13,
000
20%
50%
$25
$50
20%
20%
$250
$250
$250
Embe
dded
No
BR
-J5
BR
-KB
B75
Gol
d (P
rimar
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dvan
tage
)$1
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$3,0
00$6
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$13,
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30%
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530
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50$2
50$2
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bedd
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76
Silv
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,500
$3,0
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,150
$16,
300
40%
50%
$50
$80
40%
40%
$250
$250
$300
Embe
dded
No
BR
-J7
BR
-KD
B77
Silv
er$2
,250
$4,5
00$8
,150
$16,
300
40%
50%
$50
$80
40%
40%
$250
$250
$300
Embe
dded
No
BR
-J8
BR
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B77
Silv
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SA w
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otio
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,300
$4,6
00$6
,650
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50%
30%
30%
30%
30%
N/A
N/A
N/A
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39
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3,80
0$6
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100%
100%
100%
100%
100%
N/A
N/A
N/A
Embe
dded
Yes
BR
-JJ
BR
-JP
C38
Bro
nze
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4,40
0$8
,150
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40%
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N/A
N/A
N/A
Embe
dded
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BR
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-Diff
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PO
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allic
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-Of-P
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ork
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nsur
ance
Net
wor
kO
ut o
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Ben
efits
3
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ERIn
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tal
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Stat
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irror
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ore
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Plat
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$9,0
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%$1
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0$1
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%N
/AN
/AN
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%N
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bedd
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40
Silv
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$4,5
00$7
,800
$15,
600
20%
50%
$50
$85
$400
20%
N/A
N/A
N/A
Embe
dded
No
BR
-5W
/B79
BR
-52/
C41
Bro
nze
$6,3
00$1
2,60
0$7
,800
$15,
600
40%
50%
$65
$95
40%
40%
N/A
N/A
N/A
Embe
dded
No
BR
-5X/
B80
BR
-53/
C42
1 of
4
Cal
iforn
iaSm
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usin
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ploy
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Effe
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rmac
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ess
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ns
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allic
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O
Plat
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$250
N/A
No
BR
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BR
-SV
BR
-S4
BR
-TM
BR
-TB
B86
Plat
inum
N/A
$3,5
00$2
0$4
020
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%20
%N
/AN
oB
R-S
QB
R-S
XB
R-S
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R-T
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R-T
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86
Plat
inum
(Prim
ary
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anta
ge)
N/A
$4,0
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$80
20%
20%
20%
N/A
No
BR
-SP
BR
-SW
BR
-S5
BR
-TN
BR
-TC
B87
Gol
dN
/A$6
,000
$30
$60
$500
$1,0
00 7
$500
N/A
No
BH
-GT
BH
-GZ
BH
-G7
BH
-HD
BK
-D2
B91
Gol
d$5
00$6
,500
$30
$60
$500
20%
20%
Embe
dded
No
BR
-SR
BR
-SY
BR
-S7
BR
-TP
BR
-TE
B88
Gol
d$1
,250
$6,5
00$3
0$6
030
%30
%30
%Em
bedd
edN
oB
R-S
TB
R-S
2B
R-S
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R-T
RB
R-T
GB
88
Gol
d (P
rimar
y A
dvan
tage
)$1
,500
$7,5
00$0
$80
30%
30%
30%
Embe
dded
No
BR
-SS
BR
-SZ
BR
-S8
BR
-TQ
BR
-TF
B89
Silv
er$2
,250
$8,1
50$5
5$8
040
%40
%40
%Em
bedd
edN
oB
R-S
UB
R-S
3B
R-T
AB
R-T
SB
R-T
HB
83
Silv
er$2
,250
$8,1
5030
%30
%30
%30
%30
%Em
bedd
edN
oN
/AN
/AN
/AB
R-T
TB
R-T
IB
83
Bro
nze
(HSA
w/M
otio
n)$6
,900
$6
,900
0%
0%0%
0%0%
Embe
dded
Yes
N/A
N/A
N/A
N/A
BR
-TK
B90
Bro
nze
(HSA
)$6
,900
$6
,900
0%
0%0%
0%0%
Embe
dded
Yes
N/A
N/A
N/A
BR
-TU
N/A
B90
Bro
nze
HD
HP
$7,2
00$8
,150
40%
40%
40%
40%
40%
Embe
dded
No
N/A
N/A
N/A
BR
-TW
BR
-TL
B85
Stat
e M
irror
ed H
MO
Plat
inum
N/A
$4,5
00$1
5$3
0$1
5010
%10
%Em
bedd
edN
oN
/AN
/AN
/AB
R-T
XN
/AB
92
Gol
d$2
50$7
,800
$2
5$5
0$2
5020
%20
%Em
bedd
edN
oN
/AN
/AN
/AB
R-T
YN
/AB
82
Silv
er$2
,250
$7,8
00
$50
$85
$400
20%
20%
Embe
dded
No
N/A
N/A
N/A
BR
-TZ
N/A
B84
Bro
nze
(HSA
)$6
,900
$6
,900
0%
0%0%
0%0%
Embe
dded
Yes
N/A
N/A
N/A
BR
-T2
N/A
B90
1 R
efer
to th
e be
nefit
sum
mar
y fo
r the
Fam
ily D
educ
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ount
. For
HM
O p
lans
, ref
er to
the
Sche
dule
of B
enef
its fo
r a d
etai
led
list o
f ben
efits
sub
ject
to th
e D
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.
