Decent

2022 Documentation

Welcome to Decent’s document repository.

Here you will find all published documents related to the plans is administering for Texas Freelance Association Benefits Trust.

All documents are available for download as PDF (except where noted) by clicking on the link.

Broker Documents

• Master Agent Agreement (docx)
• Broker Packet: PEO Summary [v20220907]
• Broker Packet: Decent Background [v20220907]
• Broker Packet: Broker Experience [v20220907]
• Broker Packet: Pricing Plan [v20220907]
• Broker Packet: Health Insurance Summary [v20220907]

Quick Qualification

• Quick Qualifer - Technology [v20210802]
• Quick Qualifer - Consultiing [v20210802]
• Quick Qualifer - Energy [v20210802]
• Quick Qualifer - Food and Bev [v20210802]
• Quick Qualifer - Healthcare [v20210802]

Small Business

• Quote Request - Employee Census [v20211011]
• Employer Application [v20210202]
• Employee Enrollment/Waiver/Change [v20200828]
• Member Cancellation Form [v20210715]
• Who Qualifies for Decent Plans [v20220310]

Fun Stuff

• Gifford Coloring Page

General Documents

• Branding Assets [v20200605]
• Branding Guidelines [v20200605]
• Privacy Policy
• Terms and Conditions
• TFABT Participation Agreement

Marketing Materials

• One Medical + Decent 2 pager [v20220812001]
• One Medical Texas Clinic Locations [v20220812]
• 2022 PEO and Health Plan One Pager [v20220722]
• Network one pager
• NPS one pager [v20201222]
• Future of In-Person Primary Care [v20201208]

Member Documents

• DPC Booklet
• VDPC Booklet
• Traditional Booklet
• Costco Exception to Coverage Request Form
• Compare Decent’s Plans [v20220203]
• Emergency Room Locations
• Getting Started with MedLion [v20200707]
• Pharmacy Benefit Booklet
• Provider Directory [v20201208]
• Provider Directory (web))
• In Network Pharmacy Lookup
• COVID-19 Vaccine FAQ

Partner Program

• Decent Partner Program [v20210910]

Plan Documents

• 2022 Plan Information and Documentation
• SmartPremium Plus 100/80/50-1000 MAC: Option 1 [v20221117]
• SmartPremium Plus 100/80/50-2500 MAC: Option 2 [v20221117]
• SmartPremium Plus 100/80/50/50-2500-2000 MAC: Option 3 [v20221117]
• SmartPremium Plus 100/80/50-1000: Option 4 [v20221117]
• SmartPremium Plus 100/80/50-2500: Option 5 [v20221117]
• SmartPremium Plus 100/80/50/50-2500-2000: Option 6 [v20221117]
• Beam VSP Choice Plan #1 [v20221117]
• Beam VSP Choice Plan #2 [v20221117]

Provider Documents

• Reimbursement Policies
• 835 Enrollment Form
• About DPC/vDPC (Summary)
• Authorization Request Form
• Authorization Request Admission Notification Form
• Contract Cover Letter
• EFT Form
• Formulary (Detailed)
• Formulary (Summary)
• Grievance Form
• Potential Quality Issue Referral Form
• Provider Data Form
• Provider Dispute Resolution Form
• Provider Manual (Detailed)
• Provider Manual (Summary)
• Provider One Pager
• Texas Standardized Drug Prior Approval Form

Historical Documentation

• 2019 Plan Documentation
• TDI Consent Order

Machine Readable Files- Pricing Transparency

• Pricing Transparency 7.1.2022 MRF Latest version: v2022.02.25

Archived

• 2020 Membership Rates (xlsx)
• 2020 Paper Enrollment Form
• 2020 Simple Enrollment Form (web)
• 2021 Individual paper enrollment form [v20201021]
• 2021 Individual plans compare packet [v20201026]
• 2021 Service Area Zip Codes (csv) [v20200629]
• About Decent (Summary)
• Agent Package [v20200515]
• Broker Enrollment Flow Demo [v20200401]
• CSV Upload Template (xlsx)
• Defined Contributions Information
• Defined Contributions Template [v20200416]
• Payment Process [v20200515]
• Provider Directory (xlsx) [v2020629]
• Sample Enrollment Flow (external) [v20200416]
• Tech Quick Qualifier [v20201207]
• Intro to Small Business [v20201208]
• Broker Timeline [v20210921]
• Install Kit - Trust [v20210801]
• Install Kit - Trust, Multi-group [v20210801]
• Quote Request - Group Census [v20210512]
• Employer Application - Employee Roster [v20210512]
• 2021 Decent one pager
• Virtual Direct Primary Care (vDPC) Demo
• Enrollment Timeline Illustrated
• Pharmacy Directory
• Service Area Zip Codes
• Service Area Zip Codes (csv)
• 2020 Plan Information and Documentation
• 2021 Plan Information and Documentation
• Employer Network one pager [v20201221]