We're here to help answer any questions at 866-438-4274.
To view UBA Plan details, click on the + in the table below.
| Plan | Plan Name | Plan Cost* | State Availability | View Link(s) | |||
|---|---|---|---|---|---|---|---|
 |
UBA Membership | $10 for the entire family |
All 50 US States | ||||
|
ALERT - if you are a current member and purchased your plan prior to 10-01-20, login to your member portal to review your plan details.
 UBA MEMBERSHIP PLANMEMBER DRIVEN VALUE.Unlock the value of your UBA Membership.Your membership in United Business Association (UBA) gives you access to lifestyle and business benefits and services like Lab Discounts, 24-hr Emergency Roadside Assistance, Office Supply Discounts and more as well as access to enroll in association group insurance programs and to apply for association short term medical insurance. 
Business Services of UBA Membership
Lifestyle Services of UBA Membership
Networking with UBAAdvertise your Small Business for FREE and network with other UBA Members. Don't have an ad? That's okay! UBA can create one for you. THIS IS AN ASSOCIATION MEMBERSHIP PLAN.Read the brochure carefully. This is a brief description of the membership services available to you in the United Business Association membership. Product features, additional plans, and availability may vary by state. While we believe you will be pleased with your overall association membership, we cannot, however, warrant or guarantee the performance of any discount or service. You must be a member of the United Business Association in order to purchase any plan that includes group association insurance issued to the United Business Association. |
|||||||
 |
Benefit Boost Plan | Ind - $20 Ind+1 - $40 Family - $60 |
All 50 U.S. States | ||||
|
ALERT - if you are a current member and purchased your plan prior to 10-01-20, login to your member portal to review your plan details. The plan details listed below may be different from the plan you purchased.
 BENEFIT BOOST PLANIMPROVING HEALTH.A strategy to boost your overall health.The Benefit Boost Plan offers valuable services for those looking to seek immediate medical visits or talk therapy when you are sick or feeling down, looking to save on maintenance medications and to keep a healthy lifestyle with free vitamins, dental discounts and protection against identity theft. 
Telehealth Service with MeMD®$0.00 Cost* to all Members URGENT CARE TELEHEALTH Ideal for common illnesses and minor injuries like allergies, flu symptoms, sinus symptoms, UTIs and more. TALK THERAPY TELEHEALTH MeMD's national provider network of licensed professional counselors, clinical social workers, marriage and family therapists are there to help with common teletherapy issues like abuse, addiction, anxiety, stress and more. *Visits are paid by Healthy America and not by member. 
Affordable Prescriptions with Mailmypresriptions.com®Save up to 90% on your maintenance medications using mailmyprescriptions.com®. Shop drug prices online. All your orders ship FREE!
Free Gummy VitaminsHigh quality multi-vitamins that come in strawberry and cherry gumdrops. They are free to all Members including shipping and come in a 90-day supply. 
Retail RX & Pet RX DiscountsSave on prescriptions at a participating retail pharmacy and also save on your pet medications with your Retail RX and Pet RX Discounts cards. Use the web tool to locate a participating pharmacy, get your discounted pharmacy pricing and research your drug and cost-effective alternatives. 
Aetna Dental Access DiscountsMembers can save 15% to 50%* per visit, in most instances, on services that any of the more than 161,000** available dental practice locations nationwide. Dental services include: cleanings, x-rays, fillings, root canals, and crowns. Members can also save on specialty care such as orthodontics and periodontics where available. *Actual costs and savings vary by provider, service and geographical area. 
Identity Theft Protection with LifeLock®Help protect your identity in our digitally-connect world. As a member, you can get over 20% off your first year of LifeLock membership*. *Terms apply. Designated trademarks and brands are the properties of their respective owners. THIS IS A MEMBERSHIP PLAN AND IS NOT INSURANCE.Read the brochure carefully. This is a brief description of the membership services available to you in the Benefit Boost Plan membership. Product features and availability may vary by state. While we believe you will be pleased with your overall association membership, we cannot, however, warrant or guarantee the performance of any discount or service. These Benefit Boost services are included in any of the UBA Gap Plans that include insurance (except UBA Dental & UBA Vision Plans). |
|||||||
 |
Gap ER Plan | Ind - $35 Ind+1 - $55 Family - $65 |
AL, AZ, AR, CA, DC, DE, FL, GA, ID, IL, IN, IA, KY, LA, MI, MO, MS, NE, NM, NJ, NC, ND, OH, OK, PA, RI, SC, TN, TX, VA, VT, WV, WI & WY | ||||
|
ALERT - if you are a current member and purchased your plan prior to 10-01-20, login to your member portal to review your plan details. The plan details listed below may be different from the plan you purchased.
 GAP ER PLANFOR THE UNEXPECTED.Emergencies happen when you least expect it.The Gap ER Plan is valuable coverage for young families, people who tend to be accident-prone, or those that want that extra layer of protection for some of their out-of-pocket costs due emergency room visits for accident & sickness. 
Group Hospital Fixed Indemnity InsuranceDaily Hospital Confinement Benefit $500 Daily Hospital Confinement Benefit Days 1-3 for hospital confinement in a policy period Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company. 
Group Hospital Fixed Indemnity InsuranceEmergency Room Visit Benefit $500 per day Daily Emergency Room Visit Benefit for Accident & Sickness Max 10 days per policy period for Accident & Sickness Includes visits at In-Hospital Emergency Rooms, Free Standing Emergency Rooms, and Licensed Urgent Care Centers. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Benefit Boost ServicesNon-Insurance Services included in this plan. This plan includes Benefit Boost Services which are: telehealth with MeMD®, savings on prescriptions with mailmyprescriptions.com®, free gummy multi-vitamins, retail prescription & pet prescription discounts, Aetna Dental Access discounts, and Identity theft protection with LifeLock®. All Benefit Boost Services are not Insurance and are separate services from the insurance as part of this membership plan. ASSOCIATION BENEFITS 
GROUP HOSPITAL FIXED INDEMNITY INSURANCE UNDERWRITTEN BY: 
BILLING, FULFILLMENT & CUSTOMER SERVICE PROVIDED BY: 
THE INSURANCE PORTIONS OF THIS PLAN PROVIDE LIMITED COVERAGE. THEY DO NOT PROVIDE COMPREHENSIVE MAJOR MEDICAL INSURANCE. THIS IS A GROUP HOSPITAL FIXED INDEMNITY INSURANCE ONLY POLICY.The following monthly insurance rates apply to coverage underwritten by United States Fire Insurance Company. Your overall total association membership dues for the Gap ER Plan also include these monthly insurance rates: |
|||||||
 |
Gap AME+ER Plan | Ind - $40 Ind+1 - $65 Family - $90 |
AL, AZ, AR, CA, DC, DE, FL, GA, ID, IL, IN, IA, KY, LA, MI, MO, MS, NE, NM, NJ, NC, ND, OH, OK, PA, RI, SC, TN, TX, VA, VT, WV, WI & WY | ||||
|
ALERT - if you are a current member and purchased your plan prior to 10-01-20, login to your member portal to review your plan details. The plan details listed below may be different from the plan you purchased.
 GAP AME+ER PLANACCIDENTS HAPPEN.Life is unpredictable and sometimes we get hurt.The Gap AME+ER Plan is valuable coverage for young families, people who tend to be accident-prone, or those that want that extra layer of protection for some of their out-of-pocket costs due to an accident or emergency room visit. 
