Welcome to Solomon!

Enter the Access Code below

Access code is invalid

Solomon Logo

For assistance, problems or questions, please email us.

solomon@reliant.org

Versions Compared

Old Version 25

changes.mady.by.user Unknown User (ed.courtney@reliant.org)

Saved on

compared with

New Version 26

changes.mady.by.user Unknown User (ed.courtney@reliant.org)

Saved on

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.

Many people appreciate seeing how their situation will be addressed by various Medical Plan Options. The following selections provide comparisons of possible coverage scenarios. 

 

UI Expand
titleEmployee-Only Scenarios

Employee-Only Coverage Scenarios

Some of you may be wondering how likely, on average, it is to experience a high claims year. The statistics below may help you to see that the likelihood of experiencing a very high claims year is fairly low. (These statistics are based upon information received from our benefits consulting firm, Marsh Consulting Group.)

  • 5% of people will experience $40,000 or more in annual claims in any given year.

  • 30% of people will experience about $5,000 in annual claims in any given year.

  • 65% of people will experience $1,000 or less in annual claims in any given year.

These are simply statistics and you know your personal medical situation the best.

Out-of-pocket maximums to consider:

  • HS 1500 - $3,000
  • HS 3000 - $6,000
  • HS 5000 - $5,000

Examples to consider

This chart shows three different employee scenarios in annual claims and how this plays out for the HS 1500, HS 3000 and HS 5000 plans. 

  • Employee 1 — $1,000 or less in annual claims

  • Employee 2 — $5,000 in claims

  • Employee 3 — $40,000 and above in claims

NOTE: This chart takes into account the Reliant Employer HSA Contributions that will help offset your expenses. Additionally, you may receive as much as a 20% tax savings if you elect to personally contribute into your HSA account (employee contributions).

 Scenario 1: $1,000 or less in claims

 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost

Medical Costs: $1,000 or less in claims

$0 (preventive only) to $1,000$0 (preventive only) to $1,000$0 (preventive only) to $1,000
HSA employer contribution

$420 from Reliant

$600 from Reliant

$600 from Reliant

Medical Costs

Minus HSA Employer Contribution (Use the HSA account for expenses)

= *Total Remaining Annual Costs

*This is the amount you may consider making employee contributions into the HSA account to help offset

$0 to $1,000

-$420

=$0 to $580

$0 to $1,000

-$600

=$0 to $400

$0 to $1,000

-$600

=$0 to $400

Scenario 2: $5,000 or less in claims

 

HS 1500 Annual Cost

HS 3000 Annual Cost

HS 5000 Annual Cost

Medical Costs: $5000 in claims

Deductible: $1,500

10% Coinsurance: $350

Total: $1,850

Deductible: $3,000

10% Coinsurance: $200

Total: $3,200

Deductible: $5,000

No Co insurance

Total: $5,000

HSA employer contribution

$420 from Reliant

$600 from Reliant

$600 from Reliant

Medical Costs

Minus HSA Employer Contribution (Use the HSA account to pay these costs)

= *Total Remaining Annual Costs

*This is the amount you may consider making employee contributions into the HSA account to help offset

$1,850

-$420

= $1,430

$3,200

-$600

= $2,600

$5000

-$600

= $4,400

Scenario 3: $40,000 and above in claims

 

HS 1500 Annual Cost

HS 3000 Annual Cost

HS 5000 Annual Cost

Medical Costs: $40,000 and above in claims

Deductible: $1,500

10% Coinsurance: $1,500

Total: $3,000

Deductible: $3,000

10% Coinsurance: $3,000

Total $6,000

Deductible: $5,000

No Co insurance

Total: $5,000

HSA employer contribution

$420 from Reliant

$600 from Reliant

$600 from Reliant

Medical Costs

Minus HSA Employer Contribution (Use the HSA account to pay these costs)

= *Total Remaining Annual Costs

*This is the amount you may consider making employee contributions into the HSA account to help offset

$3,000

-$420

= $2,580

$6,000

-$600

= $5,400

$5,000

-$600

= $4,400

 

*All out-of-pocket medical costs may be paid for from the HSA account - see Maximum Employee HSA Contribution Amounts for details of how much you can contrbute into the HSA as a personal employee contrbution.

UI Expand
titleEmployee + Spouse/Employee + Child(ren) Coverage Scenarios

Employee + Spouse/ Employee + Child(ren) Coverage Scenarios

Some of you may be wondering how likely, on average, it is to experience a high claims year. The statistics below may help you to see that the likelihood of experiencing a very high claims year is fairly low. (These statistics are based upon information received from our benefits consulting firm, Marsh Consulting Group.)

