SEB provides a fully integrated technology platform for health claims processing. Its strategy is to acquire companies with existing client relationships in order to transition their business processes to SEB's proprietary system. This allows SEB to capture more revenue and profitability compared to traditional outsourcing models. SEB aims to consolidate the Canadian group benefits market through this acquisition and organic growth strategy.
The Business APAC Advanced EMR-EHR Providers of 2019Business APAC
The EMR and EHR market in Asia-Pacific is estimated to hold USD 2.5 Billion in 2018 and is expected to reach a market size of USD 3.62 Billion in 2023.Considering the ongoing progress in this sector, we have featured prominent companies in our latest magazine issue of “The Business APAC Advanced EMR-EHR Providers of 2019”.
YaraGo EMR - An Ophthalmology Specific Software_pitchdeckShankar Yaragoppa
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The 10 Most Impactful Healthcare Solution Providers of 2019Mirror Review
There have been some monumental healthcare industry challenges in recent years. One was the move towards value-based (VB) medicine whereby positive outcomes would result from fewer office visits and readmissions into inpatient facilities. The fee-for-service model with patients continually returning for their next appointments would disappear.
Healthcare service providers need to evolve, quickly!Dheeraj Mirpuri
The Healthcare sector, no doubt, is growing at a very rapid pace. With a number of new entrants in the market (especially in Tier II and Tier III cities), the smaller players need to evolve fast, if they wish to sustain and grow.
This slide share is an attempt to draw the attention of players in the Healthcare sector and to invoke their thoughts on the foundation blocks that they need to put in place, quickly.
Viewers’ inputs would be much appreciated. For details on how we can help you in your business journey, please do reach out to us.
The 10 best e healthcare solution provider companies dec 2017Merry D'souza
Given the potential benefits of e-Healthcare, Insight Success introducing some of the most prominent organizations in the
industry who are capable of leading their clients towards excellence by supporting them beyond the advisory level.
“The 10 Best E-Healthcare Solution Provider Companies” issue aspires to assist organizations to find the right
technology partner who has the resources and skills to deliver smart e-healthcare solutions with scalability and
inventiveness.
The Business APAC Advanced EMR-EHR Providers of 2019Business APAC
The EMR and EHR market in Asia-Pacific is estimated to hold USD 2.5 Billion in 2018 and is expected to reach a market size of USD 3.62 Billion in 2023.Considering the ongoing progress in this sector, we have featured prominent companies in our latest magazine issue of “The Business APAC Advanced EMR-EHR Providers of 2019”.
YaraGo EMR - An Ophthalmology Specific Software_pitchdeckShankar Yaragoppa
One of the most respected ophthalmology specific EHR. Has set the vision to assist quality eye care delivery across the globe and positioned to become "Worlds top rated ophthalmology EHR in the next 3 years"
The 10 Most Impactful Healthcare Solution Providers of 2019Mirror Review
There have been some monumental healthcare industry challenges in recent years. One was the move towards value-based (VB) medicine whereby positive outcomes would result from fewer office visits and readmissions into inpatient facilities. The fee-for-service model with patients continually returning for their next appointments would disappear.
Healthcare service providers need to evolve, quickly!Dheeraj Mirpuri
The Healthcare sector, no doubt, is growing at a very rapid pace. With a number of new entrants in the market (especially in Tier II and Tier III cities), the smaller players need to evolve fast, if they wish to sustain and grow.
This slide share is an attempt to draw the attention of players in the Healthcare sector and to invoke their thoughts on the foundation blocks that they need to put in place, quickly.
Viewers’ inputs would be much appreciated. For details on how we can help you in your business journey, please do reach out to us.
The 10 best e healthcare solution provider companies dec 2017Merry D'souza
Given the potential benefits of e-Healthcare, Insight Success introducing some of the most prominent organizations in the
industry who are capable of leading their clients towards excellence by supporting them beyond the advisory level.
“The 10 Best E-Healthcare Solution Provider Companies” issue aspires to assist organizations to find the right
technology partner who has the resources and skills to deliver smart e-healthcare solutions with scalability and
inventiveness.
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Obii increases the accuracy and consistency of the medical transcription and coding process by applying artificial intelligence and a streamlined interview-style user experience on demand.
Obii is designed to integrate easily with existing EHR software and legacy billing processes, resulting in increased revenue and efficiency.
We generate revenue by charging the medical provider a monthly subscription fee, and through deployment consulting fees.
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In our inaugural review of healthcare’s digital transformation, we assess the current state of digital, analytics, and technology-led innovation in healthcare, and offer our recommendations to healthcare enterprises and technology solution providers.
