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TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
Smart Technology Solutions
Health Claims Processing ● Human Capital Management ● Business Process Automation
Smart Employee Benefits Inc.
John McKimm 416-460-2817
John.mckimm@seb-inc.com
June 2013
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
Notice
CAUTIONARY STATEMENT
This document is intended for information purposes only. Statements made in this document
may contain “forward looking” information about the company’s future business prospects.
These statements – while expressed in good faith and believed to have a reasonable basis –
are subject to risk and uncertainties that could cause actual results to differ materially from
those set forth or implied by such forward looking statements. Investors should consult a
professional advisor before making any investment decision.
PROPRIETARY NOTICE
All pages of this document contain information proprietary to Smart Employee Benefits Inc.
(“SEB”). This document shall not be used, or otherwise disclosed to anyone other than the
organization or specific individuals to which this document is delivered. This document shall
not be duplicated, or transmitted in any form by any means, or otherwise to anyone other
than the organization without prior written permission from SEB. This restriction is applicable
to all pages of this document. SEB reserves the right to have the recipient return all copies of
this document at any time.
REFERENCE
All data and statistics referenced in this document are sourced from various publications from
the insurance industry and research organizations including Fraser Group.
2
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
SEB at a Glance
Offices Employees & Contractors Stock Market Symbol

Canada: Mississauga, Markham, Ottawa Approx. 123 in Canada TSXV: SEB
Dubai, UAE and Hyderabad, India 45 in India
Share Price Shares Outstanding Market Capitalization
Range: $0.30 to $0.40 Basic: 61.0 mm F/D: 86.2 mm Approx. $20.0 mm
Note: Dilution at the lowest exercise price brings over $12.5 million of new capital
Insiders
Public
3
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
SEB IS A TECHNOLOGY COMPANY
SEB is a Technology Company
providing leading edge
“Business Processes Software,
Solutions & Services”
with particular emphasis on
“Managing Employee
Group Benefit Solutions and
other Healthcare Claims
Processing Environments”
Health Claims Processing
• Group Benefits
• Other Health Claims
Software and Systems Integration Solutions
Human Capital Management Software, Solutions and
Services
Revenue Distribution Targets
(24 months)
4
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
SEB’s GROWTH STRATEGY ACQUISITION
DRIVEN
1) Employee Group Benefits:
 Acquisitions: target Third Party
Administrators (“TPAs”), Benefit Consultants
and Insurance Broker organizations.
 Objective: secure client relationships and
transition many of the front and back office
business processes to the SEB technology
environment, effectively turning outsourcing
cost centres to in-house profit centres.
 Organic Growth: driven by transition to SEB’s technology platform.
2) Governments - Federal, Provincial, Municipal
 Acquisitions: target Technology companies (primarily IT) that have vendor
relationships, security clearances and project references.
 Objective: secure the business credentials necessary to be eligible to bid
competitively. All government contracts are competitive RFP (Request for Proposal)
processes.
 Organic Growth: driven by budget increases in government contracts won and by
new successful bids. Success increases as critical mass increases.
5
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
SEB Business Model - Software Enabled
Services
Acquisitions Underpin Growth Strategy Across Both Divisions
Vision: “Services” Driven By Unique Software Solutions and
Systems Integration Expertise
Big Data Management Solutions & Expertise
6
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
Health Claims Processing is Immediate Focus
1) Employee Group Benefits (over $33.0 Billion in 2012)
 Pooled Benefits (AD&D, Term, Disability etc.)
 Health Benefits (Drugs, Wellness, etc.)
 Dental Benefits
2) Other Health Claims (over $23.0 Billion in 2012)
 WSIB (12 in Canada, over $10.0 billion of claims)
 Travel Claims
 Government Health Plans (Federal & Provincial)
 Dental and Pharmaceutical Associations
 Hospitals, Private and Public
 Other (numerous other applications)
Immediate Focus: Employee Group Benefit Health Claims Processing
Complementary Focus: Software, Systems Integration and Human Capital
Management Solutions
7
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
SEB’s Health Claims Business Model:
Acquisition and Transition
Current Industry Model
No Fully Integrated Solution
The SEB Business Model
A Fully Integrated Total Outsourcing
Solution
The SEB Business Model focuses on acquiring TPAs and investing in
Brokers/Consultants to effect more control over the Outsourcing and Insurers decisions.
Typically, TPAs or Insurers control the Outsourcing decision and Brokers/Consultants have
significant influence on whether a Client goes directly to an Insurer or a TPA. Both TPAs and
Brokers/Consultants influence the selection of and negotiations with Insurers. SEB’s Objective
is for Brokers/Consultants to Recommend the SEB TPA Environment.
SEB’s TPA Business Model and Technology Platform is a Total Outsourcing Solution
Allowing SEB More Influence over the Outsourcing and Insurer Decision and
Increases SEB’s Outsourcing Revenue Participation by up to 700%
8
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
SEB’s Fully Integrated Technology Solution...
Adjudicating at the Individual Level is
Game Changing Functionality
SEB has a “Fully Integrated Health Claims Processing Technology Platform” Capable
of Totally Automating Adjudication and Reporting at the
Employee/Individual/Detailed Benefit Level in one Technology Environment.
Note: 1) Estimated that over 300,000,000 drug and dental claims get adjudicated annually.
In Canada Drug Claims alone exceeded $33,000,000,000 in 2012.
2) The “Holy Grail” of Healthcare Claims Processing is the “Adjudication Technology”.
9
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
...SEB’s Fully Integrated Technology Solution...
All Health Claims Processing Functionality Occurs in
One Integrated Technology Environment.
