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Presented by InnoBenefits Mitchell Besvinick May 30, 2007
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…what value do I bring to my customers?
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Don’t be a rep, be a solution A rep is column 5 on a spreadsheet Reps are expendable
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Know your limitations Sell the process, not the product Access to accurate information and solutions
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Know your competition and how you are different Understand the process of Group Supplemental HI Rollover, Rollover, Rollover
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SRC/Aetna Starbridge/Cigna Foundation One/American Fidelity TransChoice/Transamerica HM Benefits Optimed Nationwide PanAmerican American Worker Plan Etc., etc., etc.
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Scheduled Benefit Plan National PPO Easy to do business with National PBM Depth of products available
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Mini-Medical HIP Middle Medical Limited Medical A reduced benefit, reduced cost health insurance program
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Scheduled benefit plans ◦ Built from hospital indemnity plans ◦ Pre-determined benefit amounts ◦ Schedule benefits ◦ Reimbursement/Direct Pay of benefits
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Usual and customary (UCR) plans ◦ Usually include deductibles and co- payments ◦ Built on major medical platform ◦ Reduced benefits to fit pricing and risk constraints ◦ In-network and out-of network benefits ◦ Balanced billing
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Retail Stores Convenience / Grocery Stores Health Services industries Restaurants Hotels / Motels Janitorial Services Landscaping / Lawn Services Staffing Companies Associations (1099 employees) Actually…any group is a prospect!
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Voluntary plans Employer funded plans Layering policies Extending major medical eligibility New state benefit requirements Etc., Etc., Etc.
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Underwrite Promote Administer Fulfill Limited Indemnity Plans and other voluntary products
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Consult Design Implement Administer Limited indemnity plans and other voluntary products via inbound/outbound call center and other enrollment solutions
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This combination ensures a successful result ConsultDesignImplementAdminister
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Consult Design Implement Administer Evaluate carrier/market plan designs Research and detail demographic data Evaluate company logistics Geo-access medical providers for PPO Geographic medical cost evaluations
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Consult Design Implement Administer Benefits Offered* Dual option limited medical plans Dental Plans Vision STD Life Insurance Critical Illness Traditional voluntary products Most benefits Guaranteed Issue No participation requirements Most plans Section 125 eligible *Benefits vary by carrier
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Consult Design Implement Administer Medical Plan Benefits* Daily Hospital Room and Board Doctor’s Office Visits Inpatient and Outpatient Surgery Anesthesia X-ray and lab benefits Critical Illness Benefit Prescription Drug Benefit Supplemental Accident Benefit Wellness Benefit PPO *Benefits vary by carrier
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Consult Design Implement Administer Simple to understand No deductibles No annual dollar maximum No pre-existing conditions (except maternity) Provides “First Dollar Coverage” Comprehensive list of covered services Can be offered as Hi/Lo employee option Freedom to go to any doctor or hospital (PPOs available) Rate stable
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Consult Design Implement Administer Preparation for Enrollments Detailed timeline development Develop technology and business infrastructure Develop comprehensive enrollment strategy Place experienced, trained and licensed enrollers at call center Develop, design and print research-based communication materials
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Consult Design Implement Administer Conduct initial and annual open enrollment Educate employees on benefit options (what it is and what it is not) On-going/new hire enrollment support
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Consult Design Implement Administer Orchestrate administrative flow with carrier and client Eligibility tracking Test and double check
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Share information with employees Make a payroll deduction Forward file and monies to carrier We/You do all the rest
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Request proposals Recommend carrier of choice Participate in conference calls Observe the process Sell more cases Collect Commissions!
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Experts in Limited Medical Plans Large/brand recognized references Nationally recognized consulting group Access to custom administrative solutions No competition to brokers
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