Collective Health Plan by Adhesion
Collective Health Plan by Adhesion
Nowadays, there's a modality of collective health plans : which are directed to corporate health plans , which give health care to its employees and health plans by membership , which are contracted by legal entities of knowledgeable, classist or sector as council, unions and professional associations.
In this sort of health plan, the responsibility lies with a benefit administrator who assumes a part of the work that might be the responsibility of the corporate, council, union or association that contracts the health plan .
This benefits administrator has the responsibility to issue slips, to represent the beneficiaries of the health plans within the negotiation of monthly increases with the health plan operator and counting on what's contracted to soak up the entire risk of the corporate, union council or association contractor regarding the delay or non-payment of monthly fees, in order that beneficiaries aren't harmed.
We who sell health plans always remind the customer that both health plan operators and benefit administrators are required by LEI to be registered with the National Supplementary Health Agency ( ANS ) so as to be authorized to sell their health plans. health .
This benefits administrator is primarily liable for representing the contracting company, council, union or professional association; you want to even have the identification of the corporate administrator on the ticket; you'll need to perform administrative work like issuing slips and changing beneficiary registration data; negotiate with the health plan operators the monthly fee readjustments, the alterations to the accredited network and therefore the sorts of access control of the health plan services and lastly counting on the contract can absorb the danger of the health plan operator regarding the delay or non-payment of monthly fees.
Finally, a membership health plan is one that's contracted by a corporation, union, or association with the health plan operator to supply medical and even care for people linked to those companies and their dependents. And our brokers from www.saudece.com and www.planosaudefortaleza.com.br are going to be quite happy to answer any questions regarding any health plan in Fortaleza .
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