2 R
efer
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Fam
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axim
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Typ
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ns B
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BR
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whi
ch h
ave
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Fam
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Max
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enef
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uran
ce (%
) res
pons
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the
Ded
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4 Th
e Pe
r Occ
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arat
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ovid
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5 N
on-D
iffer
entia
l PPO
pla
n is
on
the
optio
ns n
etw
ork.
6 N
avig
ate
is a
n In
-Net
wor
k pr
oduc
t onl
y, a
nd d
oes
not c
over
Out
-of-N
etw
ork
serv
ices
.
7 In
patie
nt H
ospi
tal C
opay
men
t is
appl
icab
le p
er d
ay, u
p to
a m
axim
um o
f 4 d
ays
per s
tay.
2 of
4
Options PPO Gateway Plan #A7976
Options PPO Value Plan #A7984
Covered Services In Network Out of Nework In Network Out of Network
Diagnostic and Preventive Services 100% 100% 100% 80%Exams, Prophylaxis, Flouride, Bitewing Radiographs, Sealants
Basic Dental Services
80% 80% 80% 60%Radiographs, Lab and Other Diagnostic Tests, Space Maintainers, Restorations, Simple Extractions, Periodontal Maintenance
Major Dental Surgery
50% 50% 50% 50%Oral Surgery, Endodontics, Periodontics, Crowns, Dentures, Partials
UnitedHealthcareDental Plan
UnitedHealthcare offers a broad range of dental plans through SF Chamber Care, which highlights the top four plans below.
All available UHC Dental plans feature a $50 individual annual deductible and a $150 family annual deductible. The below plans include a $1,500 annual maximum per person per calendar year.
Please Note: This is a brief summary of benefits only and does not constitute a contract.
Consumer MaxMultiplier Options PPO Plan #P3437/MAC
Consumer MaxMultiplier Voluntary Options PPO
Plan #P5425/MAC
Covered Services In Network Out of Nework In Network Out of Network
Diagnostic and Preventive Services
100% 100% 100% 100%Exams, Radiographs, Lab and Other Diagnostic Tests, Prophylaxis, Flouride, Sealants, Space Maintainers
Basic Dental Services80% 80% 80% 80%Restorations, Simple Extractions, Oral
Surgery, Endodontics, Periodontics
Major Dental Surgery50% 50% 50% 50%
Crowns, Dentures, Partials
SF Chamber Care Page 9
Zone 16 - California, Idaho, Kansas, Maine, Nebraska, South Dakota
For groups with effective dates 01/01/2020 - 03/31/2020
UHCV16 09/19 NCA-08A (v2.5)
Zone 16 - California, Idaho, Kansas, Maine, Nebraska, South Dakota
For groups with effective dates January 01, 2020 - March 31, 2020
Contribution Exam/Lenses*/Frames (months)
CopayFrame
Allowance
Contact Lens
Allowance
EmployeeEmployee+ Spouse
Employee + Child(ren)
Employee + FamilyPlan Number
Fit/Eval Allowance
100% Employer Paid
$10/$25SL004 12/12/24 $100 $6.83 $12.95 $15.20 $21.39 $ 105 $ 30$10/$25S1076 12/12/24 $130 $7.98 $15.14 $17.76 $25.00 $ 125 $ 40$10/$25SH106 12/12/24 $150 $8.64 $16.41 $19.25 $27.09 $ 150 $ 40$10/$10S1001 12/12/12 $130 $9.34 $17.73 $20.80 $29.28 $ 105 $ 30$10/$25SH416 12/12/24 $200 $9.86 $18.71 $21.95 $30.89 $ 200 $ 40$10/$25SH418 12/12/12 $175 $9.91 $18.82 $22.07 $31.07 $ 175 $ 30$10/$15SH434 12/12/24 $150 $10.12 $19.22 $22.54 $31.73 $ 150 $ 40$10/$25SH413 12/12/12 $200 $10.60 $20.12 $23.60 $33.22 $ 200 $ 40$10/$10SH410 12/12/12 $150 $11.03 $20.93 $24.56 $34.56 $ 150 $ 40
