SPECIFIC ADVANCE REIMBURSEMENT

Specific Advance Reimbursement is a value-added feature that provides financial assistance, easing the burden to Plan Sponsors when there is a significant individual claimant in excess of the specific deductible. This protection is available once eligible claim payments for any one claimant have exceeded the Specific Deductible, subject to a minimum reimbursement submission request per claimant of $1,000.

Specific Advance Reimbursement is provided on all written business at policy inception and need not be requested. A Specific Advance Reimbursement Form must be completed for each Specific Advance Reimbursement claim request. The deadline for submission of the Specific Advance Reimbursement Form is 7 days after the expiration of the contract period. Specific Advance Reimbursement requests received after this date will not be honored. On continuing claims, the TPA must complete this form with each subsequent claim submission.

A sample Specific Advance Reimbursement Form can be found in the Forms Section of this Guide