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FAQs
  1. Do ASH subsidiaries pay commissions? If so, what is the schedule?
  2. ASH subsidiaries pay commissions using the following payment schedule:

    Commission Schedule
    ANNUAL PREMIUM/FEES * COMMISSION BY LEVEL REVENUES BY LEVEL TOTAL COMMISSIONS
    $0 - $5,000 10% $500 $500
    $5,001 - $10,000 7.5% $375 $875
    $10,001 - $15,000 5% $250 $1,125
    $15,001 - $30,000 3% $450 $1,575
    $30,001 - $50,000 2% $400 $1,975
    $50,001 - $250,000 1% $2,000 $3,975
    over $250,000 .5% - -
    *Annual Premiums are per group, not aggregate.

    Commission Payment Timetable
    MONTH PREMIUMS/FEES ARE RECEIVED MONTH COMMISSIONS ARE PAID
    January, February, March April
    April, May, June July
    July, August, September October
    October, November, December January
  3. What is the distinction between the wellness programs made available by Healthyroads Inc. and the benefit programs offered by American Specialty Health Plans, Inc. (ASH Plans) and American Specialty Health Insurance Company (ASH Insurance Company)?
  4. There is no risk associated with the health education programs provided by Healthyroads, Inc., and these programs are not regulated.

    The California Department of Managed Health Care regulates the HMO programs offered by ASH Plans.

    The at-risk benefit programs offered by ASH Insurance are fully regulated by the Departments of Insurance in states where ASH Insurance Company is licensed and has received regulatory approval of its forms. ASH Insurance Company benefit programs are available in the following states: AR, AZ, CA, CO, DC, DE, FL, HI, ID, IL, MD, MI, MO, NE, NV, OH, OK, OR, PA, SC, TX, VA, and WV.

  5. Is there a minimum group size for enrollment in the programs available through ASH subsidiaries?
  6. AMERICAN SPECIALTY HEALTH INSURANCE COMPANY (ASH Insurance)
    At-risk benefit programs: 51 or more eligible employees

    AMERICAN SPECIALTY HEALTH PLANS OF CALIFORNIA, INC. (ASH Plans)
    HMO benefit programs: 2 or more enrolled employees

    HEALTHYROADS, INC.
    Wellness programs: 10 or more enrolled employees

  7. What are the underwriting requirements for the benefit programs?
  8. Programs must be offered alongside an employer-sponsored group medical plan.
    • Each employee/dependent enrolled in the employer-sponsored medical plan must also be enrolled in the program.
    • The programs may not be offered on a voluntary basis.
    • The employer may elect to exclude all dependents and offer the rider to employees only (a 30 percent load applies).
    • Employer must contribute at least 75 percent of the employee price.
    • Effective dates are the first of the month.
  9. Are voluntary programs available?
  10. Benefit programs offered by ASH Plans and ASH Insurance Company are not available on a voluntary basis.
  11. How do I Enroll A Group
  12. In order to enroll a group, please send the following items to your account executive.
    • For the group:
      • Group Application
      • Binder check for first month's premium/fee
      • Copy of the most recent bill from the employer-sponsored medical plan
      • Employee enrollment provided in one of the following ways:
        • Completed ASHIC/ASHP/Healthyroads enrollment form for each employee
        • Copies of the employer-sponsored medical plan enrollment form for each employee
        • Electronic file (contact your Account Executive for details)
    • For the broker/consultant (first group only):
      • Completed Producer Agreement
      • Copy of broker/firms license
      • W-9 form
      • Proof of Errors and Omissions insurance
  13. How do I complete a Broker of Record Change
  14. In order to complete a Broker of Record change, please submit the following items to your Account Executive.
    • Completed producer agreement, copy of brokers/firms license, W-9 , and E & O (for first group only)
    • Broker of Record change cover letter for group (see sample [word])
The following annotated document details how to read your ASH Commission Statement. (Sample Commission Statement [pdf])
 
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