Client Benefits• Access a large and comprehensive statewide provider network• Save up to 30% in premium costs compared to other options• Enroll anytime throughout the year• Retain your workforce talent with comprehensive health coverage for enrolled members and dependents• Fully insured: medical, dental & visionProminence Health PlanProvider NetworkOffers a statewide HMO with no need for specialist referrals, along with PPO and POS plans that provide access to a national network for members who live, work, or travel out-of-state. With a variety of health plan options available, employees can choose the plan that best fits their needs.Raise Your Benefits Bar.Lower Costs. More Value. With OneDigital, you can enhance your benefits package for your legal practice. Get instant access to employee benefits solutions exclusively designed for legal practice and expert support to keep your workforce strong and productive. Michael DillonPrincipal, Employee Benefits Broker702.217.1619 Mike.Dillon@OneDigital.comReach out for a quote and build a better employee benefits program starting today!
In-Network BenefitsAHP HMO 8AHP POS 6* HMO/PPO AHP POS 13* HMO/PPOAHP POS 20* HMO/PPOAHP POS 27*HMO/PPOAHP PPO 9*AHP PPO HD 11*1Calendar Year Deductible (CYD)Individual $2,000 $1,250/$2,000 $3,000/$3,500 $5,000/$5,500 $7,500/$7,500 $2,500 $3,200Family $6,000 $2,500/$4,000 $6,000/$7,000 $10,000/$11,000 $15,000/$15,000 $5,000 $6,400Coinsurance20% 20% 30% 30% 30% 30% 10%Out-of-Pocket MaximumSingle$6,850 $9,200/$9,200 $6,850/$8,150 $7,300/$8,000 $8,550/$8,550 $8,150 $6,900Family $13,700$18,400/$18,400$13,700/$16,300 $14,600/$16,000 $17,100/$17,100 $16,300 $13,800Provider Office VisitsTelemedicine - Teladoc $0 copay $0 copay $0 copay $0 copay $0 copay $0 copay$0 copayPrimary Care Provider (PCP) $25 copay $15/$30 copay $25/$50 copay $30/$60 copay $30/$60 copay $30 copayCYD/10%wellPortal Primary Care $0 copay $0 copay $0 copay $0 copay $0 copay $0 copayCYD/$0 copaySpecialist $50 copay $30/$60 copay $50/$80 copay $60/$90 copay $60/$90 copay $60 copayCYD/10%Emergent/Urgent CareAmbulance – Ground & Air $250 copay per trip $250 copay per trip $500 copay per trip $1,000 copay $1,500 copay per trip $500 copay per trip CYD/10%Emergency Room CYD $500 copay CYD/30% $1,000 copay $1,500 copay CYD/30% CYD/10%Urgent Care $50 copay $50/$100 copay $50/$100 copay $50/$100 copay $50/$100 copay $50 copay CYD/10%Hospital/Facility/SurgicalOutpatient Surgical $250 copay$250 copay/ CYD 20%$500 copay/ CYD 30%$1,000 copay/ CYD 30%$1,5000 copay/ CYD 30%$500 copay CYD/10%Inpatient Hospital CYD/$1,000 copayCYD $1,000/ CYD 20%CYD $2,000 copay/ CYD 30%CYD/30%CYD 30%/ CYD30%CYD/30% CYD/10%PharmacyFDA-approved Preventive No Charge No Charge No Charge No Charge No Charge No Charge No ChargeGeneric/Brand/Non-Brand $15/$40/$60 $25/$50/$75 $25/$50/$75 $25/$50/$75 $25/$50/$75 $10/$30/$50 CYD/10%Specialty 20% 20% 20% 20% 20% 20% CYD/10%RadiologyRoutine X-Ray & Diagnostic $25 copay $15/$30 copay $25/$50 copay $30/ $60 copay $30/$60 copay $30 copay CYD/10%CT Scan & MRI $250 copay$250 copay/ CYD 20%$500 copay/ CYD 30%$1,000 copay/ CYD 30%$1,500 copay/ CYD 30%$500 copay CYD/10%Complex Diagnostic CYD/20%$250 copay/ CYD 20%CYD/30%$1,000 copay/ CYD 30%$1,500 copay/ CYD 30%CYD/30% CYD/10%MaternityPrenatal Care & Delivery $200 copay per delivery$200 copay/CYD20% per delivery$250 copay/CYD30% per delivery$250 copay/CYD30% per delivery$200 copay/CYD30% per delivery$200 copay perdeliveryCYD/10%per deliveryDelivery Room & Well-baby HospitalCYD/$1,000 copayCYD $1,000 copay/ CYD 20%CYD $2,000 copay/ CYD 30%CYD 30%/ CYD 30%CYD 30%/CYD 30% CYD/30% CYD/10%Mental Health/Alcohol & Drug Abuse Services1 High Deductible Health Plans are subject to deductible first and benefits will be rendered at the contractual rate based upon type of service. Refer to the Summary of Benefits document for benefit details, limitations and exclusions. This document is for plan comparison purposes only. *Indicates plans with national network access outside Nevada. Plans renew October 1, 2025InpatientCYD/$1,000 copayCYD $1,000/ CYD 20%CYD $2,000/ CYD 30%CYD 30%/ CYD 30%CYD 30%/ CYD 30%$30 copay CYD/10%Outpatient$250 copay$250 copay/ CYD 20%$500 copay/ CYD 30%$1,000 copay/ CYD 30%$1,500 copay/ CYD 30%$500 copay CYD/10%Office Visit $25 copay $15/$30 copay$25/$50 copay$30/$60 copay $30/$60 copay$30 copay CYD/10%Lab and PathologyNo Charge No Charge No Charge No Charge No Charge No Charge CYD/10%Pediatric Dental & Vision – Diagnostic and Preventive (up to age 19)No Charge No Charge No Charge No Charge No Charge No Charge No ChargeClark County Bar AssociationHealth Insurance Plan OptionsProvided Through
