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AN AFFORDABLE ERISA COMPLIANT MEMBER GROUP SPONSORED HEALTH PLAN

The SB/A CoOp was formed in 2017 as a Non-Profit "Agency" Cooperative Corporation to provide for member group health care benefits in the small and larger group marketplace. Each Member Group CoOP Member can sponsor a Partially Self-Funded ERISA Employer Welfare Benefit Plan for the benefit of its members and their dependents. Called the "SB/A Cooperative MVP Plan," it is an ERISA compliant health plan in conjunction with Preventive Care Benefits, for sponsoring member groups to offer their members.

The purpose for which the SB/A CoOp is organized is to foster the development of Partially Self-Funded healthcare benefit arrangements which include the use of Level Funded ERISA Compliant "Limited Benefit Plans," the use of member group funded "Aggregate Stop Loss" coverage and reinsurance consistent with applicable state and federal laws including ERISA.


ABOUT THE PRODUCT

HEALTH BENEFITS THAT MEET VARIOUS INDIVIDUAL NEEDS – PLANS THAT WORK FOR YOU


Health Plan Individual
Deductible		 Individual Out-of-Pocket Maximum Primary Care Physician/Specialist Maternity Care
MVP Bronze $0 $8,000 $50 PCP, 4 visits per year / $75 Specialist, 4 visits per year No
MVP Silver $0 $7,000 $35 PCP, 4 visits per year / $50 Specialist, 4 visits per year No
MVP Gold $0 $6,000 $25 PCP, 4 visits per year / $35 Specialist, 4 visits per year No
Freedom ICON V Plan None None $35 PCP, 4 visits per year, Out-of-Network not covered / $75 Specialist, Out-of-Network not covered No

HEALTH BENEFITS – LEARN MORE ABOUT OUR PLANS

MONTHLY PREMIUM

SB/A CoOP HEALTH BENEFIT PLANS & RATES

Freedom ICON V

Member $294.00
Member + Spouse $426.00
Member + Child(ren) $405.00
Family $485.00

MVP Bronze

Member $446.44
Member + Spouse $689.02
Member + Child(ren) $653.25
Family $867.07

MVP Silver

Member $555.03
Member + Spouse $882.34
Member + Child(ren) $883.29
Family $1,118.55

MVP Gold

Member $663.10
Member + Spouse $1,079.68
Member + Child(ren) $1,017.41
Family $1,363.73

Frequently Asked Questions

FAQ
Full-time, Part-time staff, hourly, salaried, seasonal, and union.
Dependent coverage will terminate at the end of the month in which the dependent turns age 26, unless the law requires an extension due to disability, etc.
No, outpatient diganostic services must be done in an office or freestanding facility. Non-emergent imaging services rendered in a hospital setting are not covered.
No, maternity services for dependent children are not covered.
No, infertility treatment is not a covered service.
Call your Customer Service Team and explain the situation. Elective diagnostic tests are covered at standalone facilities but not covered at a hospital.
Yes, Employees with a Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN), may be eligible for HBA plan designs.
No, the plan does not provide coverage for these procedures.
No, treatment for sexual dysfunction is not a covered service.
No, the plan does not cover the diagnosis and treatment of sleep apnea, including CPAP machines.
No, there is no coverage for Private Duty Nursing or Skilled Nursing facilities.

Contact Us Today to Learn More About SB/A Cooperative

SB/A CoOp
Email support@usasportsbenefits.com
Call US Equestrian - 1 (800)349-1082
SBA CoOp
1499 West 120th Avenue, Suite 110
Westminster, CO 80234

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