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Dependent Eligibility Audits To Reduce Healthcare Costs How To Use AFLAC The Big IDEA ● Internet Dependent Eligibility Audits
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Dependent Eligibility Audits We find and remove ineligible dependents
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Benefits to Employer Healthcare Costs Plan Fiduciary Responsibility Claim Risks (stop loss) REDUCEDECREASEMAINTAIN
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Results From Hospital Audit Dependents 2,400 Dependents Removed 7.8% 1 st Year Savings $393,498
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Results From Manufacturer Audit Dependents 4,500 Dependents Removed 6% 1 st Year Savings $750,000
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Results From School Audit Dependents 700 Dependents Removed 6.8% 1 st Year Savings $300,000
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The Big IDEA AFLAC and Impact Significant Results For Employers TechnologyPeople Knowledge
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Technology Customized Website Employer’s SPD Custom Rules Custom Questions Document Requirements Product Offerings Crown Technologies
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Technology Target Ineligibles Drill-Down Questions Define Relationships Time and Date Stamp Spousal Carveouts and Surcharges
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People Trained Counselors Organize the Audit Schedule Employees Face-to-Face Interviews Ask Affidavit Questions Explain Document Requirements Take Advantage of AFLAC’s Strengths
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People Skilled Auditors Employee Call Center Document Tracking Document Adjudication Post-Audit Reporting Take Advantage of Impact’s Strengths
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Process Well-Executed Event Conduct Planning Session Acquire SPD and Data Develop Website Train Counselors Provide Templates* Implement Event Deliver Reports * For employee communications
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Communications - Newsletter
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Communications – Payroll Stuffer
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Communications – Letter
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Communications – Email
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Typical ROI on Audits Percent Removed 3%5%8% 1 st Year Savings$90,000$150,000$240,000 Savings Over 3 Years$219,600$371,000$585,600 Communications Cost*$1,500 Return on Investment60 Times100 Times160 Times 1,000 Employees 500 with Covered Dependents * Letters to employee homes 1,000 Dependents $3,000 Average Annual Healthcare Costs Client Profile
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Executive Summary of Methodology / Results Participation Status Call Center Status Document Submission Status Ineligible Results Analysis of Ineligibles Annualized Savings
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The Bottom Line The Internet Dependent Eligibility Audit A comprehensive, customized, personally-delivered solution designed to help you identify ineligible dependents and control healthcare costs. 12/21/2011
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