Health Insurance Program
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Eligibility:
It is
required that the applicant own a small business or be employed by a
small business.
The business must be a member
of the Greater Warsaw Chamber of Commerce for at least 60 days prior to
enrollment.
The applicant must be employed at
least 20 hours per week.
You may elect to have your coverage effective any time you have a qualifying
event.
Current subcribers interested in transferring from another
product may only do so during open enrollment (January).
Premiums are due the first day of each calendar quarter. You will
receive an invoice.
2010 Quarterly Rates:
BlueCross
BlueShield of
HMO 206 
Benefit Summary for HMO
206 (Prescription: $15/$50/50% with mandatory mail order on Maintenance
drugs)
POS 7100 Benefit Summary for POS 7100 (Annual
Deductible $1,500/$3,000)
Single:
$741.78 Family: $2,054.64
Univera: (must have 75% of non-insured employees
participate)
Simply Univera:
Benefit
Summary for Simply
Univera
Two+
Employees (including the owner):
Single: $1,172.85
Family $3,043.35
Sole
Proprietors:
Single: $1,353.12 Family $3,511.11
Active Univera:
Benefit Summary for Active Univera (Annual
Deductible $1,300/$2,600)
Two+
Employees (including the owner):
Single: $747.69
Family $1,943.43
Sole
Proprietors:
Single: $859.83
Family $2,234.94
The Chamber charges a $9.00/per quarter administration fee
not included above.
If you think you would like to enroll, please call Amy at 585-356-5509 or send an email.
Forms:
BlueCross
BlueShield of
1) Health Insurance Application
2) Employer Group Form: Sole
Proprietor
OR
Small Group (2-50 employees)
Univera:
1) Health Insurance Application
2) Employer Group Form
For
comparison purposes only (products not available to new applicants):
HMO 102 Benefit Summary for
HMO 102
HMO 202 Benefit Summary for HMO
202
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