Underwritten by QCA Health Plan, Inc.
Open Enrollment for all Gold, Silver, Bronze and Catastrophic benefit plans
October 1, 2013
March 31, 2014
for coverage beginning on or after January 1, 2014. To begin coverage
outside of this time period, you must have a qualifying event such as birth,
marriage, divorce or other. You must request coverage and provide proof of the qualifying
event within 60 days of the event.
All Gold, Silver, Bronze and Catastrophic benefit plans include mandatory Essential
Health Benefits as required by the Affordable Care Act. They also include pediatric
dental and pediatric vision coverage as required by the Arkansas Insurance Department.
If you purchase a stand-alone pediatric dental plan, you must provide a copy of
the certificate of creditable coverage showing that you are enrolled in a qualified
dental plan. Medical coverage for eligible dependents expires on the last day of
the month of their 26th birthday. Coverage for pediatric dental and vision expires
on the last day of the month of the dependent’s 19th birthday.
Rates are based on where you and your covered dependents live in Arkansas (all dependents
applying for coverage must live with you), tobacco use, benefit plan design, network
chosen, pediatric dental coverage and any optional Riders. If you do not want to
purchase a Rider, you must tell us by checking “No.” All health benefits have terms,
exclusions and limitations and conditions of coverage. Medical providers are independent
contractors and are not agents of QualChoice. As such, provider participation may
change without notice. QualChoice does not provide care or guarantee access to health
services. Not all health services are covered. Please review your plan documents
for a complete description of benefits, exclusions, limitations and conditions of
coverage. Plan features and availability may vary and are subject to
change. Information is believed to be accurate as of the production date; however,
it is subject to change. Information you provide is treated in accordance with our