This is PEX training modules to be used for learning

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Our Presenters

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House Keeping

4. What to Expect today:
- Interactive Session
- Post training Survey
- Post Training Quiz
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Agenda
Public vs. Private
Private Exchanges
How It Works
Private Exchanges Advantages
Private Exchanges Adoption Rates
Private Exchanges Market Landscape
Our Strategy
Anthem Health Marketplace
Scenarios
Ideal Private Exchanges
Questions from Brokers

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Objectives
Given access to the PEX training, you will be able to:
• Differentiate between public versus private exchanges,
including who runs them, and basic differences between
AHM and other PEXs.
• Improve your understanding of WellPoint’s Private
Exchange business strategy to better support you when
working with consulting houses, local exchanges and
customers.
• Identify the ideal prospect for each type of PEX,
including local exchanges, consulting houses and AHM.

7. Adoption Rates
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What’s In It For Me?
Drive more opportunity!

9. Public vs. Private
A public exchange is a health
insurance exchange run by a
public or government entity
(a state).
Subsidies may be available
A private exchange is a health
insurance exchange run by a
private company (Anthem or a
consultant).
No Subsidies available
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10. Private Exchanges
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Private Exchanges
Distribution
Channel
Online
distribution
tool for
education
and
enrollment.
Retail Shopping
Experience
Employees shop,
compare, and enroll
in the benefits that
meet their needs.
Defined
Contribution
Keeps costs
in check
Online
Marketplace
Marketplace
experience
online and
over the
phone.
Health Care
Account
Employers
deposit defined
contribution
funds into a
health care
account
(often an HRA).

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How it works?
Inside Private Exchange
1
$5000
Private Exchange
$4500
$620
$120

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Advantages
Multi-or
Single Carrier?

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Market Landscape
Consultant based
exchange
Carrier based
exchange
Broker based
exchange
Benefit Admin
Companies

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Market Landscape
Consultant Based Exchange

15. Aon Hewitt Mercer Towers Watson Buck
Systems WGS WGS WGS NASCO 1
Funding Full Full & ASO 2 ASO 2 ASO 2
Medical
Selection Model
Multi Single & Multi Multi Single
Market National National & Local National National
Portal
Your Benefit
Resource
BeneFitFocus Extend BeneFitConnect
Products Med & Rx
Med ·Rx· Dental·
Vision ·Life & Dis
·Stop Loss
Med· Rx· Anthem
Health Rewards·
HealthEquity
Medical
Plan Design Multi Metal Levels
Variety of
deductible plans
HSA
Bronze, Gold, Silver
and Safety Net
Variety of
deductible plans
HSA
Network BlueCard PPO
BlueCard PPO
& ASO Alt Nets
BlueCard PPO
& ASO Alt Nets
BlueCard PPO
& ASO Alt Nets
Care
Management
Variety Variety
Integrated Health
Model
Variety
Buy-up Options N/A
AIM, QuickCare
and Healthy
Lifestyle
N/A Variety

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Market Landscape
Carrier Based Exchange

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Market Landscape
Broker Based Exchange

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Market Landscape
Benefit Admin Companies

19. Our Strategy
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AHM
Health Marketplace

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Scenario
2
Anthem Health Marketplace
1
Powered by
Bloom
AHM
Local Broker
Michael – Local Broker
• 500+ employees
• Corporate office in CA
• Low and high-end
choices (health,
vision, and Dental)

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Scenario
Co-Branding
Justine –Broker
• Significant business
with Anthem
• Looking for Private
Exchange solution
• Competition is also
reaching out

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Scenario
Local leadership discuss
working on a BaU
Andrew–Broker with the largest Mid-West Firm
• Calls local IN sale rep/offering Anthem
products
• Runs Liazon’s platform

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Scenario
GoTruGreen
Alert to RFP - then issue a quote
Jack – Broker with Mercer
• 1,000+ employees
• Offices in 4 States
• HQ in upstate NY

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Ideal Private Exchanges

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Broker Questions
Question 1
Hi, my question is, has
WellPoint agreed to
participate in all 4
Consultant Exchanges?

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Broker Questions
Question 1
YES
NO

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Broker Questions
Question 2
Hi, I have a question for
you, will Anthem
participate on other
exchanges?

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Broker Questions
Question 2
YES
NO
Offer AHM
1st

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Broker Questions
Question 3
Hello, can we customize
the plan designs of the 4
consultant exchanges for
multiple choice?

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Broker Questions
Question 3
Anthem
dictate
plans
Houses
dictate
plans
You can
customize
plans

32. Dear Anthem sales rep,
are the four consultant
exchanges multi-carrier
or single-carrier?
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Broker Questions
Question 4

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Broker Questions
Question 4
Single-
carrier
Multi-
carrier
Both,
varies on
the house

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Broker Questions
Question 5
Hi there, what are some
of the unique aspects of
AHM compared with
the available
alternatives?

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Broker Questions
Question 5
Unique
product
portfolios &
designs
focus on
consumer
experience
Financial
modeling
finds best
defined
contribution

36. Q & A

37. Training Resources
• Knowledge Library
– PowerPoint
– Learner Guide
37

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Thank You