The Benefits page of the client/prospect card card gives an overview of insurance benefit plans that your agency can provide. They are broken down into system benefits, such as Health, Dental, Life, etc., and custom benefits that are created by NextBroker users. Each tab contains information about respective insurance carriers and relevant plans, both current and past ones.



For each carrier, you can do the following:

  • Attach relevant documents.

        

  • Open the provider directory and carrier portal.

        

  • Update the effective date and renewal date.

        

  • Duplicate, edit, and remove the plans.

        

  • Create tabs for new benefits.

        

To add a new benefit, click Add Benefit, select the business type for which you are adding the benefit (Individual, Small Group, or Large Group for all benefits except Property & Casualty, where the business types are Personal and Commercial), and choose the relevant product type on the Profile tab. 



The arrangement of the Add New Benefit form fields will change depending on your choice of the business type and product type. Now we will explore the common fields that are available for all product types.


Common Fields: Profile Tab

  • Product Type: Choose one of the available benefit types. They are divided into System Product Types, that are present in the system by default, and Custom Product Types, which you have created yourself.
  • Carrier/Vendor: Choose the insurance provider that is relevant to the new benefit.
  • Plan Name: Enter the name of the benefit.
  • State: Select the code of the state that is relevant for the benefit.
  • Policy Number: Enter the number of the relevant insurance policy.
  • Group Number: Enter the relevant group ID number.
  • Total Monthly Premium: Enter the total monthly fee amount that should be paid to an insurance company.
  • Total Annual Premium: Enter the total annual fee amount that should be paid to an insurance company.
  • Carrier Portal Link: Enter a carrier portal URL.
  • Effective Date: Date on which the benefit becomes active.
  • General Agency: Select the general agency that is managing this insurance plan.
  • Status: Specify whether this benefit is current or past.
  • Note: Add notes, if applicable.
  • Add Files: Attach files to the benefit, if applicable.


Common Fields: Contribution Tab

The amount of contribution is typically set by employer regardless of the product type or plan type.

  • Employer Contribution $ or % for Employee: Enter either percentage or amount of insurance payment that will be covered by the employer for the employee.
  • Employer Contribution $ or % for Dependent: Enter either percentage or amount of insurance payment that will be covered by the employer for the employee’s family members.

Now let's explore the product-specific fields on the Profile tab.


Product-Specific Fields: Medical

  • Plan Type: Choose the type of the insurance plan.
  • Out Of Pocket Limit: Enter the maximum amount of employee’s own money that they will have to pay for medical expenses during the year before the company starts covering them.
  • Metal Level: Choose between the Bronze, Silver, Gold, or Platinum levels for the insurance plan.
  • Minimum Hours Per Week (not available for the Individual business type): Specify the minimum number of hours that the insured person should work per week to be eligible for this insurance plan.
  • Eligibility Period (not available for the Individual business type): Specify the length of time during which the insured person is eligible for this insurance plan.
  • Renewal Date: Date on which the benefit has to be renewed.


Product-Specific Fields: Dental

  • Plan Type: Choose the type of the insurance plan.
  • Waiting Period(s): Select the length of time after purchasing the dental benefits plan that the client must wait before they can their your full coverage.
  • Deductible: Enter the maximum amount of employee’s own money that they will have to pay for medical expenses before the company starts covering them.
  • Provider Directory Link: Enter a URL by which the insurance provider can be found in the directory.
  • Minimum Hours Per Week  (not available for the Individual business type): Specify the minimum number of hours that the insured person should work per week to be eligible for this insurance plan.
  • Eligibility Period (not available for the Individual business type): Specify the length of time during which the insured person is eligible for this insurance plan.
  • Renewal Date: Date on which the plan must be renewed.
  • Maximum Benefit: Specify the limit of the dental benefit.
  • Orthodontia: Specify whether the orthodontic services are included with this benefit.
  • Orthodontia Waiting Period(s) (visible only if Yes was selected under Orthodontia): Select the length of time after purchasing the dental benefits plan with orthodontic services that the client must wait before they can their your full coverage.
  • Orthodontia Maximum Benefit (visible only if Yes was selected under Orthodontia): Specify the limit of the dental benefit for orthodontic services.
  • Vision Included: Specify whether the vision benefits are included.
  • Vision Maximum Benefit (visible only if Yes was selected under Vision Included): Specify the limit of the vision benefits.