Configuration
Management
System
SEB
Super User
SEB System
Administrator
SEB
CSR
SEB
Finance
SEB
ASR
Group
Admin
Group
Employee
Providers
Brokers
TPAs
SEB Administration Module
On-Board New Client
Maintenance
Billing
Reporting
Payment
AUTHENTICATION LAYER
I
N
T
E
G
R
A
T
I
O
N
L
A
Y
E
R
A
U
T
H
E
N
T
I
C
A
T
I
O
N
L
A
Y
E
R
Adjudication
Engine
(Accepted
and Rejected
Claims)
Security
Management
Geography, Tax
Management
Language
Management
Group
Management
Class
Management
Employee
Management
Dependants
Management
Brokers,
Commissions
Management
Carriers,
Benefits
Management
Sales Rep,
Commission
Management
Providers
(Dentist/Pharma
cy)
Member Plan
Booklet
Drug
Information
Management
Dental
Procedures
Management
Plan
Management
P1
Telus Health
Other
Dentist
Pharmacy
Adjudication
(Claims Data)
Query/Repor
ting
Administration
Replicate Claims
Card Printer
Mobile App Ad-Hoc
Reports
Standard
Reports
Charts and
Drill Down
A HUGE COMPETITIVE ADVANTAGE
10
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
...SEB’s Fully Integrated Technology Solution
Automated Rules Based Adjudication Platform Supports
The Most Flexible and Automated Plan Designs in the Industry
SEB’s rules based platform allows trained administrators, not
programmers to create and implement new rules without the rigors of
typical software development.
Adjudication Plan Design Rules
AdjudicationFiscalRules
Claims Adjudication Processing Engine (Adjudicates all Health & Dental Claims)
SEB’s Rules Engine
is separate from the
Adjudication
Processing Engine.
All other
Adjudication
Processing Engines
incorporate these
rules directly into
the Adjudication
Processing Engine.
Adjudication Plan Design Rules
Claims Adjudication Processing Engine (Adjudicates all Health & Dental Claims)
11
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
SEB’s Health Claims Value Proposition
SEB’s Technology Platform Provides the Most Flexible Automated
Plan Designs in the Industry.
 Adjudication of health benefit claims on a detailed individual level, unique
in the health claims processing industry.
 Rules Based Adjudication in one technology environment for all benefit
types versus the industry norm of multiple environments.
 A fully integrated technology environment that is the most automated in
the industry and is able to implement and adjudicate the most detailed and
flexible plans in the industry.
 Administration software that is seamlessly integrated with adjudication,
payment processing and reporting. Enhances efficiency for all users. Unique in
the industry. Can be deployed as a module.
 Reporting is the most detailed in the industry and the only platform with
self service functionality including real time access to standard reports and
data mining capability for customized reports.
Objective: To Put Control of Each Health Care Dollar
Into the Hands of the Employer/Employee
“YOU CAN ONLY MANAGE WHAT YOU CAN REPORT ON”
12
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
Canadian Group Benefits Industry
Steady Growth and Recession-Resistant
Premiums by Benefit Category - Grew over 81% since 2001
Benefit 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
1. Pooled
Life/AD&D $2.2 $2.2 $2.3 $2.4 $2.5 $2.5 $2.6 $2.8 $2.8 $2.9 $3.3
ST Disability $1.1 $1.1 $1.1 $1.0 $1.1 $1.1 $1.3 $1.4 $1.4 $1.4 $1.5
LT Disability $3.1 $3.4 $3.7 $3.9 $4.2 $4.4 $4.7 $5.0 $5.2 $5.4 $5.5
Total $6.4 $6.7 $7.1 $7.3 $7.8 $8.0 $8.6 $9.2 $9.4 $9.7 $10.3
% of Premiums 35.6% 34.0% 33.8% 32.6% 32.9% 31.6% 31.6% 31.6% 31.1% 31.1% 31.5%
2. Dental $4.5 $4.8 $5.1 $5.4 $5.6 $6.0 $6.3 $6.7 $6.9 $7.0 $7.3
% of Premiums 25.0% 24.4% 24.3% 24.1% 23.6% 23.7% 23.2% 23.0% 22.8% 22.4% 22.3%
3. Health $7.2 $8.2 $8.8 $9.7 $10.3 $11.3 $12.3 $13.2 $13.9 $14.5 $15.1
% of Premiums 40.0% 41.6% 41.9% 43.3% 43.5% 44.7% 45.2% 45.4% 46.0% 46.5% 46.2%
4. Total Premiums $18.0 $19.7 $21.0 $22.4 $23.7 $25.3 $27.2 $29.1 $30.2 $31.2 $32.7
Note: Total Premiums in 2012 is estimated to exceed $34.0 billion
13
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
...Canadian Group Benefits Industry…
Dominated by a Few Insurers
Top 10 Insurers – Control over 95.5% of Market
TPAs - process approximately 13% of Premiums, and Growing
Outsourcing Services – an Industry Norm for Insurers and TPAs
Insurers 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Sun Life 13.1% 21.2% 22.3% 20.8% 21.2% 21.8% 21.8% 21.0% 21.9% 23.0% 22.3%
Great West Life 18.3% 18.4% 25.9% 23.3% 22.9% 22.5% 22.1% 22.3% 22.1% 22.9% 22.1%
Manulife Financial 11.5% 11.1% 11.8% 22.9% 22.7% 21.8% 21.5% 21.0% 21.0% 21.1% 20.0%
Blue Cross 9.8% 10.2% 10.9% 10.2% 9.6% 10.6% 10.6% 10.5% 10.6% 10.7% 10.4%
Dejardins Financial 3.9% 4.2% 5.0% 4.8% 4.9% 5.1% 5.6% 5.9% 5.8% 6.1% 6.1%
SSQ Financial 3.2% 3.5% 3.9% 3.8% 3.9% 3.9% 3.8% 3.9% 4.0% 4.2% 4.2%
Greenshields N/A N/A 3.3% 3.4% 3.4% 3.5% 3.4% 3.6% 2.9% 3.6% 3.7%
Industrial Alliance N/A 2.5% 2.8% 2.6% 2.6% 2.7% 2.7% 2.9% 3.6% 3.1% 3.1%
Standard Life N/A N/A 2.1% 2.0% 2.1% 2.1% 2.1% 2.2% 2.1% 2.2% 2.2%
La Capitale N/A N/A N/A N/A N/A N/A N/A N/A 1.2% 1.3% 1.3%
Clarica Life 8.8% Acquired by Great West Life ------------------------------------------------------------------------------------------------------
Maritime Life 8.3% 8.1% 12.0% Acquired by Manulife -----------------------------------------------------------------------------------
Canada Life 6.4% 6.3% Acquired by Great West Life --------------------------------------------------------------------------------------
Liberty Health 3.1% 3.1% Acquired by Maritime Life -------------------------------------------------------------------------------------------
Cooperators N/A N/A N/A 1.4% 1.4% 1.3% 1.3% 1.2% N/A N/A N/A
Note: 8 of the top 10 Insurers outsource adjudication. Only Blue Cross and Greenshields have their own dedicated adjudication
platforms.
