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2012
Accident
Purple Cow gives you all 3 of today’s major employee benefits in 1 package, designed to provide multiple layers of protection:
Group Life: P50,000 – P1,000,000
Group Accident: P50,000 – P1,000,000
Group Health: P10,000 – P200,000
More VALUE…
2
You can get MORE benefits for ALL of your staff
Purple Cow 2012
Value Proposition
1. Paid vacations, 75% 2. Health insurance, 61%3. Paid sick leave, 59%4. Disability insurance, 41%5. Education reimbursement, 39%6. Pension plan, 30%7. Life insurance, 29%8. Dental insurance, 24%
What are the most common EB?
All 4 insurance benefits are offered by Purple Cow
3
- Small Business Poll on Compensating Employees (NFIB, US: 2003)
Purple Cow 2012
EB Primer
What makes Insurance ‘sulit?’
• LIFE INSURANCE provides you with instant cash in the event of death or total and permanent disability; (.25% of population between 18-65)
• ACCIDENT INSURANCE provides you with instant cash in the event of accidental death or disablement; (10% of inpatient & outpatient cases)
• HEALTH INSURANCE (medical insurance or HMO) protects you from losing money in the event of sickness or accident. (10% inpatient / 300% outpatient)
Insurance saves you from losing your money
4Purple Cow 2012
EB Primer
3 Major Employee BenefitsLIFE – ACCIDENT – HEALTH
1. LIFE INSURANCE
3a. MEDICAL HMO
3b. Optional DENTAL HMO
3c. Optional APE
3d. WELLNESS PROGRAM
2. ACCIDENT INSURANCE
5Purple Cow 2012
Benefits
Benefit SummaryLIFE – ACCIDENT – HEALTH
1. Life = 5x MBL 13. Access to all major hospitals & clinics
2. Terminal Illness = up to 50% of 5x MBL 14. 100% Pre-Existing Conditions coverage
3. Total & Perm. Disability Income = 5x MBL 15. 100% Congenital Conditions coverage
4. Accidental Death = 5x MBL 16. 100% Special Procedures coverage
5. Murder = 5x MBL 17. Benefits on top of Philhealth
6. Accidental Disablement = __% of 5x MBL 18. Pooled Employee utilization
7. Assault = __% of 5x MBL 19. Separate Dependent utilization
8. Medical = HMO buffet of benefits 20. Optional Dental = HMO buffet of benefits
9. Combined inpatient & outpatient limits 21. Optional APE = choice of mobile or clinic
10. Max. Benefit Limits per disability per year 22. Free Wellness Program
11. HMO patient for no-cash-out 23. Same benefits for Dependents
12. Private patient for HMO reimbursement 24. Access through Social Media
6Purple Cow 2012
Benefits
2. Accident Insurance (worldwide)ASIANLIFE
1. Accidental Death 5x MBL 3. Disablement _% 5x MBL
2. Murder 5x MBL 4. Assault _% 5x MBL
+Principals 18yo-65yo; Dependents 30dy-22yo / 18yo-65yo
1. Accidental Death = 5x MBL, for death from any type of accident;
2. Murder = 5x MBL, in lieu of the Accidental Death benefit, for death not due to accident but murder (provoked or not). Example:
If MBL = 20T, Accidental Death or Murder = 100,000;
If MBL = 40T, Accidental Death or Murder = 200,000;
If MBL = 60T, Accidental Death or Murder = 300,000;
If MBL = 80T, Accidental Death or Murder = 400,000;
If MBL = 100T, Accidental Death or Murder = 500,000.
+Principals 18yo-65yo; Dependents 30dy-22yo / 18yo-65yo
3. Disablement = __% of 5x MBL, according to a long schedule of indemnities;
4. Assault = __% of 5x MBL, in lieu of the Disablement benefit, for disability not due to accident but assault (provoked or not).Example:
If MBL = 20T, Disability or Assault = __% of 100,000;
If MBL = 40T, Disability or Assault = __% of 200,000;
If MBL = 60T, Disability or Assault = __% of 300,000;
If MBL = 80T, Disability or Assault = __% of 400,000;
If MBL = 100T, Disability or Assault = __% of 500,000.
Accident benefits are payable on top of Life & Medical HMO benefits
7Purple Cow 2012
Benefits
2. Accident Insurance… LONG SCHEDULE OF INDEMNITIES
1. Life (same as Accidental Death) 100% 14. Middle finger 6%
2. Both hands or feet or sight of both eyes 100% 15. Ring finger 5%
3. One hand and one foot 100% 16. Little finger 4%
4. Either hand or foot and sight of one eye 100% 17. Metacarpals 1st/2nd - 3rd/4th/5th 3% - 2%
5. Injuries resulting in being perm. bedridden 100% 18. Leg at or above knee 60%
6. Any other injury causing Total Perm. Disab. 100% 19. Leg below knee 50%
7. Arm at or above elbow 70% 20. One foot 50%
8. Arm between elbow and wrist 50% 21. All toes on one foot 25%
9. One hand 50% 22. Big toe 5%
10. Four fingers and thumb of one hand 50% 23. Any toe other than big toe (each) 1%
11. Four fingers 35% 24. Sight of one eye 50%
12. Thumb 15% 25. Hearing - both ears 50%
13. Index finger 10% 26. Hearing - one ear 25%
+Multiple losses from 1 accident will be limited to the highest loss, not to exceed 100%. If a member suffered the loss of 1 hand/foot/eye prior to coverage, the benefit for a subsequent loss of the same will be ½.