Group Accident InsuranceGroup Accident Medical Expense Insurance $10,000 Group Accident Medical Expense Insurance Annual Maximum Benefit. Group Accidental Death & Dismemberment Insurance $5,000 Group Accidental Death & Dismemberment Insurance Maximum Principal Sum. Group Accident Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceDaily Hospital Confinement Benefit $500 Daily Hospital Confinement Benefit Days 1-3 for hospital confinement in a policy period Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceEmergency Room Visit Benefit $500 per day Daily Emergency Room Visit Benefit for Accident & Sickness Max 10 days per policy period for Accident & Sickness Includes visits at In-Hospital Emergency Rooms, Free Standing Emergency Rooms, and Licensed Urgent Care Centers. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Benefit Boost ServicesNon-Insurance Services included in this plan. This plan includes Benefit Boost Services which are: telehealth with MeMD®, savings on prescriptions with mailmyprescriptions.com®, free gummy multi-vitamins, retail prescription & pet prescription discounts, Aetna Dental Access discounts, and Identity theft protection with LifeLock®. All Benefit Boost Services are not Insurance and are separate services from the insurance as part of this membership plan. ASSOCIATION BENEFITS
GROUP ACCIDENT & GROUP HOSPITAL FIXED INDEMNITY INSURANCE UNDERWRITTEN BY:
BILLING, FULFILLMENT & CUSTOMER SERVICE PROVIDED BY:
THE INSURANCE PORTIONS OF THIS PLAN PROVIDE LIMITED COVERAGE. THEY DO NOT PROVIDE COMPREHENSIVE MAJOR MEDICAL INSURANCE. THIS IS A GROUP ACCIDENT & GROUP HOSPITAL FIXED INDEMNITY INSURANCE ONLY POLICY.The following monthly insurance rates apply to coverage underwritten by United States Fire Insurance Company. Your overall total association membership dues for the Gap AME+ER Plan also include these monthly insurance rates: |
|||||||
 |
Gap AME 10K Plan | Ind - $25 Ind+1 - $35 Family - $45 |
Underwritten by Guaranteed Trust Life Insurance Company (GTL) - AL, AZ, AR, CA, CT, DC, DE, FL, GA, IL, IN, IA, KS, KY, MI, MS, NC, ND, NE, NJ, NV, OH, OK, PA, RI, SC, TN, TX, VA, WV, WI & WY | ||||
|
ALERT - if you are a current member and purchased your plan prior to 10-01-20, login to your member portal to review your plan details. The plan details listed below may be different from the plan you purchased.
 GAP AME 10K PLANACCIDENTS HAPPEN.Life is unpredictable and sometimes we get hurt.The Gap AME 10K Plan is valuable coverage for young families, people who tend to be accident-prone, or those that want that extra layer of protection for some of their out-of-pocket costs due to an accident.
Group Accident Only InsuranceGroup Accident Medical Expense Insurance $10,000 Group Accident Medical Expense Benefit Maximum Benefit per injury. Covered Services (as defined by policy) & Maximum Benefit:
Group Accident Insurance is underwritten by Guarantee Trust Life Insurance Company (GTL).
Group Accident Only InsuranceGroup Accidental Death & Dismembemberment Insurance $1,000 Accidental Death & Dismemberment Benefit Principal Sum Group Accident Only Insurance is underwritten by Guarantee Trust Life Insurance Company.
Benefit Boost ServicesNon-Insurance Services included in this plan This plan includes Benefit Boost Services which are: telehealth with MeMD®, savings on prescriptions with mailmyprescriptions.com®, free gummy multi-vitamins, retail prescription & pet prescription discounts, Aetna Dental Access discounts, and Identity theft protection with LifeLock®. All Benefit Boost Services are not Insurance and are separate services from the insurance as part of this membership plan. ASSOCIATION BENEFITS
GROUP ACCIDENT ONLY INSURANCE UNDERWRITTEN BY: 
BILLING, FULFILLMENT & CUSTOMER SERVICE PROVIDED BY:
THE INSURANCE PORTIONS OF THIS PLAN PROVIDE LIMITED COVERAGE. THEY DO NOT PROVIDE COMPREHENSIVE MAJOR MEDICAL INSURANCE. THIS IS GROUP ACCIDENT ONLY INSURANCE.Read the brochure and Certificate(s) of Insurance carefully. This is a brief description of various group association insurance products and is not an insurance contract, nor part of the Certificate of Insurance and is subject to the terms, conditions, limitations, and exclusions of the Certificate(s) of Insurance . Coverage may vary or may not be available in all states. You’ll find complete coverage details in the Certificate(s) of Insurance. Guarantee Trust Life Insurance Company (GTL) provides the Accident Medical Expense benefit and the Accidental Death & Dismemberment benefit. GTL does not provide nor is affiliated with the discount programs provided as part of membership in the United Business Association. The insurance described in this document provides limited benefits. Limited benefit policies are insurance products intended to help supplement comprehensive health insurance plans. This insurance is not an alternative to comprehensive coverage. It does not provide major medical or comprehensive medical coverage and is not designed to replace major medical insurance. Further, this insurance is not minimum essential benefits as set forth under the Patient Protection and Affordable Care Act. Plan Cost does not include the separate $10 UBA Membership dues. Plan cost does include Association information, awareness benefits, consumer savings, service programs, insurance rates (of $7.75 for Ind, $19.37 for Family), marketing and administrative cost. You must be a member of the United Business Association in order to purchase this plan. |
|||||||
 |
Gap CI Plan | Ind - $30 Ind+Sp - $60 Family - $60 |
AR, AZ, MS, MO, NM, OK, & TX | ||||
|
ALERT - if you are a current member and purchased your plan prior to 10-01-20, login to your member portal to review your plan details. The plan details listed below may be different from the plan you purchased.
 GAP CI PLANBE PREPARED.Fight back against out-of-pocket expenses.The Gap CI Plan is valuable coverage for those reaching middle age, for people with a family history of cancer, heart attack or stroke, or those that just want that extra layer of protection for some of their out-of-pocket costs due to being diagnosed with a Critical Illness. 
Group Critical Illness InsuranceMaximum Benefit $25,000 Critical Illness Maximum Lifetime Benefit Amount Maximum Lifetime Benefit Amount is $2,500 if first diagnosis of a Covered Critical Illness occurs within the first year from the effective date. Benefit ends at age 65 and Group Critical Illness Insurance is only available for Covered Member and their Eligible Spouse. Group Critical Illness Insurance is underwritten by Windsor Life Insurance Company.
Group Critical Illness InsuranceCovered Critical Illnesses Heart Attack: An acute myocardial infarction resulting in the death of a portion of the heart muscle (myocardium) due to a blockage of one or more of the coronary arteries and resulting in the loss of normal function of the heart. The diagnosis of a heart attack must be made by a Physician board-certified in Cardiology and based on both of:
Established (old) Myocardial Infarction is excluded. Stroke: An acute cerebrovascular accident producing neurological impairment and resulting in paralysis or other measurable objective neurological deficit persisting for at least thirty (30) days. Life-Threatening Cancer: Includes only those types of cancer manifested by the presence of a malignant tumor, characterized by the uncontrolled growth and spread of malignant cells that invade tissue, blood, or the lymphatic system. As used herein, Leukemia, and Hodgkin's Disease (except Stage 1 Hodgkin's Disease) shall be considered Life-Threatening Cancer. Does not Include:
Life-threatening cancer must be positively diagnosed by a physician certified by the American Board of Pathology to practice Pathologic Anatomy, or a certified Osteopathic Pathologist. Diagnosis must be based on a microscopic examination of fixed tissue or preparations from the hemic system (either during life or post-mortem). The pathologist establishing the diagnosis shall base his/her judgement solely on the criteria of malignancy as accepted by the American Board of Pathology or the Osteopathic Board of Pathology after a study of the histocytologic architecture or pattern of the suspect tumor, tissue, or specimen. Clinical diagnosis alone will not meet this standard. Group Critical Illness Insurance is underwritten by Windsor Life Insurance Company.
