ExecFlex Health Reimbursement for Owners and Executives

ExecFlex is a tax-advantaged supplemental health reimbursement plan built for today's benefits and executive compensation environment. It is underwritten by leading insurers Transamerica Financial Life Insurance Company and Monumental Life Insurance Company, both A+ rated members of the AEGON company.

ExecFlex delivers:

Streamlined Administration and Rapid Reimbursement

Our exemplary service benefits both your clients and busy executives with limited available time and high work demands. Submissions are made directly to our program and claims are processed continuously. Most reimbursements are paid within 5 to 7 business days of receipt, an experience participating executives appreciate and value.

• Built for convenience and ‘white glove’ service levels—by dedicated staff who understand executive expectations
• Rx MasterCard provides optimal convenience through instant point-of-sale reimbursement of member pharmacy responsibility
• Rapid Reimbursement: 5 business days or less for majority of claims
• Industry-high reimbursement accuracy rate
• Direct claims submission from executive
• Simple to administer for plan sponsor: no HR department coordination or claims batching required
• Assured confidentiality of executive private information—fully HIPAA compliant

Policy Pricing and Underwriting Guidelines

ExecFlex coordinates with virtually any underlying health plan design, allowing full flexibility in implementing a core plan that meets overall business objectives.

• Multiple plan options currently available in 44 states including NY, FL, CA, TX, IL
• No minimum plan design requirements for the underlying health plan
• Guaranteed issue
• No medical underwriting
• No waiting periods or pre-existing conditions limitation
• 1 year rate guarantee
• Pricing is determined for each group based on age, sex, demographics and underlying health plan design
• Participating funding option available for larger groups
  
  Click here for available ExecFlex plan options
• General eligible employee classes
  • Executive groups of 3 or more with 10 or more total company employees (may vary by state)
  • Employee class as defined by company
  • Board of Directors
  • Retirees

Request for Proposal

Regulatory Compliance

Section 105(h) of the internal revenue code allows you to provide medical reimbursement on a selective basis within a workforce without affecting the tax-advantaged status as long as the program is not self-insured and can demonstrate actual risk transfer to a carrier. ExecFlex is fully insured with complete risk-transfer thus satisfying these compliance requirements.

• Increased regulatory scrutiny and higher shareholder standards demand less “aggressive” insured structures
• Our program is built to withstand today’s regulatory scrutiny and the definition of risk transfer related to Section 105(h)
• Your client can select the eligible group without concern for tax consequences for the company or the executive*
• Competitively priced and provides exceptional value to your client

Comprehensive Coverage for Medical, Rx, Wellness and Prevention, Dental and Vision

ExecFlex supplements a company's core health plan and expands the overall coverage beyond its limitations; up to $100,000 annually. These tax-free* benefits for members and their families cover medical, dental and vision expenses and other 213 medically necessary expenses.

• Policy and coverages are designed to be similar to a “fully insured Flex Plan” with reimbursement for most 213 eligible expenses (few exceptions)
• Medical necessity standards more liberally defined by the IRS, than the norm for underlying health plan providers
• Reimbursement for expenses of the company’s health plan, among them deductibles, coinsurance amounts and out-of-network costs
• Amounts over the underlying carrier's Reasonable and Customary schedule
• Dental and vision services including orthodontia, crowns and Lasik eye surgery
• Prescription drugs with integrated MasterCard convenience card

Comprehensive Executive Physical Coverage

ExecFlex covers the cost of comprehensive Executive Physicals for both the executive and the spouse wherever they choose to receive services. Our Executive Health rider also offers help in navigating to and accessing premier facilities across the country. An increasingly popular part of prevention, your clients can now offer this benefit on a tax-advantaged, insured basis.

• Clinical Concierge assistance for guidance to premier facilities, appointment scheduling and navigation to follow-up treatment options
• Eliminates the need for "stand alone" self insured executive physical programs

Available ExecFlex Plan Options

Request For Proposal