Losses refer to total and permanent loss of use or complete severance
8Purple Cow 2012
Benefits
2. Accident Insurance…EXCLUSIONS
1. Bodily or mental infirmity, hernia, ptomaine, bacterial or viral infection (except pyogenic infection occurring with and through an accidental cut or wound)
12. War, invasion, act of foreign enemy or warlike operation (whether declared or undeclared), mutiny, strikes, demonstrations, riots, civil commotion, conspiracy, military takeover, state of siege, or any weapon or instrument employing atomic fission or radioactive force whether in time of peace or war
2. Disease, sickness, parasite, or disorder of the body/ mind
3. Poison, gas or fumes voluntarily or involuntarily taken
4. Insect bites 13. Serving in the armed forces of any country, or international authority, whether in war or peace5. Earthquake, volcanic eruption or tidal wave
6. Atomic explosion, nuclear fission, or radioactive gas 14. Entering, operating, servicing, ascending or descending from any aerial or submarine device or conveyance, except as provided under a passenger aviation provision7. Pregnancy, childbirth, miscarriage or any complications
8. Accident occurring while or because the Insured is under the influence of alcohol or any drug
15. Hunting, motorcycling or pillion riding, mountaineering which necessitates the use of ropes or pitons, racing of any kind, other than on foot, ice or winter sports, water-ski jumping and tricks, yachting beyond 5 km. off a coastline, underwater activities involving the use of underwater apparatus, or using woodworking machinery driven by mechanical power other than portable tools, applied by hand and used solely for private purposes without reward
9. Suicide or any attempted threat while sane or insane, or any intentionally self-inflicted injury
10. Participation in any brawl, or committing any crime or felony
11. Provoked murder / assault or attempted threat [waived]
9Purple Cow 2012
Benefits
3 Major Employee Benefits in 1 Plan: You get Group Life, Accident & Health
(medical HMO, optional dental HMO, optional APE, and Wellness) – all in 1 plan.
(Unlike most HMO plans)
You get all the Employee Benefits you will ever need
10Why Purple Cow?
Purple Cow 2012
Competitive Advantages
Accidental Death Insurance: Your Accidental Death benefit is a double
indemnity to your Life benefit, and covers death by accident only.
(Unlike all HMO plans)
Accidental Death = 10x MBL
11Why Purple Cow?
Purple Cow 2012
Competitive Advantages
Murder: Your Murder benefit is in lieu of your Accidental Death benefit, and payable if you don’t die by accident, but by murder.
(Unlike all HMO plans)
Murder = 10x MBL, in lieu of Accidental Death
12Why Purple Cow?
Purple Cow 2012
Competitive Advantages
Accidental Disablement Insurance: Your Disablement benefit is based on a long schedule of indemnities. For example: loss of hand = 50% of Disablement benefit.
(Unlike all HMO plans)Accidental Disablement = % of 5x MBL
13Why Purple Cow?
Purple Cow 2012
Competitive Advantages
Assault: Your Assault benefit is in lieu of your
Disablement benefit, if you don’t get disabled by accident, but by Assault.
(Unlike all HMO plans)
Assault = % of 5x MBL, in lieu of Accidental Disablement
14Why Purple Cow?
Purple Cow 2012
Competitive Advantages
EE Features EE BenefitsA complete Employee Benefits package that can make you financially secure
You get more financial security from Purple Cow than from any other HMO
Life INS, Accident INS, Medical HMO, Optional Dental HMO & Optional APE
You won’t need to get any more insurance benefits for yourself
Nationwide Medical & Dental networks, inclusive of all major hospitals & clinics
You can use any accredited hospital or clinic for medical or dental treatment
Choice of doctor as a Private Patient for insurance reimbursement at HMO rates
You can see your own doctor and get reimbursed the rate of an HMO doctor
100% Pre-Existing, 100% congenital, & 100% Special Procedures coverage
You are covered for existing illnesses, natal conditions, & special procedures
Employee Benefits on top of Philhealth You get full HMO + Philhealth benefits
Access to benefit information through C3 on www.purplecow.ph & Facebook
You can take charge of your own health, and know before you go
1 health card for every employee You can avail anytime, anywhere
15♠ What’s in it for…Employees?
Purple Cow 2012
Summary