14
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
SEB’s Business Strategy/Business Model
Summarized
Technology Ownership and Expertise
 turns cost centres to profit centers reducing costs for clients and capturing more
revenue and profitability for SEB.
 allows highly customized solutions to be provided to clients efficiently and cost
effectively.
Acquisition Growth Model
 acquires existing client relationships which can be transitioned to the fully
integrated SEB technology environment enhancing profitability.
 creates the critical mass of business relationships, vendor arrangements,
reference projects and security clearances to win competitive RFP business, both
government and private sector.
 reaches consolidated profitability faster.
SEB, through acquisition and organic growth initiatives, is creating a global
infrastructure of business and technology expertise, supporting a highly customizable
and scalable “Services” business model around proprietary software solutions driving
annuity revenue streams, with a primary focus on managing big data, particularly in
healthcare.
15
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
80,000+ Users
170 Countries
30+ Hub Enterprises
3+ Billion Transactions/Annum
20,000+ Spoke Trading Partners
10 Supply Chain Products
16
Corporate Profile
SEB’s First Acquisition
QLogitek
imagine where you could be
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities 17
The Strategic Fit Between SEB and the QLogitek
Acquisition...Supply Chain Expertise
 A Supply Chain is any business that connects and manages transactions
between parties with the objective of providing end to end visibility with
complete integration to all internal and external systems. Supply Chains
permeate the Business Operations of every organization.
 QLogitek is a leader in providing Supply Chain software and systems integration
expertise to multiple industries including retail, manufacturing, financial services,
etc.
 SEB has unique Adjudication Technology, the “Holy Grail” of the Health Claims
Processing Supply Chain, capable of adjudicating at the employee/individual level.
 QLogitek surrounds the Adjudication environment with Supply Chain solutions
and expertise in Administration, Payment Processing and Reporting to enhance
SEB’s fully integrated Health Claims Processing solutions platform. QLogitek is a
highly respected technology company which adds credibility to SEB as a
technology provider.
 Result – the most flexible and easily customized Health Claims Processing
solutions in the industry, delivered from a highly credible supply chain technology
Health Claims Processing is a Specialized Supply Chain
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
QLogitek
imagine where you could be
30+ Hub Enterprises 20,000+ Spoke Trading Partners
18
Select Clients - all potential health benefit clients
- all RFP Reference Clients
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
QLogitek
imagine where you could be
19
Software & Services – 12 Proven Solutions
Hosted EDI System
Supplier Order Mgmt. System
Customer Order Mgmt. System
SKU Mgmt. System
Inbound Mgmt. System
Product Lifecycle Mgmt. System
Claims Mgmt. System
Repair Order Tracking System
Supply Chain Performance Dashboard
Payment System (L’ePAY)
Managed Services
Supply Chain Consulting Services
Note: Health Claims Processing is a
specialized supply environment
Credibility: Billions of transactions are processed annually
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
QLogitek
imagine where you could be
Awarded By Award / Designation Name Year
Retail Council of Canada (RCC)
Supply Chain Excellence
Award
2007
Council of Supply Chain
Management Professionals
(CSCMP)
Supply Chain Innovation
Award
2007
Microsoft Corporation Small Business Specialist 2006
Voluntary Inter-industry
Commerce Standards (VICS)
Global Award 2005
Retail Council of Canada (RCC)
Annual Excellence in Retailing
Award
2004
Retail Council of Canada (RCC)
Supply Chain Excellence
Award
2004
Microsoft Corporation
“Go-To” Partner
Supply Chain Management
2002
IDC Innovation Award 2001
Microsoft Corporation Microsoft.NET Award 2001
Awarded By Award / Designation Name Year
Retail Council of
Canada (RCC)
Supply Chain Excellence Award 2012
Microsoft Canada
IMPACT Award WINNER
Integration Application Partner
2011
Microsoft
Corporation
Technology Adoption Program
SQL Azure Reporting
2011
Microsoft Canada
IMPACT Awards Finalist
Application Integration Category
2011
Microsoft
Corporation
Worldwide Partner Awards Finalist
Application Integration Category
2011
Microsoft Canada
IMPACT Awards Finalist
Hosting Category
2010
Microsoft
Corporation
Virtual TS Program 2010
Microsoft
Corporation
Worldwide Partner Awards Finalist
Application Integration Category
2010
20
Recognition & Awards: Credibility as a Technology Provider
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities 21
About SOMOS: Critical Mass of Business with Governments
 Ottawa-Based Management and
Technology Consulting company
 Customers include:
 Federal Government
 Information Technology
Organizations
 Developers and manufacturers
of technology-based products
 Aerospace and Defence.
