Retain and reward executives who have earned special compensation.

EXECUTIVE MEDICAL REIMBURSEMENT

BeniComp Select

Retain and reward executives

Corporate Headquarters 8310 Clinton Park Drive Fort Wayne, IN 46825

Phone: (260) 482-7400 Fax: (260) 483-6255 benicompselect.com

Pan-American Life 601 Poydras StreetNew Orleans, LA 70130

WHY BENICOMP SELECT?

BeniComp has been in business since 1962, and is the largest executive medical reimbursement company in the country providing:

• Excellent customer service

• Favorable plan provisions

• No waiting period

• Rangeofbenefitoptions

WHAT IS AN EXECUTIVE SUPPLEMENTAL MEDICAL PLAN?

BeniComp Select is a fully insured, supplemental, group executive medical expense reimbursement insurance policy. It allows employers to reimburse their key employees for medical expenses not otherwise covered by health insurance.

Annual Premium $250 per each covered employee 

Additional Premium Paid claims + 10% administration premium

Accidental Death Benefit equal to annual

maximum up to $100,000 at no additional cost

PREMIUMS

(Based on number of covered employees)

Class12345

Maximum$10,000$15,000$20,000$25,000$35,000

Class6789

Maximum$50,000$75,000

$100,000$200,000

TAX ADVANTAGES AND BENEFITS

• Charges for the diagnosis of infertility

• Charges for the treatment of infertilityup to 10% of annual maximum percalendar year

• Medical transportation, includingair services and hotel (limitations apply)

• Medical supplies and equipment

• Smoking cessation classes

• Chiropractic services

• Speech therapy

• Otologic examinations and hearing aids

It is strongly recommended that interested parties seek the advice of tax counsel when considering adopting an Insured Medical Supplemental Plan.

COVERED BENEFITS

Generally, if an expense is medically necessary and qualifies under Section 213 of the Internal Revenue Code, it would be eligible for reimbursement under this plan. Individuals must be under the care of a legally qualified physician to receive reimbursement.

Elective procedures that are not medically necessary are not covered by BeniComp Select.

• Prescription drugs

• Private-duty nursing

• Hospital expenses, includingprivate-room charges

• Dental and orthodontic expenses

• Home health care

• Alcoholism and drug-abuse treatment and facilities

• Vision Care including all types of frames

• Inpatient and outpatient psychiatric care

• Insurance benefits (reimbursements)are generally non-taxable income

• Recruitment and retention of key executives

• Flexible benefit schedule

• Easy claim submission

This marketing material only offers a brief description of the BeniComp Select product. Complete policy

provisions and coverage are described in the policy.

BeniComp Select is underwritten by Pan-American Life and administered by BeniComp Group. To market this

product, agents much be appointed with Pan-American Life.

• Enhanced medical plans for as many oras few employees as you choose

• Reduced out-of-pocket expenses

• No age limit

• No pre-existing illness limitation

GETTING STARTEDFill out an Application OnlineFill out an online application form and provide a payment of $250 per employee per year. The payment will be processed once your group has been approved.

Upload your Summary Plan Description (SPD)An SPD upload button is provided within the online application if the participants have employer-sponsored health insurance.

a. If any potential participants are individually insured, they must attach their individual health plan’s SPD to

their online enrollment card.

b. If any potential participants have Medicare, they must attach a copy of their Medicare card and their

spouse’s Medicare card, if applicable, to their online enrollment card. Potential participants on Medicare

must have Parts A and B and an additional supplement plan, such as Medicare Part D or F.

Provide us with a list of participantsSend us a list of the participants joining the plan along with their email addresses. These emails will be used to send participants their online enrollment cards.

Potential participants fill out an Enrollment Card and EFT FormEach potential participant will receive an email to fill out an online Enrollment Card and EFT Form (optional).

Submit the Business Associate Agreement Once BeniComp reviews and approves the application, an online Business Associate Agreement will be submitted to the employer contact to sign.

Enrolling in BeniComp Select Can Be Done In 5 Easy Steps!

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The plan can be added to any existing insurance plan that meets eligibility requirements. The application process is simple. Just call (866) 535-7995 ext. 2915 or visit www.benicompselect.com to get started.

GETTING STARTED