Pediatric Dental Benefits Under the ACA - What Employers (and dentists) Need ...Spring Consulting Group
With the ACA requiring health plans to cover pediatric dental plans, a number of questions have arisen from both employers and dentists. Here are a few of the basics that both groups need to know. Please note, that this information is specific to the State of Massachusetts, and some details may change from state to state.
Navigating Health Insurance in the Health Care Reform Era lkennon
A presentation for large employers, small employers and individuals without employer-based insurance. The slides present the current state of health insurance for each group and the impending changes of Health Care Reform and their potential effects.
This session focuses on Ed Health, a medical stop loss group captive consisting of 11 Boston-area colleges that Spring assisted in the development of. It details Ed Health’s success to date and lessons learned through the development and ongoing management of a medical stop loss group captive.
Pediatric Dental Benefits Under the ACA - What Employers (and dentists) Need ...Spring Consulting Group
With the ACA requiring health plans to cover pediatric dental plans, a number of questions have arisen from both employers and dentists. Here are a few of the basics that both groups need to know. Please note, that this information is specific to the State of Massachusetts, and some details may change from state to state.
Navigating Health Insurance in the Health Care Reform Era lkennon
A presentation for large employers, small employers and individuals without employer-based insurance. The slides present the current state of health insurance for each group and the impending changes of Health Care Reform and their potential effects.
This session focuses on Ed Health, a medical stop loss group captive consisting of 11 Boston-area colleges that Spring assisted in the development of. It details Ed Health’s success to date and lessons learned through the development and ongoing management of a medical stop loss group captive.
How to Manage a healthy healthcare business designed for Chief Executives and Operating Officers of Healthcare Organizations like Hospitals, HMOs , Diagnostics
ISCEBS 2014 Presentation: Health Care Reform’s Impact on Disability ManagementSpring Consulting Group
Recently, Spring Consultants Karen English and Kimberly Mashburn presented at the annual ISCEBS conference. They explore how Disability Management has been impacted by recent US health care changes brought on by the implementation of the Affordable Care Act (ACA)
This webinar focused on what the new healthcare law, the Affordable Care Act, means for small businesses. It focused on both federal and state provisions to help local small business owners understand how the law will affect them.
Need help understanding your health insurance options?
Don't know what to do during open enrollment?
Want to help your employees with their healthcare costs but don't know how?
We got you.
Open Enrollment 101 will teach you everything you need to know about open enrollment, how to evaluate your plan options, and how employers can help their employees out with their healthcare costs.
HR Webinar: The Affordable Care Act Turns 10 Years Old: Where to From Here?Ascentis
Happy Birthday, ACA! Ten years ago, on March 23, 2010, the ACA was signed into law. Adding an unprecedented level of consumer protections and minimum quality standards to the health insurance Americans use, the law was and remains controversial to this day. In fact, the rate of uninsured nonelderly Americans dropped from a high of 17.8% in 2010, to 10.0% in 2016. The cancelation of the individual mandate, among other factors, has started to reverse that trend, with increases in the uninsured rates in 2017 and 2018. As the ACA celebrates its tenth birthday, it has something else to celebrate: its highest approval rate since public opinion polls began tracking it: 55% favorable opinion vs. just 37% unfavorable opinion.
As an HR professional, always busy with a hundred other people priorities at your company, it is hard to keep up with the ever-changing laws in the health insurance industry, and specifically, the ACA. With the law predicted to head to the Supreme Court soon for the third review of its fundamental constitutionality, receiving real-time updates becomes even more important. See what has changed in the ACA, looking at where it started to where it is now in this webinar!
How to Manage a healthy healthcare business designed for Chief Executives and Operating Officers of Healthcare Organizations like Hospitals, HMOs , Diagnostics
ISCEBS 2014 Presentation: Health Care Reform’s Impact on Disability ManagementSpring Consulting Group
Recently, Spring Consultants Karen English and Kimberly Mashburn presented at the annual ISCEBS conference. They explore how Disability Management has been impacted by recent US health care changes brought on by the implementation of the Affordable Care Act (ACA)
This webinar focused on what the new healthcare law, the Affordable Care Act, means for small businesses. It focused on both federal and state provisions to help local small business owners understand how the law will affect them.
