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Alaska

    Employers

    Group Medical Plans

    We understand that your business needs are different from other companies. That’s why Total Benefit Solutions (TBS) offers a range of medical plans especially to meet the needs of each group. You and your employees have the flexibility to balance premium costs with risk by offering up to five medical plans.

    Plans
    Forms
    Overview
    Providers

    Summary of Benefits and Coverage (SBCs)

    SBCs are group effective date specific and can be downloaded via the public Aetna website at: https://www.aetna.com/sbcsearch/home


    Benefit Grids

    2023

    2022



    Plan Summaries

    The following summaries are listed for your convenience. For the most up-to-date information please visit https://www.aetna.com/sbcsearch/home and click on the tab labeled "PDD Search."

    Small Group Plan Summaries Effective 1/1/23 and Later

     

    Small Group Plan Summaries Effective 1/1/22 and Later



    Middle Market (51-100) Plan Summaries

    Plan summaries for groups of 51+ are provided to the group at installation and/or upon renewal.

    New Business
    Renewal
    Aetna HSA, HRA, and FSA
    COBRA Admin
    Member Forms & Flyers Billing

    Middle Market Forms and Flyers (51+ employees)

    Aetna – Helping people achieve health and financial security

    Aetna is one of the nation’s leaders in health care, dental, pharmacy, group life, and disability insurance, and employee benefits. Dedicated to helping people achieve health and financial security, Aetna offers a broad range of insurance and employee benefits products plus vast resources for producers and employers to help them make the right choices.

    The Aetna health care network has:

    • More than 1 million health care professionals
    • More than 575,000 primary care doctors and specialists
    • More than 5,400 hospitals
    • A network of specialist physicians, recognized with Aexcel® designation, based on clinical performance and cost efficiency.

    Aetna provides benefits through employers in the United States and internationally, with products and services targeted specifically to small, mid-sized and large multi-site national employers, as well as global health insurance for employees on temporary or permanent foreign assignments.

    Ask us about Aetna’s health insurance products including Medical, Dental, Life and Global insurance.

     

    Producer Appointment

    If you or your firm is not yet appointed with Aetna, please apply online:

    https://pangea.geninfo.com/Aetna/Apply

    Provider Network Information

    http://www.aetna.com/docfind/

    Dental Plans

    Our dental plans from reputable carriers help cover check-ups and dental procedures making it easy for employees to look after their oral health. Ask for a custom dental quote.

    PLANS
    FORMS
    OVERVIEW
    PROVIDERS

    Benefit Grid


    The following summaries are listed for your convenience. For the most up-to-date information and additional plans please visit Aetna's Producer World at: https://www.aetna.com/producer/Login.do. Other dental plan design documents, including more voluntary plan designs are available by request. 

    Effective 2021

    Groups of 2-9*

    *Voluntary dental plans are available to groups with 3+ eligible employees.

    Groups of 10+

    Effective 2020

    Small Groups of 2-9*

    *Voluntary dental plans are available to groups with 3+ eligible employees.

    Groups of 10+

    Aetna – Helping people achieve health and financial security

    Aetna is one of the nation’s leaders in health care, dental, pharmacy, group life, and disability insurance, and employee benefits. Dedicated to helping people achieve health and financial security, Aetna offers a broad range of insurance and employee benefits products plus vast resources for producers and employers to help them make the right choices.

    The Aetna health care network has:

    • More than 1 million health care professionals
    • More than 575,000 primary care doctors and specialists
    • More than 5,400 hospitals
    • A network of specialist physicians, recognized with Aexcel® designation, based on clinical performance and cost efficiency.

    Aetna provides benefits through employers in the United States and internationally, with products and services targeted specifically to small, mid-sized and large multi-site national employers, as well as global health insurance for employees on temporary or permanent foreign assignments.

    Ask us about Aetna’s health insurance products including Medical, Dental, Life and Global insurance.

     

    Producer Appointment

    If you or your firm is not yet appointed with Aetna, please apply online:

    https://pangea.geninfo.com/Aetna/Apply

     

    Provider Network Information

    http://www.aetna.com/docfind/

     

    PLANS
    FORMS
    OVERVIEW
    PROVIDERS

    New Business

    • Coming Soon... in the meantime please contact us for assistance.

    Member Forms

    MetLife has been in the business of making and keeping promises for more than 150 years, helping millions of customers protect their future with smart products and targeted services. They apply the same principles to operate responsibly and confidently in more than 40 markets around the world.