Independent consultant since 1996 with over 30 years of experience with Healthcare Information Systems; Expertise in healthcare industry, project management, business analysis, business administration/operations, Electronic Data Interchange (EDI), Electronic Medical Record (EMR), Physician Practice Management (PM), Health Information Exchange (HIE), testing, training, support and consulting; Experience working directly with providers, payers, software manufacturers, electronic data interchange organizations, billing services, clearinghouses and government agencies; Excellent skills for communication, technical research and problem-solving. Efficient and effective leadership for cost effective solutions.
hCentive Webinsure Exchange Integration PlatformAlisha North
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This white paper addresses these concerns and more. Learn what steps you need to take and what pitfalls to avoid. Let hCentive be your guide through this challenging and changing landscape.
hCentive's WebInsure Consumer is the perfect solution for insurers looking for a proactive approach towards web based insurance solutions. WebInsure Consumer simplifies the implementation of the complex health reforms and offers a cost-effective and highly tailored solution for insurers looking to leverage retail-focussed opportunities arising in the industry.
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Waar-way especially appreciates the important role of Trainers, Teachers, Women and Youth have in society, and therefore strive to enhance and improve their productivity and share in the community development
TechTalks | Digital Transformation in Healthcare: Opportunities and Trendsrmcsoft
Of all the industries out there, healthcare has perhaps the most to gain from digital transformation. Technology can decrease wait times, reduce medical errors and increase collaboration across providers — all of which helps people find their way to better health and healthcare businesses achieve a better bottom line.
The problem is, healthcare has struggled more than pretty much any other industry out there to keep up with the times. Why is that? How do we buck the trend and begin to embrace the tremendous opportunity of digital transformation in healthcare? And who out there is already doing it really, really well?
RMCSoft and Advent Coworking brought together a panel of experts to dig into all of that at their TechTalks event on Tuesday, Jan. 22.
This fascinating conversation highlighted not only the challenges facing health care in the digital age, but also ideas and vision for a path forward.
About TechTalks: TechTalks series is a chance for you to improve your knowledge regarding new technology and technology-related issues. Brought by RMCSoft and Advent Coworking, TechTalks target tech startups as well as all other companies utilizing software & digital products in their day-to-day operations.
We cover a wide variety of tech-related topics, offer valuable insights on the best practices, discuss the most common issues, review the tech trends and provide plenty of opportunities to enhance your tech knowledge.
For more information, please write back to us at info@rmcsoft.com
The 10 Most Influential Leaders in MedTech Companies 2020 September 2020Merry D'souza
The 10 most influential leaders in medtech companies 2020 september 2020; Insights Succcess has published Magazine on 10 Most Influential Leaders in MedTech Companies in the September 2020.
CLEA is a cognitive assistance and mentoring application using machine learning and artificial intelligence to support human claims adjusters in real-time. CLEA also supports personal and individualized training based on actual adjustor performance.
Build And Deploy Android Application Development PowerPoint Presentation SlidesSlideTeam
An Android Application is a software application that operates on the Android platform. A typical Android Application is created for a smartphone or tablet, PC running on the Android OS. This presentation helps you to analyze the new trends in Healthcare Android Application development and finding the best process and their cost to develop. The purpose of this presentation is to develop a health care app to provide more people with access to even the most basic levels of healthcare and to monitor customers health conditions and nutrition levels. The main objective of this presentation is to overcome the various challenges which are incurred while developing a Healthcare Android Application. Also, this presentation provides the best architecture for Healthcare Android Application. Apart from this, Market data related to Healthcare Android Application also consists of this presentation. This presentation covers the various slides related to Company Information which includes Team Management Details, Organizational Structure, Competitive Analysis, Interface for Healthcare Application. Apart from this, it also consists of various slides related to cost structure for developing Android Application which includes Application development rates by region, hiring cost Local or Outsource, Cost breakdown of Application development, Factors which influence Healthcare Application development cost, etc. In the end, it also includes forecasted number of downloads of Healthcare Application worldwide, forecasted revenue generation by the company with various factors, and dashboard related to Healthcare Android Application. https://bit.ly/3a4jugr
Obii | Medical Transcription and Coding Powered By Artificial IntelligenceBrian Bagdasarian
The American Medical Association estimates that if all health insurers were able to eliminate all claim payment errors, the health care system would save $17 billion per year.
Obii is a mobile, cloud-based and “provider-first” Computer Assisted Coding platform for the medical industry.
Obii increases the accuracy and consistency of the medical transcription and coding process by applying artificial intelligence and a streamlined interview-style user experience on demand.
