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EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

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Page 1: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US
Page 2: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

E P I S O D E 3 : Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements

Page 3: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

J O I N U S F O R L I V E T W E E T I N G

#ECLIPSELIVE

Page 4: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

# E C L I P S E L I V E

Yes! We will send you the recording

and the presentation.

Page 5: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

# E C L I P S E L I V E

Yes! We will have Q&A at the end of the

session with all of our speakers.

Page 6: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

THANKS TO OUR SPONSORS

# E C L I P S E L I V E

Page 7: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

CREDITSO N E H R C I C R E D I TO N E S H R M C R E D I T

Codes for credits will be released at the end of today’s episode.

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# E C L I P S E L I V E

Bradley TaylorEVP, Strategic Partnerships

PlanSource

Leslie MillerPresident

Leslie Miller Custom Insurance Solutions

Today’s Lineup of Speakers

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# E C L I P S E L I V E

Guy GilpinExecutive DirectorPAISBOA Health

Benefit Trust

Jodi GruberRegional Vice President

PlanSource

Scott ColfordVice President

Cross Insurance

Today’s Panelists

Page 10: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

PlanSource Fireside Chat

Bradley TaylorEVP, Strategic PartnershipsPlanSource

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# E C L I P S E L I V E

What is the objective of PlanSource Boost?

F I R E S I D E C H AT

M O D E R N I Z I N G T H E C U S T O M E R E X P E R I E N C E

Page 12: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

# E C L I P S E L I V E

F I R E S I D E C H AT | P L A N S O U R C E B O O S T

E M P L O Y E E S H O P P I N G

experience that’s optimized to drive

engagement

M O D E R N A P I I N T E G R A T I O N S

that provide areal-time customer

experience

S I M P L I F I E D S E L F - B I L L I N G

that eliminates the need to reconcile

carrier bills

P R E F E R R E D P R I C I N G

when customers offer one or more Boost products

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# E C L I P S E L I V E

F I R E S I D E C H AT

Carriers compete on value versus tech credits

Provides consistent and predictable pricing

Automates the setup and renewal processes for Boost products

Eliminates timing and coverage issues that come with batch EDI files

Reduces risk around EOI, eliminates admin work, improves EE experience

Increases employee engagement with their benefits

Eliminates the need to reconcile monthly carrier bills

Problems solved by PlanSource Boost

Page 14: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

# E C L I P S E L I V E

F I R E S I D E C H AT

Problems solved by PlanSource BoostAutomates the setup and renewal processes for Boost products

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# E C L I P S E L I V E

O P T I M I Z E D S H O P P I N G E X P E R I E N C E

E A S Y A C C E S S T O C A R R I E R P O R TA L S

I N T E G R AT E D E O I A N D A C C E S S T O C A R R I E R T O O L S

How does PlanSource Boost increase employee engagement?

F I R E S I D E C H AT

Page 16: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

How does PlanSource Boost help employees get more engaged with their benefits?

Employees now have a centralized platform to connect to carrier portals

Page 17: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

# E C L I P S E L I V E

PlanSource Boost Partners

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# E C L I P S E L I V E

— A V A I L A B L E N O W —

Page 19: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

# E C L I P S E L I V E

PlanSource Boost Partners

Page 20: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

# E C L I P S E L I V E

What do you see in 2021 for PlanSource Boost?

F I R E S I D E C H AT

Page 21: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

SUBMIT YOUR QUESTIONS FOR Bradley

F I R E S I D E C H AT

Page 22: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

Group purchasing the ”new” thing

Leslie MillerFounder and President Leslie Miller Custom Insurance Solutions

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# E C L I P S E L I V E

When a rate pass is just not good enough…

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# E C L I P S E L I V E

Leveraging the power of a larger group might work

W H A T D R I V E S G R O U P P U R C H A S I N G ?

Desire for lower costsNeed for additional insurance products or consumer solutions

Alignment with like minded peersRenewal consistency

Potential for ownership or management

Page 25: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

# E C L I P S E L I V E

So many formats from which to chooseAssociation PlansCaptivesMEWAsCollectives

PEOs

Master Plans

Consortiums

Page 26: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

Our panelS C O T T C O L F O R D has worked with a number of AHPs/MEWAs over the last 30 years. Scott explored many tech platforms and landed on PlanSource as the best in class solution.

G U Y G I L P I N who runs a higher ed consortium in Pennsylvania. Guy used to be on the dark side as a consultant but has seen the light and is now a practitioner.