Group Critical Illness InsuranceExclusions We do not pay any benefits:
Benefits are paid on first diagnosis, as a lump sum payment, not paid based on actual expenses incurred and only if the Covered Critical Illness occurs after the Effective Date of Coverage for that Covered Person and while the Covered Person's coverage under this Group Policy is in force. We pay a Covered Critical Illness only one time, regardless of the subsequent occurrence of the same or different Covered Critical Illness for that Covered Person. Once the benefit is paid, coverage for that Covered Person under the Certicate ends. Please see policy for complete plan details. Group Critical Illness Insurance is underwritten by Windsor Life Insurance Company.
Benefit Boost ServicesNon-Insurance Services included in this plan. This plan includes Benefit Boost Services which are: telehealth with MeMD®, savings on prescriptions with mailmyprescriptions.com®, free gummy multi-vitamins, retail prescription & pet prescription discounts, Aetna Dental Access discounts, and Identity theft protection with LifeLock®. All Benefit Boost Services are not Insurance and are separate services from the insurance as part of this membership plan. ASSOCIATION BENEFITS
GROUP CRITICAL ILLNESS INSURANCE UNDERWRITTEN BY: 
BILLING, FULFILLMENT & CUSTOMER SERVICE PROVIDED BY:
THE INSURANCE PORTIONS OF THIS PLAN PROVIDE LIMITED COVERAGE. THEY DO NOT PROVIDE COMPREHENSIVE MAJOR MEDICAL INSURANCE. THIS IS A GROUP CRITICAL ILLNESS INSURANCE ONLY POLICY.Read the brochure and Certificate(s) of Insurance carefully. This is a brief description of Group Critical Illness Insurance and is not an insurance contract, nor part of the insurance policy. You’ll find complete coverage details in the policy certificate. Group Critical Illness Insurance pays for benefits for first diagnosis of Covered Critical Illnesses only and does not provide for any other medical conditions. You should maintain separate comprehensive health coverage. Group Critical Illness Insurance is provided by and underwritten by Windsor Life Insurance Company, an Optimum Re reinsured company. Covered Critical Illnesses are subject to the definitions, limitations and exclusions of the Policy Certificate. Benefit for Group Critical Illness Insurance ends at 65. Benefits are paid at 10% of the Benefit Maximum if first diagnosis occurs in the first year from the effective date. |
|||||||
 |
Gap Basic Plan | Ind - $30 Ind+1 - $50 Family - $70 |
AL, AR, AZ, CA, DE, GA, IL, IN, KS, KY, MI, MO, NJ, OK, RI, TX, WI & WV | ||||
|
ALERT - if you are a current member and purchased your plan prior to 10-01-20, login to your member portal to review your plan details. The plan details listed below may be different from the plan you purchased.
 GAP BASIC PLANGAP YOUR DEDUCTIBLE.Don’t break the bank for out-of-pocket medical expenses.The Gap Basic Plan is valuable coverage for young families, people who tend to be accident-prone or with a family history of cancer, heart attack, stroke, or those that want that extra layer of protection for some of their out-of-pocket costs due to an accident or being diagnosed with a Critical Illness.
Blanket Group Accident InsuranceGroup Accident Medical Expense Insurance $5,000 Group Accident Medical Expense Insurance Annual Maximum Benefit. Group Accidental Death & Dismemberment Insurance $2,500 Group Accidental Death & Dismemberment Insurance Maximum Principal Sum. Blanket Group Accident Insurance is underwritten by Sirius America Insurance Company.
Group Critical Illness InsuranceCritical Illness Insurance Benefit $5,000 Critical Illness Benefit Lifetime Maximum Benefit Amount Maximum Lifetime Benefit Amount is $1000 if first diagnosis of a Covered Critical Illness occurs within the first year from the effective date. Invasive Cancer benefit will not be paid if Proof of Loss occurs prior to 45 days from the effective date. Benefit ends at age 65 and Critical Illness Insurance Benefit is only available for Covered Member and their Eligible Spouse. Group Critical Illness Insurance is underwritten by Sirius America Insurance Company. 
Group Term Life Insurance$5,000 Principal Sum Maximum Benefit Benefit ends at age 65 and Group Term Life Insurance is only available for Covered Member and their Eligible Spouse. Group Term Life Insurance for this plan is only available in the following states: AL, AR, AZ, CA, FL, GA, IL, IN, KY, MI, MO, MS, NE, NM, OH, OK, PA, SC, TN, TX & VA. Group Term Life Insurance is underwritten by Investors Heritage Life Insurance Company.
Benefit Boost ServicesNon-Insurance Services included in this plan. This plan includes Benefit Boost Services which are: telehealth with MeMD®, savings on prescriptions with mailmyprescriptions.com®, free gummy multi-vitamins, retail prescription & pet prescription discounts, Aetna Dental Access discounts (coming soon), and Identity theft protection with LifeLock® (coming soon). All Benefit Boost Services are not Insurance and are separate services from the insurance as part of this membership plan. ASSOCIATION BENEFITS
BLANKET GROUP ACCIDENT & GROUP CRITICAL ILLNESS INSURANCE ARE UNDERWRITTEN BY:  GROUP TERM LIFE INSURANCE 
BILLING, FULFILLMENT & CUSTOMER SERVICE PROVIDED BY:
THE INSURANCE PORTIONS OF THIS PLAN PROVIDE LIMITED COVERAGE. THEY DO NOT PROVIDE COMPREHENSIVE MAJOR MEDICAL INSURANCE. COVERAGE IS PROVIDED UNDER BLANKET ACCIDENT, GROUP CRITICAL ILLNESS AND GROUP TERM LIFE INSURANCE ONLY POLICIES.The following monthly insurance rates apply to coverage underwritten by Sirius America Insurance Company. Your overall total association membership dues for the Gap Basic Plan also include these monthly insurance rates:
GET ACCIDENT CLAIM FORM
GET CRITICAL ILLNESS CLAIM FORM
Term Life States are: AL, AR, CA, FL, GA, IL, IN, KY, MI, MO, MS, NE, NM, OH, OK, PA, SC, TN, TX & VA GET TERM LIFE CLAIM FORM |
|||||||
 |
Gap Plus Plan | Ind - $40 Ind+1 - $60 Family - $80 |
AL, AR, AZ, DC, DE, FL, GA, IL, IN, IA, KY, LA, MI, MS, NE, NM, NC, ND, OH, OK, PA, RI, SC, TN, TX, VA, VT, WV, WI, & WY | ||||
|
ALERT - if you are a current member and purchased your plan prior to 10-01-20, login to your member portal to review your plan details. The plan details listed below may be different from the plan you purchased.
 GAP PLUS PLANBRIDGING THE GAP.Unexpected out-of-pocket medical expenses happen.The Gap Plus Plan is valuable coverage for young families, people who tend to be accident-prone or with a family history of cancer, heart attack, stroke or those that just want that extra layer of protection for some of their out-of-pocket costs due to an accident, being diagnosed with a Critical Illness or for doctor visits, labs, & x-rays.