Need help understanding your health insurance options?
Don't know what to do during open enrollment?
Want to help your employees with their healthcare costs but don't know how?
We got you.
Open Enrollment 101 will teach you everything you need to know about open enrollment, how to evaluate your plan options, and how employers can help their employees out with their healthcare costs.
HR Webinar: The Affordable Care Act Turns 10 Years Old: Where to From Here?Ascentis
Happy Birthday, ACA! Ten years ago, on March 23, 2010, the ACA was signed into law. Adding an unprecedented level of consumer protections and minimum quality standards to the health insurance Americans use, the law was and remains controversial to this day. In fact, the rate of uninsured nonelderly Americans dropped from a high of 17.8% in 2010, to 10.0% in 2016. The cancelation of the individual mandate, among other factors, has started to reverse that trend, with increases in the uninsured rates in 2017 and 2018. As the ACA celebrates its tenth birthday, it has something else to celebrate: its highest approval rate since public opinion polls began tracking it: 55% favorable opinion vs. just 37% unfavorable opinion.
As an HR professional, always busy with a hundred other people priorities at your company, it is hard to keep up with the ever-changing laws in the health insurance industry, and specifically, the ACA. With the law predicted to head to the Supreme Court soon for the third review of its fundamental constitutionality, receiving real-time updates becomes even more important. See what has changed in the ACA, looking at where it started to where it is now in this webinar!
Significant cost increases. Decreasing benefits. Lack of control. If this is your employee benefits story, then we invite you to consider alternative ways to fund your benefits program.
Captives bring a slew of benefits, including more control, long-term cost savings, and the potential to earn dividends. Most importantly, it puts you in charge of your benefits program's performance.
Shawn Lanter from Berkley Accident and Health digs into what a captive is, why they exist, and how they could work for you.
The Affordable Care Act: What Independent Consultants Need to KnowMBO Partners
Gene Zaino and Dave Putt, both experts on the independent workforce, provide essential information on the ACA basics with a special focus on the independent worker.
Find more resources for independent professionals at www2.mbopartners.com/ic-resources
What decisions should you make for your business related to ObamaCare and HealthCare Reform?
The Roadmap & Decision Tree (pages 9 & 10) help to simplify and help you zero in on what you need to do.
If you have 49 or fewer employees...
If you have 50 or more employees...
This will help make your path clear.
Discussion Question (250-300 words long) Describe the princip.docxelinoraudley582231
Discussion Question: (250-300 words long)
Describe the principles of fee-for-service plans and managed care plans. What are the similarities and differences?
I want you to discuss and answer this question and to help you to do so I will upload a PowerPoint file helping you to answer this question.
Here are two of the classmates responses to this question read it and try to connect their responses to your answer and discussion.
Gabrielle
Fee-for-service plans (FSS) and managed care plans are both classes of insurance programs. In fee-for-service plans, the doctors and hospitals get paid for the service that they perform and test that they order. This plan provides protection against health care expenses in the form of a cash benefit that is paid to the insurer or directly to the health care provider after the employee has received health care services. However under this plan, the insurance company determines a deductible for the patient to pay and then they are responsible for the remainder of the amount. Under managed care plans, the plans emphasize cost control by limiting the patient’s choice of doctors and hospitals that they can use. The plan provides a list of physicians and hospitals that the plan holder can use at a reduced price.
These plans are both similar because they offer a reduced price for medical and health coverage. Some differences between the two include how a patient can choose a physician or hospital. Under FSS, you can see a physician whenever you want or feel necessary. However, under managed care, when you see only the physicians that are affiliated with the plan, they then receive a strong financial incentive.
