Cost Plus Agreements
Cost Plus Agreements allow for additional eligible expenses incurred by an employee to be processed by the insurer. The total claim amount is charged by the insurer to the business plus a small administration fee. The total amount is then reimbursed directly to the employee from the insurer once the claims have been processed and approved.
This type of agreement are used to augment coverage when plan maximums have been reached. For example, Major dental coverage usually only covers 50% of eligible costs. A cost plus plan can be used to cover the remaining balance for the employee.