     

    Producer Appointment

    If you or your firm is not yet appointed with MetLife, then please complete the following and submit as directed on the form:

    Broker Appointment Paperwork

    To locate a dental provider please visit https://www.metlife.com/ and follow the instructions listed on the Find a Dental Provider brochure.

    Life Insurance Plans

    A responsible part of financial planning, life insurance provides employees and their families with peace-of-mind. Choose from a range of Life and Accidental Death & Dismemberment (AD&D) plans from trusted carriers.

    PLANS
    FORMS
    OVERVIEW
    PROVIDERS
    **As of 4/1/18 Aetna Life plans are no longer available.**

    Aetna – Helping people achieve health and financial security

    Aetna is one of the nation’s leaders in health care, dental, pharmacy, group life, and disability insurance, and employee benefits. Dedicated to helping people achieve health and financial security, Aetna offers a broad range of insurance and employee benefits products plus vast resources for producers and employers to help them make the right choices.

    The Aetna health care network has:

    • More than 1 million health care professionals
    • More than 575,000 primary care doctors and specialists
    • More than 5,400 hospitals
    • A network of specialist physicians, recognized with Aexcel® designation, based on clinical performance and cost efficiency.

    Aetna provides benefits through employers in the United States and internationally, with products and services targeted specifically to small, mid-sized and large multi-site national employers, as well as global health insurance for employees on temporary or permanent foreign assignments.

    Ask us about Aetna’s health insurance products including Medical, Dental, Life and Global insurance.

     

    Producer Appointment

    If you or your firm is not yet appointed with Aetna, please apply online:

    https://pangea.geninfo.com/Aetna/Apply

    The Aetna Life products do not have a provider network.
    PLANS
    FORMS
    OVERVIEW
    PROVIDERS

    The following summaries are listed for your convenience. Upon implementation benefit summaries will be generated for the group, and groups should review their Policy and Certificate for complete details. If you'd like to request a summary not seen below then please contact us.

    New Business

    • Coming Soon... in the meantime please contact us for assistance.

    Member Forms

    MetLife has been in the business of making and keeping promises for more than 150 years, helping millions of customers protect their future with smart products and targeted services. They apply the same principles to operate responsibly and confidently in more than 40 markets around the world.

    Producer Appointment

    If you or your firm is not yet appointed with MetLife, then please complete the following and submit as directed on the form:

    Broker Appointment Paperwork

    The MetLife Life product does not have a provider network.

    Vision Insurance Plans

    Our eye care plans from a leading eye care specialist network cover all or a portion of optometrist visits, eyeglasses, contact lenses and even laser surgery. We offer both employer-based and voluntary plans.

    PLANS
    FORMS
    OVERVIEW
    PROVIDERS

    2021 VSP AK Rate Sheet

    VSP Choice Plan Summary

    The difference in the following plans is the intervals when services are available, as shown below. The base rates quoted reflect VSP's standard in-network retail allowances of $130 for frames and $130 for elective contact lenses.

    VSP Choice A  Eye Exam 12 months, Lenses 24 months, Frames 24 months, 11 options:

    • Choice Plan A – $0 copay
    • Choice Plan A – $5 copay
    • Choice Plan A – $10 copay
    • Choice Plan A – $20 copay
    • Choice Plan A – $25 copay
    • Choice Plan A – $0/$20 copay
    • Choice Plan A – $10/$10 copay
    • Choice Plan A – $10/$20 copay
    • Choice Plan A – $10/$25 copay
    • Choice Plan A – $10/$30 copay
    • Choice Plan A – $20/$20 copay

    VSP Choice B  Eye Exam 12 months, Lenses 12 months, Frames 24 months, 11 options:

    • Choice Plan B – $0 copay
    • Choice Plan B – $5 copay
    • Choice Plan B – $10 copay
    • Choice Plan B – $20 copay
    • Choice Plan B – $25 copay
    • Choice Plan B – $0/$20 copay
    • Choice Plan B – $10/$10 copay
    • Choice Plan B – $10/$20 copay
    • Choice Plan B – $10/$25 copay
    • Choice Plan B – $10/$30 copay
    • Choice Plan B – $20/$20 copay

    VSP Choice C  Eye Exam 12 months, Lenses 12 months, Frames 12 months, 11 options:

    • Choice Plan C – $0 copay
    • Choice Plan C – $5 copay
    • Choice Plan C – $10 copay
    • Choice Plan C – $20 copay
    • Choice Plan C – $25 copay
    • Choice Plan C – $0/$20 copay
    • Choice Plan C – $10/$10 copay
    • Choice Plan C – $10/$20 copay
    • Choice Plan C – $10/$25 copay
    • Choice Plan C – $10/$30 copay
    • Choice Plan C – $20/$20 copay

    FOR MEMBERS

    How do I use my VSP benefit?

