Pre-65
Pre-65 Retiree Solution
Allows you to exit the group sponsorship role while maintaining a group medical plan from an A-rated, size XV insurance carrier partner.
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Employers, Municipalities, and Unions:
Do You Really Want to Be in the Group Retiree Health Insurance Business?
Transfer your Group Sponsorship Role to an NSC Sponsored Trust
Curing Group Retiree
Health Insurance Woes
Many of the nation’s largest employers are buckling under the strain of carrying the future liability of health expenses of a retired workforce. Some may even face bankruptcy as a result of escalating medical expenses.
National Seniors Coalition (NSC) and its trusted partners pioneered group medical retiree solutions for pre and post-retirement participants to help our clients save money and manage risk while lifting the burden of retiree health care plan administration off their shoulders.
Contact UsNSC Retiree Medical Solutions
National Seniors Coalition (NSC) offers employers the opportunity to transition out of the retiree medical business, partially or completely, while still honoring their retiree medical commitment on a group basis via an NSC Sponsored Trust or Voluntary Employees’ Beneficiary Association (VEBA).
Post-65
Post-65 Retiree Solution
Flexible, fully insured group indemnity plans that supplement Medicare and offer access to any provider or hospital that accepts Medicare.
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Pre-65 Retiree Medical Solution
Create a Medical Coverage Plan for Your Retirees
National Seniors Coalition (NSC) has built a captive solution that allows employers, municipalities, and unions to exit the group sponsorship role while still maintaining a group benefits plan for their Pre-65 Retirees. We believe this is a more economically efficient strategy compared to staying self-funded with a traditional TPA/PPO network or using an Individual Private Exchange. Key components of this offering include:
Employers have the choice to remain the ERISA Plan Sponsor or transfer the plan sponsorship role to an NSC Sponsored Trust.
- NSC Sponsored Trust Model was created in 2008 and is being utilized by employers today for their Post-65 Retirees.
- Flexible funding options based on each employer’s unique needs.
Each employer receives a stop-loss policy for their Pre-65 Retiree Medical Plans from either Nationwide Insurance Company or American National Insurance Company.
- Both are A-rated, size XV insurance carrier partners.
Pre-65 retiree costs benchmarked off of Medicare.
- Targeting 140-150% reimbursement for facilities and 120-130% reimbursement for physicians.
- Leveraging an Open-Platform Model to include your current TPA and a choice of Reference Based Pricing (RBP) Vendors.
- Estimated claims costs will be approximately 20-25% lower than any commercial PPO network arrangement.
- Can customize or duplicate current benefit plans to avoid disruption.
- No networks so members can choose any doctor or hospital.
Same self-funding principles apply:
- Benefits of paying claims at cost, with no markup, below stop-loss deductibles.
- Transfer catastrophic risk via a stop-loss policy to either Nationwide Insurance Company or American National Insurance Company.
- Ability to cross state lines and avoid many of the ACA regulations.
Plus the benefits of a group captive…
- Allow participating employers to share in captive’s underwriting gains.
- Unlocks a significant portion of stop-loss premiums and converts them into a variable expense.
- Pooling in the captive layer rewards participants in good years and protects participants in bad years.
Post-65 Retiree Solution
Enhanced Group Retiree Health Insurance Plans
Flexible, fully insured group indemnity plans that supplement Medicare and offer access to any provider or hospital that accepts Medicare.
Download the plan fact sheet for eligibility, funding options, underwriting guidelines, and standard and optional benefit provisions.
PDF · 2 pages
Why Choose Us
Leave Your Retiree’s Medical Insurance Program to Us
Range of alternative plans
Flexible funding options
No disruption to benefits
Enhanced pharmacy benefits
Customized solutions
Trusted industry partners
Personal customer support
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Contact Us →Benefits
National Seniors Coalition (NSC) and its business partners have pioneered group retiree medical solutions for Pre and Post-65 Retirees. Our proprietary model allows us to sponsor a group medical plan via an NSC Sponsored Trust and/or a Voluntary Employees’ Beneficiary Association (VEBA), saving you money while relieving you of burdensome plan administration.