Plus Plan 6($1,500 calendar maximum, MAC)Region 1: 890, 891Employee participation 65%No Child Ortho $1,500 Child Ortho3 to 99 EEsEE $27.49 $27.49ES $55.80 $55.80EC $67.30 $78.76EF $104.99 $119.14Plus Plan 21($2,000 calendar maximum, MAC)Region 1: 890, 891Employee participation 65%No Child Ortho $1,500 Child Ortho$29.42 $29.42$59.73 $59.73$69.82 $81.27$110.01 $124.18All Regions,All Contributions2 to 99 EEsEE $15.62ES $31.23EC $42.46EF $64.39Dental Care ServicesPremier Choice Network (PCN)PPO Out of Network DHMO 400Deductable(Applies to Basic and Major)$25 $50 $50 $0Class IOral Exams, Prophylaxis (Cleanings), Flouride, X-rays100% 100% 100%Copays:$0–$80.00Class IIEmergency, Space Maintainers, Fillings, Oral Surgery, Sealants, Periodontics, Endodontics (Root Canal)90% 80% 80%Copays:$8.00–$365.00Class IIIInlays, Onlays, Crowns, Bridges, Dentures, Repairs60% 50% 50%Copays:$200.00–$350.00Calendar Year Maximum Plus Plan 6: $1,500 (MAC). Plus Plan 21: $2,000 (MAC). UnlimitedOrtho Lifetime Maximum Child(ren) only50%$1,500Copay Child: $2,250 Copay Adult: $2,500Waiting Period12-month waiting period for major services for groups with fewer than 10 enrolled and no prior coverage.N/ADENTAL BENEFIT Plan summary available upon request.75% of all enrolled employees must reside in Nevada.*For Plus Plans: Charges in excess of our maximum covered fee will not be considered covered under this policy.**Premier Access does not guarantee all services can be rendered by a contracted PCN or PPO provider. You may be subject to a deductible and coinsurance for an out-of-network specialist.Clark County Bar AssociationDental and Vision OptionsProvided Through DHMO 400
CopaysVision Examination $10Materials $25FrequencyEye Examination 12 MonthsLenses or contact lenses 12 MonthsFrame 24 MonthsMonthly RatesEmployee Participation 65%Employee Only $5.79Employee and Spouse $10.13Employee and Child(ren) $12.15Employee + One N/AEmployee and Family $15.05Vision Care Services In-Network Out-of-NetworkVision Examination Covered in full after exam copay Up to $35Contact Lens Fitting Standard – Up to $50 copay N/A Premium – Up to $75 copay N/AFrame Allowance* $130 retail allowance + up to 20% discount Up to $45Standard Spectacle LensesSingle Vision Covered in full after materials copayUp to $25Bifocal Covered in full after materials copayUp to $40 Trifocal Covered in full after materials copayUp to $50 Lenticular Covered in full after materials copayUp to $80 Progressives $50 allowance + 20% discountUp to $40Youth Polycarbonate Covered in full after materials copayUp to $10 Other Lens Options‡ Avēsis Preferred Pricing N/AContact Lenses§(in lieu of frame and spectacle lenses)Elective$130 allowance Up to $110Medically NecessaryCovered in full Up to $250LASIK Provider discount up to 25%$150 one-time/lifetime allowanceUp to $150VISION BENEFIT *Participating Walmart and Sam’s Club locations cover frames up to a $68 retail value. Participating Costco locations cover frames up to a $74.99 retail value.No discounts apply. †Values provided may be more or less, depending on the provider’s retail pricing. ‡Discounts are not insured benefits.§Prior authorization is required for medically necessary contacts.Limitations and Exclusions:Some provisions, benefits, exclusions, or limitations listed herein may vary depending on your state of residence.Limitations:This plan is designed to cover eye examinations and corrective eyewear. It is also designed to cover visual needs rather than cosmetic options. Should the member select options that are not covered under the plan, as shown in the schedule of benefits, the member will pay a discounted fee to the participating Avēsis provider. Benefits are payable only for services received while the group and individual member’s coverage is in force.Exclusions:There are no benefits under the plan for professional services or materials connected with and arising from1. Orthoptics or vision training;2.Subnormal vision aids and any supplemental testing, aniseikonic lenses;3. Plano (non-prescription) lenses, sunglasses;4. Two pair of glasses in lieu of bifocal lenses;5. Any medical or surgical treatment of eye or supporting structures;6. Replacement of lost or broken lenses, contact lenses or frames, except when the member is normally eligible for services;7. Any eye