 Project Management and IT
Specialists
 Consulting
 Professional Services
 Training
 Systems
 PRINCE2® Training since 1997
 First North American Accredited Consulting
Organization (ACO)
 PRINCE2®
 MoP®
 P3M3®
 First North American Accredited Training
Organization (ATO)
 PRINCE2®
 MoP®
 P3M3®
 PMI REP®
 Microsoft Silver Partner
 Project and Portfolio Management
 Deltek Tools Partner
SEB’s Second Acquisition
SOMOS
A Clear Path to Results
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
SOMOS
A Clear Path to Results
22
Service/Market Mix:
- Adds to Technology Credibility
- Provides Reference Clients
Nortel,Alcatel,Nokia…
GD,LM,Bombardier…
Passport,StatsCan,Industry…
EnvironmentCanada
Security
NationalDefence
RCMP
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
SOMOS
A Clear Path to Results
23
Services Offered: Complementary in Customizing and
Supporting Health Care Solutions
 Consulting
 Diagnostics
 Strategic Planning
 Procurement
 Communications
 PM Professional Services
 Project Managers
 PM Analysts & Support
 Project & Program
Planning
 Project Systems Planning
& Implementation
 IT Professional Services
 Business Analysts
 Java Programmers
 DBAs
 Training
 PRINCE2 Project
Management
 Managing Successful
Programs
 Management of Portfolios
 Management of Benefits
 Management of Risk
 PMBOK
 Workshops
 On-Line Training (soon)
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
Inforica
Innovation for your Unique Situation
24
About Inforica: Adds to Critical Mass of Business and
Technology Expertise in Data Management Solutions
 India Outsourcing Office: Low Cost Development and Support Infrastructure.
 Dubai (free zone company): Huge Market Opportunities for Health Benefit
Solutions.
(Oman Insurance in Dubai is the biggest user of the SEB Adjudication Platform.)
 Software Vendor Partnerships: Technology Credibility.
 Extensive Client Relationships: Market Opportunities for Health Benefit
Solutions.
 References for RFP submissions: Important in Winning Competitive Bid
Contracts.
 Energy Management Software and Business Process Solutions: Adds to
Technology Credibility and increases critical mass of transaction support
infrastructure.
Inforica Inc.
Extensive Systems Integration and Data
Management Technologies Expertise
Inforica Energy Solutions Inc.
Energy Software Solutions and Business
Process Automation Services.
Canada India and Dubai UAE
SEB’s Third Acquisition
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
Independent Directors
Ron Barbaro, Chairman of the Board
Nancy Elliott (2)
Keith Harris
Christine Hrudka
Stephen Peacock (3)
Internal Directors &
Executive Management
Walter Simone, Vice Chairman/Director (1)
Barry Walsh, Director
John McKimm, CEO/Pres/CIO/Director (1)
Robert Prentice, COO/CFO (1)
Latiq Qureshi, President, QLogitek (1)
Ralston Senewiratne, EVP (1)
Adam Jasek, EVP (1)
SEB’s Executive Management
and Board of Directors
SEB’s Executive Management and the Board of Directors have over
300years of experience and credibility in building and managing
companies, including technology and Insurance related businesses.
Notes: 1) Members of the Executive Committee.
2) Chair of Corporate Governance Committee.
3) Chair of Audit, Acquisition and Special Committee.
4) Chair of Human Resource and Compensation Committee to be appointed.
25
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
Investment Highlights
 Insider Share Ownership over 70%
Insiders own over 70% of SEB’s issued and
outstanding shares.
 Experienced Management and Board
Have a proven track record of building and
managing companies utilizing both
acquisition and organic growth strategies.
Over 300 years of experience with
extensive relevant industry and business
relationships.
 Market Leading Technology Advantage
SEB companies have leading, unique,
proven, proprietary technology with the
potential to cause major structural changes
in the healthcare claims processing
industry and create a new market
presence.
 Predictable, Scalable, Cost Structure
Solutions and services are largely executed
by technology. People component is low
cost and easy to scale.
 High Gross Margin Business Model
The gross margins in health claims
processing, from a fully integrated platform,
are over 60%.
 Recession Resistant Annuity Revenue
Steady growth in health benefits over the past
decade even in in a recession.
 Minimal Working Capital Requirements
Minimal Capital Expenditures. Clients pay in
advance for most services. Huge Cash Float.
 Massive Industry - Health Benefits
Over $56.0 billion in Health Claims Processing in
Canada with over $34.0 billion in Employee
Group Benefits Premiums.
 High Growth Business Model -
Acquisition/Investment/Joint Venture
Many acquisition/investment/joint venture
opportunities in a fragmented industry. Owners
looking for succession. Client Referral growth
model.
 Greater Participation in Revenue - Referral
and Transition
Organic growth driven by transition of clients to
SEB Health Benefits Technology platform.
Transition to SEB technology Captures up to
700% more revenue.
