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IDAHO

    Producers

    Group Medical Plans

    At Total Benefit Solutions we understand that your clients have different needs. That’s why we offer a wide range of group medical plans. Your clients and their employees can get quality coverage with budget-conscious premium rates.

    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

    Aetna Funding Advantage


    Plan Summaries

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

    AFA Plan Summaries Effective 1/1/2024

    Middle Market Plan Summaries

    Plan summaries for groups of 51+ can be found online in Aetna's Producer World at:  https://www.aetna.com/producer/Login.do

    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 Aetna dental plans help your clients keep their employees oral health in check. Contact us today to inquire about our ability to match or exceed your clients’ existing dental plan with a custom 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. 

    Standard Plans (2-9)

    Voluntary Plans (3-9)

    Standard Plans (10-100)

    Voluntary Plans (10-100)

    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

    Your clients and their employees can have peace-of-mind with our Life and AD&D plans.

    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 Plans

    We offer your groups several high-quality eye care plan at affordable price points. Our plans provide members with coverage for routine eye exams, eyeglasses, including many designer frames, and contact lenses

    PLANS
    FORMS
    OVERVIEW
    PROVIDERS

    Small Group Aetna Vision Preferred Flyer

    Small group vision plan summaries can be found online in Aetna's Producer World at https://www.aetna.com/producer/SmallGroup/plan-designs-vision.html

    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.aetnavision.com

    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-Term Disability, and Long Term Disability Plans

    Our competitive Short Term Disability (STD), and Long Term Disability (LTD) plans help to shorten the down-time following an accident or illness while assisting employees who are suddenly faced with a loss of income, and expenses associated with rehabilitation. 

    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 Disability products do not have a provider network.

    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

    Many businesses in Idaho have employees located across the country and around the globe. With our expatriate and short-term global travel options, you can offer your clients medical insurance plans that meet their needs nationally and globally. Contact us today for more information.


    You can offer your clients top-notch benefit plans

    Too often small to mid-size companies find themselves having to compromise on quality when it comes to finding benefit plans. But with Total Benefit Solutions, you can offer clients of all sizes fully integrated plans that help keep healthcare costs down while delivering quality and flexibility.

    A wholesale insurance brokerage, Total Benefit Solutions is the liaison between insurance brokers and top national and global insurance carriers. Our extensive product portfolio means your clients have access to a wide selection of trusted insurance options for the group insurance market in Idaho.

    Why work with Total Benefit Solutions?
    • TBS is the premier source of Aetna’s plans in Idaho for small to mid-size groups. A healthcare leader, Aetna provides a large, national provider network. In addition, Aetna provides user-friendly online services where members can access claims, coverage, and consumer health information.
    • Our quotes are transparent and easy to read. They allow you and your clients to simply compare our rates to other carriers in the market.
    • We support your success with unbeatable administrative services allowing  you to focus on growing your business:
      • Broker education: sales ideas, leads, and strategies for selling our products
      • Expertise in Consumer Directed Health Plans (CDHP), defined contribution, provider recruitment assistance and enrollment
      • Our New Business Team ensures paperwork for new groups is properly completed, provides enrollment assistance, and quoting, and billing support
      • Our Renewal Team provides pro-active renewal support, ensures the smooth migration of groups from one plan to another, assists with renewals including strategies to mitigate high renewals, and provides ongoing support
      • We will conduct an automatic review of charges for new groups and renewals and keep you informed of any issues so you can act immediately

    At Total Benefit Solutions, we are always striving to improve our service in order to help you grow your business. Our goal is to make selling insurance easier for you with value-based products, best-in-class support, and a better experience overall for you and your clients.

    Find out how we can help build your health insurance business today.

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