    Getting started with VSP is easy! After you enroll with your employer during your open enrollment period you can:

    1. Create an account on vsp.com, where you can review your personalized plan details and eligibility.
    2. Find a doctor who's in network and conveniently located near you.
    3. Schedule your appointment! There's no ID card required; however, if you'd like to download or print your Member Vision Card, simply log in to your account on vsp.com.

    For additional assistance, members may call VSP Member Services at 1-800-877-7195.

    FOR EMPLOYERS

    Administration for all of Total Benefit Solutions' VSP policies, including billing, enrollment, and renewals, is handled directly by VSP.  For assistance, employers should reach out to VSP directly online at www.Visionbenefits.vsp.com or by calling VSP Client Support 1-800-216-6248, option 4.

    Finding a doctor you love—or keeping your current doctor—is important!

    With VSP, most members have access to five VSP network doctors within five miles of where they live or work. When you see an in-network doctor, you’ll get more out of your vision coverage and can count on low out-of-pocket costs and take advantage of exclusive member-only offers on contacts, sunglasses, lens enhancements, and more! Maximize your benefits when you choose to visit a Premier Program location, including private practice doctors and Visionworks retail locations nationwide.

    PLANS
    FORMS
    OVERVIEW
    PROVIDERS

    The following summaries are listed for your convenience. Upon implementation benefit summaries will be generated for the group, and  groups should review their Policy and Certificate for complete details. If you'd like to request a summary not seen below then please contact us.

    New Business

    • Coming Soon... in the meantime please contact us for assistance.

    Member Forms

    MetLife has been in the business of making and keeping promises for more than 150 years, helping millions of customers protect their future with smart products and targeted services. They apply the same principles to operate responsibly and confidently in more than 40 markets around the world.

    Producer Appointment

    If you or your firm is not yet appointed with MetLife, then please complete the following and submit as directed on the form:

    Broker Appointment Paperwork

    To locate a vision provider please visit https://www.metlife.com/ 

    Short- and Long-Term Disability Plans

    Our competitive Short- (STD) and Long-Term Disability (LTD) plans help to shorten the down-time after an accident and assist with a loss of income, and the expenses associated with rehabilitation.

    PLANS
    FORMS
    OVERVIEW
    PROVIDERS

    New Business

    • Coming Soon... in the meantime please contact us for assistance.

    Member Forms

    MetLife has been in the business of making and keeping promises for more than 150 years, helping millions of customers protect their future with smart products and targeted services. They apply the same principles to operate responsibly and confidently in more than 40 markets around the world.

     

    Producer Appointment

    If you or your firm is not yet appointed with MetLife, then please complete the following and submit as directed on the form:

    Broker Appointment Paperwork

    The MetLife Disability products do not have a provider network.

    Global Health Insurance Plans

    Flexible and portable, our global health insurance plans are custom-built to protect the health of your valuable employees working in foreign countries.


    Healthy employees keep a business operating. Cover them with flexible, high quality plans.

    Businesses that offer great benefit plans have higher employee retention, better morale and enhanced productivity. In addition, qualified people are drawn to companies with comprehensive insurance benefits.

    Total Benefit Solutions (TBS) provides Alaskan companies with high quality benefits through national trusted carriers.

    We offer:

    • A wide range of medical plans
    • Dental options from several carriers in addition to custom dental quotes
    • Competitive Life and AD&D options, as well as Short Term (STD) and Long Term Disability (LTD) plans
    • Voluntary Dental, Vision, STD, LTD, Life/AD&D
    Why work with us?
    • In Alaska, TBS is the premier source of Aetna’s plans for groups under 50. Aetna, a health care leader, provides a large, national provider network.  In addition, Aetna provides user-friendly online services where members can access claims, coverage and consumer health information.
    • We also offer insurance coverage through trusted national carriers such as Vision Service Plan and MetLife.
    • Total Benefit Solutions works closely with you and your broker on enrollment and renewals. We provide easy-to-read quotes allowing you and your broker to compare our rates to other carriers and choose the plans that meet your business and employee needs.

    Together with your broker, TBS will build health insurance plans that optimize your benefit dollars while informing your employees of all plan features. Talk to your broker about quoting TBS for your group benefit plan today.