26
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
TSX: MSI
Market Cap:
$673+ million
TSX & TSXV Companies Have Achieved High Valuations
Due to Game Changing Technology Solutions
TSX: CCT
Market Cap:
$10+ billion
27
TECHNOLOGYENABLESMARKETOPPORTUNITIES
Technology Enables Market Opportunities
SOMOS A Clear Path to Results
QLogitek
Inforica Innovation for your Unique Situation
imagine where you could be
SEB is an Acquisition Driven Business
Opportunity with a Technology
Advantage in an Industry Characterized
by Old and Fragmented Technology
Solutions.
Acquisitions to Date all contribute
to consolidated profitability. Annualized
consolidated sales are in excess of
$14.0 million.
Game Changing Technology Solutions
For Health Claims Processing

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Seb corporate presentation june 2013

  • 1. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities Smart Technology Solutions Health Claims Processing ● Human Capital Management ● Business Process Automation Smart Employee Benefits Inc. John McKimm 416-460-2817 John.mckimm@seb-inc.com June 2013
  • 2. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities Notice CAUTIONARY STATEMENT This document is intended for information purposes only. Statements made in this document may contain “forward looking” information about the company’s future business prospects. These statements – while expressed in good faith and believed to have a reasonable basis – are subject to risk and uncertainties that could cause actual results to differ materially from those set forth or implied by such forward looking statements. Investors should consult a professional advisor before making any investment decision. PROPRIETARY NOTICE All pages of this document contain information proprietary to Smart Employee Benefits Inc. (“SEB”). This document shall not be used, or otherwise disclosed to anyone other than the organization or specific individuals to which this document is delivered. This document shall not be duplicated, or transmitted in any form by any means, or otherwise to anyone other than the organization without prior written permission from SEB. This restriction is applicable to all pages of this document. SEB reserves the right to have the recipient return all copies of this document at any time. REFERENCE All data and statistics referenced in this document are sourced from various publications from the insurance industry and research organizations including Fraser Group. 2
  • 3. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities SEB at a Glance Offices Employees & Contractors Stock Market Symbol Canada: Mississauga, Markham, Ottawa Approx. 123 in Canada TSXV: SEB Dubai, UAE and Hyderabad, India 45 in India Share Price Shares Outstanding Market Capitalization Range: $0.30 to $0.40 Basic: 61.0 mm F/D: 86.2 mm Approx. $20.0 mm Note: Dilution at the lowest exercise price brings over $12.5 million of new capital Insiders Public 3
  • 4. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities SEB IS A TECHNOLOGY COMPANY SEB is a Technology Company providing leading edge “Business Processes Software, Solutions & Services” with particular emphasis on “Managing Employee Group Benefit Solutions and other Healthcare Claims Processing Environments” Health Claims Processing • Group Benefits • Other Health Claims Software and Systems Integration Solutions Human Capital Management Software, Solutions and Services Revenue Distribution Targets (24 months) 4
  • 5. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities SEB’s GROWTH STRATEGY ACQUISITION DRIVEN 1) Employee Group Benefits:  Acquisitions: target Third Party Administrators (“TPAs”), Benefit Consultants and Insurance Broker organizations.  Objective: secure client relationships and transition many of the front and back office business processes to the SEB technology environment, effectively turning outsourcing cost centres to in-house profit centres.  Organic Growth: driven by transition to SEB’s technology platform. 2) Governments - Federal, Provincial, Municipal  Acquisitions: target Technology companies (primarily IT) that have vendor relationships, security clearances and project references.  Objective: secure the business credentials necessary to be eligible to bid competitively. All government contracts are competitive RFP (Request for Proposal) processes.  Organic Growth: driven by budget increases in government contracts won and by new successful bids. Success increases as critical mass increases. 5
  • 6. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities SEB Business Model - Software Enabled Services Acquisitions Underpin Growth Strategy Across Both Divisions Vision: “Services” Driven By Unique Software Solutions and Systems Integration Expertise Big Data Management Solutions & Expertise 6
  • 7. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities Health Claims Processing is Immediate Focus 1) Employee Group Benefits (over $33.0 Billion in 2012)  Pooled Benefits (AD&D, Term, Disability etc.)  Health Benefits (Drugs, Wellness, etc.)  Dental Benefits 2) Other Health Claims (over $23.0 Billion in 2012)  WSIB (12 in Canada, over $10.0 billion of claims)  Travel Claims  Government Health Plans (Federal & Provincial)  Dental and Pharmaceutical Associations  Hospitals, Private and Public  Other (numerous other applications) Immediate Focus: Employee Group Benefit Health Claims Processing Complementary Focus: Software, Systems Integration and Human Capital Management Solutions 7
  • 8. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities SEB’s Health Claims Business Model: Acquisition and Transition Current Industry Model No Fully Integrated Solution The SEB Business Model A Fully Integrated Total Outsourcing Solution The SEB Business Model focuses on acquiring TPAs and investing in Brokers/Consultants to effect more control over the Outsourcing and Insurers decisions. Typically, TPAs or Insurers control the Outsourcing decision and Brokers/Consultants have significant influence on whether a Client goes directly to an Insurer or a TPA. Both TPAs and Brokers/Consultants influence the selection of and negotiations with Insurers. SEB’s Objective is for Brokers/Consultants to Recommend the SEB TPA Environment. SEB’s TPA Business Model and Technology Platform is a Total Outsourcing Solution Allowing SEB More Influence over the Outsourcing and Insurer Decision and Increases SEB’s Outsourcing Revenue Participation by up to 700% 8