examination or corrective eyewear required by an employer as a condition of employment and safety eyewear;8. Services or materials provided as a result of Workers’ Compensation Law, or similar legislation, required by any governmental agency whether Federal, State, or subdivision thereof.9. Services or materials provided by any other group benefit plan providing vision care.Refractive Surgery Vision Benefit Exclusions: Benefits are not payable for any of the following1. Routine vision examinations or corrective vision materials, including corrective eyeglasses, fittings, lenses, frames, or contact lenses; or2. Medical or surgical procedures, services, or treatments:a. not specifically covered under this Rider;b. provided free of charge in the absence of insurancec. payable under any Workers’ Compensation law or similar statutory authorityd. payable under governmental plan or program, whether Federal, state, or subdivisions thereof.Termination Provisions:Coverage will end on the earliest of: the date the policy ends, the date the employee’s employment ends, or the date the employee is no longer eligible.Notes and DisclaimersThe contact lens allowance may be used all at once or throughout the plan year as needed or may be applied toward contact lenses only. Refractive Laser Surgeryis considered an elective procedure, and may involve potential risks to patients. Avēsis is not responsible for the outcome of any refractive surgery. Discounts on materials are not available at Walmart locations. Members may not use their contact lens allowance toward fitting fees at Walmart and are responsible for any out-of-pocket fees associated with fittings there. Discounts on materials are not available at Costco locations. ID cards are not required for services.Premium is subject to adjustment in the event of changes in benefits, contributions, or the number of eligible employees, or any future additional tax, fee or assessment imposed by the Federal or State governments with associated administrative costs and expenses.Avēsis E-Series Vision Plan is underwritten by Fidelity Security Life Insurance Company, Kansas City, MO. Products are not available in all states. Policy limitations and exclusions apply. Optional riders and/or features may incur additional costs. This policy provides vision care limited benefits health insurance only. It does NOT provide basic hospital, basic medical or major medical insurance as defined by the New York State Department of Financial Services. Policy Form #VC-16.
FIERCE ADVOCATES OF HEALTH, SUCCESS AND FINANCIAL SECURITYAt OneDigital, we show up as fierce advocates for our clients - invested partners, ready to help businesses and individuals achieve their aspirations of health, success and financial security.We provide trusted advice, products and solutions delivered by one team and backed by one purpose - to help all we serve to do their best work and live their best lives.Investment advice offered through OneDigital Investment Advisors LLC, an SEC-registered investment adviser and wholly owned subsidiary of OneDigital.*As of 12/31/2023. AUM reflects OneDigital Investment AdvisorsAT A GLANCE:200+Offices in Major MarketsABOUT ONEDIGITALOneDigital’s insurance, financial services and HR platform provides personalized, tech-enabled solutions for a contemporary work-life experience. Nationally recognized for our culture of caring, OneDigital’s teams enable employers and individuals to do their best work and live their best lives.More than 100,000 employers and millions of individuals rely on our teams for counsel and access to fully integrated worksite products and services and the retirement and wealth management advice provided through OneDigital Investment Advisors. Founded in 2000 and headquartered in Atlanta, OneDigital maintains offices in most major markets across the nation. For more information, visit onedigital.com.For IndividualsPersonal Financial PlanningWealth Management Investment ManagementPersonal Insurance and Risk Management Client Advocacy CenterHealth and Financial Literacy Programs Private Client & Family Office ServicesFor EmployersEmployee Benefits & InsuranceHuman Resources Consulting PEORetirement Plan Services and Administration Property & Casualty InsuranceCompliance & Pharmacy Consulting Engagement & EducationEmployee Health and Financial Wellbeing Executive BenefitsINSURANCE, FINANCIAL SERVICES AND HR CONSULTING$100B+Assets Under Management*6M+Lives Served100KClients Nationwide