Group Accident InsuranceGroup Accident Medical Expense Insurance $5,000 Group Accident Medical Expense Insurance Annual Maximum Benefit. Group Accidental Death & Dismemberment Insurance $2,500 Group Accidental Death & Dismemberment Insurance Maximum Principal Sum. Group Accident Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceDaily Hospital Confinement Benefit $500 Daily Hospital Confinement Benefit Days 1-3 for hospital confinement in a policy period Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company. 
Group Hospital Fixed Indemnity InsuranceDaily Physician Office Visit Benefit $125 per day Daily Physician Office Visit Benefit Max 1 day per play year for medically necessary visit and and additional 1 day for other Wellness visit. Covered Wellness Services include: A history and physical examination & immunizations as provided by department of health regulation. Note: The Wellness Visit for Daily Physician Office Visit Benefit is not available in the state of Michigan. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company. 
Group Hospital Fixed Indemnity InsuranceDaily Outpatient Diagnostic Laboratory Tests Benefit $75 per day Daily Outpatient Diagnostic Laboratory Tests Benefit Max 1 day per play year for medically necessary visit and and additional 1 day for other Wellness visit. In addition to medically necessary treatment, we will also cover wellness care for outpatient diagnostic laboratory tests to the extent that they are provided by, or under the supervision of, a single technician during the course of one visit. Note: The Wellness Visit for Daily Outpatient Diagnostic Laboratory Tests Benefit is not available in the state of Michigan. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company. 
Group Hospital Fixed Indemnity InsuranceDaily Outpatient Diagnostic Radiology & X-Ray Benefit $75 per day Daily Outpatient Diagnostic Laboratory Tests Benefit Max 1 day per play year for medically necessary visit and and additional 1 day for other Wellness visit. Daily Outpatient Diagnostic Radiology & X-Ray benefit does not include Radiation Therapy. Note: The Wellness Visit for Daily Outpatient Diagnostic Radiology & X-Ray Benefit is not available in the state of Michigan. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceCritical Illness Insurance Benefit $5,000 Critical Illness Benefit Lifetime Maximum Benefit Amount Maximum Lifetime Benefit Amount is $500 if first diagnosis of a Covered Critical Illness occurs within the first year from the effective date. Benefit ends at age 65 and Critical Illness Insurance Benefit is only available for Covered Member and their Eligible Spouse. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Term Life Insurance$5,000 Principal Sum Maximum Benefit Benefit ends at age 65 and Group Term Life Insurance is only available for Covered Member and their Eligible Spouse. Group Term Life Insurance for this plan is only available in the following states: AL, AR, AZ, CA, FL, GA, IL, IN, KY, MI, MO, MS, NE, NM, OH, OK, PA, SC, TN, TX & VA. Group Term Life Insurance is underwritten by Investors Heritage Life Insurance Company.
Benefit Boost ServicesNon-Insurance Services included in this plan. This plan includes Benefit Boost Services which are: telehealth with MeMD®, savings on prescriptions with mailmyprescriptions.com®, free gummy multi-vitamins, retail prescription & pet prescription discounts, Aetna Dental Access discounts, and Identity theft protection with LifeLock®. All Benefit Boost Services are not Insurance and are separate services from the insurance as part of this membership plan. ASSOCIATION BENEFITS
GROUP ACCIDENT & GROUP HOSPITAL FIXED INDEMNITY INSURANCE UNDERWRITTEN BY: GROUP TERM LIFE INSURANCE
BILLING, FULFILLMENT & CUSTOMER SERVICE PROVIDED BY:
THE INSURANCE PORTIONS OF THIS PLAN PROVIDE LIMITED COVERAGE. THEY DO NOT PROVIDE COMPREHENSIVE MAJOR MEDICAL INSURANCE. THIS IS A GROUP ACCIDENT & HOSPITAL FIXED INDEMNITY INSURANCE & GROUP TERM LIFE INSURANCE ONLY POLICY.The following monthly insurance rates apply to coverage underwritten by United States Fire Insurance Company. Your overall total association membership dues for the Gap Plus Plan also include these monthly insurance rates:
GET ACCIDENT & WELLNESS CLAIM FORM
GET CRITICAL ILLNESS CLAIM FORM
Term Life States are: AL, AR, CA, FL, GA, IL, IN, KY, MI, MO, MS, NE, NM, OH, OK, PA, SC, TN, TX & VA GET TERM LIFE CLAIM FORM |
|||||||
 |
Gap Max Plan | Ind - $50 Ind+1 - $85 Family - $110 |
AL, AR, DC, DE, FL, GA, IA, IL, IN, KY, LA, MI, MS, NC, ND, NE, NM, OH, OK, PA, RI, SC, TN, VA, VT, WI, WV & WY | ||||
|
ALERT - if you are a current member and purchased your plan prior to 10-01-20, login to your member portal to review your plan details. The plan details listed below may be different from the plan you purchased.
 GAP MAX PLANMAX YOUR BENEFITS.Expect the unexpected and be prepared.The Gap Max Plan is valuable coverage for families, people who tend to be accident-prone or with a family history of cancer, heart attack, stroke or those that just want that extra layer of protection for some of their out-of-pocket costs due to an accident, being diagnosed with a Critical Illness or for emergency room & urgent care visits.
Group Accident InsuranceGroup Accident Medical Expense Insurance $10,000 Group Accident Medical Expense Insurance Annual Maximum Benefit. Group Accidental Death & Dismemberment Insurance $5,000 Group Accidental Death & Dismemberment Insurance Maximum Principal Sum. Group Accident Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceDaily Hospital Confinement Benefit $500 Daily Hospital Confinement Benefit Days 1-3 for hospital confinement in a policy period Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceEmergency Room Visit Benefit $500 per day Daily Emergency Room Visit Benefit for Accident & Sickness Max 10 days per policy period for Accident & Sickness Includes visits at In-Hospital Emergency Rooms, Free Standing Emergency Rooms, and Licensed Urgent Care Centers. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceCritical Illness Insurance Benefit $25,000 Critical Illness Benefit Lifetime Maximum Benefit Amount Maximum Lifetime Benefit Amount is $2,500 if first diagnosis of a Covered Critical Illness occurs within the first year from the effective date. Benefit ends at age 65 and Critical Illness Insurance Benefit is only available for Covered Member and their Eligible Spouse. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Term Life Insurance$10,000 Principal Sum Maximum Benefit Benefit ends at age 65 and Group Term Life Insurance is only available for Covered Member and their Eligible Spouse. Group Term Life Insurance for this plan is only available in the following states: AL, AR, AZ, CA, FL, GA, IL, IN, KY, MI, MO, MS, NE, NM, OH, OK, PA, SC, TN, TX & VA. Group Term Life Insurance is underwritten by Investors Heritage Life Insurance Company.