50/50
$15/$30S1049 12/12/24 $130 $6.79 $12.89 $15.12 $21.29 $ 105 $ 30$10/$25S1020 12/12/24 $130 $7.75 $14.71 $17.26 $24.29 $ 105 $ 30$10/$25S1018 12/12/12 $130 $8.33 $15.82 $18.56 $26.12 $ 105 $ 30
Employee Core
$10/$25S1012 12/12/24 $130 $7.33 $15.40 $18.07 $26.66 $ 105 $ 30$10/$25S1010 12/12/12 $130 $7.88 $16.56 $19.42 $28.66 $ 105 $ 30$10/$25SH010 12/12/12 $150 $8.24 $17.31 $20.31 $29.98 $ 105 $ 30
Voluntary
$10/$25S1008 12/12/24 $130 $8.91 $16.91 $19.83 $27.91 $ 105 $ 30$10/$25SH008 12/12/24 $150 $9.31 $17.68 $20.74 $29.19 $ 105 $ 30$15/$30SH370 12/12/24 $150 $9.57 $18.17 $21.32 $30.00 $ 125 $ 40$10/$25S1006 12/12/12 $130 $9.58 $18.18 $21.32 $30.01 $ 105 $ 30$10/$25S1077 12/12/24 $130 $9.70 $18.41 $21.60 $30.40 $ 125 $ 40$15/$30SH425 12/12/24 $175 $9.98 $18.94 $22.21 $31.27 $ 175 $ 40$10/$25SH107 12/12/24 $150 $10.51 $19.95 $23.41 $32.95 $ 150 $ 40$15/$30SH426 12/12/24 $175 $11.47 $21.78 $25.55 $35.96 $ 175 $ 40$10/$25SH417 12/12/24 $200 $11.99 $22.77 $26.71 $37.59 $ 200 $ 40$10/$25SH415 12/12/12 $200 $14.84 $28.17 $33.04 $46.51 $ 200 $ 40
* Lenses or contacts may be received every 12 months, but not both.
Participation and Contribution Requirements:
* Polycarbonate lenses for dependent children are covered in full for all plans. Polycarbonate lenses covered for all members for plan SH370. Standard Progressivelenses covered in full for plans SH415 and SH426.
Employer Paid: 75 - 100% employer contribution for both employees & dependents.
At least 75% participation of eligible employees less valid waivers, not to fall below 50% of total eligible employees.
Employee Core / Voluntary Dependents: 75 - 100% employer contribution for employees. No employer contribution requirements for dependents.
At least 75% participation of eligible employees less valid waivers, not to fall below 50% of total eligible employees.
50% Employer Paid: 50- 74% employer contribution for employees.No employer contribution requirements for dependents.
At least 75% participation of eligible employees less valid waivers, not to fall below 50% of total eligible employees.
Voluntary: 0 - 49% employer contribution for employees. No employer contribution requirements for dependents.
Two eligible, only 1 to enroll.
• 24 month rate guarantee • Monthly premiums • 10% level broker commission is included
For a group quote with additional tier structure, situs states or plan designs, please contact your UnitedHealthcare Account Executive.
Specialty benefits and programs may not be available in all states or for all group sizes. Components subject to change.
UHCV16 09/19 © 2019 United HealthCare Services, Inc. NCA-08A (v2.5)
The rates and benefits provided are for general information and discussion purposes only and are not valid unless approved by UnitedHealthcare Specialty Benefits. This rate quote is not an offer or guarantee of coverage. The group should not, under any circumstances, cancel its existing coverage unless and until coverage is offered by UnitedHealthcare Specialty Benefits and final rates have been accepted by and initial premium paid by the groups. Final rates are determined by UnitedHealthcare Specialty Benefit's underwriting guidelines and final enrollment. The insurance Policy, not general rates and descriptions on this rate sheet, will form the contract between the insured and the insurance company, and the Certificate of Coverage issued to the subscriber will provide the legal description of coverage.