  • 9. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities SEB’s Fully Integrated Technology Solution... Adjudicating at the Individual Level is Game Changing Functionality SEB has a “Fully Integrated Health Claims Processing Technology Platform” Capable of Totally Automating Adjudication and Reporting at the Employee/Individual/Detailed Benefit Level in one Technology Environment. Note: 1) Estimated that over 300,000,000 drug and dental claims get adjudicated annually. In Canada Drug Claims alone exceeded $33,000,000,000 in 2012. 2) The “Holy Grail” of Healthcare Claims Processing is the “Adjudication Technology”. 9
  • 10. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities ...SEB’s Fully Integrated Technology Solution... All Health Claims Processing Functionality Occurs in One Integrated Technology Environment. Configuration Management System SEB Super User SEB System Administrator SEB CSR SEB Finance SEB ASR Group Admin Group Employee Providers Brokers TPAs SEB Administration Module On-Board New Client Maintenance Billing Reporting Payment AUTHENTICATION LAYER I N T E G R A T I O N L A Y E R A U T H E N T I C A T I O N L A Y E R Adjudication Engine (Accepted and Rejected Claims) Security Management Geography, Tax Management Language Management Group Management Class Management Employee Management Dependants Management Brokers, Commissions Management Carriers, Benefits Management Sales Rep, Commission Management Providers (Dentist/Pharma cy) Member Plan Booklet Drug Information Management Dental Procedures Management Plan Management P1 Telus Health Other Dentist Pharmacy Adjudication (Claims Data) Query/Repor ting Administration Replicate Claims Card Printer Mobile App Ad-Hoc Reports Standard Reports Charts and Drill Down A HUGE COMPETITIVE ADVANTAGE 10
  • 11. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities ...SEB’s Fully Integrated Technology Solution Automated Rules Based Adjudication Platform Supports The Most Flexible and Automated Plan Designs in the Industry SEB’s rules based platform allows trained administrators, not programmers to create and implement new rules without the rigors of typical software development. Adjudication Plan Design Rules AdjudicationFiscalRules Claims Adjudication Processing Engine (Adjudicates all Health & Dental Claims) SEB’s Rules Engine is separate from the Adjudication Processing Engine. All other Adjudication Processing Engines incorporate these rules directly into the Adjudication Processing Engine. Adjudication Plan Design Rules Claims Adjudication Processing Engine (Adjudicates all Health & Dental Claims) 11
  • 12. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities SEB’s Health Claims Value Proposition SEB’s Technology Platform Provides the Most Flexible Automated Plan Designs in the Industry.  Adjudication of health benefit claims on a detailed individual level, unique in the health claims processing industry.  Rules Based Adjudication in one technology environment for all benefit types versus the industry norm of multiple environments.  A fully integrated technology environment that is the most automated in the industry and is able to implement and adjudicate the most detailed and flexible plans in the industry.  Administration software that is seamlessly integrated with adjudication, payment processing and reporting. Enhances efficiency for all users. Unique in the industry. Can be deployed as a module.  Reporting is the most detailed in the industry and the only platform with self service functionality including real time access to standard reports and data mining capability for customized reports. Objective: To Put Control of Each Health Care Dollar Into the Hands of the Employer/Employee “YOU CAN ONLY MANAGE WHAT YOU CAN REPORT ON” 12
  • 13. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities Canadian Group Benefits Industry Steady Growth and Recession-Resistant Premiums by Benefit Category - Grew over 81% since 2001 Benefit 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 1. Pooled Life/AD&D $2.2 $2.2 $2.3 $2.4 $2.5 $2.5 $2.6 $2.8 $2.8 $2.9 $3.3 ST Disability $1.1 $1.1 $1.1 $1.0 $1.1 $1.1 $1.3 $1.4 $1.4 $1.4 $1.5 LT Disability $3.1 $3.4 $3.7 $3.9 $4.2 $4.4 $4.7 $5.0 $5.2 $5.4 $5.5 Total $6.4 $6.7 $7.1 $7.3 $7.8 $8.0 $8.6 $9.2 $9.4 $9.7 $10.3 % of Premiums 35.6% 34.0% 33.8% 32.6% 32.9% 31.6% 31.6% 31.6% 31.1% 31.1% 31.5% 2. Dental $4.5 $4.8 $5.1 $5.4 $5.6 $6.0 $6.3 $6.7 $6.9 $7.0 $7.3 % of Premiums 25.0% 24.4% 24.3% 24.1% 23.6% 23.7% 23.2% 23.0% 22.8% 22.4% 22.3% 3. Health $7.2 $8.2 $8.8 $9.7 $10.3 $11.3 $12.3 $13.2 $13.9 $14.5 $15.1 % of Premiums 40.0% 41.6% 41.9% 43.3% 43.5% 44.7% 45.2% 45.4% 46.0% 46.5% 46.2% 4. Total Premiums $18.0 $19.7 $21.0 $22.4 $23.7 $25.3 $27.2 $29.1 $30.2 $31.2 $32.7 Note: Total Premiums in 2012 is estimated to exceed $34.0 billion 13
