On-Demand Benefits Lifecycle Management Solutions

1. June 2012

2. Who is BCC?
Innovative Solutions and Proven Processes
• Benefit Coordinators Corporation (BCC) is a leading provider of
outsourced solutions connecting Human Resources, Benefit
Management and Specialty Administrative Services
• BenXcel utilizes people, process and innovative technology to
simplify the complex
Click to edit Master title style
• BCC, founded in 1983, has primary offices in San Diego, California
and Pittsburgh, Pennsylvania.
• Co-ventured the creation of LuminX, a technologically
advanced, fully integrated benefit administration system with
proven productivity and accuracy levels. 2
Solid Technology and World-Class Support
• Interoperability across the EbixBenergy & BenXcel platforms
• Connections with hundreds of insurance providers, payroll providers,
and HRIS systems
• SSAE 16 (formerly SAS70) Type II compliant & world-class support
team
2

3. Who Uses TotalWorks?
• Trusted by hundreds of employers, across a wide range of industries
• Public and private, including Fortune 500s
• Cities, counties, school districts, consortiums, associations, cooperatives, etc.
Employer Customers Carrier Partners & Health Info Licensors
Click to edit Master title style
3

4. What is TotalWorks?
On-demand benefits lifecycle management solutions
from Ebix Health and Benefit Coordinators Corporation (BCC)
TalentWorks “Empower” AdminWorks “Automate”
• Employee Communications Portal • Eligibility Lifecycle Management
• Enrollment Services • Consolidated Billing
• Click to edit Master title style
Health & Wellness Center • Reconciliation/Remittance
• Mobile Technologies – mHealth2Go • Eligibility Gatekeeper Services
• Additional Products & Services • COBRA & FSA Administration
• Cost & Care Guide • Comprehensive Reporting
• Helpline
DataWorks “Exchange”
• Secure Data Transfers with Carriers
• Synchronize Payroll Deductions
• SAS-70 Type II Compliant
4

5. Why TotalWorks?
Employer Goals
• To SAVE $$ NOW and ongoing!
• QUANTIFY the Return On Investment (ROI)
 (2.5:1 to 4:1)
Click to edit Master title style
• EXPAND your HR Bench!
 An extension of your HR department to navigate through the complexities of
benefits
• IMPROVE Accuracy & Efficiency
• Collaborate to establish an ongoing plan that progressively MANAGES YOUR
BENEFITS and compliments YOUR BUDGET
5

6. Achieve Significant, Immediate ROI!
Click to edit Master title style
“ROI is a fact of business. No CFO will make an investment without having a fully detailed ROI interpreting the benefits in financial terms.“
- David Herbert, Stanford University
6

7. How Do We Do It?
• Single, End-to-End, TECHNOLOGY/Process-Driven SOLUTION
 AUTOMATE Complex Management of ALL benefit coverages
• OUTSOURCE ER’s “Non-Core” Competencies!
Click to from Paper to Paperless!
 Migrate edit Master title style
• Cleanse, Organize and Build “GATEKEEPER” for Benefits Eligibility Data!
• Customize On-Demand COMMUNICATION Tools
• EMPOWER HR personnel & employees
 REDUCE EE service issues & INCREASE benefit plan communication
 Dedicated Account Executive with Enterprise Service Team
• Scheduled Payroll, HRIS & Carrier DATA EXCHANGE Connectivity
7

8. Typical Corporate “Pain”
Employee Inquiries
Phone Email
CLIENT
Click to edit Master title style
Meetings
Paper
Forms
Fax External Systems
Mail
COBRA
FSA
HRA
Carrier Partners
8

9. The TotalWorks Solution
CLIENT
Employees
TotalWorks
Onsite
Enrollers Eligibility Lifecycle Management
Eligibility Lifecycle Management
Web Phone Email
Plus
Click to edit Master title style
Plus
Administrative Solutions:
Administrative Solutions:
Eligibility Lifecycle Management
Eligibility Lifecycle Management BROKER
Call Paper Consolidated Billing ~ FSA
Plus
Plus
Fax/Mail Meetings Consolidated Billing ~ FSA ~ MRA
Administrative Solutions:
Administrative Solutions:
Center Forms COBRA ~ Retiree Billing
COBRA ~ Retiree Billing
Consolidated Billing ~ FSA ~ MRA
Consolidated Billing ~ FSA ~ MRA
Eligibility Gatekeeper
COBRA ~ Retiree Billing
COBRA ~ Retiree Billing
Workforce Central
Workforce Central
Workforce Central
Data Exchange
TotalCompensation Statements
Total Compensation Statements
Total Compensation Statements
COBRA
Carriers
FSA
Medical/Rx ~ Dental HRA
MRA
Vision ~ Life/AD&D
LTD/STD ~ Voluntary
Payroll
HRIS
9

10. TotalWorks HIX Solution
Association/Private Exchange
A B C D E
Data flow 1 1
1
Data integrity 2 2 1 1
Click to edit Master title style
Data integration 3 3 2 2 2 1
4 4 3 3 2
Accessibility 3
5 4 4 3
Reporting
TotalWorks Platform
TalentWorks/AdminWorks/DataWorks
Enterprise Service Team
Carriers/Cigna/Delta Dental/Ameritas/Lincoln
10

