To avoid and comply with the upcoming mandates our employer groups have been utilizing out ERISA program. ERISA plans are primarily governed by federal ERISA laws, which govern employee welfare plans. ERISA establishes minimum standards for retirement, health and other welfare benefit plans. ERISA plans do not have to follow state benefit mandates, resulting in lower costs and expenses. We structure our ERISA program to mimic fully insured plans with traditional copays, deductibles and everything else an employee is used to. This plan also utilized 2 types of reinsurance and a claims fund combined into monthly premium payments. By structuring the plan in this manner there is no additional out of pocket expense above and beyond the monthly premium.
GAP is designed to help supplement your Employer's underlying Major Medical plan. It provides supplemental coverage to help offset out-of-pocket costs that you may experience due to deductibles, co-payments and coinsurance of the underlying Major Medical plan.