Fully Insured quotes: The Dental and/or Vision premium includes expenses related to state & federal taxes, fees, and assessments. It may also include additional new taxes, fees and assessments from the Afffordable Care Act.
UnitedHealthcare Vision® coverage provided by or through UnitedHealthcare Insurance Company, located in Hartford, Connecticut, or its affiliates. Administrative services provided by Spectera, Inc., United Healthcare Services, Inc. or their affiliates. Plans sold in Texas use policy form number VPOL.06.TX and associated COC form number VCOC.INT.06.TX.
SF Chamber Care Page 11
Additional Non-Medical ProductsDelta Dental
For more than 60 years, we’ve always focused on what truly matters – healthy smiles. It drives everything we do.
We are a founding member of the nationwide Delta Dental Plans Association, and administer dental benefits to over 2.8 million members in state and nationwide, more than any other dental benefits provider.
Our unique two-tier Delta Dental PPOSM and Delta Dental Premier® networks offer the access to the most quality dentists – more than 4,400 in Washington State and more than 152,000 across the country. This is a benefit that no other company can match.
Regular dental exams and cleanings are key to keeping your smile healthy. Visit your dentist regularly. They’ll keep you on the road to a lifelong, healthy smile.
MySmile® personal benefits center is your patient portal at DeltaDentalWA.com.
It’s customized to your benefits information and allows you to:
• Print your ID card
• View your coverage
• Get instant out-of-pocket cost estimates with MySmile Cost Genie®
• Endorse your favorite dentist and help others find theirs
• Sign up for paperless Explanation of Benefits (EOB) via email
Have a question? Give us a call at 800-554-1907 or send an email to [email protected]. We’re happy to help.
Additional Non-Medical ProductsDelta Dental
Plan FeaturePPO Plan A
Group #03875PPO Plan B
Group #03876PPO Plan C
Group #03877PPO Plan D
Group #03878
Annual Deductible
Per Person Family Maximum
$50
$150
$50
$150
$50
$150
$50
$150
Annual Maximum $1,000 $1,500 $2,000 $2,000
Covered Services In Network
Out of Network
In Network
Out of Network
In Network
Out of Network
In Network
Out of Network
Class I – Diagnostic and Preventive
Exams, Prophylaxis, Flouride, X-rays, Sealants
100% 80% 100% 80% 100% 80% 100% 100%
Class II – Restorative
Restorations, Endodontics, Periodontics, Oral Surgery
80% 70% 80% 70% 80% 70% 90% 80%
Class III – Major
Crowns, Dentures, Partials, Bridges, Implants
50% 40% 50% 40% 50% 40% 50% 50%
Ortho Child Only Ortho Family
Lifetime Max $1,000 Lifetime Max $1,000
Coverage
50% 50%
Annual deductibles are waived on Class I benefits.
All Plans are available to groups with 2 or more eligible employees.
Optional orthodontia coverage is available to groups with 10 or more eligible employees.
SF Chamber Care Page 13
Enroll in VSP today. You’ll be glad you did.
Contact us. 800.877.7195 I vsp.com
Life is better in focus.TM
Get access to the best in eye care and eyewear with Kavi Marketplace California and VSP® Vision Care.
Why enroll in VSP? As a member, you’ll receive access to care from great eye doctors, quality eyewear, and the affordability you deserve, all at low out-of-pocket costs.
You’ll like what you see with VSP.• Value and Savings. You’ll enjoy more value and low out-of-pocket costs.
• High Quality Vision Care. You’ll get great care from a VSP network doctor,including a WellVision Exam®—a comprehensive exam designed todetect eye and health conditions.
• Choice of Providers. The decision is yours to make—with the largestnational network of private-practice doctors, plus participating retailchains, it’s easy to find the in-network doctor who’s right for you.
• Great Eyewear. It’s easy to find the perfect frame at a price that fitsyour budget.
Using your VSP benefit is easy. • Create an account at vsp.com Once your plan is effective, review
your benefit information.
• Find an eye doctor who’s right for you. Visit vsp.com or call800.877.7195.
