Health Plan Resources
We’re here to serve you like family with our competitive, cost-effective group programs and benefits.
Alliance Benefits Health Plans
Alliance Benefits offers a high-deductible health plan (HDHP) referred to as the Alliance Health Plan. Once the deductible has been met (including out-of-pocket medical and prescription costs), coinsurance begins where the plan pays a high percentage of the claim and the employee pays a smaller portion. The Alliance Health Plan also offers preventive and additional services which are paid at 100%.
Those enrolled in the Alliance Health Plan will have a Health Savings Account (HSA) serviced through Lively. An HSA is a personal savings account for health expenses. They are owned by you and yours for life!
HSAs allow for pre-tax contributions, tax-free interest, and tax-free withdrawals (for medical expenses).
The Alliance Health Plan offers two plan packages
Health Plan Details
Medical
Aetna Signature Administrators Network | Allied Benefit Systems
Aetna Signature Administrators Network and Allied Benefit Systems is our third-party administrator and manages all medical claims processing. They play a strong role in keeping plan costs down by focusing on cost containment. Offering a service rather than a product, they are considered an extension of the Alliance Health Plan.
For an overview of the Alliance Health Plan’s medical coverage, please refer to pages 12 and 13 of the Benefits Summary Guide. You may also review the Medical Plan Document for a full version of the benefits covered under the plan.
Contact Information
Health Savings Account (HSA)
Lively HSA
Those enrolled in the Alliance Health Plan will have an HSA serviced through Lively.
HSA OVERVIEW
A health savings account (HSA) is a personal savings account for health expenses. HSAs are owned by you and can be transferred from job to job or institution to institution. They are yours for life!
HSAs allow for pre-tax contributions, tax-free interest, and tax-free withdrawals (for medical expenses). In 2024, individuals can contribute up to $4,150 in tax-free savings, and families can contribute up to $8,300. Additionally, if you are 55 or older, you can contribute an additional $1,000 to each level. The maximum limits listed above include both employer and employee contributions combined.
HSAs work with HSA-eligible health plans and are the only completely tax-free way to save for future health costs. You may use funds in your HSA to pay for such things as doctor visits, hospital costs, deductibles, coinsurance, and prescription drug expenses for you and any qualifying dependents. Your HSA may also be used to pay for most dental and vision expenses. Visit Lively’s list of qualified medical expenses, for more information.
Please note that Medicare, Medicaid, and General-Purpose flexible spending accounts are common disqualifiers of HSA eligibility. Lively can answer all eligibility questions—and you can find more information here.
An HSA helps you save for health-care expenses tax free—today and well into retirement!
HSA INVESTMENTS
Lively has integrated with TD Ameritrade’s self-directed brokerage platform, giving you access to more than 550 commission-free electronic fund transfers and over 13,000 mutual funds, stocks, bonds, CDs, and more. Regardless of your investment strategy, you now have several options to build your ideal portfolio. Lively has designed a truly integrated experience, including the ability to access an investment account directly from within Lively using Single Sign-On, so there’s no need for a separate login to access investments. All enrolled employees can invest the first dollar in their HSA account (no minimum required) if they choose, and there are no fees to access investments*.
*Transaction fees may apply. See Ameritrade’s fee schedule for details.
Contact Information
HSA Resources
Telemedicine and Virtual Counseling
First Stop Health
TELEMEDICINE
First Stop Health, our telemedicine service available to Alliance health plan participants, provides 24/7 virtual treatment and care from U.S.-based and licensed physicians for a variety of health concerns. From the flu to a bug bite, First Stop Health is just a click away, saves participants health-care dollars, and provides top-notch service. They believe access to health-care should be convenient, affordable, and transparent.
Contact Information
VIRTUAL COUNSELING (NEW IN 2020!)