11. TalentWorks “Empower”
Health & Wellness Center
• Developed by A.D.A.M., the leading provider
of online consumer health information
• Access to the largest continually-enhanced
Multimedia Health Encyclopedia
Click to edit Master title style
• Mobile apps including mHealth2Go, an
iPhone app that includes first aid
information, Multimedia Health
Encyclopedia, Symptom Navigator and GPS
Locator to find closest healthcare facility
• Interactive tools like DecisionAssist
Checklists, Care Guides and Health Risk
Assessments
11

12. PlanSource
PlanSource
An option to EbixBenergy,
PlanSource is an on-demand
website that also provides 24/7
Click to edit Master title style
access to benefit plan details,
educational content and company
information. Features include:
• EE Self-Service Communications
• Wellness Information
• BNA Legislative tools
Detailed benefit plans Life event checklists
• Life Event Planning Plan comparison Latest company news
• Decision Support Tools Benefits calculators HR contacts & more…
12

13. AdminWorks Powered by BenXcel®
AdminWorks solutions centralize and automate the thousands of
transactions in the benefits management lifecycle
from on-boarding to termination.
Eligibility Lifecycle Management – Migrate from paper to paperless at your own pace
Click to edit Master title style
• Employees enroll on paper or online
• Captures and automates all coverage and plan rules and formulas
• Automatically processes employee lifecycle changes to maintain database integrity
• Security level defined access
13

14. AdminWorks Powered by BenXcel®
AdminWorks solutions centralize and automate the thousands of
transactions in the benefits management lifecycle
from on-boarding to termination.
One Consolidated Invoice – List vs. Self-Bill
 Multiple carrier products
Click to edit Master title style
 Accurate premium attached to consistent “real” eligibility
 Faster collection of premium (can’t pick and choose)
 Improved bad-debt management vs. “cost to collect”
 Storage of employee premium history
Premium Management – Remittance and Reconciliation
 Premium distribution to all carriers
 (combined or by line of coverage)
 Cash flow acceleration – timely remittance
 Minimal reconciliation and/or data auditing
 Minimizes costly premium retroactivity
and claim leakage
14

15. AdminWorks “Automate”
Retiree Billing
 Invoice and collect premium from retirees, remit premium and eligibility to carriers
Comprehensive Reporting
 Online, dynamic and downloadable reports with “point and click” simplicity available 24/7
 Hundreds of system-generated status and inquiry reports
Click to edit Master title style
 Customized reports available
Eligibility Gatekeeper Services
 Dependent eligibility audits, one-time and/or ongoing
15

16. Specialty Services: “Value”
COBRA Administration
• Employee initial notifications, Qualifying event letters, election forms
• Individual monthly billing and collection
Reimbursement Account Administration
Click to editproducts
• Consumer-Directed Master title style
• Flexible Spending Accounts - Healthcare, Child Care, Transportation,
Parking expenses
• HRA, MRA Administration
Voluntary Products
• Enrollment, data collection and coordination with Payroll/HRIS for
deductions
• Premium remittance and reconciliation with carriers
16

17. DataWorks “Exchange”
DataWorks solutions synchronize the secure, compliant
exchange of benefits data from start to finish.
Data Exchange
•
Click to editwith Payroll/HRIS title style service providers
Master
Secure eligibility data transfers with insurance carriers and other
• Synchronize deductions
• SSAE 16 (formerly SAS-70) Type II compliant
• Cleanse, organize and build “GATEKEEPER” for benefits eligibility data!
• Efficiently process hundreds of data feeds per week!
17

18. Implementation Success
• Setting EXPECTATIONS
 Statement of Work (SOW)
• PHASED Approach
Click to edit Master in Handout Package.)
 Develop timeline (See example title style
• Broker/Client PARTICIPATION
 Data procurement
• Comprehensive COMMUNICATION Strategy
• System Configuration/Testing
• SCALABLE Teams
• EXPERT Training
18

19. Enterprise Service Team
Account
Premium Accounting Executive Information Technology
QA & Training Integrated Services
Carrier Enterprise
Services Service
Click to edit Master title style
Administrator Coordinator
Call Center

Consolidated Billing
Claims Processing Benefit Fulfillment
Administrator
Benefit Analyst
Management Team
Susan Zajacs Scott DeRousse Patrick Helbling Todd Scribner Bonnie DeLuca Kathy Emro Kelly Jones
Chief Operating SVP, Information VP, Client Director, Director, Compliance & Director, Director,
Officer Technology Relations Integrated Services Communication Carrier Services Implementation
19

20. San Diego Sales Team
Michael Lawton, CEO, President
mlawton@benxcel.com
Click to edit Master title style
619.624.9500, Ext. 318
Sherri Irvin, Sales Executive
sirvin@benxcel.com
619.624.9500, Ext. 320
Cris Lovins, Account Manager
clovins@benxcel.com
619.624.9500, Ext. 312
20