Obii is designed to integrate easily with existing EHR software and legacy billing processes, resulting in increased revenue and efficiency.
We generate revenue by charging the medical provider a monthly subscription fee, and through deployment consulting fees.
Healthcare Digital Transformation - Outlook and recommendations for 2019Damo Consulting Inc.
In our inaugural review of healthcare’s digital transformation, we assess the current state of digital, analytics, and technology-led innovation in healthcare, and offer our recommendations to healthcare enterprises and technology solution providers.
Independent consultant since 1996 with over 30 years of experience with Healthcare Information Systems; Expertise in healthcare industry, project management, business analysis, business administration/operations, Electronic Data Interchange (EDI), Electronic Medical Record (EMR), Physician Practice Management (PM), Health Information Exchange (HIE), testing, training, support and consulting; Experience working directly with providers, payers, software manufacturers, electronic data interchange organizations, billing services, clearinghouses and government agencies; Excellent skills for communication, technical research and problem-solving. Efficient and effective leadership for cost effective solutions.
hCentive Webinsure Exchange Integration PlatformAlisha North
Are you an insurer worried about integrating to state & federal marketplaces? Are you worried about cost, technology infrastructure, strategy, complexity and deadlines?
This white paper addresses these concerns and more. Learn what steps you need to take and what pitfalls to avoid. Let hCentive be your guide through this challenging and changing landscape.
hCentive's WebInsure Consumer is the perfect solution for insurers looking for a proactive approach towards web based insurance solutions. WebInsure Consumer simplifies the implementation of the complex health reforms and offers a cost-effective and highly tailored solution for insurers looking to leverage retail-focussed opportunities arising in the industry.
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10 Most Trusted Revenue Cycle Management Solution Providers, throws light on how these solution providers paved the way for easy billing through technology to healthcare establishments by delivering quality services.
Waar-way especially appreciates the important role of Trainers, Teachers, Women and Youth have in society, and therefore strive to enhance and improve their productivity and share in the community development
TechTalks | Digital Transformation in Healthcare: Opportunities and Trendsrmcsoft
Of all the industries out there, healthcare has perhaps the most to gain from digital transformation. Technology can decrease wait times, reduce medical errors and increase collaboration across providers — all of which helps people find their way to better health and healthcare businesses achieve a better bottom line.
The problem is, healthcare has struggled more than pretty much any other industry out there to keep up with the times. Why is that? How do we buck the trend and begin to embrace the tremendous opportunity of digital transformation in healthcare? And who out there is already doing it really, really well?
RMCSoft and Advent Coworking brought together a panel of experts to dig into all of that at their TechTalks event on Tuesday, Jan. 22.
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About TechTalks: TechTalks series is a chance for you to improve your knowledge regarding new technology and technology-related issues. Brought by RMCSoft and Advent Coworking, TechTalks target tech startups as well as all other companies utilizing software & digital products in their day-to-day operations.
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For more information, please write back to us at info@rmcsoft.com
The 10 Most Influential Leaders in MedTech Companies 2020 September 2020Merry D'souza
The 10 most influential leaders in medtech companies 2020 september 2020; Insights Succcess has published Magazine on 10 Most Influential Leaders in MedTech Companies in the September 2020.
CLEA is a cognitive assistance and mentoring application using machine learning and artificial intelligence to support human claims adjusters in real-time. CLEA also supports personal and individualized training based on actual adjustor performance.
Build And Deploy Android Application Development PowerPoint Presentation SlidesSlideTeam
An Android Application is a software application that operates on the Android platform. A typical Android Application is created for a smartphone or tablet, PC running on the Android OS. This presentation helps you to analyze the new trends in Healthcare Android Application development and finding the best process and their cost to develop. The purpose of this presentation is to develop a health care app to provide more people with access to even the most basic levels of healthcare and to monitor customers health conditions and nutrition levels. The main objective of this presentation is to overcome the various challenges which are incurred while developing a Healthcare Android Application. Also, this presentation provides the best architecture for Healthcare Android Application. Apart from this, Market data related to Healthcare Android Application also consists of this presentation. This presentation covers the various slides related to Company Information which includes Team Management Details, Organizational Structure, Competitive Analysis, Interface for Healthcare Application. Apart from this, it also consists of various slides related to cost structure for developing Android Application which includes Application development rates by region, hiring cost Local or Outsource, Cost breakdown of Application development, Factors which influence Healthcare Application development cost, etc. In the end, it also includes forecasted number of downloads of Healthcare Application worldwide, forecasted revenue generation by the company with various factors, and dashboard related to Healthcare Android Application. https://bit.ly/3a4jugr
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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
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
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