There is no better time than the present to make mental health a priority. The COVID-19 pandemic has affected every person’s daily life in a variety of ways, including never-before-seen levels of social isolation and generalized anxiety. Well, we have some good news! From our telemedicine provider that many of you already know and use, First Stop Health’s NEW Virtual Counseling solution now makes accessing short-term mental health care even more convenient. Beginning on August 1st, this new benefit will be available at no additional cost to Alliance Health Plan participants and their immediate family members. Here are the details:
Prescription
MedOne | Vivio
The Alliance Health Plan uses MedOne for prescription benefits and claims processing. This is a prescription benefit plan provider that makes the use of prescription drugs safer and more affordable for our members. Specialty drugs administered by Vivio
With The Alliance Health Plan, out-of-pocket medical and prescription costs go first toward the deductible. Once the deductible has been satisfied, coinsurance begins where the plan pays a high percentage of the claim and the employee pay a smaller portion. For more information, refer to page 11 of the Benefit Summary Guide.
The Alliance Health Plan also offers additional wellness benefits. For a list of medications that are covered at 100% and are not subject to the deductible, refer to the Preventive Drug List.
If your medication is not on the preventive list, there maybe third-party resources available to you that can provide a discount (i.e., GoodRx.com).
Contact Information
Dental
Delta Dental of Colorado
The Alliance Health Plan uses Delta Dental of Colorado for dental benefit coverage. Since 1954, Delta Dental has been working to improve oral health and hygiene by emphasizing preventative care, because they believe that everyone deserves to enjoy a healthy smile. They provide national dental coverage and are America’s largest and most trusted dental benefits carrier covering more Americans than any other dental benefits provider.
For details regarding The Alliance Health Plan dental coverage, refer to page 19 of Benefit Summary Guide.
Contact Information
Vision
EyeMed
The Alliance Health Plan uses the EyeMed Insight Network for vision benefit coverage. They offer the right mix of thousands of independent providers, top optical retailers, and many online options. Shop and buy at popular retail sites, and experience benefits without boundaries. Participants can choose from hundreds of brand-name frames, contacts and prescription sunglasses.
For details regarding The Alliance Health Plan vision coverage, refer to page 18 of the Benefit Summary Guide.
Contact Information
Vision Coverage Resources
Search a list of providers in your area.
Life Insurance
The Standard
The Standard administers our life insurance and long-term disability policies for Alliance Health Plan participants. Partnering with them for over 15 years, they go above and beyond to serve our members — not as a number or a policy, but as a person. Every day.
BASIC LIFE INSURANCE
Basic life insurance is automatically included for the employee when enrolling in the Alliance Health Plan. This coverage is a basic life and accidental death and dismemberment (AD&D) insurance policy through the Standard Life Insurance Company.
• The basic life insurance policy for you, as an employee, is $30,000
• You also receive $30,000 in AD&D Insurance
• Basic life insurance is not available for your spouse
VOLUNTARY LIFE INSURANCE
Although the Alliance Health Plan includes basic life insurance, you may wish to provide additional protection for your family. Enrollment in the Alliance Health Plan allows you to purchase additional life insurance coverage. You may purchase voluntary life for:
• yourself up to $250,000
• your spouse up to $50,000
• your child(ren) up to $10,000
For more information and pricing, please refer to page 16-17 of the Benefit Summary Guide.
RETIREE LIFE INSURANCE
Alliance Benefits offers $7,500 of basic life insurance coverage to eligible retirees, which does not reduce with age. The cost is $5.00 per month. To qualify, you must meet the following criteria:
• you must have at least 20 years of service with the C&MA
• you must retire from the C&MA at age 65 or older and must no longer be employed full-time by the C&MA
• you must be enrolled in the Alliance Health Plan life insurance at the time of retirement
You must inform Alliance Benefits within 30 days of your retirement
For additional resources or questions, contact Alliance Benefits at (800) 700-2651 or [email protected].