Trevor
The principles of a fee-for-service plan include a health insurance programs that that use cash benefits in order to help protect employees of an organization from expense that come from health care. Some things that are covered by this are physician charges, hospital expenses, and surgical expenses. One type of these service plans are indemnity plans. These plans are when the insurance company and the employer have a contract that specifically covers certain expenses. The next type of these plans are self-funded plans. These plans are when a company pays benefits from their own assets. Managed care plans control costs by limiting employee's decisions on doctors and hospitals. Fee-for-service plans and managed care plans are similar because they both provide health insurance for employees. Managed health care plans are more confusing because they have so many specifications, meanwhile fee-for-service plans is more basic that offers cash benefit for expenses.
until after a probationary period of at least three months so that they can prove that they are going to be great asset to the company.
Instructions:
1. Login to our database using the phpmyadmin.soe.ucsc.edu interface.
2. Develop SQL query to answer each question.
3. In a WORD compatible document and for each question:
· State .
Health Insurance Innovations Inc, HIIQ Investor Presentation released on March 2019. This Health Insurance Innovations investor relations slideshow covers the following topics:
-HIIQ Solution
-HIIQ Partners
-HIIQ Market Opportunity
-HIIQ New Initiatives
-HIIIQ Community Involvement
-HIIQ Financial Results
-HIIQ Solid Growth Trajectory
and much more.
American International Holdings (AMIH) is an investor, developer and asset manager of diversified, synergistic health and wellness businesses. Today, the AMIH portfolio encompasses telemedicine and other virtual health platforms, affordable subscriber-based primary care and concierge medicine plans, preventative care solutions and wellness related assets such as mental & behavioral health services, as well as its own proprietary life coaching platform. AMIH markets its various services through direct-to-consumer and business-to-business distribution channels. AMIH’s focus is on bringing to market technologies and solutions that advance the quality of life for the global community.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
1. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
2. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
The Problem
• Out of control employee benefit costs
– 60% Increase in Health Insurance Premiums in last 10 years*
– Deductibles for employee-sponsored health plans have increased by
67% since 2010*
– 63% of Americans don’t have $500 in savings to cover out-of-pocket
medical costs in the event of an injury or sickness**
• Predatory providers in the ancillary benefit space
(e.g., dental and vision)
• Small businesses lack access to benefits available to
large employers
• Dynamic regulatory environment for U.S. businesses
• Challenge recruiting and retaining quality employees
*Kaiser Family Foundation/Health Research & Education Trust 2016 Employer Health Benefits Survey.
** BankRate, 2016.
3. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
The Problem
• Commercial insurance companies
Excessive pricing (18-
30% on average)
Limited access to
specialty care
Subjects participants to
pricing volatility
Hold excessive reserve
and profit margins
4. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
The Problem
5. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
The Solution
BIG BENEFITS
FOR
SMALL EMPLOYERS
6. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Big Benefits for Small Employers
– Health and dental care without the middleman
– Two-tiered health care strategy – Captive + Gap
Coverage – to radically reduce employer cost and
minimize employee out-of-pocket expenses
– Access to big employer benefits, including:
Ancillary and supplemental benefits and pricing
Financial management resources
High-level human resources support
7. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
Captive Case Study
• The UC Regents Captive Insurance Company:
– $1.2 billion in assets
– $980 million annual insurance premiums*
• $25–30 million in savings generated**
*Insures +/- $50 billion of property, five medical centers, 7,000+ physicians, employees,
campuses, sports teams, and 80,000 registered student associations
**Plan year 2017
8. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Captive replaces the commercial insurance
company (e.g., Blue Cross) and provides the
legal entity – a licensed insurance company – to
provide benefits to employees
• The captive provides:
– Actuarial, underwriting, claims
management, stop loss, etc.
