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STM policies are not ACA plans
STM policies do not meet ACA standards. The ACA is a Federal law that requires all major medical
plans to provide specific benefits and requires that most Americans have health plans that qualify
as Minimum Essential Coverage (MEC). These rules do not apply to STM policies. Short-term
medical insurance is a limited duration medical expense policy and is non-renewable. The amount
of benefits provided depends on the plan selected and the premium will vary with the amount of
benefits selected. STM is not a replacement for the comprehensive health insurance required under
the ACA. This coverage has a pre-existing condition limitation exclusion.
Keep the following in mind as you plan for your needs and explore your options:
• STM plans do not meet the Minimum Essential Coverage requirements under the ACA
and may result in a tax penalty. STM plans are designed to provide temporary healthcare
insurance during unexpected coverage gaps.
• The ACA-compliant medical plans are guaranteed issue, meaning you cannot be denied
coverage based on your health history. STM plans are underwritten, which means you must
answer a series of medical questions when applying for coverage. Based on your answers,
you may be declined for coverage.
• Unlike the ACA plans, which are required to cover the 10 Essential Health Benefits (EHB),
STM policies are not required to cover EHBs at the same benefit level as an ACA plan.
Policies will vary in what they cover, so you should check your policy’s details carefully.
Eligibility
Connect STM is available to the primary applicant from age 18 through age 64, his or her spouse
age 18 through age 64 and dependent children under the age of 26. A child-only plan is available
for children age 2 up to age 18.
Payment options to suit your situation
These plans offer a single or monthly premium payment using credit card or automatic bank
withdrawal. For policy durations of 91 to 180 days, you may prepay the premium for your entire
coverage duration through a single payment option. For durations of 91 days to 6 months, premium
payments are made on a monthly basis. Not all states allow for durations greater than 90 days.
Utilize a network provider and save
With your short-term medical plan, you have the freedom to choose any provider. In certain
markets, you also have access to discounted medical services through national preferred provider
organizations (PPOs). These network providers have agreed to negotiated prices for their services
and supplies.
At the time of service, simply present your identification card, which will include the network
information needed for the provider to correctly process covered billed charges. If this provider
discount is not available, then benefits are paid at the usual, reasonable and customary charge.
10-day right to return period
If for any reason you are not satisfied with the policy, you may return it to us within 10-days after
you receive it and you will be issued a refund. The refund will include any premium paid minus the
enrollment and administrative fees. These fees may vary by state. Your coverage issued under the
policy will then be void, as though coverage had not been issued.
Usual, reasonable and customary charge
Charges for services and supplies, which are the lesser of: (a) the charge usually made for the
service or supply by the physician or facility who furnished it; (b) the negotiated rate; and; (c) the
reasonable charge made for the same service or supply in the same geographic area.
3 Brochure Connect STM 1018
STM policies do not meet ACA standards. The ACA is a Federal law that requires all major medical
plans to provide specific benefits and requires that most Americans have health plans that qualify
as Minimum Essential Coverage (MEC). These rules do not apply to STM policies. Short-term
medical insurance is a limited duration medical expense policy and is non-renewable. The amount
of benefits provided depends on the plan selected and the premium will vary with the amount of
benefits selected. STM is not a replacement for the comprehensive health insurance required under
the ACA. This coverage has a pre-existing condition limitation exclusion.
Keep the following in mind as you plan for your needs and explore your options:
• STM plans do not meet the Minimum Essential Coverage requirements under the ACA
and may result in a tax penalty. STM plans are designed to provide temporary healthcare
insurance during unexpected coverage gaps.
• The ACA-compliant medical plans are guaranteed issue, meaning you cannot be denied
coverage based on your health history. STM plans are underwritten, which means you must
answer a series of medical questions when applying for coverage. Based on your answers,
you may be declined for coverage.
• Unlike the ACA plans, which are required to cover the 10 Essential Health Benefits (EHB),
STM policies are not required to cover EHBs at the same benefit level as an ACA plan.
Policies will vary in what they cover, so you should check your policy’s details carefully.
Eligibility
Connect STM is available to the primary applicant from age 18 through age 64, his or her spouse
age 18 through age 64 and dependent children under the age of 26. A child-only plan is available
for children age 2 up to age 18.
Payment options to suit your situation
These plans offer a single or monthly premium payment using credit card or automatic bank
withdrawal. For policy durations of 91 to 180 days, you may prepay the premium for your entire
coverage duration through a single payment option. For durations of 91 days to 6 months, premium
payments are made on a monthly basis. Not all states allow for durations greater than 90 days.
Utilize a network provider and save
With your short-term medical plan, you have the freedom to choose any provider. In certain
markets, you also have access to discounted medical services through national preferred provider
organizations (PPOs). These network providers have agreed to negotiated prices for their services
and supplies.
At the time of service, simply present your identification card, which will include the network
information needed for the provider to correctly process covered billed charges. If this provider
discount is not available, then benefits are paid at the usual, reasonable and customary charge.
10-day right to return period
If for any reason you are not satisfied with the policy, you may return it to us within 10-days after
you receive it and you will be issued a refund. The refund will include any premium paid minus the
enrollment and administrative fees. These fees may vary by state. Your coverage issued under the
policy will then be void, as though coverage had not been issued.
Usual, reasonable and customary charge
Charges for services and supplies, which are the lesser of: (a) the charge usually made for the
service or supply by the physician or facility who furnished it; (b) the negotiated rate; and; (c) the
reasonable charge made for the same service or supply in the same geographic area.
3 Brochure Connect STM 1018
