TPM Resource Solutions

TPM Trust Not For-Profit Health Insurance

Serving TPM members in multiple states since 1960. 

Providing health care coverage with an emphasis on personal service.

 

Plans are subject to change at any time. 

Current as of March 2002.

For current information call TPM at 

(877) 535-4646 or email

Dan Johnson

at djohnson@tpmrs.com

 
Traditional Indemnity Plans Under a traditional plan you have the freedom to choose any provider or medical facility. Payment is made at the indicated percentage after you have met your deductible. The deductible is waived for office visits on the 60/40 plan. Choose the plan coverage, deductible and maximum out of pocket to design a package for your company.

Choose Plan   

Plan/Participant  

 Choose Preferred Deductible Choose Maximum Out of Pocket Office Visit
80/20* $100, $250, $500 $1000 or $2000 $1000, $2000 or   $3000 subject to deductible
70/30* $500, $1,000, $1,500, $2,500 or $5,000 $2,000, $3,000 or $5,000 $20/$35 per visit - deductible waived
60/40*  $250, $500, $1000 or $2000 $1000, $2000 or   $3000 deductible waived for primary provider
*plan pays after meeting deductible    
   
Preferred Provider Plan Our preferred provider option lets you choose from any provider or facility within our large provider network. Providers within the network are paid at 90%, while out of network providers are paid at 65%. Choose the deductible and maximum out of pocket to design a package that will fit your company’s need.

Plan Coverage 

In/Out of Network

Choose One Set of Deductibles 

In/Out of Network

Choose One Set of Max Out of Pocket 

In/Out of Network

 Office Visit
90/65*  $100

$250

$500

$1000

 $1000/$2000

$2000/$4000

$3000/$6000

subject to deductible
*plan pays after meeting deductible.    
   

Point of Service

 The point of service package is very similar to the PPO, using the same large provider network, but this plan allows the waiving of the deductible for office visits after a minimal co-payment (within network.) Choose the plan coverage that works best for you.

Choose Plan  

In/Out of Network   

Plan Deductible

Choose Maximum*  Out of Pocket

 

 Office Visit Co-pay
90/65* $250

$500

$2000/$4000

$3000/$6000

$15 per visit

(deductible waived in network only)

80/60*

$500

$1000

$2000

$2000/$4000

$3000/$6000

$5000/$15,000
*plan pays after meeting deductible (separate deductibles for in network and out of network.)
   
First Dollar Plan Charges for provider services are payable at 100% for the first $1,000 of Eligible Expenses incurred during any Benefit Period per plan participant. Charges incurred after exhausting the first $1,000 benefit during the same Benefit Period are subject to the $5,000 deductible. RX discount card provided. (RX 1, 2, or 3 are not available.)
First $1000 of Eligible Expenses

$5000 Deductible

($10,000 per family)

After First $1000

 After $5000 Deductible Met ($10000 per family) For exclusions, transplants and maximums see Summary Sheet. Well-Child Care and Preventive Care Services are payable ONLY as part of the First Dollar Benefit and will not be payable after exhaustion of the first $1,000.
Plan pays 100% of allowable charges Participant Responsibility Plan pays100% of allowable charges
MAXIMUM LIFETIME BENEFIT FOR ALL CAUSES $2,000,000
All information contained in this website is not intended nor designed to offer legal advice.
For additional information about the website and any article(s) contained here in please contact Timber Products Manufacturers Association at (509) 535-4646 or tpm@tpmrs.com.
Copyright ©1998-2008 Timber Products Manufacturers Association
All rights reserved.