Re-Invent Yourself

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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.
  • 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.
  • Re-Invent Yourself

    1. 1. EMPLOYER STRATEGIES BROKER SERVICES VENDORS & TPAs Lifestyle Risk Calculator Population Health Management AFFORDABLE BENEFITS CONSULTING SERVICES 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. 2. Start 2014 with a Competitive Edge! We Want Brokers & TPAs Who Lead; Forward Thinking We’ve Crafted a Unique Business/Marketing Plan for You We’ve Searched out Evolutionary Solutions We have Found New Technology, Processes and Products You Can Apply These Solutions in an ERISA Self – Insurance Contract ARE YOU PREPARED? Scott Hettesheimer Suite 1002 513-661-7581 Scott@GroupBenfitsExperts.com
    3. 3. Your Value Proposition Great service, experienced staff, and stellar reputation are no longer enough... ...because your competition says they have the same thing! What does your agency do that is different to stand out in a crowded marketplace of brokers? Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
    4. 4. The Challenges           How to stay in business w/o commissions Carriers are not committed to our future Hard to get appointments w/o new ideas Traditional marketing approaches failing Cannot differentiate ourselves to prospects Cannot identify or reduce healthcare needs/costs Cannot identify why employer’s healthcare costs increase You do not have products that reduce health care need and cost ERISA insurance contracts are hard to sell How do you learn healthcare analytics, health care benefits business plans, cost containment incentivized systems, biometrics driven predictive modeling, evidence based reporting and more Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
    5. 5. Re-Invent Yourself Business Plan Capitalize on new Opportunities from HealthCare Reform!  Implement a new business/marketing plan and address healthcare cost in ways that have never been approached and accomplished.  We’re not teaching cost shifting, price negotiations, rate comparisons and benefit stripping. Those techniques are HealthCare Business as Usual.  We’re talking about a PHD in Benefit Design; it’s not about rates, it’s about healthcare needs then costs. Improving medical literacy, adherence to evidence based medicine, creating better lifestyle choices; reducing the need for healthcare that your client’s employees consume. Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
    6. 6. Guidelines Driving Small Employers to Self-Funding 1. Re-Invent Your Marketing 8. Sell New Group Health Insurance Policies; ERISA 2. ERISA Academy – Learn ERISA Insurance Solutions 7. Reduce Need For Healthcare 3. Covert from Outbound to Inbound Marketing “Next Generation Benefits” Re-Invent Your Agency Business Plan 6. Implement HealthCare Supply Chain Management 4. Sell HealthCare Cost Reduction by Reducing HealthCare Need 5. Identify Root cause of HealthCare Costs: Behavior and Lifestyle Choices Synchronized HealthCare Benefit Delivery Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
    7. 7. Re-Invent Yourself Business Plan We provide the new course of action that adopts a new plan to reposition yourself in your marketplace. Marketing, designing benefits, healthcare management, selling and more. Order Your Re-Invent Yourself Manual Today! $200.00 per Broker (click here) Order Your Re-Invent Yourself Plan Today! Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
    8. 8. Services Other Services: www.AdvancedBenefitDesignInstitue.com           Open Enrollment Custom CD Rom Creation DOL Audit Compliance Manual Benefits Business Plan Creation ERISA Academy Re-Invent Yourself Business Plan Full Benefits Audit New Small Group Self-Insured Solutions Benefits Delivery Platform Population Health Management Lifestyle Risk Calculator Copyright © 2014 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
    9. 9. 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
    10. 10. 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

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