Benefit Boost ServicesNon-Insurance Services included in this plan. This plan includes Benefit Boost Services which are: telehealth with MeMD®, savings on prescriptions with mailmyprescriptions.com®, free gummy multi-vitamins, retail prescription & pet prescription discounts, Aetna Dental Access discounts, and Identity theft protection with LifeLock®. All Benefit Boost Services are not Insurance and are separate services from the insurance as part of this membership plan. ASSOCIATION BENEFITS
GROUP ACCIDENT & GROUP HOSPITAL FIXED INDEMNITY INSURANCE UNDERWRITTEN BY: GROUP TERM LIFE INSURANCE
BILLING, FULFILLMENT & CUSTOMER SERVICE PROVIDED BY:
THE INSURANCE PORTIONS OF THIS PLAN PROVIDE LIMITED COVERAGE. THEY DO NOT PROVIDE COMPREHENSIVE MAJOR MEDICAL INSURANCE. THIS IS A GROUP ACCIDENT & HOSPITAL FIXED INDEMNITY INSURANCE & GROUP TERM LIFE INSURANCE ONLY POLICY.The following monthly insurance rates apply to coverage underwritten by United States Fire Insurance Company. Your overall total association membership dues for the Gap Max Plan also include these monthly insurance rates:
GET ACCIDENT & ER CLAIM FORM
GET CRITICAL ILLNESS CLAIM FORM
Term Life States are: AL, AR, CA, FL, GA, IL, IN, KY, MI, MO, MS, NE, NM, OH, OK, PA, SC, TN, TX & VA GET TERM LIFE CLAIM FORM |
|||||||
|
Gap Max Plan | Ind - $50 Ind+1 - $85 Family - $110 |
AZ, MO & TX | ||||
|
ALERT - if you are a current member and purchased your plan prior to 10-01-20, login to your member portal to review your plan details. The plan details listed below may be different from the plan you purchased.
GAP MAX PLANMAX YOUR BENEFITS.Expect the unexpected and be prepared.The Gap Max Plan is valuable coverage for families, people who tend to be accident-prone or with a family history of cancer, heart attack, stroke or those that just want that extra layer of protection for some of their out-of-pocket costs due to an accident, being diagnosed with a Critical Illness or for emergency room & urgent care visits.
Group Accident InsuranceGroup Accident Medical Expense Insurance $10,000 Group Accident Medical Expense Insurance Annual Maximum Benefit. Group Accidental Death & Dismemberment Insurance $5,000 Group Accidental Death & Dismemberment Insurance Maximum Principal Sum. Group Accident Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceDaily Hospital Confinement Benefit $500 Daily Hospital Confinement Benefit Days 1-3 for hospital confinement in a policy period Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceEmergency Room Visit Benefit $500 per day Daily Emergency Room Visit Benefit for Accident & Sickness Max 10 days per policy period for Accident & Sickness Includes visits at In-Hospital Emergency Rooms, Free Standing Emergency Rooms, and Licensed Urgent Care Centers. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Critical Illness Insurance$25,000 Critical Illness Benefit Lifetime Maximum Benefit Amount Maximum Lifetime Benefit Amount is $2,500 if first diagnosis of a Covered Critical Illness occurs within the first year from the effective date. Benefit ends at age 65 and Critical Illness Insurance Benefit is only available for Covered Member and their Eligible Spouse. Group Critical Illness Insurance is underwritten by Windsor Life Insurance Company.
Group Term Life Insurance$10,000 Principal Sum Maximum Benefit Benefit ends at age 65 and Group Term Life Insurance is only available for Covered Member and their Eligible Spouse. Group Term Life Insurance for this plan is only available in the following states: AL, AR, AZ, CA, FL, GA, IL, IN, KY, MI, MO, MS, NE, NM, OH, OK, PA, SC, TN, TX & VA. Group Term Life Insurance is underwritten by Investors Heritage Life Insurance Company.
Benefit Boost ServicesNon-Insurance Services included in this plan. This plan includes Benefit Boost Services which are: telehealth with MeMD®, savings on prescriptions with mailmyprescriptions.com®, free gummy multi-vitamins, retail prescription & pet prescription discounts, Aetna Dental Access discounts, and Identity theft protection with LifeLock®. All Benefit Boost Services are not Insurance and are separate services from the insurance as part of this membership plan. ASSOCIATION BENEFITS
GROUP ACCIDENT & GROUP HOSPITAL FIXED INDEMNITY INSURANCE UNDERWRITTEN BY: GROUP CRITICAL ILLNESS INSURANCE GROUP TERM LIFE INSURANCE
BILLING, FULFILLMENT & CUSTOMER SERVICE PROVIDED BY:
THE INSURANCE PORTIONS OF THIS PLAN PROVIDE LIMITED COVERAGE. THEY DO NOT PROVIDE COMPREHENSIVE MAJOR MEDICAL INSURANCE. THIS IS A GROUP ACCIDENT & HOSPITAL FIXED INDEMNITY INSURANCE & GROUP TERM LIFE INSURANCE ONLY POLICY.The following monthly insurance rates apply to coverage underwritten by United States Fire Insurance Company. Your overall total association membership dues for the Gap Max Plan also include these monthly insurance rates:
GET ACCIDENT & ER CLAIM FORM
GET CRITICAL ILLNESS CLAIM FORM
Term Life States are: AL, AR, CA, FL, GA, IL, IN, KY, MI, MO, MS, NE, NM, OH, OK, PA, SC, TN, TX & VA GET TERM LIFE CLAIM FORM |
|||||||
 |
Super Gap Plus Plan | Ind - $60 Ind+1 - $120 Family - $140 |
AL, AR, DC, DE, FL, GA, IA, IL, IN, KY, LA, MI, MS, NC, ND, NE, NM, OH, OK, PA, RI, SC, TN, VA, VT, WI, WV, & WY | ||||
|
ALERT - if you are a current member and purchased your plan prior to 10-01-20, login to your member portal to review your plan details. The plan details listed below may be different from the plan you purchased.
 SUPER GAP PLUS PLANGET IN THE FIGHT.Fighting the battle against out-of-pocket costs.The Super Gap Plus Plan is valuable coverage for families, people who tend to be accident-prone or with a family history of cancer, heart attack, stroke or those that just want that extra layer of protection for some of their out-of-pocket costs due to an accident, being diagnosed with a Critical Illness, emergency room & urgent care visits, doctor visits, labs and x-rays.
Group Accident InsuranceGroup Accident Medical Expense Insurance $25,000 Group Accident Medical Expense Insurance Annual Maximum Benefit. Group Accidental Death & Dismemberment Insurance $5,000 Group Accidental Death & Dismemberment Insurance Maximum Principal Sum. Group Accident Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceDaily Hospital Confinement Benefit $500 Daily Hospital Confinement Benefit Days 1-3 for hospital confinement in a policy period Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceEmergency Room Visit Benefit $500 per day Daily Emergency Room Visit Benefit for Accident & Sickness Max 10 days per policy period for Accident & Sickness Includes visits at In-Hospital Emergency Rooms, Free Standing Emergency Rooms, and Licensed Urgent Care Centers. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceDaily Physician Office Visit Benefit $125 per day Daily Physician Office Visit Benefit Max 1 day per play year for medically necessary visit and and additional 1 day for other Wellness visit. Covered Wellness Services include: A history and physical examination & immunizations as provided by department of health regulation. Note: The Wellness Visit for Daily Physician Office Visit Benefit is not available in the state of Michigan. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceDaily Outpatient Diagnostic Laboratory Tests Benefit $75 per day Daily Outpatient Diagnostic Laboratory Tests Benefit Max 1 day per play year for medically necessary visit and and additional 1 day for other Wellness visit. In addition to medically necessary treatment, we will also cover wellness care for outpatient diagnostic laboratory tests to the extent that they are provided by, or under the supervision of, a single technician during the course of one visit. Note: The Wellness Visit for Daily Outpatient Diagnostic Laboratory Tests Benefit is not available in the state of Michigan. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceDaily Outpatient Diagnostic Radiology & X-Ray Benefit $75 per day Daily Outpatient Diagnostic Laboratory Tests Benefit Max 1 day per play year for medically necessary visit and and additional 1 day for other Wellness visit. Daily Outpatient Diagnostic Radiology & X-Ray benefit does not include Radiation Therapy. Note: The Wellness Visit for Daily Outpatient Diagnostic Radiology & X-Ray Benefit is not available in the state of Michigan. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceCritical Illness Insurance Benefit $25,000 Critical Illness Benefit Lifetime Maximum Benefit Amount Maximum Lifetime Benefit Amount is $2,500 if first diagnosis of a Covered Critical Illness occurs within the first year from the effective date. Benefit ends at age 65 and Critical Illness Insurance Benefit is only available for Covered Member and their Eligible Spouse. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Term Life Insurance$10,000 Principal Sum Maximum Benefit Benefit ends at age 65 and Group Term Life Insurance is only available for Covered Member and their Eligible Spouse. Group Term Life Insurance for this plan is only available in the following states: AL, AR, AZ, CA, FL, GA, IL, IN, KY, MI, MO, MS, NE, NM, OH, OK, PA, SC, TN, TX & VA. Group Term Life Insurance is underwritten by Investors Heritage Life Insurance Company.