Long-Term Disability
The Standard
Long-term disability insurance, also administered by The Standard, offers a safety net in the event you are unable to work due to a serious illness or injury. If you become disabled and you are a U.S. citizen, subject to approval, the C&MA long-term disability plan will pay you 60% of your salary up to $6,000 per month (including ministerial housing allowance, if applicable). You first must satisfy a 90-day waiting period before benefits will begin. Preexisting condition limitations may apply.
DEFINITION OF DISABILITY
You are considered disabled if, because of sickness or injury, you are unable to perform all the material duties of your regular occupation or unable to earn more than 80% of your annual salary (including housing allowance) that was in effect on the date you were disabled.
Generally, long-term disability benefits are paid until age 65 if you continue to qualify. However, if you are disabled after age 62.
For additional resources or questions, contact Alliance Benefits at (800) 700-2651 or [email protected].
Unique Care Support Program
KnovaSolutions
Did you know that as part of your benefits package through the Alliance Health Plan, you can access a unique care support program called KnovaSolutions? We know that trying to manage complex healthcare-related issues can be a full-time job. So Alliance Benefits has partnered with KnovaSolutions to provide you and your family with the support you need to navigate any medical-related concerns.
WHAT IS KNOVASOLUTIONS?
KnovaSolutions® is a clinical prevention service to help members better understand and manage their medical care, treatments, and medications via telephone and email. The KnovaSolutions clinical team focuses on the member as a whole, not just the health complications they may be facing, by providing access to health information and support in making the best health decisions possible.
DOES IT COST ME ANYTHING?
No. There is no cost to you or any family member for participating in the KnovaSolutions program.
WILL MY EMPLOYER KNOW I AM USING THESE SERVICES?
No. KnovaSolutions is an entirely voluntary and confidential health information service. At no time will information related to you or your family member’s specific health concerns be shared with your employer.
WHAT DOES KNOVASOLUTIONS DO FOR MY FAMILY AND ME?
KnovaSolutions takes a person-centered approach that goes beyond illness and injury. You’ll have access to a support team that includes a nurse, pharmacist, and medical research librarian. They will give you information, support your medical journey, and work with you to build a health management action plan to make informed decisions. Your plan will address concerns that impact your overall well-being by navigating work, family, and school-related issues.
These services are designed to enhance, not replace, the relationship you have with your provider.
• Your clinical team can answer questions like:
• What does my diagnosis mean?
• Where can I go for the best treatment?
• How do I get a second opinion?
• What are the risks and benefits of this surgery?
• How do I get a copy of my medical records?
• What lifestyle changes will improve my health?
How can I decrease the stress in my life?
HOW DO I USE OR GET CONNECTED TO KNOVASOLUTIONS?
If you are eligible for our services, KnovaSolutions will send you an introductory letter and set up a consultation with a clinical support nurse. This program is voluntary and member-driven. You decide if, when, and how often you want to connect with your team. The services are secure, confidential, and customized to fit your individual needs.
Also, if you are ready to enroll you can call or email KnovaSolutions:
Call: (800) 355-0885, Monday-Friday, 7 a.m. to 7 p.m. (Central Standard Time)
Email: @knovasolutions.com
Wellness Program
Workpartners LifeSolutions
The Alliance Health Plan has partnered with Workpartners LifeSolutions to provide a holistic approach to your overall health. LifeSolutions offers services to address every aspect of your well-being. You can access personalized wellness programs and counseling resources, receive support over the phone, or explore the online resource center. All this is available at no cost to you.
HEALTHY LIVING SUPPORT
• Increase your physical activity
• Manage your weight
• Eat healthier
• Reduce your stress
EARN ADDITIONAL DOLLARS INTO YOUR HSA!
THE TAKE A HEALTHY STEP PROGRAM
As part of this wellness program, you will have the opportunity to take an active role in your health decisions and earn additional dollars into your HSA! Workpartners and MyHealth OnLine are working together to bring you the “Take a Healthy Step” program.
HOW DOES IT WORK?
