Benefits Business Plan for Employers

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  • ERISA education has been ignored in the insurance industry. It is a missing topic on Department of insurance insurance exams. Health care reform has made ERISA solutions more attractive that fully insured plans, in or out of exchanges.
  • We provide an introduction to ERISA, enough information for brokers to learn so that they can confidently create, sell and service this type of employer solution. There are several aspects of PPACA that do not apply to ERISA contracts. Benefit design flexibility has always been the number 1 attraction to ERISA solutions. All of the cost containment products, wellness, health care shopping tools that reduce health care claims, are for the most part kept by the employer. The latest ERISA contracts identify and limit risk making ERISA contracts risk acceptable for the smallest of groups – down to 5 lives.
  • PPACA/MLR is not applicable to ERISA contracts so your commissions are retained, in fact you can create your own commission rate. After you’ve learned the ERISA basics and you sell an employer, we have a guide that takes your client through the transition from fully insured to fully funded self-insured. All of the groups we quote through our vendors for you, include the advanced cost containment incentivized system. This solution reduces health care spending 26% on the average. Other cost containment and health care supply chain products, the highest performing in the market are availble by your choice or your clients choice. All savings from reduced spending are retained by your employer client.
  • All insurance plans have at least one element of self-insurance. Deductibles, co-insurance are 2 examples of self-insurance. Plan participants cover this element of self-insurance. Many employers offer an HRA. These are self-insured by the employer. The self-insured plans we construct simply look like a large deductible HRA plan design. A 2 tier deductible if you will. In our contracts, there is a maximum dollar amount that the employer will pay for all aggregated claims. Total risk is identified and then insured.
  • Our ERISA Academy is comprehensive and is delivered with our ReInvent your Benefit’s agency business/marketing plan. ERISA product training to create and present proposals; 4 hours of our on-line webinar assistance helping you present and sell to a prospect, training on 12 cost containment/reduction products; creating a benefits business plan for your clients, licensing and credentialing for all of the products. For a complete list go to our Group Agent Resources web site and review products.
  • Please view our other presentations, specifically “Re-Inventing; Reform Proof your Benefits Agency and call me when you want to work with a knowledgeable and experienced professional. Start getting paid from the savings you create. Your clients can pay commissions or fees for services or % of savings. It’s your choice, our clients Pay only for performance and we share in cost reductions.
  • WE deliver everything you need, from A – Z to transition into self insured ERISA insurance contracts. Survive and thrive in the ERA of Health care reform. Contact us today to get started, we only work with one agency per market.

Transcript

  • 1. EMPLOYERS BROKERS WELLNESS Lifestyle Risk Calculator Population Health Management AFFORDABLE BENEFITS TPAs Replace Open Enrollment Paper Docs with our CD Rom! Retirement Health to Wealth 100% ENGAGEMENT EDUCATION WORKERS COMP RISK Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
  • 2. Benefits Business Plan Benefits Delivery Strategy 2014 will be the year of opportunity for Benefits Consultants. Thousands of employers will be searching out consultants with new ideas, benefit delivery strategies and achieving affordability. Employers need benefits to retain and attract talent. Guide them by delivering: NEW TECHNOLOGY; COMPETITIVE & AFFORDABLE BENEFITS! ARE YOU PREPARED? Scott Hettesheimer Suite 1002 513-661-7581 Scott@GroupBenfitsExperts.com
  • 3. Benefits Business Plan The Benefits Business Plan outlines how Employers can transform outdated and expensive employee health care benefit plans into advanced, “High Performance” benefits solutions. Employers need competitive value and affordability in their employee benefits. Implementation of a complete “High Performance” benefit system has to be delivered. One where the focus is on reducing the need for healthcare. Employers have to embrace analytics, predictive modeling, cost containment and a healthcare needs based benefit design. A financial and clinical incentive driven benefit’s solution, purpose-built for slowing disease progression and meeting the healthcare needs of employees is possible today. Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
  • 4. Employers Need a New Strategy! Are you tired of: • Completing employee applications and switching benefits and Doctors every year? • Comparing current plan design vs. cost savings for plan design reductions? Making your people sicker, quicker. • Making decisions from spread sheets? You cannot manage healthcare from spreadsheets! Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
  • 5. Essentials of a Benefits Business Plan Creating a Benefits Business Plan will guide you in accomplishing sustainable long term goals. You operate your business from a Business Plan, now its time to “run” your benefits from a business plan. Do not continue with the “WAIT” strategy. This has been the strategy since 2010. Where are you today compared to 2010? 100% increase in cost? You need a new strategy! We have reduced healthcare spending up to $3,000.00 per employee! Benefits Business Plans From $550.00 Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
  • 6. Order Your Benefits Business Plan The Benefits Business Plan integrates the advantages of healthcare supply chain management, systems and reporting. We develop a strategic framework guiding you to your short term expectations and long term goals. Customized, made to order employee benefit strategies; advanced management systems, cost control, better health and better care. Our highly developed benefit blueprint: http://prezi.com/sibrz_gfaofh/?utm_campaign=share&utm_medium=copy features full spectrum population health management technology powered by an easy to use dashboard user interface. Healthcare management services are delivered by clinical professionals and experienced customer service reps. Very simply, “We reduce and eliminate health care needs through better education, engagement and management.” Order your Benefits Business Plan Today! Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
  • 7. EMPLOYERS BROKERS WELLNESS TPAs Replace Open Enrollment Paper Docs with our CD Rom! Population Health Management AFFORDABLE BENEFITS Retirement Health to Wealth 100% ENGAGEMENT EDUCATION WORKERS COMP RISK Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
  • 8. Contact: Advanced Benefit Design Institute, LLC 3254 Montana Ave., Suite 1003 Cincinnati, Ohio 45211 513-661-7581 scott@GroupBenefitsExperts.com http://www.AdvancedBenefitDesignInstitute.com Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581