Our customers choose to work with NSC for the following reasons:
- Range of alternative retiree health insurance plans and flexible funding options
- Retirees can choose a group plan with the same outline of benefits they currently have
- Retirees maintain the option of enrolling in an individual plan
- Enhanced pharmacy benefit design helps retirees manage costs
- Customized, combined solutions to meet your unique needs
- Partnerships with some of the oldest, most respected, and trusted companies
- Customer support through timely, effective, and personal service
Benefits for Employers
National Seniors Coalition enables businesses, municipalities, and unions to exit the retiree medical business while still offering a group plan.
How does this work? Under our plans, the employer has no relationship or obligation to the trust, carrier, policy, or cost of coverage. The trust or VEBA is the applicant and policyholder and directly communicates with the carrier, arranges for the plan’s administration, coordinates the collection and payment of premiums from retirees, and performs all other aspects of the plan.
NSC can accommodate contributions toward the cost of coverage (either on a current or pre-funded basis) or other involvement from the employer. Flexibility is a key element in plan design and ease of transition.
Benefits for Retirees
Retirees are given the choice of a group plan with their current outline of benefits or individual plan options. A better prescription benefit design is also advantageous to participants. VEBA status for the retiree group permits a tax-free vehicle for participant contributions.
Who We Serve
Our products are designed for employers, union groups, and municipalities that currently self-fund their employee benefit plans and are struggling to balance retiree health commitments and costs. National Seniors Coalition aims to get our customers out of the retiree medical business while they continue to offer their retirees health insurance plans with the same levels of quality and access to care to which they are accustomed.
Why We Serve
The cost of health care is increasing every year, and unfunded retiree health care liabilities are growing rapidly. Simply cutting health care benefits is not a viable option because of pension rules. That’s why companies, unions, and government entities are actively seeking alternatives like those offered by National Seniors Coalition. We provide a range of options for providing effective health care coverage to pre and post-65 retirees, so you can offer them more choices while reining in your costs.
About Us
Your Trusted Partner for Retiree Medical Solutions
National Seniors Coalition (NSC) enables private and public employers to transition/exit the group sponsorship role with an off-balance sheet transaction. Our clients want to honor their commitment to their loyal retirees but simply cannot afford to carry the obligation on their books.
NSC offers employers a customized solution that releases them from this future liability while still honoring their commitments. We work with businesses, unions, and municipalities with retiree medical insurance problems. Our services enable employers to get out of the business of arranging and administering a retiree medical plan by outsourcing that obligation to a program established by NSC.
Our President
Bradley S. Hill has over four decades of experience in the medical insurance, investment, and securities industries. He launched his career in 1980 at Merrill Lynch, joining the Chicago Board of Options Exchange in 1984 as a Market Maker. Mr. Hill founded and has managed Health Quote, Inc. since 1988. In 1996, he founded National Seniors Coalition to offer long-term solutions to employers, unions, and municipalities struggling to balance retiree health commitments and costs.
Individual Plans
Retirees can choose their own Individual Medical Plan
Find the right Medicare coverage for you with National Seniors Coalition. Get started with these first steps.
Make sure you are enrolled in Medicare Part A and Part B - Medicare Part A covers various types of hospital services and procedures, and Medicare Part B covers medical needs and physician services. You must have Medicare Part A and B before you can move forward with additional Medicare coverage.
Would you like coverage for:
- Dental Care?
- Vision Exams?
- Hearing Aids?
- Would you have an interest in $0 Premium Plans?
Contact us to get started.
Contact UsHow It Works
We will begin with a few questions for you to answer. Our team will analyze the information you provide and find the right options for you. You will be able to compare our recommendations, share the plans as needed, and save them until you are ready to buy. National Seniors Coalition offers a national scope with a local presence.
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