Imerica Health Insurance of Colorado

Imerica Life and Health of Colorado

Update: 11/18/2009

This announcement won't affect any Insurance Shoppers clients, as we never did decide to become appointed with Imerica. However, the company had been offering very low premiums and Imerica agents were using very aggressive marketing tactics, so they likely took on a fair number of clients in Colorado. If you're a client of Imerica and have been fortunate enough to not have a change in your health status, we strongly recommend moving to a stable individual/family carrier as soon as possible. Here is the notice that was mailed to Imerica policy holders from Imerica today, they have it on their website. It notifies clients that Imerica has been placed in rehabilitation:
http://www.imerica.com/files/Letter%20to%20Policyholders.pdf
If the Imerica website happens to become inactive, here is another copy of the letter.

Also, here is the notice of Permanent Injunction posted on the Imerica website:
http://www.imerica.com/files/Permanent%20Injunction.pdf
And here is a permanent copy of the same notice.

Update: 10/3/2007 - sent from Imerica...

"Imerica is pleased to announce their official relaunch as a Colorado based corporation, with the introduction of a new individual series of health insurance plans.

Better Benefits: 24 month rate guarantees, unlimited Doctor office visits, $15 generic/$40 brand Rx card!

Better Rates: Very Competitive pricing, particularly on HSA plans!

Better Service: Colorado based company management and HSA account options!

Better Commitment: Colorado based financing and ownership!"

It is good to hear about Imerica's re-entry into the Colorado health insurance market. As a quality control measure for our clients, Insurance Shoppers may begin offering Imerica policies after Imerica has shown to be a stable company in the Colorado market.

Update: 6/14/2006

A notice from Imerica:

“Effective immediately, Imerica Life and Health Insurance Company will no longer be accepting new individual major medical business. We expect to continue to maintain our current in-force policies and contracts, and fulfill our obligations under those contracts.
It is with deep regret that we must announce the cessation of new business. We sincerely thank everyone for their business and their support in the last few years."

Tailored to the Savvy Consumer

The cornerstone of the Imerica line of plans is based on a high deductible or HSA qualified philosophy to help consumers offset the high cost of healthcare. Imerica aims to meet the market trend as consumers needs evolve to take more responsibility of first dollar coverage without sacrificing quality for price. Imerica will not be eligible for a rating from A.M. Best until 2008, when they have been operating for 5 years.

ImeriCare Preferred Series

The Preferred Series makes health insurance more affordable for families by offering a variety of deductible and coinsurance choices.