  • 14. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities ...Canadian Group Benefits Industry… Dominated by a Few Insurers Top 10 Insurers – Control over 95.5% of Market TPAs - process approximately 13% of Premiums, and Growing Outsourcing Services – an Industry Norm for Insurers and TPAs Insurers 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Sun Life 13.1% 21.2% 22.3% 20.8% 21.2% 21.8% 21.8% 21.0% 21.9% 23.0% 22.3% Great West Life 18.3% 18.4% 25.9% 23.3% 22.9% 22.5% 22.1% 22.3% 22.1% 22.9% 22.1% Manulife Financial 11.5% 11.1% 11.8% 22.9% 22.7% 21.8% 21.5% 21.0% 21.0% 21.1% 20.0% Blue Cross 9.8% 10.2% 10.9% 10.2% 9.6% 10.6% 10.6% 10.5% 10.6% 10.7% 10.4% Dejardins Financial 3.9% 4.2% 5.0% 4.8% 4.9% 5.1% 5.6% 5.9% 5.8% 6.1% 6.1% SSQ Financial 3.2% 3.5% 3.9% 3.8% 3.9% 3.9% 3.8% 3.9% 4.0% 4.2% 4.2% Greenshields N/A N/A 3.3% 3.4% 3.4% 3.5% 3.4% 3.6% 2.9% 3.6% 3.7% Industrial Alliance N/A 2.5% 2.8% 2.6% 2.6% 2.7% 2.7% 2.9% 3.6% 3.1% 3.1% Standard Life N/A N/A 2.1% 2.0% 2.1% 2.1% 2.1% 2.2% 2.1% 2.2% 2.2% La Capitale N/A N/A N/A N/A N/A N/A N/A N/A 1.2% 1.3% 1.3% Clarica Life 8.8% Acquired by Great West Life ------------------------------------------------------------------------------------------------------ Maritime Life 8.3% 8.1% 12.0% Acquired by Manulife ----------------------------------------------------------------------------------- Canada Life 6.4% 6.3% Acquired by Great West Life -------------------------------------------------------------------------------------- Liberty Health 3.1% 3.1% Acquired by Maritime Life ------------------------------------------------------------------------------------------- Cooperators N/A N/A N/A 1.4% 1.4% 1.3% 1.3% 1.2% N/A N/A N/A Note: 8 of the top 10 Insurers outsource adjudication. Only Blue Cross and Greenshields have their own dedicated adjudication platforms. 14
  • 15. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities SEB’s Business Strategy/Business Model Summarized Technology Ownership and Expertise  turns cost centres to profit centers reducing costs for clients and capturing more revenue and profitability for SEB.  allows highly customized solutions to be provided to clients efficiently and cost effectively. Acquisition Growth Model  acquires existing client relationships which can be transitioned to the fully integrated SEB technology environment enhancing profitability.  creates the critical mass of business relationships, vendor arrangements, reference projects and security clearances to win competitive RFP business, both government and private sector.  reaches consolidated profitability faster. SEB, through acquisition and organic growth initiatives, is creating a global infrastructure of business and technology expertise, supporting a highly customizable and scalable “Services” business model around proprietary software solutions driving annuity revenue streams, with a primary focus on managing big data, particularly in healthcare. 15
  • 16. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities 80,000+ Users 170 Countries 30+ Hub Enterprises 3+ Billion Transactions/Annum 20,000+ Spoke Trading Partners 10 Supply Chain Products 16 Corporate Profile SEB’s First Acquisition QLogitek imagine where you could be
  • 17. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities 17 The Strategic Fit Between SEB and the QLogitek Acquisition...Supply Chain Expertise  A Supply Chain is any business that connects and manages transactions between parties with the objective of providing end to end visibility with complete integration to all internal and external systems. Supply Chains permeate the Business Operations of every organization.  QLogitek is a leader in providing Supply Chain software and systems integration expertise to multiple industries including retail, manufacturing, financial services, etc.  SEB has unique Adjudication Technology, the “Holy Grail” of the Health Claims Processing Supply Chain, capable of adjudicating at the employee/individual level.  QLogitek surrounds the Adjudication environment with Supply Chain solutions and expertise in Administration, Payment Processing and Reporting to enhance SEB’s fully integrated Health Claims Processing solutions platform. QLogitek is a highly respected technology company which adds credibility to SEB as a technology provider.  Result – the most flexible and easily customized Health Claims Processing solutions in the industry, delivered from a highly credible supply chain technology Health Claims Processing is a Specialized Supply Chain
  • 18. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities QLogitek imagine where you could be 30+ Hub Enterprises 20,000+ Spoke Trading Partners 18 Select Clients - all potential health benefit clients - all RFP Reference Clients
  • 19. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities QLogitek imagine where you could be 19 Software & Services – 12 Proven Solutions Hosted EDI System Supplier Order Mgmt. System Customer Order Mgmt. System SKU Mgmt. System Inbound Mgmt. System Product Lifecycle Mgmt. System Claims Mgmt. System Repair Order Tracking System Supply Chain Performance Dashboard Payment System (L’ePAY) Managed Services Supply Chain Consulting Services Note: Health Claims Processing is a specialized supply environment Credibility: Billions of transactions are processed annually
  • 20. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities QLogitek imagine where you could be Awarded By Award / Designation Name Year Retail Council of Canada (RCC) Supply Chain Excellence Award 2007 Council of Supply Chain Management Professionals (CSCMP) Supply Chain Innovation Award 2007 Microsoft Corporation Small Business Specialist 2006 Voluntary Inter-industry Commerce Standards (VICS) Global Award 2005 Retail Council of Canada (RCC) Annual Excellence in Retailing Award 2004 Retail Council of Canada (RCC) Supply Chain Excellence Award 2004 Microsoft Corporation “Go-To” Partner Supply Chain Management 2002 IDC Innovation Award 2001 Microsoft Corporation Microsoft.NET Award 2001 Awarded By Award / Designation Name Year Retail Council of Canada (RCC) Supply Chain Excellence Award 2012 Microsoft Canada IMPACT Award WINNER Integration Application Partner 2011 Microsoft Corporation Technology Adoption Program SQL Azure Reporting 2011 Microsoft Canada IMPACT Awards Finalist Application Integration Category 2011 Microsoft Corporation Worldwide Partner Awards Finalist Application Integration Category 2011 Microsoft Canada IMPACT Awards Finalist Hosting Category 2010 Microsoft Corporation Virtual TS Program 2010 Microsoft Corporation Worldwide Partner Awards Finalist Application Integration Category 2010 20 Recognition & Awards: Credibility as a Technology Provider