– Full transparency
– 360° health care data – far beyond what
traditional health insurance companies are able
to provide
9. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Level Funded Insurance
– Alternative to traditional health
plans offered under the ACA
– Saves small businesses up to
30% while providing basic
coverage for employees
– Includes stop loss protection
against catastrophic or
unpredictable losses
10. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• GAP+
– Gap insurance covers deductibles and co-
insurance expenses for employees
– The unique structure of GAP+ provides this
coverage at no cost to employees willing to
engage in monthly wellness programs
(Employees who participate in an HMO or HSA are eligible for HIP+
coverage)
Coverage through
level-funded health
insurance (captive)
GAP+
coverage
11. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
Without
GAP+
With
GAP+
Semi Monthly Pay $1,500 $1,500
GAP+ Premium $0 $239
Payroll Taxes $375 $315
Net Pay $1,125 $946
Eligible Claim Payments $0 $199*
Net Take Home $1,125 $1,145
Paycheck illustration for a 38-Year-Old Employee with an annual salary
of $36,000 GAP+ policy with $4,000 in-patient and $2,000 out-patient
benefit.
*Claim payments require monthly participation in the Health Risk Management Program
GAP
+
BENEFIX
12. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Step 1: Implement level-funded base health
plan with GAP+ through captive
– Timeline: Applications can be taken immediately;
implementation in 60 days
– Estimated savings over existing health plans: 18-
30% ($1,500-3,500/employee/year)
Outcome: 3 year aggregation of live monthly claims
+ health data for all participants
13. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Step 2: With 3 years of 360° data (claims
and health data) to determine best next
step…
– Remain in captive with level funding; or
– Transition to a fully self-funded program
• Direct contracting with providers
• Significant cost savings
– 30-40% savings from traditional health insurance
– Average annual reduction in claims utilization of 10%
• All reduction in claims become income to
participating employers on a pro-rated basis
14. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Supplemental voluntary benefits
– Best-in-class benefits, for example:
• Guaranteed issue life insurance with long term care rider
• Accident indemnity
• Critical Illness indemnity
– Level commission structure = 20-30% lower costs
– Will educate community brokers on available products
15. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Financial management resources
– Concierge support to navigate benefits
EOB disputes
Financial planning for specialty care
– Flexible spending accounts
Health Care
Dependent Care
– Student loan repayment
– Retirement Planning (e.g., 401(k))
16. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Comprehensive HR & Compliance Support
– Access thousands of easily searchable resources in one central
online location
Employee communications
HR forms and employee handbook
Educational articles
– Valuable compliance resources
ACA
FMLA
COBRA
HIPAA
Notices and disclosures
– Receive the latest content, including breaking legislative news
HR Hotline
Legal Resources
17. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Getting Started
– Letter of intent
– Form captive cell, establish networks, and
negotiate pricing
– Gather census and plan data from
businesses
18. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
Contact Information
ActNow Strategies, LLC
936 S. Olive St., Suite 408
Los Angeles, CA 90015
(213) 387-0780
www.ActNowStrategies.com
Editor's Notes
Dental & Vision
Networks vary greatly in terms of the value delivered to the covered employees and their families
Evaluating the availability of dental and vision providers to create plan options, accessibility, and pricing that work for the local communities
Rick – they are screwing you
Rick
Rick
Rick
Rick
Barry
Transition from a traditional fully insured model the potentially advantageous fully self insured model without the financial risks of the migrating directly to a self funded environment without data
http://www.jpfarley.com/blog/8-reasons-to-consider-level-funded-health-plans/
Barry
NOTES: Our example shows a 38 year old employee with an annual salary of $36,000. The employee is paid twice a month so their semi-monthly pay is $1,500. Without the Triada GAP+ product, they have no premium payment so their payroll taxes are based on their gross pay. Obviously without the product they would not be eligible to receive any claims for their engagement in the Triada Health Risk Management program and their net take home is $. If the elect the Triada GAP+ product, the insurance premium is a pre tax deduction and reduces their payroll taxes from $375 to $315. If the employee is fully engaged in the Triada Health Risk Management program, they are eligible for claim payments of $199 from their policy. This results is a net take home of $1,145. So for essentially no net cost to the employee, we can reduce or even eliminate the employees deductible…as long as they stay engaged in our program.