Puerto Rico

Pan-American Life Insurance Company of Puerto Rico

Established in 1920, Pan-American Life Insurance Company of Puerto Rico continues to operate in one of the most dynamic financial settings in the Caribbean. Its reputation as one of the most financially stable insurance companies in the business has earned the trust of policy holders in Puerto Rico for nearly 100 years.

As a member company of Pan-American Life Insurance Group (PALIG), Pan-American Life Insurance Company of Puerto Rico is committed to providing customers with the products they need, the knowledge to secure their future and a partnership they can trust.

We offer a wide variety of products that focus on the commercial life and health insurance segments of the business. Our goal is to continue expanding the health insurance business in Puerto Rico and increase our operations, without compromising the level of quality and personalized attention that our clients expect. Currently, we have over 7,500 medical providers (physicians, labs, x-rays, clinics, hospitals, dentists, pharmacies, etc.) that accept our medical plans.

All administrative services and operations management is performed locally.

This web page contains only a summary of policy benefits and conditions. It is for informational purposes only and its content is subject to the terms and conditions of the insurance policy. For additional information please call (787) 620-1414.

Life Insurance

Life Insurance Plan
The future is filled with many uncertainties but financial security does not have to be one of them.  Regardless of what the future may hold, a life insurance policy offers you the peace of mind that comes from knowing that no matter what happens, or more importantly – if the unexpected should happen – your family’s financial stability is secure. As an additional financial protection, a life insurance policy can also complement your income upon retirement.    

This life insurance policy can protect the employee’s life and the compensation is paid upon a policy owner’s death.

Health Insurance

Health Plan
This policy offers benefits and protection to insured clients that obtain medical services required under the new federal health reform. It covers large groups of 51 or more and small groups between 2 and 50.

Health Plans - Non-Grandfathered – small groups
Pan-American Life Insurance Company of Puerto Rico provides employers and business owners quality benefits that provide solutions in response to the pressures of rising insurance costs in a competitive marketplace.  Our signature products are recognized nationally for the quality of benefits, competitive pricing and the ability to customize offerings for small groups.

We offer 7 plans that have been approved by the Officer of the Commissioner of Insurance of Puerto Rico: 

Platinum.  For more information, click here.
Platinum Elite.  For more information, click here.
Platinum Access. For more information, click here.

Gold.  For more information, click here.
Gold Privledge. For more information, click here.
Gold Access. For more information, click here.

Elite Access. For more information, click here.

Covered Preventive Services Guide

Limited Benefit Indemnity
PanaMed is a limited benefit indemnity plan that pays a fixed benefit amount per day to help cover the cost of common medical events, such as doctor’s office, diagnostic tests and x-rays, hospitalization,  emergency room, surgery, anesthesia, intensive care, labs and more. To complement our PanaMed plans we also offer other ancillary benefits.

Plan Highlights

  • First Dollar
  • Access to a Provider Network
  • Guaranteed Issue
  • No pre-existing conditions, except pregnancy, and in the specified illness benefit and major organ transplant
  • Voluntary or employer paid

For more information call (787)999-7980

Disclosures | Exclusions and Limitations

Organ Transplant

Organ Transplant
Organ transplantation is necessary because the individual’s organ has failed or has been damaged by disease or injury. Organ transplantation is one of the great advances in modern medicine.
Organs and tissues that can be transplanted include:
Liver, Kidney, Pancreas, Heart, Lung, Intestine, Cornea, Middle ear, Skin, Bone, Bone marrow, Heart valves, Connective tissue.

Dental Plan

Dental Plan - Stand Alone
This plan can be added to an existing life and health plan. It offers a wide variety of services and benefits including preventive and restorative services, in addition to orthodontic treatments.

Add-On Value Services

Add-on Value Services
Free provider selection, personalized VIP service, professional account executives, Employee Assistance Program (PAE), direct health line, case management and Wellness Programs.

Solutions for Self-Insured Plans and Excess Insurance Coverage

Self-Insured Plans (Cost Plus)

Administration: Pan-American Life Insurance Company of Puerto Rico ("PALIC-PR") provides management services for Self-insured Plans. We administer benefits for employers with more than two hundred members. Under this administration arrangement, PALIC-PR, for a low administrative fee, will pay the group’s claims as these are incurred and then the group reimburses PALIC-PR for the claims paid.

Organ Transplant Insurance: PALIC-PR manages and provides organ transplant insurance coverage so that the employer can avoid assuming that risk.

Excess Insurance (Stop Loss): The Group and PALIC-PR agree on a monetary limit, either individually (per member per year); for the group (the entire group per year) or combined (with certain individual and group limits for different risks for a year). PALIC-PR assumes the risk after the agreed limit has been met. Once the limit is reached, subject to a small administrative fee, PALIC-PR will assume the administration and responsibility for payment of all additional claims incurred in excess of that limit during the coverage period. This is an excellent solution for employers who want to limit their exposure to risk for medical, dental, pharmacy and organ transplant claims.

Provider Directories

For more information about Financial Abuse, please click here.

José Luis Vargas González

Pan-American Life Insurance Company of Puerto Rico

Metro Office Park #2
Calle 1, Suite 101
Guaynabo, PR 00968-1705

P.O. Box 364865
San Juan, Puerto Rico 00936-4865
(787) 620-1414

© 2017 Pan-American Life Insurance Group. All Rights Reserved.

© 2017 Pan-American Life Insurance Group. All Rights Reserved.