Super Gap Plus Plan

Non-profit national association
of small business owners and employees

• $0.00 Cost Telehealth Visits (Urgent & Behavioral Health Visits)
• Wholesale Pharmacy Cost
• Free Multi-Vitamins
• 30+ Additional Benefits

Combines Short Term Medical Insurance with Super Gap Plus to offer more coverage than STM alone

Short Term Medical Insurance (6 or 12 month plans)

• $5,000 Deductible - 20% Coinsurance (up to $10,000)
• $1,000,000 Lifetime Maximum
• $50 Dr Copay
• Maternity Coverage

All Super Gap Plus Plan benefits like:

• Group Accident Insurance, Critical Illness Insurance Benefit
• Daily Hospital Confinement & Emergency Room Visits Benefit
       (includes Free Standing ERs, In-Hospital ERs, & Urgent Care Centers)
• Physician Office Visits, Labs, X-Rays and Wellness
• Group Term Life Insurance*

* Not available in all states

Combines Short Term Medical Insurance with Gap Plus to offer more coverage than STM alone

Short Term Medical Insurance (6 or 12 month plans)

• $5,000 Deductible - 20% Coinsurance (up to $10,000)
• $1,000,000 Lifetime Maximum
• $50 Dr Copay
• Maternity Coverage

All Gap Plus Plan benefits like:

• Group Accident Insurance, Critical Illness Insurance Benefit
• Physician Office Visits, Labs, X-Rays and Wellness
• Group Term Life Insurance

* Not available in all states

Short Term Medical Insurance

• Short Term Medical Insurance (6 or 12 month plans)
• $5,000 Deductible - 20% Coinsurance (up to $10,000)
• $1,000,000 Lifetime Maximum
• $50 Dr Copay
• Maternity Coverage
• Underwritten by United States Fire Insurance Company

Ideal for families

• $10,000 Group Accident Medical Expense Insurance
• $5,000 Group Accidental Death & Dismemberment Insurance
• $500 / Visit up to 10 Visits for Emergency Room Visits Benefit
  (includes Free Standing ERs, In-Hospital ERs, & Urgent Care Centers)
• $500 / Day for days 1-3 for Daily Hospital Confinement Benefit

Designed to supplement any
High Deductible Health Plan (HDHP)

• $5,000 Group Accident Medical Expense Insurance
• $2,500 Group Accidental Death & Dismemberment Insurance
• $5,000 Critical Illness Insurance Benefit
• $5,000 Group Term Life Insurance*
• $125 / Day Dr Office Visit (1 Day & 1 Wellness Day)
• $75 / Day Laboratory & Diagnostic Testing (1 Day & 1 Wellness Day)
• $75 / Day Radiology / X-Rays (1 Day & 1 Wellness Day)

* Not available in all states

Best selling UBA Supplemental Plan
Sold with High Deductible Health Plans (HDHP), Limited Benefit Plans, STM & Faith Based Plans

• $10,000 Group Accident Medical Expense Insurance
• $5,000 Group Accidental Death & Dismemberment Insurance
• $25,000 Critical Illness Insurance Benefit
• $10,000 Group Term Life Insurance*
• $500 / Visit up to 10 Visits for Emergency Room Visits Benefit
  (includes Free Standing ERs, In-Hospital ERs, & Urgent Care Centers)
• $500 / Day for days 1-3 for Daily Hospital Confinement Benefit

* Not available in all states

Maximum Benefit UBA Supplemental Plan
Sold with High Deductible Health Plans (HDHP), Limited Benefit Plans, STM & Faith Based Plans

• $25,000 Group Accident Medical Expense Insurance
• $5,000 Group Accidental Death & Dismemberment Insurance
• $25,000 Critical Illness Insurance Benefit*
• $10,000 Group Term Life Insurance*
• $500 / Visit up to 10 Visits for Emergency Room Visits Benefit
       (includes Free Standing ERs, In-Hospital ERs & Urgent Care Centers)
• $500 / Day for days 1-3 for Daily Hospital Confinement Benefit
• $125 / Day Dr Office Visit (1 Day & 1 Wellness Day)
• $75 / Day Laboratory & Diagnostic Testing (1 Day & 1 Wellness Day)
• $75 / Day Radiology / X-Rays (1 Day & 1 Wellness Day)

* Not available in all states

Dental Insurance

• $1,000 annual maximum
• $50 individual and $150 family annual deductible
• 100% diagnositc and preventive dental services
• 70% basic dental services
• 50% major dental services<sup>*
  
  *</sup>There is a 12 month waiting period for major services

Vision Insurance

• In-network well vision exams
• In-network prescription glasses (frames & lenses)
• In-Network contacts (instead of glasses)
• Out-of-network coverage