Group Health Presentation

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Group Health Presentation

• How Your Company Can Offer
• Affordable Health Programs to
• Your Employees

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Healthcare In The News

• NAHU Newswire

CBSNews.com
Survey Consumer-driven health plans growing in
popularity
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Today's News for the National Association of
Health Underwriters from Newspapers, TV, Radio
and the Journals
Today's News for the National Association of
Health Underwriters from Newspapers, TV, Radio
and the Journals
Today's News for the National Association of
Health Underwriters from Newspapers, TV, Radio
and the Journals
Today's News for the National Association of
Health Underwriters from Newspapers, TV, Radio
and the Journals
NAHU Newswire
Today's News for the National Association of
Health Underwriters from Newspapers, TV, Radio
and the Journals
4
NAHU Newswire
Today's News for the National Association of
Health Underwriters from Newspapers, TV, Radio
and the Journals
Employers increasingly offer consumer-driven
health plans, survey suggests. The Triangle
Business Journal (8/20) reports, "A new survey by
UBA, shows that participation in
consumer-driven health plans is becoming an
increasingly popular health insurance option."
After surveying "18,019 health plans sponsored by
12,860 employers," UBA found that "the total
number of consumer-driven health plans has
increased this year by 43 percent over 2007."
Consumer-driven health plans "now account for
nearly 13 percent of all plans offered by
employers." According to the survey, consumer
participation increased by 5 percent as well. UBA
found that so far this year, "employers have
contributed an average of 1,209 to health
reimbursement accounts for single employees and
2,274 to family plans." While preferred provider
organizations accounted for "54 percent of all
plans offered," health maintenance organizations
represented "21.3 percent of all plans offered.
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You Are NOT Alone

• More than 70 of American companies had
• double-digit healthcare cost increases in
  2006
• 59 of companies intend to keep down rising
  health-care costs in 2009 by raising workers'
  deductibles and co-pays
• From Insurance News

• 144 million Americans have no form of dental
  coverage, including those with jobs
• 175 million Americans are either uninsured or
  underinsured, regardless of employment status
• From NADP
• From NAIU

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EmployerAdvantages

• NO
• Contribution Requirements
• NO
• Participation Requirements
• Flexibility
• Ease of Administration

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Employer Advantages

• Employee Retention 2nd highest reason employees
  move to another company is for benefits
• No Mandatory Participation Unlike insurance,
  there is no required percentage of employee
  participation
• No Mandatory Contribution Unlike insurance,
  there are NO contribution requirements placed on
  employer. Employer may choose to pay all, part
  or NONE of monthly fee. Employer may decide
  which employees/full-timers/part-timers or
  independent contractors to contribute to or not
  contribute to.

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Employer Advantages continued . . .

• Payroll Deduction at Employers discretion
• One List Bill Sent to Company (w/ 5
  participants)
• Auto Draft (w/ less than 5 participants)
• Ease of Administration (easy adds and drops)
• Qualifies for Section 125 Pre-Tax Dollars
• No Mandatory Open Enrollment at Employer
  Discretion
• NO COBRA Administration
• Employee Education by Independent Representative
• ID Cards mailed directly to employees homes

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Employee Advantages

• Affordability
• Freedom of Choice
• Coverage for Family
• No Waiting Periods
• No Medical Qualifying
• Pre-Tax Dollars Portability

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Employee Advantages

• Drastically lowers cost of Healthcare
• Low Monthly fees, whether Employer contributes or
  not
• Payroll Deduction Available at 3.42/week -
  13.85/week depending on plan selected
• No Waiting Period to use Plans
• No Deductibles to meet
• Instant Savings
• Up to 80 Savings or More

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Employee Advantages continued

• No Exclusions of pre-existing or ongoing
  conditions
• May Select Plan of choice of 4 options
• May use Pre-Tax Dollars
• No Paperwork or Reimbursement Worries
• Specialists included, where available, even
  cosmetic
• Orthodontics Cosmetic Dentistry included with
  Dental Plan

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Employee Advantages continued

• May choose and change provider within network
  without prior approval or notification
• May refer and recommend personal dentist or
  physician if not a participating provider in
  network
• No Limits of Services or Visits
• Never Pay Retail for Health Services
• No Age Limits
• Household Fees include anyone living at
  residence, regardless of relationship or age

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Plan Options and Comparison

• A Comparison of our Dental Plan vs
• Traditional Dental Insurance.
• Our 4 Plan Options,
• what they include and Pricing.

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Comparison

• Dental Insurance

• Consumer-Driven Dental Plan

• 50.00 - 75.00 per month
• 60 to 180 day waiting period
• 6-12 month waiting period for pre-existing
  conditions
• 50 - 100 deductible
• Claim forms to file
• 750 - 1500 annual maximum limit
• State restricted
• Orthodontics may not be covered or may exceed
  annual limit
• Approval reqd for change of dentist
• Specialists may exceed annual limit
• Premium rate may vary any time
• Vision, Rx, Chiropractic extra cost

• 14.95 - 19.95 per month
• No waiting period
• On-going conditions accepted with no waiting
• None ------ Instant Savings!
• No paperwork to file
• No limits on services or visits or age
• Nationwide access to services
• Orthodontics for children and adults, with no
  limits
• Change dentist without approval
• Specialists included
• Fees guaranteed for two years
• Vision, Rx, Chiropractic at NO extra cost

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Plans to Choose From

• PLAN I
• Dental with
• Vision
• Prescription
• Chiropractic
• Individual
• 14.95/mo or 3.42/week
• Household
• 19.95/mo or 4.61/week

• PLAN II
• Medical with
• Doctor Visits
• Laboratory
• Ancillary (MRI, etc.)
• Hospital Advocacy
• 24 Hour Nurseline
• Household
• 29.95/mo or 6.92/week

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Plans to Choose From continued

• PLAN III
• Dental with Medical
• Including
• Vision, Prescrip., Chiro,
• Doctors Visits
• Ancillary
• Hospital Advocacy
• Nurseline
• Household
• 39.95/mo or 9.23/week

• PLAN IV
• Dental with Medical as in
• Plan III details
• Including also
• Auto Club (Sign Drive)
• Discounted Legal Services
• Identity Theft Protection
• Household
• 59.95/mo or 13.85/week

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Group Requirements

• Although requirements
• are minimal, there are requirements that must be
  met in order to have a smooth group sales process.

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Group Requirements

• Must have minimum 5 employees for monthly List
  Bill
• Under 5 employees, corporate will auto-draft the
  company account
• With 51 employees, registration fees (20-30)
  are waived automatically
• Must send 1st month payment with applications and
  Employer Acceptance Letter
• 1st months payment may be made with company
  check or company credit card (photocopy of credit
  card required)
• May NOT fax initial paperwork into corporate.
• Must mail initial paperwork (originals) and 1st
  months payment into corporate (recommend
  overnight or 2nd day air with delivery signature
  required)
• Future adds/drops to existing group account may
  be faxed to corporate Group Division

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How Big is The Need and How Large is The
Market?The Dental Crisis in America

• Millions of Americans Need
• Affordable Dental Care.
• Not only is it affecting people's teeth and
  quality of life, but its affecting their overall
  health!
• Over 100 million Americans do not have dental
  insurance and the lack of coverage is leading to
  problems such as school absence, unemployment,
  and death.
• Michelle Miller, CBS News
• We have a solution !

• CBS News special report on the
• Dental Insurance Crisis
•  
• Click this link
• CBS News Special Report On Dental Insurance
  Crisis in America
• A new window will open and a short commercial
  will precede the Report.