06_Joeri Van Speybroek_Dell_MeetupDora&Cybersecurity.pdf
Purple cow employee benefits for sme 2011 (why purplecow)
1. 8. W HY P URPLE C OW ? 33 Competitive Advantages Appendix:
2. 1 ‘Large’ Size Fits All SME : If you are an SME, with 10+ employees, you can join Purple Cow, be part of a bigger group, and be treated like a large company. (Unlike most HMO plans) You can enjoy the same toys as the Big Boys 1 Competitive Advantage #1: Purple Cow 2011 Why Purple Cow?
3. 2 Ways to Access Healthcare : you can see an HMO doctor for free, or your own doctor for reimbursement at the HMO rate – each time you avail. (Unlike most HMO plans) You can see your own doctor, cheaper 2 Competitive Advantage #2: Purple Cow 2011 Why Purple Cow?
4. 3 Major Employee Benefits in 1 Plan: you get Life, Accident & Health (medical HMO, dental HMO, optional APE, and Wellness program) – all in one plan. (Unlike most HMO plans) You get all the Employee Benefits you will ever need 3 Purple Cow 2011 Why Purple Cow? Competitive Advantage #3:
5. 4 Modes of Payment : you can choose from annual, semi-annual, quarterly, or monthly modes of payment to suit your cash flow or budget. (Unlike most HMO plans) You can pay Annual (60%), S.A. (5%), Qtr. (30%) or Mo. (5%) 4 Purple Cow 2011 Why Purple Cow? Competitive Advantage #4:
6. Up to 5 R&B x 3 MBL Choices each : you can choose up to 5 SME Room & Board categories x 3 Maximum Benefit Limits each to suit your wants, needs or budget. (Unlike most HMO plans) You can try new combinations to see if they are ‘sulit’ 5 Purple Cow 2011 Why Purple Cow? Competitive Advantage #5:
7. 100% Pre-Existing Conditions: you get 100% Pre-Existing Conditions coverage, up to MBL, for cancer, hypertension, diabetes, asthma, etc. (Unlike most HMO plans) You are covered for dreaded & non-dreaded diseases 6 Purple Cow 2011 Why Purple Cow? Competitive Advantage #6:
8. 100% Congenital Conditions : you get 100% Congenital Conditions coverage, up to MBL, for mitral valve pro-lapse, rheumatic heart disease, hernia, etc. (Unlike most HMO plans) You are covered for medical conditions since birth 7 Purple Cow 2011 Why Purple Cow? Competitive Advantage #7:
9. 8 Purple Cow 2011 Why Purple Cow? Benefits on Top of Philhealth : your HMO limits are on top of Philhealth , so you won’t need as much MBL. Your Benefits = Philhealth + MBL, not just MBL. (Unlike most HMO plans) You get full HMO benefits on top of Philhealth benefits Competitive Advantage #8:
10. Pooled Employee Utilization : your Employee utilization is pooled together with the employee utilization of all other groups, to spread your risk. (Unlike most HMO plans) You get to enjoy the safety of a bigger group 9 Purple Cow 2011 Why Purple Cow? Competitive Advantage #9:
11. Separate Dependent Utilization : your Employee and Dependent utilization are separate, so you won’t have to worry about Dependents affecting your rates. (Unlike most HMO plans) You can offer Dependent coverage without fear 10 Purple Cow 2011 Why Purple Cow? Competitive Advantage #10:
12. Life Insurance : your Life insurance benefit = 5x MBL. Twist: if you don’t die, but you’re totally and permanently disabled, TPDI = 5x MBL. (Unlike all HMO plans) 11 You can get 1 year’s worth of income replacement Purple Cow 2011 Why Purple Cow? Competitive Advantage #11:
13. Accidental Death Insurance : your Accidental Death benefit = 5x MBL. Twist: if you don’t die by accident, but by Murder, you get 5x MBL. (Unlike all HMO plans) You can get another year’s worth of income replacement 12 Purple Cow 2011 Why Purple Cow? Competitive Advantage #12:
14. Disability Insurance : your Disability benefit = __% of 5x MBL. Twist: if you don’t get disabled by accident, but by Assault, you get __% of 5x MBL. (Unlike all HMO plans) You can get up to 1 year’s worth of income replacement 13 Purple Cow 2011 Why Purple Cow? Competitive Advantage #13:
15. Medical HMO Network : you can get inpatient, outpatient and emergency treatment from 21,519 doctors, 352 hospitals, and 358 clinics nationwide. (unlike some HMO plans) You can go to MMC/ SLMC/ CSMC/ AHMC/ TMC/ Healthway 14 Purple Cow 2011 Why Purple Cow? Competitive Advantage #14:
16. Dental HMO Network : you can get 1 permanent filling, 2 oral prophylaxes, and 8 other benefits from 775 dentists and 645 clinics nationwide. (Unlike most HMO plans) You can go to SM/ Market 2 / Festival/ Robinson’s/ Shangrila/ ATC 15 Purple Cow 2011 Why Purple Cow? Competitive Advantage #15:
17. Optional Annual Physical Exam : you can customize your APE and request a designated or mobile clinic from GRA; or you can get a Basic 5 APE nationwide. (Unlike most HMO plans) You can decide if you want an APE, and if so, what kind 16 Purple Cow 2011 Why Purple Cow? Competitive Advantage #16:
18. Health & Wellness Program : ALGA will conduct a Comprehensive Wellness Program for your group 2x/year, based on your own set of health issues. (Unlike most HMO plans) You get seminars, screenings & protection measures 17 Purple Cow 2011 Why Purple Cow? Competitive Advantage #17:
19. Optional Outpatient Reimbursement: you can reimburse up to an aggregate limit of 1/10 th your Maximum Benefit Limit for Rx Medicines, Dental & Vision. (Unlike all HMO plans) You can get the best perks of medical insurance as well 18 Purple Cow 2011 Why Purple Cow? Competitive Advantage #18:
20. Same Benefits for Dependents : Dependents can get the same benefits, terms and conditions as Employees (as well as the same costs in 2011). (Unlike most, if not all, HMO plans) Your Dependents are treated like Employees 19 Purple Cow 2011 Why Purple Cow? Competitive Advantage #19:
21. The Price is Right : Purple Cow rates are lowest where they matter the most: in the 2 lowest categories, where you enroll up to 90% of your staff. (Unlike most HMO plans) You get the greater good for the greater number 20 Purple Cow 2011 Why Purple Cow? Competitive Advantage #20:
22. The Design is Right : Purple Cow provides medical necessity, not luxury. Savings from excess R&B/MBL are reallocated to benefits of greater use. (Unlike most HMO plans) Your R&B/MBL combos are good up to 99% of the time 21 Purple Cow 2011 Why Purple Cow? Competitive Advantage #21:
23. The Perfect Insurer : you get the biggest name in group life and medical, and the only insurance company in the PH today that offers an HMO-type plan. (Unlike all insurance companies) You get the best of both INS & HMO worlds from ALGA 22 Purple Cow 2011 Why Purple Cow? Competitive Advantage #22:
24. The Perfect Broker : you get to retain the services of the #1 Filipino, family-owned, full-line insurance brokerage in the PH today. (Unlike most brokers) You can outsource all your lines of insurance to GRA 23 Purple Cow 2011 Why Purple Cow? Competitive Advantage #23:
25. Buy Now, Pay Later : you can sign up today, get covered right away, and pay later when GRA bills you (during your EB orientation, at the earliest). (Unlike some HMO plans) You can take advantage of the float 24 Purple Cow 2011 Why Purple Cow? Competitive Advantage #24:
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27. Utilization Reports : you get a detailed, user-friendly report that gives you insights into your own group’s utilization patterns. (Unlike some HMO plans) You can learn a lot about the state of your group’s health 26 Purple Cow 2011 Why Purple Cow? Competitive Advantage #26:
28. Group Renewal Rates : you get a group renewal rate increase or decrease at the start of every year, so you can plan accordingly. (Unlike most HMO plans) Your renewals become much less disruptive to your HR 27 Purple Cow 2011 Why Purple Cow? Competitive Advantage #27:
29. Group Experience Refund : you get to share in the excess, if any, of the group’s favorable utilization experience: ((premiums x 60% ) – (YTD + IBNR claims)) x 50% = Exp. Refund (Unlike most HMO plans) Good experience refund formulas keep Suppliers honest 28 Purple Cow 2011 Why Purple Cow? Competitive Advantage #28:
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32. 31 Purple Cow 2011 Why Purple Cow? Non-Employees can Win, too : you can even cover agents, associations, and multi-purpose cooperatives, as long as certain selection & payment criteria are met. (Unlike most HMO plans) You can offer Employee Benefits to Non-Employees Competitive Advantage #31:
33. Virgins can Win Even More : you get a 1 st year Virgin promo rate if your company has never had group insurance or HMO before. (Unlike all HMO plans) You can renew at the prevailing Non-Virgin rates in 2012 32 Purple Cow 2011 Why Purple Cow? Competitive Advantage #32:
34. Large Companies can do a TPA : if you become a Large Company, you can self-insure as a stand-alone account, using the same Purple Cow schedule of benefits. (Unlike all TPA plans) You can switch from insured to self-insured plans easily 33 Purple Cow 2011 Why Purple Cow? Competitive Advantage #33:
