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1. South Central Ohio
Insurance Consortium
The management of employee benefits…
not an insurance product
Joining together to achieve better service and management
Providing the most comprehensive coverage possible
Providing cost effective employee health plans
Keeping costs at manageable levels
2. Why SCOIC?
The reasons are obvious
Budget pressures
Capital improvement funds are limited
Managing changes in employee enrollment
Taxpayer funding uncertainty
Unexpected increases in benefit costs
Plan management has become increasingly
complex
3. How SCOIC helps groups like yours
Cost
Strong provider networks provide deep
discounts reducing the average cost per employee.
Funding levels are based on actual expenses
without adding insurance company profits.
Financial reserves eliminate unexpected increases
in benefit costs and helps to develop stable budget
planning.
SCOIC maintains an internal financial pool to lower
stop-loss insurance expense.
Financial reserves are maintained to reduce future
cost increases.
4. How SCOIC helps groups like yours
Management
A self governing board made up of group
representatives manage and oversee benefits and
costs.
Your group maintains control of your plan.
A claims administrator, consultants and preferred
provider networks assist with management.
Accurate data allows for the most current reporting
SCOIC maintains accountability of costas related to
claims and administration.
5. How SCOIC helps groups like yours
Plans
Benefit Plans can include medical, Rx, dental,
vision and life.
Offering a variety of provider networks
Your group selects the plan and benefits
6. The benefits of numbers
Plan administration costs are shared
Larger numbers allow for volume buying
High dollar claims are spread over the entire group creating a greater averaging
of risk
A larger variety of provider networks made up of doctors and medical facilities
are available to meet your needs
Discounts offered to our consortium due to our numbers reduces each groups
overall plan costs
Insurance company profits are eliminated to reduce your administrative costs
3,000 employees within the consortium offers
Benefits a single group alone could not achieve.
7. Employee Benefit Management Corp (EBMC)
An Administrative Services Provider Option. Other Administrators are available.
To those entities who select EBMC as their plan administrator, EBMC becomes an off-site benefits department
and the one place to turn to when special consultation regarding complex health issues is needed.
EBMC - One of the largest and most experienced companies in the Midwest that specializes in the management
and servicing of self-funded benefit groups like SCOIC.
Claims Administration - Assuring timely and accurate claim processing, cost containment and compliance with
HIPPA and COBRA regulations.
Cost Containment - Managing costs related to prescriptions, PPO networks, out of network expenses and disease
management.
8. Associated Benefits Consultants
Marketing partner with Miller-Lewis Benefit Consultants
Market representative - identifying new opportunities in the Ohio Public Sector Market.
Strategic partnerships - innovative solutions to bring long term cost savings and stability.
Public Sector Experience - 29 years of public sector, consortium and self-funded experience.
Miller-Lewis Benefit Consultants
Providing support and service as Consultants for SCOIC.
Plan Benefit - Designing Plans to meet specific needs.
Consulting - meeting with management teams, union representatives and employees
Bargaining - Assist in bargaining with management and associations.
Customer Service - Resolve claim and plan coverage issues with one of our professional consultants.
Local - Centrally located representing groups like yours.
9. SCOIC Measures Up
Employer specific benefit plan
Quarterly meetings of a self governing board.
Benefit plan consulting.
Full customer service assistance.
A variety of provider networks to select from.
Benefits are structured to your specifications
A variety of Third Party Administrators (TPA) choices.
Self funded with healthy financials reserves,
Each entity controls their benefit plan.
Expenses are a manageable because they are rated to actual costs, not built in
profits.
10. Fellow Benefit Managers,
It’s important for us to keep abreast of current trends and issues in the health care field. More importantly, we look to find alternatives
to managing and funding our health benefit plans on our own. Liberty Union-Thurston Local Schools has been fortunate to have been
introduced to the advantages provided by the South Central Ohio Insurance Consortium (SCOIC). We now can count on the stability of costs
and management control assisting both the school district and our employees as well.
The SCOIC started with six Ohio public entities primarily in Fairfield County. The consortium has now grown to represent over 3,000 members.
These public employers formed the consortium in an effort to accomplish the following goals:
• Reduce administrative costs
• Pool certain benefit costs
• Better control the cost of large losses
• Provide better stability in both service and cost, including adequate reserving for protection of all plans.
Overall, the consortium is proving to be a very effective tool for improving the management of health benefits. Service remains excellent
and the financial performance of the plan has exceeded our expectations. Our district has also been impressed with the communication
maintained with our management personnel.
As the current chairman of the consortium, I encourage all benefit managers of public entities to consider joining the South Central Ohio
Insurance Consortium.
Sincerely,
Paul Mathews
SCOIC Chairman
Superintendent, Liberty Union-Thurston Local Schools