Ark City Chamber Member Health Questionnaire

Dear Valued Chamber/Community Member, 
As you are aware, the chamber has been working tirelessly to bring you an affordable, sustainable, and locally managed health insurance program. The goal of this effort is to offer an opportunity to come together as a community to break the trend of the traditional health/dental/vision insurance crisis that we have all experienced. We want to help our local businesses/economy thrive and have the ability to offer quality benefits at a reasonable price to their employees for years to come. 
Also, please remember that by participating in the initial steps of this process, you nor your employees are obligated to this program until the final stages of enrollment. 
With that being said, we are proud to be able to offer you the next step in the process. 
Now is the time to have all of your full time, 30+ hours per week, employees complete a health questionnaire. This will allow us to provide the most accurate data to our partners who are facilitating this process, which will help us obtain the most accurate/competitive prices possible. 
Please disperse this link to all of your eligible employees to complete in full. Also, please know that this link is 100% secure and encrypted. Once all required items are completed, it will allow a successful submission directly to our plan administrator. This form can be completed on any device that has an internet connection. 
Should a business/employee decide NOT to complete the health questionnaire, they will not be able to join the program unless they have a qualified life event, until they renew at a later time during the chamber health plan year, or until the chamber health plan open enrollment.
Anticipated timeline moving forward: 
9/1 - 9/22 : Health questionnaire period.
9/23 - 10/14 : Underwriting period.
10/15 - 10/29 : Enrollment period.
10/30 - 11/11 : Enrollment review.
11/12 - 11/19 : Confirm enrollment.
11/23 - 12/7 : Admin to prepare packages and send to participating members.
1/1/2021 : PLAN START DATE
We have once again included the plan brochure and the FAQ page for your review. Please feel free to pass these along to your employees as well. 
If you have any questions at all, we encourage you to contact our plan advisor with the information below. 
Joshua Sapp, President/CEO
Heartland Benefits Group, LLC


1. I am a sole proprietor, can I participate? 

Yes, as long as your chamber membership is a business membership under your business name, then you have access to this coverage. 


2. What is my financial responsibility as a participating employer?

Because this health plan is 100% ACA compliant, you are only required to contribute 50% of the most economical single option offered, toward your employees’ premium. For example, if an employee chooses one of the family options, the employer is still only federally required to pay 50% of the most economical single option toward that family premium. 


3. Are the premiums tax deductible?

Yes, they sure are. 


4. Can the employee portion be withheld from their paycheck? 

Yes, if you so choose. 


5. Will I get my own invoice for my participating employees? 

Yes, each month you will receive an invoice for your participating employees. You can pay that premium with cash, check, EFT, ACH, etc. 


6. Am I limited by the number of office visits I can have? 

No, you can see your doctor as many times as you need to make sure your health is taken care of. 


7. Will my provider be in network? 

This plan utilizes two provider networks. For any provider in KS, you can search the ProviDRs Care Network by selecting this link ( Nationwide, the First Health Network (


8. The chamber plan renewal is January 1, what if my current plan renewal is July 1(or any other time)? 

You can still come onto the chamber plan at your renewal, you and your employees will need to submit health questionnaires no sooner than 3 months from your renewal, and no later than 2 months. Please keep in mind, coming onto the chamber plan mid-year like that will result in renewing again with the totality of the group at the chamber plan renewal of January 1. Your renewal will align with the chamber plan at this point. 


9. How many employees need to participate for the employer to offer this plan to them? 

The participation percentage is 65%. Meaning, 65% of the full time, (30+ hours per week) eligible employees have to participate for the employer to be able to offer it. Please keep in mind that waivers do not count against your participation total. Waivers such as they are on their spouse, parents, the marketplace, etc. If the employee has coverage anywhere else, and they elect not to participate, they do not count against your total participation percentage. We recommend you have all of your employees complete the questionnaire so they will have the option to participate if they so choose, however, if they decline to provide health information initially, they will not be able to participate until open enrollment for next year. 


10. How much is this plan going to cost? 

There are several health and prescription options to choose from, so the cost will vary plan to plan. However, if your group is reviewed by the underwriter and everything checks out fine, then your group will come on at the current rates. If the risk assessed for the new group in higher than the totality of the plan, then your rates may be higher. 


11. What about pre-existing conditions, will they be covered?

Yes, per the ACA federal requirement, individuals with pre-existing conditions cannot be denied coverage. 


12. What about preventative care? Well-woman checkups? Man checks?

Yes, again, per the ACA federal requirement, preventative care will be covered 100%. 


13. Will I be able to continue using the local pharmacy? 

Yes, of course, this effort is to try to use as many local resources as possible. 


14. What about the dental and vision network? Will my eye doctor/dentist be in network? 

With the dental and vision plan, there will be no network, so all dental and vision providers will be considered in network. 


15. I am NOT a chamber member; can I still participate and have access to the coverage?

You can participate and include yourself in all of the underwriting processes, however, if you enroll in the coverage, you will be required to be current on your chamber business membership prior to the coverage start date. 


16. When is open enrollment for the chamber plan? 

Open enrollment begins 11/1.