1. CIA Annual Meeting Assemblée annuelle de l’ICA June 29 & 30, 2006  Les 29 et 30 juin 2006 Ottawa, Ontario Group Insurance – the added value of TPA/TPP

2. CIA Annual Meeting  Assemblée annuelle de l’ICA Types of relationships within Group Insurance: Direct with the insurer Broker or Consultant Third Party Administrator (TPA) Third Party Payer (TPP) Group Insurance – the added value of TPA/TPP Group Insurance – the added value of the TPA/TPP relationship

3. CIA Annual Meeting  Assemblée annuelle de l’ICA Outsourcing of group insurance administration services Data gathering and management Eligibility management Premium billing and remittance Employee queries Group Insurance – the added value of TPA/TPP What is a Group Insurance Third Party Administrator (TPA)?

4. CIA Annual Meeting  Assemblée annuelle de l’ICA Health and Dental claims administration Claims adjudication Claims payment Employee queries Claims reporting Group Insurance – the added value of TPA/TPP What is a Group Insurance Third Party Payer?

5. CIA Annual Meeting  Assemblée annuelle de l’ICA Multi-employer trusts Era of manual processing Specialized eligibility requirements Developed expertise and systems Business growth Applying the concept to regular group accounts Group Insurance – the added value of TPA/TPP Origin of TPA/TPP services

6. CIA Annual Meeting  Assemblée annuelle de l’ICA Multi-employer trusts Association groups Employers wanting to outsource the administration ASO Group Insurance – the added value of TPA/TPP The Current TPA/TPP market

7. CIA Annual Meeting  Assemblée annuelle de l’ICA TPA arrangement Why it is needed How are the services delivered TPP arrangement Why it is needed How are the services delivered Group Insurance – the added value of TPA/TPP How is the TPA/TPP relationship defined?

8. CIA Annual Meeting  Assemblée annuelle de l’ICA Responsiveness Customization Flexibility Client focus Loyalty Group Insurance – the added value of TPA/TPP What is the added value in dealing with a TPA/TPP provider?

9. CIA Annual Meeting  Assemblée annuelle de l’ICA Non-standard administration Relationship building Business growth Group Insurance – the added value of TPA/TPP Why would an insurer deal with a TPA/TPP ?

10. CIA Annual Meeting  Assemblée annuelle de l’ICA Technology Not all TPA/TPPs are the same Regulation Cost of entry and cost of survival Insurer retention factors Group Insurance – the added value of TPA/TPP What are the future challenges for the TPA/TPP provider?

11. CIA Annual Meeting  Assemblée annuelle de l’ICA Cost efficiencies in administration Adapted solutions Market alternative ASO and the TPA/TPP Alternate products (HCSA) Group Insurance – the added value of TPA/TPP What are the prospects for TPA/TPP market growth?

12. CIA Annual Meeting  Assemblée annuelle de l’ICA Questions Group Insurance – the added value of TPA/TPP