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NEW RESULTS WHAT WE DO NEXT GEN BENEFITS OUTCOME BASED Population Health Management Retirement Health to Wealth Replace Open Enrollment Paper Docs with our CD Rom! EMPLOYER STRATEGIES BROKER SERVICES VENDORS & TPAs CONSULTING SERVICES Lifestyle Risk Calculator This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.

Small Group Health Insurance Strategy

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Page 1: Small Group Health Insurance Strategy

NEW RESULTS WHAT WE DO NEXT GEN BENEFITS OUTCOME BASED 

Population Health Management Retirement Health to Wealth

Replace Open Enrollment Paper Docs with our CD Rom!

EMPLOYERSTRATEGIES

BROKERSERVICES

VENDORS& TPAs

CONSULTINGSERVICES

Lifestyle Risk Calculator

This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.

Page 2: Small Group Health Insurance Strategy

Scott Hettesheimer Suite 1002 513-661-7581 [email protected]

New Benefits Delivery Strategy2014 will be the year of opportunity for Benefits Consultants. Thousands of employers are searching out consultants with new

ideas, benefit delivery strategies and achieving affordability. Employers are considering Self-Insured Solutions. Guide them by

delivering:

New Self-Insured No Financial Risk Strategies!

Page 3: Small Group Health Insurance Strategy

What is the 2 Tier Deductible Plan?

Fully Funded, No Financial Risk, Partially Self Insured Small employers are exploring self-funding. When done right, self-funding

can save small employers big money.

New insurance contracts are risk identified, risk acceptable and competitive. In this type of contract, several healthcare profit centers are removed. The employer gets to keep their unspent money. Insist on a contract that returns all unspent claims dollars to the employer, the rightful owner.

Employers have the opportunity to save over 30%.

It’s About Health Care Costs, Not Insurance Rates!

This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.

Page 4: Small Group Health Insurance Strategy

CDHP & HDHPHealthCare Need Based Solutions

Insurance contracts that make all healthcare data available.

Insurance contracts that provide more benefit design flexibility.

Employers can determine their maximum liability, fully fund this liability, and receive refunds for healthcare costs being lower than the funded liability.

Employers can set up different premium contributions for employees based on wellness based outcomes measurements.

Employers can implement healthcare analytics/predictive modeling, wellness, lifestyle risk calculator and any other clinical incentive system that reduces healthcare spending. Create higher attendance & productivity.

This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.

Page 5: Small Group Health Insurance Strategy

Traditional Health Insurance is Not the Solution

Increasing Annual Renewal Cost From Pooling

Under Managed HealthCare Need

Complicated HealthCare Benefit Delivery Platform

State-Mandated Benefits Cost

Insurance Companies are “For Profit”

No Reason to Shop Health Care Providers

No Reason to Improve “State of Health”

No Management of Lifestyle/Behaviors

Unspent Claims Dollars Keep by Insurance Company

This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.

Page 6: Small Group Health Insurance Strategy

Implement Communication Assets

When switching to ERISA shared funding, we assure that all components of the comprehensive healthcare benefit program are integrated and delivered through the new plan –

Synchronized HealthCare Benefit Delivery

Assure coordination of all benefits

Benefits website should be updated and coordinate all the benefit programs

All communication tools should be in place: web portal, mail, email, texting, cellular, land line and resource library

This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.

Page 7: Small Group Health Insurance Strategy

Actions: Doing Things Different

• Implement 2 tier deductible plan that refunds un-spent claim dollars

• Create new employer premium contributions that incentivize plan participants to improve their health. Stop healthcare benefit cost shifting

• Healthcare benefit cost savings projection, 2014: 10% - 30% reduction

• Flattened trend increases for 2015 – 2017, 0% to 5% renewal increase goal

• Fewer lost hours, fewer sick days, increase in attendance = productivity

• Reduced disability and worker comp claims

• Slow disease progression and increase disease treatment compliance

• Improved “quality of life” for employees and their families

This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.

Page 8: Small Group Health Insurance Strategy

Services

Open Enrollment Custom CD Rom Creation DOL Audit Compliance Manual Benefits Business Plan Creation ERISA Academy Re-Invent Yourself Business Plan Full Benefits Audit New Small Group Self-Insured Solutions Benefits Delivery Platform Population Health Management Lifestyle Risk Calculator

Other Services:www.AdvancedBenefitDesignInstitue.com

This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.

Page 9: Small Group Health Insurance Strategy

NEW RESULTS WHAT WE DO NEXT GEN BENEFITS OUTCOME BASED 

Population Health Management Retirement Health to Wealth

Replace Open Enrollment Paper Docs with our CD Rom!

EMPLOYERSTRATEGIES

BROKERSERVICES

VENDORS& TPAs

CONSULTINGSERVICES

Lifestyle Risk Calculator

This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.

Page 10: Small Group Health Insurance Strategy

Contact:

Advanced Benefit Design Institute, LLC

3254 Montana Ave., Suite 1003

Cincinnati, Ohio 45211

513-661-7581 [email protected]

http://www.AdvancedBenefitDesignInstitute.com

This presentation contains proprietary information. It is intend for use only by our contracted brokers and employer groups. Any redistribution or other use is strictly forbidden. The benefit descriptions are intended to be a brief overview of some benefits available. For Agent/Broker use only. Not for distribution to the general public, nor for solicitation purposes.