  • 1% of couples/households will experience $100,000 or more in annual claims in any given year.

  • 4% of couples/households will experience about $40,000 in annual claims in any given year.

  • 30% of couples/households will experience about $5,000 in annual claims in any given year.

  • 65% of couples/households will experience about $2,100 or less in annual claims in any given year.

These are simply statistics and you know your household's medical situation the best. 

Out-of-pocket maximums to consider: 

  • HS 1500 - $6,000
  • HS 3000 - $12,000
  • HS 5000 - $10,000

 Examples to consider 

This chart shows three different household scenarios in annual claims and how this plays out for the HS 1500, HS 3000 and HS 5000 plans.

  • Couple/Household 1 — $1,000 or less in annual claims

  • Couple/Household 2 — $5,000 in claims

  • Couple/Household 3 — $40,000 in claims

  • Couple/Household 4 — $100,000 and above in claims

NOTE: This chart takes into account the Reliant Employer HSA Contributions that will help offset your expenses. Additionally, you may receive as much as a 20% tax savings if you elect to personally contribute into your HSA account (employee contributions).

 Scenario 1: $1000 or less in claims

 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost

Medical Costs: $1,000 or less in claims

$0 (preventive only) to $1,000$0 (preventive only) to $1,000$0 (preventive only) to $1,000
HSA Employer Contribution$900 from Reliant$1,500 from Reliant$1,500 from Reliant

Medical Costs

Minus HSA Employer Contribution (Use the HSA account to pay these costs)

= *Total Remaining Annual Costs

*This is the amount you may consider making employee contributions into the HSA account to help offset

$0 to$1,000

-$900

$0 - $100

$0 to $1,000

-$1,500

$0

$0 to $1,000

-$1,500

$0

Scenario 2: $5,000 or less in claims

 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost

Medical Costs: $5,000 in claims

Deductible: $3,000

10% Coinsurance: $200

Total: $3,200

Deductible: $5,000

10% Coinsurance: $0

Total: $5,000

Deductible: $5,000

No Co insurance

Total: $5,000

HSA Employer Contribution

$900 from Reliant

$1,500 from Reliant

$1,500 from Reliant

Medical Costs

Minus HSA Employer Contribution (Use the HSA account to pay these costs)

= *Total Remaining Annual Costs

*This is the amount you may consider making employee contributions into the HSA account to help offset

$3,200

-$900

= $2,300

$5,000

-$1,500

= $3,500

$5,000

-$1,500

= $3,500

Scenario 3: $40,000 or less in claims

 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost

Medical Costs: $40,000 in claims

Deductible: $3,000

10% Coinsurance: $3,000

Total: $6,000

Deductible: $6,000

10% Coinsurance: $3,400

Total: $9,400

Deductible: $10,000

No Co insurance

Total: $10,000

HSA Employer Contribution

$900 from Reliant

$1,500 from Reliant

$1,500 from Reliant

Medical Costs

Minus HSA Employer Contribution (Use the HSA account to pay these costs)

= *Total Remaining Annual Costs

*This is the amount you may consider making employee contributions into the HSA account to help offset

$6,000

-$900

= $5,100

$9,400

-$1,500

= $7,900

 

$10,000

-$1,500

= $8,500

 

Scenario 4: $100,000 and above in claims

 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost

Medical Costs: $100,000 and above in claims

Deductible: $3,000

10% Coinsurance: $3,000

Total: $6,000

Deductible: $6,000

10% Coinsurance: $=6,000

Total: $12,000

Deductible: $10,000

No Co insurance

Total: $10,000

HSA Employer Contribution

$900 from Reliant

$1,500 from Reliant

$1,500 from Reliant

Medical Costs

Minus HSA Employer Contribution (Use the HSA account to pay these costs)

= *Total Remaining Annual Costs

*This is the amount you may consider making employee contributions into the HSA account to help offset

$6,000

-$900

= $5,100

$12,000

-$1,500

= $10,500

$10,000

-$1,500

= $8,500

 

*All out-of-pocket medical costs may be paid for from the HSA account - see Maximum Employee HSA Contribution Amounts for details of how much you can contrbute into the HSA as a personal employee contrbution.

