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Published byRodney Bailey Modified over 9 years ago
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“The Start Up” Presentation for the Cayman Captive Forum
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Dixon Abell President, Abell, LLC Monroe, LA President, Well Health Insurance Ltd. Ernie Achtien, CPA, CPCU CFO, Captive Resources, LLC Schaumburg, IL Board Member, Well Health Insurance Ltd. Doug Hayden Sr. Vice President, Captive Resources, LLC Schaumburg, IL Captive Consultant, Well Health Insurance Ltd. Panel
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Increase in Health Insurance Premiums Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2012. Bureau of Labor Statistics, Consumer Price Index, U.S. City Average of Annual Inflation (April to April), 1999-2012; Bureau of Labor Statistics, Seasonally Adjusted Data from the Current Employment Statistics Survey, 1999-2012 (April to April).
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Can A Captive Mitigate The Trend? Improved Health Management –Paradigm shift – we CAN impact costs of health benefits Return of Underwriting Profits –Reduces need to increase retention/risk Reduced Costs –Gain leverage in the marketplace –Greater predictability through spread of risk Control Over Insurance Destiny
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Who Formed Well Health Insurance Ltd.? Captive Resources introduced the group stop-loss captive concept to its current casualty captive customers Captive Resources introduced the group stop-loss captive concept to the brokerage community Captive Resources worked with the stop-loss marketplace and started a relationship with Berkley as the program’s policy issuing carrier, reinsurer and underwriter The Program added its first partner company in May 2011 and now covers over 10,000 lives
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Use your current plan design if desired Choose the specific stop loss limit that fits your company best Obtain aggregate stop loss protection if desired Select your own third party administrator Access to local, regional and national PPO networks Well Health Flexibility
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Member Assessment Specific Claims Layers (Per Person Per Policy Year) Employee Share Catastrophic Stop-Loss Coverage Per Claim MEMBER AGGREGATE ATTACHMENT POINT (each member’s) Specific Deductible SIR Captive Co-Participation Member Loss Fund $200,000 IN EXCESS OF SIR CAPTIVE CO- PARTICIPATION BETWEEN MEMBERS WITH AGGREGATE STOP-LOSS Berkley Stop Loss Policy
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Well Health Wellness Development of Health Management/Wellness Platform –Based on member direction and industry best practices Health Management/Wellness Workshops –Topical presenters and breakout sessions –Networking/member interaction Well Health webinar series Member Website Buying Groups
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Well Health Insurance Ltd. WELL HEALTH STOP LOSS CAPTIVE Networking Wellness Plan Design Claim Management Employer’s Total Health Care Costs
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Defining Success Impacting the Total Cost of Healthcare –The Other 85% –Predictability –Outperform industry cost trends –Captive dividend distribution Promotion of healthy behavior Vendor Integration Healthy and Productive Workforce – and Dependents Benchmarking Results
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Contacts ContactPhoneEmail Kevin Hallen(847) 879-2369khallen@captiveresources.com Doug Hayden(847) 879-2357dhayden@captiveresources.com Jim Merkel(847) 944-9818jmerkel@captiveresources.com Larissa Akrawi(847) 879-2382lakrawi@captiveresources.com
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