Lifestyle Health Plans

Lifestyle Health Plans strives to make our plans as easy to administer as possible. Please find below a listing of our brochures and common forms available for your downloading convenience. If you have questions or need additional information on any of the information or forms associated with our program please do not hesitate to contact us. We look forward to assisting you with your healthcare benefit needs.

Lifestyle Health Plans Brochure
Our brochure provides a general description of the challenges facing employers today relative to their healthcare benefit costs, and the innovative solutions that Lifestyle Health Plans provides. Lifestyle Health Plans provides you with the short-term cost savings and long-term solutions for your group health benefit needs. Click here to view and print.

Deductible Reimbursement Form
In the event that you incur medical expenses that exceed your “elected” deductible amount described in your specific Lifestyle Health Plans benefit program, please submit a Deductible Reimbursement Form along with a copy of the Explanation of Benefits (EOB) from your Lifestyle Health Plans insurance carrier for reimbursement. Lifestyle Health Plans will review your deductible reimbursement request and provide direct reimbursement to you within 7-10 business days from the receipt of the reimbursement request. Please make sure that all data requirements are submitted as outlined on the Deductible Reimbursement Form instructions for timely processing. Click here to view and print.

Change of Status Form
If you incur a “Qualified Status Change” event during the time you are enrolled in Lifestyle Health Plans, submission of a “Change of Status” Form is required to facilitate the requested changes. Your human resource director should be able to assist you with any questions on whether you qualify for this status change. If so, notification to Lifestyle Health Plans is required so that we may facilitate the needed change directly with the sponsoring carrier(s). Specific details and restrictions may vary by sponsoring carrier. Likewise, additional carrier forms may be required to complete this process. Click here to view and print.

Company Profile Form
For employers or groups interested in obtaining a quote from Lifestyle Health Plans, please complete and submit a Company Profile Form along with the minimum informational requirements listed on the Company Profile Form. A Lifestyle Health Plans representative will contact you within 7 business days to review an initial proposal and rate quote and provide additional details on how our program works and the savings we can provide to you. Click here to view and print.

Employee Census Form
In order to initiate the quoting process through Lifestyle Health Plans, we will need to receive a completed employee census for all eligible, full-time employees. For convenience, we have provided a formatted Employee Census Form with the required information for your completion and submission along with the Company Profile Sheet. Please include all eligible full-time employees on the census and indicate if they have other insurance coverage in place currently. Click here to view and print.

Lifestyle Health Plans Questions & Answers
Lifestyle Health Plans offers and administers a unique health and wellness benefit program designed to provide incentives for health and wellness and offer sustainable solutions for your group health benefit needs. We have compiled a listing of the most common questions that have arisen over time as we discuss and implement our program for our employer partners. Please let us know if additional questions arise that we can answer for you as you review this website and the information provided.