UI Expand
titleFamily Coverage Scenarios

Family Coverage Scenarios

Some of you may be wondering how likely, on average, it is to experience a high claims year. The statistics below may help you to see that the likelihood of experiencing a very high claims year is fairly low. (These statistics are based upon information received from our benefits consulting firm, Marsh Consulting Group.)

  • 1% of families will experience $100,000 or more in annual claims in any given year.

  • 4% of families will experience about $40,000 in annual claims in any given year.

  • 30% of families will experience about $5,000 in annual claims in any given year.

  • 65% of families will experience about $2,100 or less in annual claims in any given year.

These are simply statistics and you know your family's medical situation the best.  

Out-of-pocket maximums to consider: 

  • HS 1500 - $6,000
  • HS 3000 - $12,000
  • HS 5000 - $10,000 

 Examples to consider 

This chart shows three different family scenarios in annual claims and how this plays out for the HS 1500, HS 3000 and HS 5000 plans.

  • Family 1 — $1,000 or less in annual claims

  • Family 2 — $5,000 in claims

  • Family 3 — $40,000 in claims

  • Family 4 — $100,000 and above in claims

NOTE: This chart takes into account the Reliant Employer HSA Contributions that will help offset your expenses. Additionally, you may receive as much as a 20% tax savings if you elect to personally contribute into your HSA account (employee contributions).

 Scenario 1: $1000 or less in claims

 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost

Medical Costs: $1,000 or less in claims

$0 (preventive only) to $1,000$0 (preventive only) to $1,000$0 (preventive only) to $1,000
HSA Employer Contribution$1,500 from Reliant$2,100 from Reliant$2,100 from Reliant

Medical Costs

Minus HSA Employer Contribution (Use the HSA account to pay these costs)

= *Total Remaining Annual Costs

*This is the amount you may consider making employee contributions into the HSA account to help offset

$0 to$1,000

-$1,000

$0

$0 to $1,000

-$1,000

$0

$0 to $1,000

-$1,000

$0

Scenario 2: $5,000 or less in claims

 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost

Medical Costs: $5,000 in claims

Deductible: $3,000

10% Coinsurance: $200

Total: $3,200

Deductible: $5,000

10% Coinsurance: $0

Total: $5,000

Deductible: $5,000

No Co insurance

Total: $5,000

HSA Employer Contribution

$1,500 from Reliant

$2,100 from Reliant

$2,100 from Reliant

Medical Costs

Minus HSA Employer Contribution (Use the HSA account to pay these costs)

= *Total Remaining Annual Costs

*This is the amount you may consider making employee contributions into the HSA account to help offset

$3,200

-$1,500

= $1,700

$5,000

-$2,100

= $2,900

$5,000

-$2,100

= $2,900

Scenario 3: $40,000 or less in claims

 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost

Medical Costs: $40,000 in claims

Deductible: $3,000

10% Coinsurance: $3,000

Total: $6,000

Deductible: $6,000

10% Coinsurance: $3,400

Total: $9,400

Deductible: $10,000

No Co insurance

Total: $10,000

HSA Employer Contribution

$1,500 from Reliant

$2,100 from Reliant

$2,100 from Reliant

Medical Costs

Minus HSA Employer Contribution (Use the HSA account to pay these costs)

= *Total Remaining Annual Costs

*This is the amount you may consider making employee contributions into the HSA account to help offset

$6,000

-$1,500

= $4,500

$9,400

-$2,100

= $7,300

 

$10,000

-$2,100

= $7,900

 

Scenario 4: $100,000 and above in claims

 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost

Medical Costs: $100,000 and above in claims

Deductible: $3,000

10% Coinsurance: $3,000

Total: $6,000

Deductible: $6,000

10% Coinsurance: $=6,000

Total: $12,000

Deductible: $10,000

No Co insurance

Total: $10,000

HSA Employer Contribution

$1,500 from Reliant

$2,100 from Reliant

$2,100 from Reliant

Medical Costs

Minus HSA Employer Contribution (Use the HSA account to pay these costs)

= *Total Remaining Annual Costs

*This is the amount you may consider making employee contributions into the HSA account to help offset

$6,000

-$1,500

= $4,500

$12,000

-$2,100

= $9,900

$10,000

-$2,100

= $7,900

 

*All out-of-pocket medical costs may be paid for from the HSA account - see Maximum Employee HSA Contribution Amounts for details of how much you can contrbute into the HSA as a personal employee contrbution.

 

 

Include Page
FMHOME:Insurance contact
FMHOME:Insurance contact