• At your appointment, tell them you have VSP. There’s no ID cardnecessary. If you’d like a card as a reference, you can print one onvsp.com.
That’s it! We’ll handle the rest—there are no claim forms to complete when you see a VSP provider.
Choice in EyewearFrom classic styles to the latest designer frames, you’ll find hundreds of options. Choose from featured frame brands like bebe, CALVIN KLEIN, Cole Haan, Flexon®, Lacoste, Nike, Nine West, and more.1 Visit vsp.com to find a Premier Program location that carries these brands. Plus, save up to40% on popular lens enhancements.2 Prefer to shop online? Check out all of the brands at eyeconic.com®, VSP’s online eyewear store.
Your VSP Vision Benefits SummaryVSP Coverage Effective Date: 01/01/2020
VSP Provider Network: Choice
1. Brands/Promotion subject to change. 2. Savings based on network doctor’s retail price and vary by plan and purchase selection; average savings determined after benefits are applied. Available only through VSP network doctors to VSP members with applicable plan benfits. Ask your VSP network doctor for details.
©2018 Vision Service Plan. All rights reserved. VSP, VSP Vision Care for life, WellVision Exam, and “Life is better in focus.” is a trademark of Vision Service Plan. Diabetic Eye Care Plus Program is a servicemark of Vision Service Plan. Flexon is a registered trademark of Marchon Eyewear, Inc. All other company names and brands are trademarks or registered trademarks of their respective owners. 33087 VCCM
Benefit Description Copay Frequency
Choice Plan A
WellVision Exam • Focuses on your eyes and overall wellness $10 Every 12 months
Prescription Glasses $25 See frame and lenses
Frame• $130 allowance for a wide selection of frames• $150 allowance for featured frame brands• $70 Costco® frame allowance
Included in Prescription Glasses Every 24 months
Lenses • Single vision, lined bifocal, and lined trifocal lenses• Polycarbonate lenses for dependent children
Included in Prescription Glasses Every 24 months
Lens Enhancements • Standard progressive lenses• Premium and Custom progressive lenses
$0$95 - $175 Every 24 months
Contacts (instead of glasses)
• $130 allowance for contacts; copay does not apply• Contact lens exam (fitting and evaluation) Up to $60 Every 24 months
Choice Plan B
WellVision Exam • Focuses on your eyes and overall wellness $10 Every 12 months
Prescription Glasses $40 See frame and lenses
Frame• $150 allowance for a wide selection of frames• $170 allowance for featured frame brands• $80 Costco frame allowance
Included in Prescription Glasses Every 24 months
Lenses • Single vision, lined bifocal, and lined trifocal lenses• Polycarbonate lenses for dependent children
Included in Prescription Glasses Every 12 months
Lens Enhancements • Standard progressive lenses• Premium and Custom progressive lenses
$0$95 - $175 Every 12 months
Contacts (instead of glasses)
• $150 allowance for contacts; copay does not apply• Contact lens exam (fitting and evaluation) Up to $60 Every 12 months
Choice Plan C
WellVision Exam • Focuses on your eyes and overall wellness $10 Every 12 months
Prescription Glasses $40 See frame and lenses
Frame• $150 allowance for a wide selection of frames• $170 allowance for featured frame brands• $80 Costco® frame allowance
Included in Prescription Glasses Every 12 months
Lenses • Single vision, lined bifocal, and lined trifocal lenses• Polycarbonate lenses for dependent children
Included in Prescription Glasses Every 12 months
Lens Enhancements • Standard progressive lenses• Premium and Custom progressive lenses
$0$95 - $175 Every 12 months
Contacts (instead of glasses)
• $150 allowance for contacts; copay does not apply• Contact lens exam (fitting and evaluation) Up to $60 Every 12 months
All Plan Options
Diabetic Eyecare Plus ProgramSM
• Services related to diabetic eye disease, glaucoma andage-related macular degeneration (AMD). Retinal screeningfor eligible members with diabetes. Limitations andcoordination with medical coverage may apply. Ask your VSPdoctor for details.
$20 As needed
Extra Savings
Glasses and Sunglasses• Extra $20 to spend on featured frame brands. Go to vsp.com/specialoffers for details.• 20% savings on additional glasses and sunglasses, including lens enhancements, from any VSP provider within
12 months of your last WellVision Exam.
