The Hartford's Solution

The Hartford's Solution with or without Outpatient Rx

• A fully-insured group medical plan for post-65 retirees that integrates with Medicare;
• Designed to cover many of the medical expenses not covered by Medicare;
• A fully-insured group Rx plan for post-65 retirees that is managed by one of the top pharmacy benefit managers;
• Offers an economical solution that is beneficial to both employers and retirees including their spouses and widow/widowers;
• Is offered on a Guaranteed Issue basis;
• Flexible plan design;
• Helps employers reduce their current annual premium expenses;
• May potentially reduce an employer's FASB 106 or GASB 43/45 liability;
• Countrywide availability, no networks;
• Group contract with various rate methodology to meet employers needs;
• Contributory & non-contributory plan designs to easily accommodate an employer’s vesting schedule.

Product Features

• Dedicated team focused on the business and retiree market;
• Stand-alone group contracts - Rates based on each policyholder’s own experience;
• Multiple Employer Trust (MET) Rates based on the entire trust’s experience;
• Countrywide availability;
• Flexibility in plan design;
• Freedom to choose providers & hospitals at home and away;
• Guaranteed Issue;
• Electronic claims processing and payment cross-over with Medicare;
• Integrates with Medicare;

Medical Benefits

• Covers medical expenses not covered by Medicare, including Rx;
• May potentially reduce an employer's FASB 106 or GASB 43/45 liability;
• Flexible plan designs, check our What’s New section or call one of our Sales Directors for current information on our new plan designs.

Rx Coverage

Outpatient Prescription Drug Coverage

Plans can be designed from a variety of deductibles, co-payments, coinsurance and calendar year maximum options.

Two ways to meet your retirees' prescription drug needs:

• Fully insured plans that meet creditable coverage guidelines from CMS. Plans may qualify for the CMS Retiree Drug Subsidy for employer groups. Hartford, through its contract with CVSCaremark, provides the reporting to request reimbursement from CMS under the subsidy.
• Medicare Part D Prescription Drug Plans (PDP). Group Retiree Health has teamed with one of the nation's top CMS approved sponsors of the Employer Group Waiver Plan for Part D coverage.

Pharmacy Benefit Manager Services

Visit CVSCaremark

Fully insured coverage is provided through both retail and mail order using an open formulary, which includes a preferred drug list and generic drugs.

Administrative Services

Full and flexible administrative services performed by The Hartford’s approved third party administrators, including:

• Choice of billing options with the ability to manage all types of vesting schedules;
• Various enrollment methods to meet the employer’s needs;
• Ability to handle electronic claims processing and payment;
• Toll-free customer service number for retirees, employers and providers;
• Online capabilities for both benefit and claim inquiries;
• Customer Service Representatives trained in senior care relations;
• HIPAA compliant.

Key Features

Eligible Groups	Any corporation, partnership, individual employer, labor union or any government corporation, agency or department, such as: Retail chains, utilities, universities, hospitals, financial institutions, public entities, religious organizations; Employers in older industries, i.e. such as manufacturing and unions; VEBA (Voluntary Employees’ Benefits Account) Employer co-operatives; Multiple Employer Association or Trust (MEA or MET); Any of the above groups, regardless of its current coverage for its retirees, may sponsor The Hartford’s Group Retiree Health Plan.
Group Size	Small Group Features (<100 insured lives) Multiple Employer Trusts (MET) Pooled experience of all groups under an MET Minimum of 2 insured lives A variety of Medical & Rx plans Guaranteed Issue Ease of implementation, with enrollment and issuance materials readily available Large Group Features (100+ insured lives) Stand-alone group contract Claims and rates are based on each group’s own experience Minimum of 100 insured lives Flexibility in designing multiple medical plans with or without Rx Guaranteed Issue Ease of implementation, with enrollment and issuance materials customized for an employer’s retirees
Employer Contribution	Contributory Programs Employers contribute 50% or more of the cost Medical plans with or without Rx Composite rates or attained age/area/gender rates Non-Contributory Programs Retiree pays most or all of the cost Medical plans with or without Rx Attained age/area/gender rates
Underwriting	Guaranteed Issue; no medical underwriting Pre-existing condition credit Dedicated and experienced underwriting staff To learn more about The Hartford’s Solution for retiree health benefits or to obtain a quote, please contact one of our Regional Sales Directors.