What is the Wyoming Lawyers Health Benefit Plan?
The Wyoming Lawyers Health Benefit Plan is a self-funded group
benefit plan designed to serve the needs of Wyoming attorneys and
firms. Coverage extends to principals, employees, spouses and
dependents. The plan provides rich benefit options to select from
when making decisions about coverage. As a self-funded plan,
premiums that would have gone to an insurance carrier are now paid
to a trust as member contributions to finance the cost of member
benefits. Money that remains after administrative and claims
expenses are paid, is reinvested into the trust.
Who is eligible?
To be eligible for the Wyoming Lawyers Health Benefit Plan, the
applying group must meet all of the following requirements:
- One participant must be a member of the Wyoming State Bar
- Hold business residency in the State of Wyoming
- Have at least 2 employees (Partners and Lawyers are considered
employees) that will be covered at the time of enrollment
- Agree to the terms of the Employer Adoption Agreement
Does the plan have minimum participation requirements?
Yes, to participate in the medical coverage the following
requirements must be met:
Minimum Eligible Employee Participation:
- Employers with less than 4 eligible employees - 100%
participation
- Employers with 4 or more eligible employees - 70%
participation
If contributing any amount to employee coverage, the Minimum
Employer Contribution is 50%.
Note: Employees with other coverage do not
necessarily count against the firm for eligibility. Please call to
discuss further - (800) 367-2577 or via e-mail.
Does the plan offer benefits beyond medical coverage?
Yes, Dental and Vision plans are also available.
Participation in the Dental and/or Vision Plan is available to
those enrolled in the Medical Plan. These benefits require a
75% participation level of the members enrolled in the Medical Plan
coverage.
Can a solo attorney receive coverage under this plan?
Yes, in the event that the solo has at least one other employee
who is not a spouse who will be covered under the plan at the time
of enrollment. For example, a solo practitioner and a paralegal
employed by the firm would meet the eligibility requirement.
Will the plan ever provide coverage to solo attorneys with no
employees?
The long-term vision is to include solo attorneys without
employees. Until such time we can provide you with contact
information for a representative that will help you acquire an
individually rated policy. Please contact us as (800) 367-2577 or
via e-mail.
Where do I find rates for the plan?
There are no published rates for the health benefits program.
Each group fills out an application for coverage after which the
group is underwritten and priced. We provide six plan design
options to choose from when considering coverage and each plan is
quoted during the underwriting process. The application is
available here. Quotes are generally available within
three to five business days.
How is employee eligibility defined?
The minimum number of eligible employees for the plan is two. An
eligible employee is one who works at least 20 hours per week.
Employees with other coverage do not necessarily count against the
firm for eligibility. If you have specific questions about
eligibility, please contact us as (800) 367-2577 or via e-mail.
What is the waiting period before benefits are available?
The waiting period is determined by the Participating
Employer. The plan's waiting period is the period of time
from the Enrollment Date to the first day of the month following a
period of time or periods of times specified by the Participating
Employer in the Employer Adoption Agreement. Participating
Employers often use the following waiting period: The first of
the month following the month in which the employee was hired.
Are the health benefits provided under the plan considered
insurance?
No, the plan is a self-funded multiple employer welfare
arrangement (MEWA) in which participating employers make
contributions that are paid to a Trust and then utilized to finance
the cost of member benefits.
Can I leave my group plan and purchase an individual policy
through this plan?
No, not unless you plan to become an employer and meet the
eligibility requirements of the Wyoming Lawyers Health Benefit
Plan.