Terms & Conditions - EE Benefits Page
Your employer has decided to give you a taxable wage increase to be used in Your discretion. The intended purpose of this wage increase is to provide funds to assist You in enrolling in an individual or other health care plan, a health care sharing organization or a term medical offering (a “Health Plan”), if you elect to do so. However, You are not required to use the funds for this purpose. Your employer has sole discretion as to any adjustments to your compensation. Remodel Health will help You explore various Health Plan options available to You, based on the specific life circumstances You have communicated to Us. You are not required to enroll in any of the Health Plans recommended by Remodel Health. You may elect to enroll in another Health Plan or none at all. However, if You elect not to enroll in any Health Plan, You may be solely responsible for the payment of up to 100% of Your health care expenses and/or You may incur federal and state tax penalties.
If and when You select a Health Plan, Remodel Health will communicate Your selection to Your employer. Your employer may communicate with you regarding your Health Plan selection and the premiums You owe associated with Your selected Health Plan. You may authorize your employer to withhold an agreed upon amount from your wages for the premiums owed for your selected Health Plan (“Premium Payments”), and for your employer to remit such Premium Payments to Remodel Health. If you do so, Remodel Health will remit the Premium Payments to the Health Plan You selected and assist You in managing Your communications with the Health Plan. Remodel Health will notify Your employer of Your Health Plan enrollment and will, thereafter, share information about Your Health Plan coverage throughout your enrollment for purposes of this arrangement. It is important for You to remember that while Remodel Health and Your employer are working together to help You enroll in Your selected Health Plan and to simplify Your payment of the required Premium Payments, You are ultimately responsible for timely providing information necessary to ensure Your enrollment in the Health Plan and for paying the Premium Payments. You are also responsible for providing all documentation necessary to enroll in the Health Plan and to secure any income tax credit(s) or rebate(s) that You may be eligible to receive. You also authorize Remodel Health to release and disclose to your employer, including the human resources department and any other persons responsible for administering this agreement with Remodel Health, the amount of Premium Payments to be withheld and forwarded to Remodel Health, the type of Health Plan, including but not limited to whether Your plan is an individual plan, a family plan, a parent plan, a sharing plan, an ACA plan, a short term plan, or coverage through Medicaid or Medicare, and the name of the insurance company or any other entity providing reimbursement to You for Your covered medical expenses for purposes of administering the services provided by Remodel Health and analysis of the benefits of Remodel Health services provided to You and to Your employer.
You may revoke Your authorization for Your employer to withhold Premium Payments funds from Your wages and/or terminate your relationship with Remodel Health at any time upon written notice to your employer and Remodel Health.
Not Medical Advice
Remodel Health has developed an interactive technology tool (the “Platform”) to provide information intended to help You select a Health Plan and to obtain general information as to health related matters. The Platform is not intended to be a substitute for professional medical advice, diagnosis or treatment, and does not constitute medical or other professional advice. Remodel Health does not recommend or endorse any specific physicians, health care facilities, ancillary health care providers, products, procedures, opinions, or other information that may be mentioned or accessed on the Platform or any other electronic means. Reliance on any information provided by Remodel Health is solely at Your own risk. The information provided through the Platform is designed to support, not replace, the relationship that exists between You and Your physician. Never disregard or delay seeking professional medical advice because of something You read or see on the Platform. If You have any questions about Your health conditions, consult Your doctor.
Not Legal Advice
You may be eligible for a federal subsidy that will offset some or all of the premium costs for certain Health Plans. However, individual circumstances vary. Remodel Health does not provide legal or tax advice. You are encouraged to contact a qualified legal or tax advisor to determine whether you are eligible for a subsidy and how Your enrollment in a Health Plan will affect your state and federal tax obligations.