Benefit Boost ServicesNon-Insurance Services included in this plan. This plan includes Benefit Boost Services which are: telehealth with MeMD®, savings on prescriptions with mailmyprescriptions.com®, free gummy multi-vitamins, retail prescription & pet prescription discounts, Aetna Dental Access discounts, and Identity theft protection with LifeLock®. All Benefit Boost Services are not Insurance and are separate services from the insurance as part of this membership plan. ASSOCIATION BENEFITS
GROUP ACCIDENT & GROUP HOSPITAL FIXED INDEMNITY INSURANCE UNDERWRITTEN BY: GROUP TERM LIFE INSURANCE
BILLING, FULFILLMENT & CUSTOMER SERVICE PROVIDED BY:
THE INSURANCE PORTIONS OF THIS PLAN PROVIDE LIMITED COVERAGE. THEY DO NOT PROVIDE COMPREHENSIVE MAJOR MEDICAL INSURANCE. THIS IS A GROUP ACCIDENT & HOSPITAL FIXED INDEMNITY INSURANCE & GROUP TERM LIFE INSURANCE ONLY POLICY.The following monthly insurance rates apply to coverage underwritten by United States Fire Insurance Company. Your overall total association membership dues for the Super Gap Plus Plan also include these monthly insurance rates:
GET ACCIDENT, ER & WELLNESS CLAIM FORM
GET CRITICAL ILLNESS CLAIM FORM
Term Life States are: AL, AR, CA, FL, GA, IL, IN, KY, MI, MO, MS, NE, NM, OH, OK, PA, SC, TN, TX & VA GET TERM LIFE CLAIM FORM |
|||||||
|
Super Gap Plus Plan | Ind - $60 Ind+1 - $120 Family - $140 |
AZ, MO & TX | ||||
|
ALERT - if you are a current member and purchased your plan prior to 10-01-20, login to your member portal to review your plan details. The plan details listed below may be different from the plan you purchased.
SUPER GAP PLUS PLANGET IN THE FIGHT.Fighting the battle against out-of-pocket costs.The Super Gap Plus Plan is valuable coverage for families, people who tend to be accident-prone or with a family history of cancer, heart attack, stroke or those that just want that extra layer of protection for some of their out-of-pocket costs due to an accident, being diagnosed with a Critical Illness, emergency room & urgent care visits, doctor visits, labs and x-rays.
Group Accident InsuranceGroup Accident Medical Expense Insurance $25,000 Group Accident Medical Expense Insurance Annual Maximum Benefit. Group Accidental Death & Dismemberment Insurance $5,000 Group Accidental Death & Dismemberment Insurance Maximum Principal Sum. Group Accident Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceDaily Hospital Confinement Benefit $500 Daily Hospital Confinement Benefit Days 1-3 for hospital confinement in a policy period Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceEmergency Room Visit Benefit $500 per day Daily Emergency Room Visit Benefit for Accident & Sickness Max 10 days per policy period for Accident & Sickness Includes visits at In-Hospital Emergency Rooms, Free Standing Emergency Rooms, and Licensed Urgent Care Centers. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceDaily Physician Office Visit Benefit $125 per day Daily Physician Office Visit Benefit Max 1 day per play year for medically necessary visit and and additional 1 day for other Wellness visit. Covered Wellness Services include: A history and physical examination & immunizations as provided by department of health regulation. Note: The Wellness Visit for Daily Physician Office Visit Benefit is not available in the state of Michigan. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceDaily Outpatient Diagnostic Laboratory Tests Benefit $75 per day Daily Outpatient Diagnostic Laboratory Tests Benefit Max 1 day per play year for medically necessary visit and and additional 1 day for other Wellness visit. In addition to medically necessary treatment, we will also cover wellness care for outpatient diagnostic laboratory tests to the extent that they are provided by, or under the supervision of, a single technician during the course of one visit. Note: The Wellness Visit for Daily Outpatient Diagnostic Laboratory Tests Benefit is not available in the state of Michigan. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceDaily Outpatient Diagnostic Radiology & X-Ray Benefit $75 per day Daily Outpatient Diagnostic Laboratory Tests Benefit Max 1 day per play year for medically necessary visit and and additional 1 day for other Wellness visit. Daily Outpatient Diagnostic Radiology & X-Ray benefit does not include Radiation Therapy. Note: The Wellness Visit for Daily Outpatient Diagnostic Radiology & X-Ray Benefit is not available in the state of Michigan. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Critical Illness Insurance$25,000 Critical Illness Benefit Lifetime Maximum Benefit Amount Maximum Lifetime Benefit Amount is $2,500 if first diagnosis of a Covered Critical Illness occurs within the first year from the effective date. Benefit ends at age 65 and Critical Illness Insurance Benefit is only available for Covered Member and their Eligible Spouse. Group Critical Illness Insurance is underwritten by Windsor Life Insurance Company.
Group Term Life Insurance$10,000 Principal Sum Maximum Benefit Benefit ends at age 65 and Group Term Life Insurance is only available for Covered Member and their Eligible Spouse. Group Term Life Insurance for this plan is only available in the following states: AL, AR, AZ, CA, FL, GA, IL, IN, KY, MI, MO, MS, NE, NM, OH, OK, PA, SC, TN, TX & VA. Group Term Life Insurance is underwritten by Investors Heritage Life Insurance Company.
