Administration Fees
| Plan Enrollment Fee (1-time) | $25.00 |
|---|---|
| Quarterly Administration Fee | $14.50 |
| Quarterly Fee Discount for Internet Delivery | - $2.00 |
| Monthly Premium Payments | |
| MI Medical Insurance | $2.50 |
| DI Dental Insurance | $1.00 |
| VI Vision Insurance | $.50 |
| LI Group Term Life Insurance | $.50 |
| DB Disability Insurance | $.50 |
| ID Individual Disability Insurance | $1.00 |
| Claims Processing Fees* Per claim form submitted (maximum 5 items per claim) | $7.50 |
| Manual Check Fee Per Claim/Group/Year | $22.50 |
| Direct Payment to Provider * | $5.00 |
| Credit Card Convenience Fee | 4% of Transaction Amount |
| Insurance Reinstatement Fee Members whose payments are received late and wish immediate reinstatement are subject to this fee | $20.00 |
| NSF/Returned Item Fee | $20.00 |
| *Subject to eligibility | |