Our Services at SBMA
At SBMA, our comprehensive and complementary services offer the most competitive limited medical benefits plans in the industry. ACA compliant solutions providing the coverage employees need at a price they can afford.
Virtual Health Services
Members have 24/7 access to US-based, licensed doctors via phone or video, with prescriptions sent directly to their pharmacy, when medically necessary.
HealthWallet Mobile App
Members can access their SBMA benefits anytime anywhere with the HealthWallet mobile app.
Industry-Leading Technology
With SBMA’s online portal, employers can enroll and terminate employee coverage and employees can view medical ID cards and check claim status. Our software platform flows eligibility to ancillary vendors and consolidates billing for premier benefit administration.
With SBMA you get
A Complete Solution
From implementation and enrollment to all your administration and reporting needs, our services have got you covered.
From initial signing to delivery of ID cards can be as fast as a week. Your employees want affordable benefits and we are committed to fast reliable service to deliver those to them.
Affordable Benefit Options
SBMA offers a range of affordable medical plan options from our base Minimum Essential Coverage (MEC) to more robust plans with usable daily benefits like office visits, urgent care, labs, x-rays and prescription drug coverage
Exceptional Customer Service
Our California-based team of customer service experts are here to answer your calls and guide you through enrollment questions as well as eligibility and plan specification questions you may have for your company’s benefits.
Ancillary Benefits
SBMA administers additional lines of coverage such as Dental, Vision, and other voluntary benefit options. We process eligibility for all ancillary vendors making SBMA a one-stop shop for all your benefit needs.
Employer Mandate (Penalty A)
Employers must offer at least Minimum Essential Coverage (MEC) to eligible employees. Noncompliance could result in a penalty of $2,900 per employee.
Employer Mandate (Penalty B)
Employers must offer a Minimum Value (MV) plan that meets 60% actuarial value including inpatient hospital services. MV plans must be offered at affordability with a maximum employee contribution of 9.02% with employers responsible for paying the balance. Non-compliance could result in a penalty of $4,350 per employee who enrolls in coverage through the state healthcare exchange and receives a premium subsidy.
Individual Mandate
Eligible employees living in California, the District of Columbia, Massachusetts, New Jersey, Rhode Island and Vermont are subject to the individual mandate.