Benefit Boost ServicesNon-Insurance Services included in this plan. This plan includes Benefit Boost Services which are: telehealth with MeMD®, savings on prescriptions with mailmyprescriptions.com®, free gummy multi-vitamins, retail prescription & pet prescription discounts, Aetna Dental Access discounts, and Identity theft protection with LifeLock®. All Benefit Boost Services are not Insurance and are separate services from the insurance as part of this membership plan. ASSOCIATION BENEFITS
GROUP ACCIDENT & GROUP HOSPITAL FIXED INDEMNITY INSURANCE UNDERWRITTEN BY: GROUP CRITICAL ILLNESS INSURANCE GROUP TERM LIFE INSURANCE
BILLING, FULFILLMENT & CUSTOMER SERVICE PROVIDED BY:
THE INSURANCE PORTIONS OF THIS PLAN PROVIDE LIMITED COVERAGE. THEY DO NOT PROVIDE COMPREHENSIVE MAJOR MEDICAL INSURANCE. THIS IS A GROUP ACCIDENT & HOSPITAL FIXED INDEMNITY INSURANCE & GROUP TERM LIFE INSURANCE ONLY POLICY.The following monthly insurance rates apply to coverage underwritten by United States Fire Insurance Company. Your overall total association membership dues for the Super Gap Plus Plan also include these monthly insurance rates:
GET ACCIDENT, ER & WELLNESS CLAIM FORM
GET CRITICAL ILLNESS CLAIM FORM
Term Life States are: AL, AR, CA, FL, GA, IL, IN, KY, MI, MO, MS, NE, NM, OH, OK, PA, SC, TN, TX & VA GET TERM LIFE CLAIM FORM |
|||||||
|
Super Gap Plus Plan | Ind - $60 Ind+1 - $120 Family - $140 |
CA, ID & NJ | ||||
|
ALERT - if you are a current member and purchased your plan prior to 10-01-20, login to your member portal to review your plan details. The plan details listed below may be different from the plan you purchased.
SUPER GAP PLUS PLANGET IN THE FIGHT.Fighting the battle against out-of-pocket costs.The Super Gap Plus Plan is valuable coverage for families, people who tend to be accident-prone or those that just want that extra layer of protection for some of their out-of-pocket costs due to an accident, emergency room & urgent care visits, doctor visits, labs and x-rays.
Group Accident InsuranceGroup Accident Medical Expense Insurance $25,000 Group Accident Medical Expense Insurance Annual Maximum Benefit. Group Accidental Death & Dismemberment Insurance $5,000 Group Accidental Death & Dismemberment Insurance Maximum Principal Sum. Group Accident Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceDaily Hospital Confinement Benefit $500 Daily Hospital Confinement Benefit Days 1-3 for hospital confinement in a policy period Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceEmergency Room Visit Benefit $500 per day Daily Emergency Room Visit Benefit for Accident & Sickness Max 10 days per policy period for Accident & Sickness Includes visits at In-Hospital Emergency Rooms, Free Standing Emergency Rooms, and Licensed Urgent Care Centers. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceDaily Physician Office Visit Benefit $125 per day Daily Physician Office Visit Benefit Max 1 day per play year for medically necessary visit and and additional 1 day for other Wellness visit. Covered Wellness Services include: A history and physical examination & immunizations as provided by department of health regulation. Note: The Wellness Visit for Daily Physician Office Visit Benefit is not available in the state of Michigan. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceDaily Outpatient Diagnostic Laboratory Tests Benefit $75 per day Daily Outpatient Diagnostic Laboratory Tests Benefit Max 1 day per play year for medically necessary visit and and additional 1 day for other Wellness visit. In addition to medically necessary treatment, we will also cover wellness care for outpatient diagnostic laboratory tests to the extent that they are provided by, or under the supervision of, a single technician during the course of one visit. Note: The Wellness Visit for Daily Outpatient Diagnostic Laboratory Tests Benefit is not available in the state of Michigan. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Hospital Fixed Indemnity InsuranceDaily Outpatient Diagnostic Radiology & X-Ray Benefit $75 per day Daily Outpatient Diagnostic Laboratory Tests Benefit Max 1 day per play year for medically necessary visit and and additional 1 day for other Wellness visit. Daily Outpatient Diagnostic Radiology & X-Ray benefit does not include Radiation Therapy. Note: The Wellness Visit for Daily Outpatient Diagnostic Radiology & X-Ray Benefit is not available in the state of Michigan. Group Hospital Fixed Indemnity Insurance is underwritten by United States Fire Insurance Company.
Group Term Life Insurance$10,000 Principal Sum Maximum Benefit Benefit ends at age 65 and Group Term Life Insurance is only available for Covered Member and their Eligible Spouse. Group Term Life Insurance for this plan is only available in the following states: AL, AR, AZ, CA, FL, GA, IL, IN, KY, MI, MO, MS, NE, NM, OH, OK, PA, SC, TN, TX & VA. Group Term Life Insurance is underwritten by Investors Heritage Life Insurance Company.
Benefit Boost ServicesNon-Insurance Services included in this plan. This plan includes Benefit Boost Services which are: telehealth with MeMD®, savings on prescriptions with mailmyprescriptions.com®, free gummy multi-vitamins, retail prescription & pet prescription discounts, Aetna Dental Access discounts, and Identity theft protection with LifeLock®. All Benefit Boost Services are not Insurance and are separate services from the insurance as part of this membership plan. ASSOCIATION BENEFITS
GROUP ACCIDENT & GROUP HOSPITAL FIXED INDEMNITY INSURANCE UNDERWRITTEN BY: GROUP TERM LIFE INSURANCE
BILLING, FULFILLMENT & CUSTOMER SERVICE PROVIDED BY:
THE INSURANCE PORTIONS OF THIS PLAN PROVIDE LIMITED COVERAGE. THEY DO NOT PROVIDE COMPREHENSIVE MAJOR MEDICAL INSURANCE. THIS IS A GROUP ACCIDENT & HOSPITAL FIXED INDEMNITY INSURANCE & GROUP TERM LIFE INSURANCE ONLY POLICY.The following monthly insurance rates apply to coverage underwritten by United States Fire Insurance Company. Your overall total association membership dues for the Super Gap Plus Plan also include these monthly insurance rates:
GET ACCIDENT, ER & WELLNESS CLAIM FORM
Term Life States are: AL, AR, CA, FL, GA, IL, IN, KY, MI, MO, MS, NE, NM, OH, OK, PA, SC, TN, TX & VA GET TERM LIFE CLAIM FORM |
|||||||
 |
UBA Dental Plan | Vary by state/area Use Quote engine at ubamembers.com |
AL, AR, AZ, CA, CT, DC, DE, FL, GA, ID, IN, IA, KY, LA, MI, MS, MO, ND, NE, NJ, NM, NV, OH, OK, PA, SC, TN, TX, VA, VT, WV, WI & WY | ||||
|
ALERT - if you are a current member and purchased your plan prior to 10-01-20, login to your member portal to review your plan details. The plan details listed below may be different from the plan you purchased.
 UBA DENTAL PLANBRIGHTER SMILES.Get regular cleanings and protect your oral health.The UBA Dental Plan is valuable coverage for families, people who want to get regular dental check-ups, or those that just want that extra layer of protection for some of their out-of-pocket costs due to diagnostic & preventive, basic or major dental services.
