General Overview
Get the facts before you establish your plan
I'M READY TO START... WHAT ARE THE BASICS I NEED TO KNOW? Eligibility: To apply and ultimately establish your plan, you must be a Business Owner, Sole Proprietor, or Independent Contractor with a federal Tax ID; complete a short health questionnaire and be accepted; and join or maintain your membership in your association if required. A federal tax ID can be from an LLC, S-corp, or other sole prop structure. Structure: The captive is run by Vault, a captive insurance company domiciled and regulated by the North Carolina Department of Insurance. You will establish a self-funded plan for your 'business of one', which means you are an owner of the captive and are represented by its Advisory Board. Plan Design Options: There are three great rated plan designs for the business. Those plan levels offer deductibles of $2,500, $5,000 and $10,000 – and, unlike the ACA, the deductibles are also the out-of- pocket maximums. As the owner of your self-funded plan, you have the right to change the design of your selected plan design; however, Vault, as administrator, must approve. Plan design change will result in re-rating and change to monthly payment. Network and Claims: You also have access to a nationwide PPO, PHCS Physician. Check their doctor list here. Be sure to compare your explanation of benefits to the provider bill and contact Vault Admin Services / AMPS, our claims administrator, if they do not match. Is dental and vision offered?: Dental/vision may be included as part of the captive or separately. Check the website and your plan design options for details. Plan Establishment: Creating your plan is simple and secure via an online portal. Review the plan design options and monthly fees, complete and pass a medical questionnaire and select your plan design, sign final contracts, enter bank information and you’re done.