Product-Specific Fields: Vision

  • Plan Type: Choose the type of the insurance plan.
  • Out Of Pocket Limit: Enter the maximum amount of employee’s own money that they will have to pay for medical expenses during the year before the company starts covering them.
  • Deductible: Enter the maximum amount of employee’s own money that they will have to pay for medical expenses before the company starts covering them.
  • Provider Directory Link: Enter a URL by which the insurance provider can be found in the directory.
  • Minimum Hours Per Week (not available for the Individual business type): Specify the minimum number of hours that the insured person should work per week to be eligible for this insurance plan.
  • Eligibility Period (not available for the Individual business type): Specify the length of time during which the insured person is eligible for this insurance plan.
  • Renewal Date: Date on which the benefit has to be renewed.


Product-Specific Fields: Property & Casualty

  • Plan Type: Choose the type of the insurance plan
  • Deductible: Enter the maximum amount of employee’s own money that they will have to pay for medical expenses before the company starts covering them.
  • Financing: Specify if financing is available for this plan.
  • Down Payment Percentage (%) (visible only if Yes is selected under Financing): Specify the minimum percentage of down payment for this plan.
  • Financed Percentage (%) (visible only if Yes is selected under Financing): Specify the minimum percentage that is financed for this plan.
  • Taxes and Fees ($) (visible only if Yes is selected under Financing): Specify the amount of taxes and fees that are eligible for this plan.
  • Finance Company (visible only if Yes is selected under Financing): Select the company that is financing this plan.
  • Billing Type: Specify whether the billing type for this plan is direct bill or agency bill.
  • Renewal Date: Date on which the benefit has to be renewed.


Product-Specific Fields: Medicare

  • Plan Type: Choose the type of the insurance plan.
  • Out Of Pocket Limit: Enter the maximum amount of employee’s own money that they will have to pay for medical expenses during the year before the company starts covering them.
  • Deductible: Enter the maximum amount of employee’s own money that they will have to pay for medical expenses before the company starts covering them.
  • Provider Directory Link: Enter a URL by which the insurance provider can be found in the directory.
  • Date of Birth (available only for the Individual business type): Specify the date of birth of the insured individual.
  • Medicare Claim Number: Enter the claim number that is relevant to the Medicare plan.
  • Start Date - Part A: Specify the date when the Part A of the Medicare plan comes into force.
  • Start Date - Part B: Specify the date when the Part B of the Medicare plan comes into force.
  • Two-Party Discount: Specify if the two-party discount is available for this Medicare plan, e.g. for spouses that are 65 and older.
  • Dual Eligible: Specify if this plan is eligible both for Medicare and Medicaid benefits.
  • Medicaid Number (visible only if Yes is selected under Dual Eligible): Specify if this plan is eligible both for Medicare and Medicaid benefits.


Product-Specific Fields: LTC

  • Plan Type: Choose the type of the insurance plan.
  • Issue Age: Enter the age of the insured person with which the LTC insurance plan comes into force.
  • Benefit Amount: Enter the amount of the benefit that is eligible for the LTC plan.
  • Benefit Amount Type: Specify whether the LTC benefit should be paid on a montly or on a daily basis.
  • Benefit Period: Specify the period during which the LTC benefit is active.
  • Elimination Period: Specify the period during which the LTC benefit should be eliminated.
  • Elimination Period Type: Specify whether the LTC benefit should be eliminated during x calendar days or during x service days.
  • Inflation Protection: Specify whether this plan is subject to protection from inflation.
  • Enter Percentage (visible only if Yes is selected under Inflation Protection): Enter the interest percentage for inflation protection.
  • Interest Type (visible only if Yes is selected under Inflation Protection): Specify whether the inflation protection interest is compound or annual.
  • Money Pool: Enter the total amount of money that your insurance agency provides to pay for LTC.
  • Waiver of Premium: Specify whether the LTC plan includes a "waiver of premium" feature.
  • Life Insurance: Specify whether the LTC plan is combined with life insurance.
  • Partnership Plan: Specify whether the LTC plan is combined with Medicaid.
  • Return of Premium: Specify whether the LTC plan allows the return of premium.
  • Until Age (visible only if Yes is selected under Return of Premium): Specify the age until which the premium should be returned.
  • Renewal Date: Date on which the benefit has to be renewed.


Product-Specific Fields: Other

  • Other Product Type: Enter the name of the custom product type.
  • Renewal Date: Date on which the benefit has to be renewed.


When ready, click Save. The benefit will be added to the corresponding tab.