J O D I G R U B E R from PlanSource who has worked with both of these fellows to actually make their programs work!

Page 27: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

# E C L I P S E L I V E

What works:Insurance transactions

Group underwriting such as stop lossC E N S U S A N D E X P E R I E N C E B A S E D

Non underwritten products such as pet insurance or legal protections

B I G G E R I S B E T T E R ! !

Voluntary benefits like life and disabilityB I G G E R I S R E A L LY B E T T E R ! ! !

Page 28: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

# E C L I P S E L I V E

Getting started you need to make decisions

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# E C L I P S E L I V E

Let’s start with complexity first

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# E C L I P S E L I V E

Managing A School-Based MEWAPAISBOA Health Benefit Trust Background

Has existed since 1968 in various forms

Trust was created as a self-funded entity in 2016 and spun off from the PAISBOA Association in 2013. ACA rules required the formation of a separate organization

to offer insurance as a collective.

Trust is regulated by the Pennsylvania Department of Insurance and can offer throughout the state

138 member groups currently – all are independent non-profit entities

PAISBOA covers over 9,700 employees and 16,000 participants

Members range in size from 4 employees to over 600

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# E C L I P S E L I V E

Regulations vary dramatically throughout

the U.S., with some States prohibiting self-

funded MEWAs

Challenges of forming AHPs

100 different employers probably offer 200-300 different plan designs,

HMO, PPO, POS, HDHP’s, narrow-network

plans – AHP needs to reach consensus on 4-5

benefit offerings

Establishing necessary reserves if

self-insured & securing stop-loss if

it’s a mixed association can be

problematic

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# E C L I P S E L I V E

How many independent employers?

How many ACA configurations?

How many payroll companies?

How many offerings?

Choices and plan design?

How do you tie it all together?

P A R T N E R S N O T V E N D O R S

Page 33: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

# E C L I P S E L I V E

You still need a great employer and employee experience!!!!

E N G A G E M E N T R E P O R T I N G C O M P L I A N C E

Page 34: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

# E C L I P S E L I V E

What are 2 – 3 things you have learned when implementing complex groups?

Page 35: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

# E C L I P S E L I V E

Support and customer service are the core of what the Trust considers in making choices on any of our vendor partners

Looking to have flexible partners with dynamic plans for growth of their programs/software and innovative solutions

TECHNOLOGY GROWTH

GUY’S PERSPECTIVE:WHAT ARE 2 – 3 THINGS YOU HAVE LEARNED WHEN IMPLEMENTING COMPLEX GROUPS?

Page 36: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

# E C L I P S E L I V E

Complex rate tables

Varied pay cycles and payroll system

Differing employer contribution structures

100+ EINs for ACA reporting

UNDERSTAND THE SCOPE

SCOTT’S PERSPECTIVE:WHAT ARE 2 – 3 THINGS YOU HAVE LEARNED WHEN IMPLEMENTING COMPLEX GROUPS?

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# E C L I P S E L I V E

Understand the commonalities and differences within the group

Teamwork!

Efficiency, growth and speed

NO TWO ARE THE SAME

Jodi’S PERSPECTIVE:WHAT ARE 2 – 3 THINGS YOU HAVE LEARNED WHEN IMPLEMENTING COMPLEX GROUPS?

Page 38: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

# E C L I P S E L I V E

What are the hard questions you should be asking?

Page 39: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

# E C L I P S E L I V E

What makes a great client?

T I M E , C O M M I T M E N T , R E S O U R C E S

White boarding

Collaboration

Environmental Analysis

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# E C L I P S E L I V E

How do you think OE will be different this year given our current environment?

Page 41: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

Q&AH R C I : A C T I V I T Y # 525923S H R M : A C T I V I T Y # 20-V7QVN

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# E C L I P S E L I V E

EPISODE 4 Re-imagining Your Diversity, Equity and Inclusion

(DE&I) Strategy for Maximum Impact

A U G U S T 1 2 , 2 0 2 0 @ 2 : 0 0 P M E T

R E G I S T R A T I O N N O W O P E N A T P L A N S O U R C E . C O M / E C L I P S E L I V E

Uche EnemchukwuSenior ConsultantNelu Diversified

Consulting Solutions

Jagdish ChuganiVP of Human Resources

PlanSource

Page 43: EPISODE 3: Programs for Group Purchasing Arrangements€¦ · EPISODE 3: Building Scalable and Successful Benefits Programs for Group Purchasing Arrangements. #ECLIPSELIVEJOIN US

P L A N S O U R C E . C O M / E C L I P S E L I V E