Imerica Preferred Series Plan Comparison for Colorado
	Preferred Value	Preferred Plus	Preferred Family One Deductible
Lifetime Maximum	$2,000,000 or $5,000,000	$2,000,000 or $5,000,000	$2,000,000 or $5,000,000
Deductible Choices	Calendar-Year Deductibles: $1,500, $2,000, $2,500, $3,000, $3,500, $5,000	Calendar-Year Deductibles: $1,200, $1,500, $2,000, $2,500, $3,000, $5,000	Calendar-Year Deductibles: $2,500, $3,000, $3,500, $5,000 (Maximum one cumulative Calendar-Year Deductible per family per Calendar-Year.)
Coinsurance Choices	Coinsurance and stop-loss amount (Plan Pays/ You Pay): 80/20 to $10,000 (In-Network) 60/40 to $20,000 (Out-of-Network) 50/50 to $10,000 (In-Network) 50/50 to $20,000 (Out-of-Network) (Once a family has incurred the sum of two Coinsurance limits in the same Calendar-Year, no further Coinsurance for any other Insured Person in the family will be required to be met in that Calendar-Year.)	Coinsurance and stop-loss amount (Plan Pays/ You Pay): 80/20 to $10,000 (In-Network) 60/40 to $20,000 (Out-of-Network) 50/50 to $10,000 (In-Network) 50/50 to $20,000 (Out-of-Network) (Once a family has incurred the sum of two Coinsurance limits in the same Calendar-Year, no further Coinsurance for any other Insured Person in the family will be required to be met in that Calendar-Year.)	Coinsurance and stop-loss amount (Plan Pays/ You Pay): 80/20 to $10,000 (In-Network) 60/40 to $20,000 (Out-of-Network) 50/50 to $10,000 (In-Network) 50/50 to $20,000 (Out-of-Network) (Once a family has incurred the sum of two Coinsurance limits in the same Calendar-Year, no further Coinsurance for any other Insured Person in the family will be required to be met in that Calendar-Year.)
Coinsurance Maximums	Out-of-Pocket Maximums: 80/20 - $2,000 / 50/50 - $5,000 (In-Network) 80/20 - $8,000 / 50/50 - $10,000 (Out-of-Network)	Out-of-Pocket Maximums: 80/20 - $2,000 / 50/50 - $5,000 (In-Network) 80/20 - $8,000 / 50/50 - $10,000 (Out-of-Network)	Out-of-Pocket Maximums: 80/20 - $2,000 / 50/50 - $5,000 (In-Network) 80/20 - $8,000 / 50/50 - $10,000 (Out-of-Network)
Additional Deductible for Out-of-Network Usage	$2,000 (In addition to the major medical Calendar-Year plan Deductible.)	$2,000 (In addition to the major medical Calendar-Year plan Deductible.)	$2,000 (In addition to the major medical Calendar-Year plan Deductible.)
Physician Office Visit	Subject to Deductible and Coinsurance	$35 copay, then the plan pays 100% of In-Network physician’s office visit Covered Charges up to 2 visits per Calendar-Year per Insured. Additional visits are subject to Deductible and Coinsurance. Other charges (e.g. lab and X-ray) incurred in a physician’s office are subject to Deductible and Coinsurance. Out-of-Network provider benefits are subject to Deductible and Coinsurance.	$35 copay, then the plan pays 100% of In-Network physician’s office visit Covered Charges up to 2 visits per Calendar-Year per Insured. Additional visits are subject to Deductible and Coinsurance. Other charges (e.g. lab and X-ray) incurred in a physician’s office are subject to Deductible and Coinsurance. Out-of-Network provider benefits are subject to Deductible and Coinsurance.
Emergency Room Care	Subject to Deductible and Coinsurance	After $200 copay, we will pay 100% of the first $300 of Covered Charges. Remaining Covered Charges will be applied to the Deductible and Coinsurance. The copay and $300 maximum benefits are waived if admitted within 24 hours, and all Covered Charges are subject to Deductible and Coinsurance.	After $200 copay, we will pay 100% of the first $300 of Covered Charges. Remaining Covered Charges will be applied to the Deductible and Coinsurance. The copay and $300 maximum benefits are waived if admitted within 24 hours, and all Covered Charges are subject to Deductible and Coinsurance.
Generic Drug Card Benefit	N/A	The Generic Drug Card Benefit features a $20 copay for generic drugs up to a $150 monthly maximum benefit. Mail order: Up to 90 days with a $60 copayment.	The Generic Drug Card Benefit features a $20 copay for generic drugs up to a $150 monthly maximum benefit. Mail order: Up to 90 days with a $60 copayment.
Routine Physical Exam	Subject to Deductible and Coinsurance. Benefit available after the individual has been covered for 12 months. Maximum benefit of $500 per Insured per Calendar-Year.	Subject to Deductible and Coinsurance. Benefit available after the individual has been covered for 12 months. Maximum benefit of $500 per Insured per Calendar-Year.	Subject to Deductible and Coinsurance. Benefit available after the individual has been covered for 12 months. Maximum benefit of $500 per Insured per Calendar-Year.
Human Organ, Tissue and Bone Marrow Transplant Benefits	The Lifetime Maximum benefit is $500,000 per individual for In-Transplant Network and $200,000 for Out-of-Transplant Network.	The Lifetime Maximum benefit is $500,000 per individual for In-Transplant Network and $200,000 for Out-of-Transplant Network.	The Lifetime Maximum benefit is $500,000 per individual for In-Transplant Network and $200,000 for Out-of-Transplant Network.

More detailed Imerica of Colorado Preferred Series plan information can be seen by downloading a Brochure. You can compare the rates of Imerica Preferred Series plans to other plans in Colorado using our instant quotes, or get quotes from the Imerica website.

Application Options

Applications can be done by downloading a Paper Application and faxing or mailing it to us at the fax number or address in the instructions. Or, Imerica has created a very user friendly Online Application that speeds up the underwriting process considerably.

Important - If you meet the preferred criteria, make sure you are getting a preferred quote instead of a standard quote. Even if you meet the preferred criteria and a standard quote is submitted to Imerica, you will receive standard rates.

There is a one time non-refundable application fee of $25 per application
In Colorado, the rates include a membership in HealthStyle Benefits Association. You can see more about what is included in this membership here; http://www.healthstylebenefits.com/
A Discount Card for brand and generic drug purchases is provided. The discount card is not an insurance benefit. Average discounts may range from 15% to 35%. The In-Network and Out-of-Network Coinsurance and Deductible maximums accumulate separately. After the Deductible and Coinsurance are met, the plan pays 100% of Covered Charges for the remainder of the Calendar-Year. See Plan Exclusions, Limitations and Additional Information in the brochure.
Where applicable, the Master Group Policy will be issued to an Association Group, which may vary by or within a state. Please refer to the enrollment application of the plan for which you are enrolling for specific association benefit information. Benefits, exclusions, limitations and availability may vary by state. Not all provisions are listed on this web site. Please refer to the Certificate of Insurance for the actual terms and conditions. In the event there are discrepancies with the information given here, the terms and conditions of the coverage documents will govern. Any errors or omissions in this brochure are unintentional. DO NOT CANCEL ANY EXISTING HEALTH INSURANCE UNTIL RECEIVING WRITTEN NOTICE OF APPROVAL.

**Any descriptions of coverage on this page may not be current and should not be taken as a description of coverage. Any persons seeking to get a full description of coverage should view Colorado plan description forms and/or brochures for the plan they are interested in.