This program gives you the chance to earn an HSA contribution by taking healthy steps, completing specific requirements, and earning incentive points. Some examples of how to achieve these points are by:
• Participating in health promotion programs in various ways—in person, in groups, by telephone, online, or through self-study
• Engaging in EAP, Wellness, and KnovaSolutions® videos and services
• Completing an annual biometric screening or physical, dental, and vision exams
For 2024, participants will be required to:
• Complete the MyHealth Questionnaire (Online Health Assessment)
• Earn an additional 200 Healthy Step points from any items on the incentives list
All employees and their spouses (if applicable) participating in the health plan are eligible to earn incentive points. Once they complete their questionnaire and achieve their annual incentive points (200 points for employee only and 200+200 points for employee and spouse), the following HSA dollar amounts will credit to the employee’s account:
• $250 for employee-only plan
• $500 for employee + children plan
• $500 for employee + spouse plan
• $500 for a family plan
LifeSolutions’ services are private, confidential, and available to you and members of your household at no cost.
Ready to take charge of your well-being? Contact LifeSolutions by calling (844) 833-0527 (TTY 711) or by visiting www.workpartners.com/cma.
Health plan participants can expect to receive specific details from Workpartners and MyHealth Online regarding how to access their online account, enroll, and get started.
Employee Assistance Program (EAP)
Workpartners LifeSolutions
Beginning January 2021, the Alliance Health Plan has also partnered with Workpartners LifeSolutions to provide a new Employee Assistance Program (EAP). These services will be available under your same wellness program login account. To learn more about
EMPLOYEE ASSISTANCE PROGRAM RESOURCES
Help is available 24 hours a day, seven days a week, 365 days a year.
• Coaching and counseling in person, over the phone, or by video
• Improve relationships, manage stress or life changes, cope with losing a loved one, and more
• Receive referrals for childcare, elder care, and daily living needs
• Obtain legal and financial resources
• Explore their website’s work-life section, featuring Skill Builder courses, webinars, and other valuable resources
LifeSolutions’ services are private, confidential, and available to you and members of your household at no cost.
Ready to take charge of your well-being? Contact LifeSolutions by calling (844) 833-0527 (TTY 711) or by visiting www.workpartners.com/cma.
Health plan participants can expect to receive specific details from Workpartners and MyHealth Online regarding how to access their online account, enroll, and get started.
Wellness and EAP Resources
Please use Password: LifeSolutions1
Workpartners Wellness Welcome Packet >
Wellness Program FAQs >
Additional Coverage Options
Colonial Life
The Alliance Health Plan partners with Colonial Life in offering voluntary supplemental benefit products under a group discounted rate. These products offer you solutions to help pay for your unexpected out-of-pocket costs.
MEDICAL GAP COVERAGE
An individual hospital confinement indemnity plan that complements your core medical coverage, offering hospital, wellness, and rehabilitation benefits.
SHORT-TERM DISABILITY INCOME REPLACEMENT
An individual short-term disability product that replaces a portion of income if someone becomes disabled due to a covered accident or sickness.
ACCIDENT INSURANCE PROTECTION
Designed to help you fill some of the gaps caused by increasing deductibles, co-payments, and out-of-pocket costs related to an accidental injury.
CANCER SUPPLEMENTAL INSURANCE PLANS
A guaranteed renewable, individual cancer product that helps pay some of the direct and indirect costs related to cancer diagnosis and treatment.
For more information regarding plans available and pricing, click here. For additional questions, contact Alliance Benefits at (800) 700-2651 or [email protected].
Ready to Enroll?
We’re here to serve you like family with our competitive, cost-effective group programs and benefits.
Summary Guide
A complete summary guide of health benefits offered by the Alliance Health Plan.
Preventative Care
The Alliance Health Plan offers medical, prescription, dental, and vision care covered at 100%.
Questions?
If you have questions as you read through the materials provided, feel free to contact Alliance Benefits.