American Nuclear Society
Long Term Care Insurance FAQs
 

How do the rates work on the Group insurance plans?

Can my spouse obtain separate coverage?

Why are all plans not available in all states?

How long does the application process take? When will my coverage become effective?

Do I have to take a medical exam, blood test, etc.?

Can coverage continue if I am out of the country?

Will preexisting conditions be covered?

Who are the current insurance carriers, and what are their ratings?

Who is Mercer Consumer, a service of Mercer Health & Benefits Administration LLC, the Administrator of the Program?

Who recommends/approves benefit changes or rate changes?

How do the rates work on the Group insurance plans?
Premium contributions for both the member and spouse are usually based on the member's age at last birthday. Premiums may be periodically increased on Plans to reflect plan utilization and help ensure their financial stability.
Can my spouse obtain separate coverage?
No, not under normal circumstances. A surviving spouse can, however, maintain coverage under most of the plans.
Why are all plans not available in all states?
Some of the plans in the group insurance program are not available in all states. There are a variety of reasons for this situation to occur. The product may be prohibited in that state. The insurance carrier may be unable to or choose not to do business in that state. The group policyholder's product, as designed, may not be permitted in that state.

Please refer to the plan information sections for state availability for each insurance product.
How long does the application process take? When will my coverage become effective?
For some plans, coverage becomes effective within a few days of receiving your application. For others, the process is longer because of required medical underwriting procedures. The "underwriting process" depends on many factors: the number of persons to be insured, their ages, the amount of coverage for which you apply, your medical history and that of your family members (if requesting dependent coverage), and the type of coverage requested.
Do I have to take a medical exam, blood test, etc.?
Again, this depends on the plan you are requesting, your age, the amount of coverage for which you apply, and your individual medical history.
Can coverage continue if I am out of the country?
Call the Administrator for more details as coverage varies depending on the plan.
Will preexisting conditions be covered?
It depends on the exact nature of the condition and the coverage you select. As long as known medical history is documented on the application, the insurance underwriters can evaluate the condition while assessing the overall insurability of you or the family member for whom you're requesting coverage. For some plans, coverage could be issued as applied for (no restrictions), or issued with certain conditions excluded. For some plans the coverage could also be denied. You should NEVER discontinue existing insurance coverage until you have received and reviewed the Certificate(s) of Insurance issued through the Program.
Who are the current insurance carriers, and what are their ratings?
This varies according to each plan. The Group Insurance Administrator tries to get the best deal for our members, so the plans are underwritten by different insurance companies. All of the companies enjoy very high ratings by A.M. Best Company, which annually measures the financial strength of insurance companies. Click here for more information on this topic.
Who is Mercer Consumer, a service of Mercer Health & Benefits Administration LLC, the Administrator of the Program?
Mercer Consumer is the company contracted to manage the Group Insurance Program. Mercer Consumer is not affiliated with the insurance companies that underwrite each plan. Click here for more information on this topic.
Who recommends/approves benefit changes or rate changes?
The insurance companies reserve the right to change rates. They usually report "plan experience" (the number and size of claims made) twice a year and, if applicable, rate action recommendations. Using this information, the program Administrator works with ANS to evaluate the recommendations and decide what, if any, action (i.e., a rate action, a change in benefits, or even a change in insurance companies) is appropriate to maintain each plan's financial stability. ANS ultimately approves any such action, and insured members are informed of their decision, prior to implementation.
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