Group Dental Insurance$1,000 annual maximum $50 individual and $150 family annual deductible *Maximum carryover: If at least one covered service is paid in a benefit year and the total benefit paid does not exceed $500 in that benefit year, $250 will be added to the next benefit year carryover maximum. This amount will accumulate from one benefit year to the next, but will not exceed $1,000 DIAGNOSTIC & PREVENTIVE 100% - Diagnostic & preventive services In-network or out-of-network covearge (as defined by the policy). BASIC SERVICES 70% - Basic dental services In-network or out-of-network coverage (as defined by the policy). MAJOR DENTAL SERVICES 50% - Major dental services In-network or out-of-network coverage (as defined by the policy). There is a 12 month waiting period for all major dental services. ASSOCIATION BENEFITS
GROUP DENTAL INSURANCE UNDERWRITTEN BY: 
BILLING, FULFILLMENT & CUSTOMER SERVICE PROVIDED BY:
THIS IS DENTAL INSURANCE AND NOT MAJOR MEDICAL INSURANCE.Read the brochure and the group insurance certificates carefully. This is a brief description of Association Group Dental Insurance and is not an insurance contract, nor part of the insurance policy and is subject to the terms, conditions, limitations, and exclusions of the policy. Coverage may vary or may not be available in all states. You'll find complete coverage details in the policy certificate. Insurance benefits are underwritten by Renaissance Life & Health Insurance Company of America, Indianapolis, IN and in New York by Renaissance Life & Health Insurance Company of New York, Binghamton, NY. Both companies ("Renaissance") can be reached at Po Box 1596, Indianapolis, IN, 46206. There is no ownership affiliation between Renaissance and UBA Dental & Vision. For complete coverage details, please refer to the certificate of insurance. Plan cost for the UBA Dental Plan does not include the separate $10 UBA Membership dues. You must be a member of the United Business Association in order to purchase this plan. |
|||||||
 |
UBA Vision Plan | Ind - $14 Ind+1 - $27 Family- $43 |
AL, AR, AZ, CA, DC, DE, FL, GA, ID, IN, KY, LA, MI, MS, MO, ND, NE, NJ, NM, NV, OH, OK, PA, SC, TN, TX, VA, WV, WI & WY | ||||
|
ALERT - if you are a current member and purchased your plan prior to 10-01-20, login to your member portal to review your plan details. The plan details listed below may be different from the plan you purchased.
 UBA VISION PLANSEE MORE CLEARLY.Get regular eye exams & take care of your eyes.The UBA Vision Plan is valuable coverage for families, people who want to get regular vision check-ups, or those that just want that extra layer of protection for some of their out-of-pocket costs due to vision exams, frames, lenses, and contacts. 
Group Vision InsuranceWell Vision Exam: $10 copay every 12 months In-network coverage Prescription glasses: $25 copay every 12 months (see frames & lenses below) - in-network coverage Frames: $130 allowance In-network coverage (for a wide selection of frames: 20% savings on amount over your allowance) Lenses: single vision, lined bifocal, lined trifocal & lenticular lenses. Polycarbonate lenses for dependent children. Lens enhancements - progressive lenses - every 12 months In-network coverage
Contacts (instead of glasses) In-network coverage
When contact lenses are obtained, the covered person shall not be eligible for lenses and frames again in the next 12 months. Out-of-network Coverage: Additional out-of-network coverage:
Coverage with a retail chain affiliate may be different. Visit VSP.com for details if you plan to see a provider other than a VSP doctor. ASSOCIATION BENEFITS
GROUP VISION INSURANCE UNDERWRITTEN BY: 
BILLING, FULFILLMENT & CUSTOMER SERVICE PROVIDED BY:
THIS IS VISION INSURANCE AND NOT MAJOR MEDICAL INSURANCE.Read the brochure and the group insurance certificates carefully. This is a brief description of Association Group Vision Insurance and is not an insurance contract, nor part of the insurance policy and is subject to the terms, conditions, limitations, and exclusions of the policy. Coverage may vary or may not be available in all states. You'll find complete coverage details in the policy certificate. Insurance benefits are underwritten by Renaissance Life & Health Insurance Company of America, Indianapolis, IN and in New York by Renaissance Life & Health Insurance Company of New York, Binghamton, NY. Both companies ("Renaissance") can be reached at Po Box 1596, Indianapolis, IN, 46206. There is no ownership affiliation between Renaissance and UBA Dental & Vision. For complete coverage details, please refer to the certificate of insurance. Plan cost for the UBA Vision Plan does not include the $10 UBA Membership dues. You must be a member of the United Business Association in order to purchase this plan. |
|||||||
 |
STM Plan (C&F) | Vary by age & gender & zip use quote engine at ubamembers.com |
6 months only: AZ, MI, NV & WY 6 or 11 months only: SC 6 or 12 months only: AL, AR, GA, IA, KS, KY, MS, NC, NE, TX, WI & WV (*Note: 12 months is only 364 days) |
||||
|
ALERT - if you are a current member and purchased your plan prior to 10-01-20, login to your member portal to review your plan details. The plan details listed below may be different from the plan you purchased.
 STM PLAN (C&F)THE TIME IS NOW.For times when you are without traditional health insurance.United States Fire Insurance Company Short Term Medical Insurance provides coverage for unexpected medical bills and other health care expenses. Short Term Medical Insurance can be an excellent fit for those in-between coverage. 
Individual Short Term Medical InsuranceDeductible: $5,000 Coinsurance Percentage: 20% Coinsurance Limit: $10,000 Policy Period Maximum: $1,000,000 Coverage period availability: 6 or 12 months The deductible, coinsurance percentage, coinsurance limit, copays and policy period maximum apply to each Covered Person for ALL benefits, unless otherwise stated for a specific benefit listed in the policy.
Short Term Medical Benefit HighlightsHospital, surgery, pregnancy & childbirth, diagnostic testing, radiology & labs, cancer screening & more. Subject to deductible, coinsurance perentage and coinsurance limit
Short Term Medical Benefit HighlightsEmergency Room Benefit Additional $250 Deductible per visit (applied to charges for use of emergency room in the event of accident, injury, or sickness unless the Covered Person is directly admitted as in inpatient for further treatment.)
Short Term Medical Benefit HighlightsPhysician Office Visit $50 Copay for each visit (Coinsurance will not apply, not subject to the deductible.)
Short Term Medical Benefit HighlightsUrgent Care Center $50 Copay for each visit after which Coinsurance will apply (Not subject to the deductible.) 
Short Term Medical Benefit HighlightsLocal Ambulance Injury (when related to covered injury) Sickness (When covered sickness results in hospitalization as inpatient) Maximum of $250 per trip ENDORSED BY:
SHORT TERM MEDICAL INSURANCE UNDERWRITTEN BY:
BILLING, FULFILLMENT & CUSTOMER SERVICE PROVIDED BY:
STM PLAN (C&F) DISCLAIMERRead the brochure and Policy carefully. This is a brief description of Short Term Medical Insurance and is not an insurance contract, nor part of the insurance policy and is subject to the terms, conditions, limitations, and exclusions of the policy. Coverage may vary and may not be available in all states. You'll find complete coverage details in the policy. Short Term Medical Insurance is underwritten by United States Fire Insurance Company. Short Term Medical does not meet Minimum Essential Coverage as mandated by the Affordable Care Act. Short Term, limited duration plans are not subject to certain provisions of federal health care reform, including provisions related to Essential Health Benefits, lifetime limits, preventive care, guaranteed renewability, and preexisting conditions. The preexisting condition exclusion for Short Term Medical plans will apply for all insureds, including those under the age of 19. Know your plan. Short Term Medical plans offer medical coverage, are medically underwritten (so you can be declined) and do not provide Minimum Essential Coverage.
GET STM PLAN CLAIM FORM
Note: You only need to file a claim form the first time seeing a new provider under this insurance. |
|||||||
*As outlined in the Plan Cost column of the table above, the plan cost for UBA Plans do not include the $10 monthly UBA Membership dues. You must be a member of the United Business Association in order to purchase a plan that includes group insurance. Plan cost does include Association information, awareness benefits, consumer savings, service programs, insurance rates, marketing and administrative cost. The $10 UBA Membership monthly membership dues do not apply to stand-alone Benefit Boost Plan or STM Plan (C&F). All plan costs are charged every month through the following methods: Credit Card (VISA, MasterCard or AMEX) or Bank Draft (EFT) until cancellation.
