FAQ

HOW DO I PAY FOR COVERAGE?

Your premium will be deducted from your paycheck.

WHAT HAPPENS IF I DON’T HAVE A PAYROLL DEDUCTION?

Your benefits will be suspended. Your benefits will resume when you have a paycheck with a deduction.

WHAT HAPPENS IF I HAVE A CLAIM WHEN MY BENEFITS ARE SUSPENDED?

Your claim will be denied and you will pay for 100% of the cost for the care you received. If you are within 30 days of the missed deduction, you can pay The American Worker directly for that missed period. Your claim will
automatically be reprocessed.

HOW DO I KEEP MY COVERAGE IF I MISS A DEDUCTION?

You can make a payment directly to The American Worker to avoid having coverage suspended.

HOW DO I MAKE A PAYMENT IF I MISSED A DEDUCTION?

You can pay online, by phone or by mail. Payment options include credit or debit card, personal check, and
money order. You can also set up an automatic payment from your credit card or bank account to pay for missed
deductions.
Online: Visit www.TheAmericanWorker.com and login to your employee portal
Phone: Call The American Worker at (866) 866-3424
Mail: 11910 Anderson Mill Rd #401, Austin, TX 78726
NOTE: If you setup automatic payments, you must contact The American Worker to cancel the automatic payment when your employment ends. If you do not, your account will be charged for coverage and you will not receive a refund.

 

HOW LONG DO I HAVE TO MAKE A PAYMENT FOR A MISSED DEDUCTION?

You have 30 days from the date of your paycheck without a deduction to make a premium payment. If you do not pay for the missed deduction within 30 days, you will not be able to pay for that coverage period at a later date.

WILL MY COVERAGE BE TERMINATED IF I DON’T PAY MY PREMIUM?

Employees that are paid weekly and do not have a deduction for 4 consecutive weeks will have their coverage terminated for non-payment.
Employees paid biweekly or semi-monthly that do not have a deduction for 2 consecutive pay periods will be terminated for non-payment.
Monthly employees that have 1 missed period will be terminated for non-payment.
Please review your paycheck to make sure your premium is deducted. If it is not, contact The American Worker immediately to make a payment and avoid having your coverage terminated.

WILL I RECEIVE AN ID CARD?

When you enroll in medical coverage for the first time, an ID card and policy information will be mailed to your home address we have on file. If you make a change to your medical coverage, a new ID card will be mailed to your address.
You can request a new ID card by contacting Member Services or access a temporary ID card by logging into
www.TheAmericanWorker.com.
For any non-medical coverage you elect, policy information will be mailed to your home address. You will not receive an
ID card for non-medical coverage.

HOW DO I USE MY COVERAGE?

When seeking medical care, you should always ask your provider if they participate in the network associated with your plan. Present your medical ID card to your provider and ask them to call the customer service number to verify coverage. Be sure to locate an in-network provider prior to seeking care.
When making a Dental or Vision appointment, tell your provider your benefits are with Ameritas and they can verify coverage using your Social Security Number.