Retinal Screening• No more than a $39 copay on routine retinal screening as an enhancement to a WellVision Exam
Laser Vision Correction• Average 15% off the regular price or 5% off the promotional price. Discounts only available from
contracted facilities
Coverage with a participating retail chain may be different. Once your benefit is effective, visit vsp.com for details. Coverage information is subject to change. In the event of a conflict between this information and your organization’s contract with VSP, the terms of the contract will prevail. Based on applicable laws, benefits may vary by location. In the state of Washington, VSP Vision Care, Inc., is the legal name of the corporation through which VSP does business.
Kavi Marketplace - California and VSP provide you with a choice of affordable vision plans—choose the plan that’s right for you.
SF Chamber Care Page 15
About the Administrative PlatformKavi Health Trust
Kavi Health Trust, powered by TailorWell, is designed to make healthcare interaction for small groups easy, with consolidated billing for non-medical product offerings from Delta Dental and VSP Vision Care Inc. With several unique plan designs to choose from, employers will be empowered to pick the right combination of benefits to meet their needs, while taking advantage of Kavi’s group purchasing power.
Through Kavi, employers perform their own online administration via a comprehensive, real-time platform, and employees shop and enroll in an online marketplace. Key advantages to Kavi include: online shopping; decision support and enrollment; comprehensive and highly accurate benefits administration; consolidated billing; tools; and a My Benefits employee portal, which allows every Kavi member to have a personalized website with their own benefit selections and cost summary.
Kavi non-medical products are available throughout California, and are distributed to accredited producers via AP Connect, which provides secure, online access to premier health care insurance companies' products.
To learn more, please contact your insurance representative or email [email protected].
TailorWellTailorWell was founded on the premise that the process of selecting, enrolling in and managing benefits should be easy and valuable for employees, employers, producers and carriers.
Founded in Seattle, WA, TailorWell, through the Kavi Marketplace, is the only private exchange in the market that can be sold by benefits brokers as a turnkey, outsourced solution to employers.
In today’s competitive marketplace, employers rely on TailorWell to help them effectively recruit and retain employees. Employees receive an intuitive, supported way to make personal benefits choices that best reflect their needs and the needs of their families.
About the Managing General AgentAdvanced Professionals Insurance & Benefit Solutions
Advanced Professionals Insurance & Benefit Solutions manages several Association Health Plans, small-employer community-rated products, as well as large group-underwritten products. The team is committed to offering innovative solutions and unparalleled service. Through various marketplaces, Advanced Professionals Insurance & Benefit Solutions provides accredited producers with access to a comprehensive array of affordable healthcare products and services designed to meet the specific needs of their clients.
Driving Advanced Professionals Insurance & Benefit Solutions’ success are two powerful and complementary components: technology and service. Our new producer portal, AP Connect, is a web-based system uniquely designed for our wholesale model. As your end-to-end platform for RFPs, new business and renewals, AP Connect also provides access to each of our program-specific resources – including forms, plan summaries and booklets, producer reference tools, directories and more. The team is committed to a two-day turnaround on the nearly 25,000 proposal requests received annually from more than 1,000 accredited producers across the state. The team not only delivers these proposals, but also handles the processing of all new business and renewals.
Advanced Professionals Insurance & Benefit Solutions is a dedicated team which, with more than 50 years of combined trust management experience, is a dynamic group of professionals accustomed to the ever-changing health insurance environment.
Your Advanced Professionals Insurance & Benefit Solutions team will assist with:
• Rate and product design assessment on behalf of employers and accredited producers
• Producer presentations and training
• Marketplace benchmarking
• Value-driven strategies
• Marketing
• High-level claim and service issues
• General advocacy for credentialed producers and companies
Advanced Professionals Insurance & Benefit Solutions takes pride in its ability to thrive in a fast-paced environment. Combining a creative approach with a “do-what-it-takes” attitude is what differentiates this team from the competition.
Insurance &Benefi t Solutions
Advanced Professionals Insurance & Benefit Solutions
1201 Third Avenue, Suite 800 Seattle, WA 98101
Managing General Agent
Insurance &Benefi t Solutions
Advanced Professionals Insurance & Benefit Solutions 1201 Third
Avenue, Suite 800 Seattle, WA 98101
Phone: 206.602.3558
advprofessionals.com
Administrative Platform
Kavi Health Trust
KaviMarketplace.com
ap.SFChamber@advprofessionals.
com
2020 SF Chamber Care Marketing Brochure Last Modified 04/30/20
Plan Sponsor
SFChamber.org