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SHANNON JURDANA President & CEO WASHINGTON STATE OF REFORM HEALTH POLICY CONFERENCE January 10, 2019

SHANNON JURDANA - State of Reform · 2019-01-12 · Compliance/ACA Reporting . Enforce plan rules, such aseligibility periods and life event changes and generate group- level reporting

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Page 1: SHANNON JURDANA - State of Reform · 2019-01-12 · Compliance/ACA Reporting . Enforce plan rules, such aseligibility periods and life event changes and generate group- level reporting

SHANNON JURDANAPresident & CEO

WASHINGTON STATE OF REFORM HEALTH POLICY CONFERENCEJanuary 10, 2019

Page 2: SHANNON JURDANA - State of Reform · 2019-01-12 · Compliance/ACA Reporting . Enforce plan rules, such aseligibility periods and life event changes and generate group- level reporting

Benefit Plan Premiums

Collected, and Distributed

Members Supported

Employers Supported

Electronic Eligibility File

Feeds

Associations / Trusts /

Marketplaces / Carriers

Client Retention

$15B+

@vimlyinc www.vimly.com@vimlybenfitsolutions

1.5M+ 35K+ 200K+ 60+ 100%

WHO WE ARE TODAYSince our inception in 1993

Page 3: SHANNON JURDANA - State of Reform · 2019-01-12 · Compliance/ACA Reporting . Enforce plan rules, such aseligibility periods and life event changes and generate group- level reporting

Vimly Headquarters Main offices are located near Seattle, in Mukilteo, WA

Existing Market

New Clients Recent Expansion

Vimly National Expansion

WHERE WE ARE GOINGNational expansion

@vimlyinc www.vimly.com@vimlybenfitsolutions

Page 4: SHANNON JURDANA - State of Reform · 2019-01-12 · Compliance/ACA Reporting . Enforce plan rules, such aseligibility periods and life event changes and generate group- level reporting

THE PROBLEMS WE’RE SOLVING

@vimlyinc www.vimly.com@vimlybenfitsolutions

• Lower the cost of healthcare by deploying technology that delivers efficiencies (via scaleand aggregation) and eliminates low-value processes.

• Simplify the entire benefits experience by providing solutions to all stakeholders thatremove complexity, eliminate hassles, provide choice and easy delivery to innovativeproducts.

• Enable new SMB market segments and distribution strategies by delivering configurable digital platform technology that supports quote to card, enrollment and consolidated billing.

• Transform the health plan business model by providing the single solution technology that enables the product to platform shift.

Page 5: SHANNON JURDANA - State of Reform · 2019-01-12 · Compliance/ACA Reporting . Enforce plan rules, such aseligibility periods and life event changes and generate group- level reporting

THE BIG BETS WE’RE MAKING

@vimlyinc www.vimly.com@vimlybenfitsolutions

• SaaS platform: Continuous innovation and delivery of configurable, flexible technology that supportscomplex transactions and data management. Provide solutions that support scale, market evolution,health plan transformation and deliver significant reductions in resource and infrastructure costs.

• Pre and post sale products: Extending comprehensive suite of benefit technology products to include integrated quoting capability, UW, Application and Sales Operations workflows and management as well as automatic group installation.

• Customer-centered experience: Deliver solutions that provide a consistent customer experience regardless of market segment.

• Beyond benefits for SMB: Integrate with best-in-class HRIS partners to provide a simple, personal, and integrated employee experience.

• Data-Conscious: Support our clients and users through smart and secure interactions with ourproducts and data.

Page 6: SHANNON JURDANA - State of Reform · 2019-01-12 · Compliance/ACA Reporting . Enforce plan rules, such aseligibility periods and life event changes and generate group- level reporting

APPENDIX

@vimlyinc www.vimly.com@vimlybenfitsolutions

Page 7: SHANNON JURDANA - State of Reform · 2019-01-12 · Compliance/ACA Reporting . Enforce plan rules, such aseligibility periods and life event changes and generate group- level reporting

VIMLY QUICK VIEW

• Vimly Benefit Solutions began in 1993 by serving small to mid-sized businesses (SMBs) through Association Health Plans (AHPs) and Multi-employer trusts. Today, Vimly has grown into a world-class benefits technology and third party administration company with decades of deep domain knowledge, experience, and expertise.

• Our solutions simplify complex billing, eligibility, and enrollment through automation.

• We enable our clients to generate new revenue, reduce expenses, enhance client satisfaction/retention, and access new markets.

@vimlyinc www.vimly.com@vimlybenfitsolutions

Page 8: SHANNON JURDANA - State of Reform · 2019-01-12 · Compliance/ACA Reporting . Enforce plan rules, such aseligibility periods and life event changes and generate group- level reporting

GUIDED BY OUR VISION AND MISSION

OUR VISIONINNOVATING THE WAY TO BENEFITLIFE.

OUR MISSIONTO SIMPLIFY THE COMPLEXITIES OF WORKFORCE AND BENEFITS ADMINISTRATION FOR OUR CUSTOMERS AND PARTNERS.