  • 21. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities 21 About SOMOS: Critical Mass of Business with Governments  Ottawa-Based Management and Technology Consulting company  Customers include:  Federal Government  Information Technology Organizations  Developers and manufacturers of technology-based products  Aerospace and Defence.  Project Management and IT Specialists  Consulting  Professional Services  Training  Systems  PRINCE2® Training since 1997  First North American Accredited Consulting Organization (ACO)  PRINCE2®  MoP®  P3M3®  First North American Accredited Training Organization (ATO)  PRINCE2®  MoP®  P3M3®  PMI REP®  Microsoft Silver Partner  Project and Portfolio Management  Deltek Tools Partner SEB’s Second Acquisition SOMOS A Clear Path to Results
  • 22. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities SOMOS A Clear Path to Results 22 Service/Market Mix: - Adds to Technology Credibility - Provides Reference Clients Nortel,Alcatel,Nokia… GD,LM,Bombardier… Passport,StatsCan,Industry… EnvironmentCanada Security NationalDefence RCMP
  • 23. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities SOMOS A Clear Path to Results 23 Services Offered: Complementary in Customizing and Supporting Health Care Solutions  Consulting  Diagnostics  Strategic Planning  Procurement  Communications  PM Professional Services  Project Managers  PM Analysts & Support  Project & Program Planning  Project Systems Planning & Implementation  IT Professional Services  Business Analysts  Java Programmers  DBAs  Training  PRINCE2 Project Management  Managing Successful Programs  Management of Portfolios  Management of Benefits  Management of Risk  PMBOK  Workshops  On-Line Training (soon)
  • 24. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities Inforica Innovation for your Unique Situation 24 About Inforica: Adds to Critical Mass of Business and Technology Expertise in Data Management Solutions  India Outsourcing Office: Low Cost Development and Support Infrastructure.  Dubai (free zone company): Huge Market Opportunities for Health Benefit Solutions. (Oman Insurance in Dubai is the biggest user of the SEB Adjudication Platform.)  Software Vendor Partnerships: Technology Credibility.  Extensive Client Relationships: Market Opportunities for Health Benefit Solutions.  References for RFP submissions: Important in Winning Competitive Bid Contracts.  Energy Management Software and Business Process Solutions: Adds to Technology Credibility and increases critical mass of transaction support infrastructure. Inforica Inc. Extensive Systems Integration and Data Management Technologies Expertise Inforica Energy Solutions Inc. Energy Software Solutions and Business Process Automation Services. Canada India and Dubai UAE SEB’s Third Acquisition
  • 25. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities Independent Directors Ron Barbaro, Chairman of the Board Nancy Elliott (2) Keith Harris Christine Hrudka Stephen Peacock (3) Internal Directors & Executive Management Walter Simone, Vice Chairman/Director (1) Barry Walsh, Director John McKimm, CEO/Pres/CIO/Director (1) Robert Prentice, COO/CFO (1) Latiq Qureshi, President, QLogitek (1) Ralston Senewiratne, EVP (1) Adam Jasek, EVP (1) SEB’s Executive Management and Board of Directors SEB’s Executive Management and the Board of Directors have over 300years of experience and credibility in building and managing companies, including technology and Insurance related businesses. Notes: 1) Members of the Executive Committee. 2) Chair of Corporate Governance Committee. 3) Chair of Audit, Acquisition and Special Committee. 4) Chair of Human Resource and Compensation Committee to be appointed. 25
  • 26. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities Investment Highlights  Insider Share Ownership over 70% Insiders own over 70% of SEB’s issued and outstanding shares.  Experienced Management and Board Have a proven track record of building and managing companies utilizing both acquisition and organic growth strategies. Over 300 years of experience with extensive relevant industry and business relationships.  Market Leading Technology Advantage SEB companies have leading, unique, proven, proprietary technology with the potential to cause major structural changes in the healthcare claims processing industry and create a new market presence.  Predictable, Scalable, Cost Structure Solutions and services are largely executed by technology. People component is low cost and easy to scale.  High Gross Margin Business Model The gross margins in health claims processing, from a fully integrated platform, are over 60%.  Recession Resistant Annuity Revenue Steady growth in health benefits over the past decade even in in a recession.  Minimal Working Capital Requirements Minimal Capital Expenditures. Clients pay in advance for most services. Huge Cash Float.  Massive Industry - Health Benefits Over $56.0 billion in Health Claims Processing in Canada with over $34.0 billion in Employee Group Benefits Premiums.  High Growth Business Model - Acquisition/Investment/Joint Venture Many acquisition/investment/joint venture opportunities in a fragmented industry. Owners looking for succession. Client Referral growth model.  Greater Participation in Revenue - Referral and Transition Organic growth driven by transition of clients to SEB Health Benefits Technology platform. Transition to SEB technology Captures up to 700% more revenue. 26
  • 27. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities TSX: MSI Market Cap: $673+ million TSX & TSXV Companies Have Achieved High Valuations Due to Game Changing Technology Solutions TSX: CCT Market Cap: $10+ billion 27
  • 28. TECHNOLOGYENABLESMARKETOPPORTUNITIES Technology Enables Market Opportunities SOMOS A Clear Path to Results QLogitek Inforica Innovation for your Unique Situation imagine where you could be SEB is an Acquisition Driven Business Opportunity with a Technology Advantage in an Industry Characterized by Old and Fragmented Technology Solutions. Acquisitions to Date all contribute to consolidated profitability. Annualized consolidated sales are in excess of $14.0 million. Game Changing Technology Solutions For Health Claims Processing