PITTSBURGH, May 12 /PRNewswire/ -- HM Insurance Group announced today
that it has added a limited benefit medical product to its portfolio of
health risk solutions. A group indemnity plan, HM Care Advantage is
designed to help employers bridge the gap for employees who traditionally
have not had employer-sponsored health insurance available to them.
"There is strong market demand for limited benefit medical products
that can provide health insurance coverage for the working uninsured," said
Dan Lebish, HM Insurance Group president and CEO. "We created a plan that
can help to meet the unique needs and budget situations of a broad range of
employers. Our approach puts control in the group's hands because it can
customize our plan through more than one million benefit combinations."
Formerly known as Highmark Life & Casualty Group, HM Insurance Group
offers health risk solutions through a connected portfolio of group
products and services that includes stop loss, worksite and limited benefit
Lebish explained that HM Care Advantage is designed to allow employers
to select the number of visits, tests or hospital days and the amount of
coverage for each benefit. Employers design a plan that can meet the
group's health care needs and premium requirements. They also can offer the
plan on a contributory or non-contributory basis to employees. HM Care
Advantage has a core benefit component with built-in value-added services.
The core benefits consist of physician office visits, daily in-hospital,
first day of admission, surgical and anesthesia services and outpatient
diagnostic testing. Bundled with the core benefits are health information
resources, discounts for pharmacy, vision and fitness/wellness services and
There also is the option for access to a provider network. Up to 11
additional insured benefits can be added, including emergency room visits,
home health, dental, vision and prescription drug insurance.
Other distinct features that help to set HM Care Advantage apart from
other limited benefit medical plans currently on the market include no
limitations for pre-existing conditions and no overall calendar year or
lifetime maximums beyond what is shown in the schedule of benefits. HM Care
Advantage is guaranteed issue - no medical questions, individual
underwriting or evidence of insurability are required, except for late
enrollees. Pregnancy and newborn nursery care are covered. Physician visits
for "sick" or "well care" and emergency room visits for accidents and
illness are covered.
HM Insurance Group is selling HM Care Advantage through producers to
employer groups. Coverage currently is not available in all states.
HM Care Advantage was developed in partnership with Key Benefits
Administrators, Inc. (KBA). In addition to its reputation in customer
service and claims administration, KBA's information-driven capabilities
provided a strategic advantage to HM Insurance Group's desire to offer a
plan with maximum customization.
"HM Care Advantage will use an online quoting system that allows HM
Insurance Group sales consultants and their producers to quickly configure
plan variations to meet premium price points," said Larry Dust, KBA
chief executive officer.
"With the many features this plan offers, we are confident it will help
fill the gap for uninsured workers, which is proving to be a major issue in
the U.S. today," said Lebish.
Eight out of 10 people who are uninsured are in working families(1).
The number of uninsured people in the U.S. is estimated to be in excess of
45 million and growing(2).
About HM Insurance Group
Pittsburgh-based HM Insurance Group provides group health-related
insurance products to protect businesses and their employees from potential
financial losses associated with health costs. HM Insurance Group's
connected portfolio of products and services helps to provide health risk
solutions for clients.
HM Life Insurance Company and HM Life Insurance Company of New York
have received an "A-"(Excellent) rating from A.M. Best Company, one of the
country's oldest and most respected rating agencies. HM Insurance Group
consists of HM Life Insurance Company, HM Life Insurance Company of New
York and HM Benefits Administrators.
Through its insurance companies, HM Insurance Group holds insurance
licenses in 50 states and the District of Columbia. HM Insurance Group
maintains 18 regional sales offices across the country. Not all products or
services are available in all states.
For more information, log onto www.hminsurancegroup.com
(1.) Kaiser Commission on Key Fact: "Why are so many Americans
(2.) U.S. Census Bureau, August 2004
SOURCE HM Insurance Group