@vimlyinc www.vimly.com@vimlybenfitsolutions

Page 9: SHANNON JURDANA - State of Reform · 2019-01-12 · Compliance/ACA Reporting . Enforce plan rules, such aseligibility periods and life event changes and generate group- level reporting

OUR VALUE PROPOSITION

A one-stop shop

Market differentiation

Automation and efficiencyA marketplace platform solution for customer growthand retention

The Vimly team: experienced, knowledgeable

@vimlyinc www.vimly.com@vimlybenfitsolutions

Page 10: SHANNON JURDANA - State of Reform · 2019-01-12 · Compliance/ACA Reporting . Enforce plan rules, such aseligibility periods and life event changes and generate group- level reporting

WHO DO WE SERVE?

@vimlyinc www.vimly.com@vimlybenfitsolutions

• Association Health Plans and Trusts• Health Plans• Third Party Administrators• General Agents• Ancillary Carriers• Professional Employer Organizations (PEOs)• Alliances/Channel Partners

Page 11: SHANNON JURDANA - State of Reform · 2019-01-12 · Compliance/ACA Reporting . Enforce plan rules, such aseligibility periods and life event changes and generate group- level reporting

VIMLY CAPABILITIES

Exceptional Customer Service

Support

Compliance Solutions (Regulatory, Federal

and State)

Broker Credentialing, Commission Calculation

and Reporting

Consolidated Billing,Collection, Payment& Product Bundling

Enrollment and Eligibility

Management

Complex Premium Rate Management

Electronic Data Interchange (EDI)

Quoting and Renewal

Automation

Finance and CashManagement andRobust Reporting

W hite-labeling and Branding

Omnichannel Platform

CDHP & COBRA

Administration

@vimlyinc www.vimly.com@vimlybenfitsolutions

Page 12: SHANNON JURDANA - State of Reform · 2019-01-12 · Compliance/ACA Reporting . Enforce plan rules, such aseligibility periods and life event changes and generate group- level reporting

Prospect, quote, renew, apply, manage, report, enroll,

communicate andengage

Manage access,communicate, bill, report, configure,

provision, support, comply, exchange

Manage, access, communicate, comply,

report, pay

We invest in making products that are easy to access, easy to use, and immediately alleviate

administrative expense

Our products are designed to work well together, and with

third-party platforms.Everyone benefits!

Using the insights of our customers, we design

products that help employees make educated decisions

about their benefits

SIMON for Partners SIMON for Brokers SIMON for Employers SIMON for Employees

Access, enroll, sign, communicate and

engage

We develop tools for brokers to quickly and accurately grow

their book while managing their current clients all f rom

one product

THE SIMON PRODUCT SUITESimon products are focused on seamless integration between all stakeholders

@vimlyinc www.vimly.com@vimlybenfitsolutions

Page 13: SHANNON JURDANA - State of Reform · 2019-01-12 · Compliance/ACA Reporting . Enforce plan rules, such aseligibility periods and life event changes and generate group- level reporting

SIMON AUTOMATES COMPLEXITYSIMON orchestrates thousands of disparate entities, events, and benefit transactions seamlessly through our cloud-based platform, delivering exceptional ease and value to all stakeholders.

@vimlyinc www.vimly.com@vimlybenfitsolutions

Page 14: SHANNON JURDANA - State of Reform · 2019-01-12 · Compliance/ACA Reporting . Enforce plan rules, such aseligibility periods and life event changes and generate group- level reporting

PLATFORM FEATURES

Enrollment & Eligibility A one-stop shop enrollment platform for

managing employee benefits where data is securely transferred to carrier partners

automatically.

Consolidated Billing Multiple carriers and coverages

are billed on a single invoice.

Premium Disbursement Make one single premium payment for all

lines of coverage online or via auto-pay.

CommunicateCreate in-system alerts & announcements. Upload,manage documents and videos. Access important

group notifications.

Employee Self-ServiceAllow employees to manage their own qualifying life events and open enrollment changes. Employees can also update their own demographic information and access benefits documents.

Compliance/ACA Reporting Enforce plan rules, such aseligibility periods and life event changes and generate group-level reporting at a click of a button.

Mobile OptimizedMobile optimized design that is 100% responsive experience whether on desktop, laptop, tablet, or mobile device.

@vimlyinc www.vimly.com@vimlybenfitsolutions

Page 15: SHANNON JURDANA - State of Reform · 2019-01-12 · Compliance/ACA Reporting . Enforce plan rules, such aseligibility periods and life event changes and generate group- level reporting

SECURITYTransparent Data Encryption (TDE)• Real-time I /O encryption and decryption of data• Data A t Rest Encryption• Advanced Encryption Standard (AES)

HTTPS/SSL• Encrypted communication between web server and

browser

GNU Privacy Guard (GPG/GnuPG)• Encrypted outbound EDI files

Secure File Transfer Protocol (SFTP)• Encrypted outbound EDI files

Firewall• Whitelisted IP Addresses• Blacklisted IP Addresses (Geographic Blacklisting)

HIPAA Certified

SOC 1 Type 1

SOC 2 Type 2

SOC 1 Type 2

HITRUST (coming in 2019)

@vimlyinc www.vimly.com@vimlybenfitsolutions

Page 16: SHANNON JURDANA - State of Reform · 2019-01-12 · Compliance/ACA Reporting . Enforce plan rules, such aseligibility periods and life event changes and generate group- level reporting

@vimlyinc @vimlybenf it solu tions www.vim ly.com