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No More Compromises
Group Broker Concerns with Defined Contribution
1. Loss of Revenue
2. Too Much Work
• Can I make as much money 1st Year & Beyond?
• DC seems to require so much more to enroll
3. Loss of Ownership
4. Compliance
• I do not want to lose control of my book
of business
• “I hear so much about legality of DC”
5. Fear of Unknowns • What is going to happen if?....
Who Is Hamilton Edwards
A Private Exchange Marketing Organization
Providing Services, Products, Marketing and
Support including Setup/Implementation to
the Broker Community for Employers in a
Private Exchange
Exchange
Services
• Customized
Exchange
• Support &
Education
General Agency
• Insurance
• Non- Insurance
Implementation
• Enrollment
• TPA Services
How Does HE Help the Broker
Private Exchange
Marketing Organization
1. Benefits for the 21st Century
2. Employer Defines Dollars
3. Employee Chooses Plans
4. Employers Have More Control
5. Employees Have More Options
6. Insurance Products Offered On Tax Free
1. Can Be Offered Under A Cafeteria Plan
2. Work in Conjunction with HSAs
3. Third Party Administration Minimizes Workload
for Employer & Provides Compliance
Customized
Exchange
• Agency, Employer,
Association Branding
• Flexible Set Up of
Products & Services
on Website
Support
• Setup & Enrollment
via Call Center or
One On One
• TPA Support
Education
• On Line Training
• Innovation to
Market
• Benefit Partners
University
How Does HE Help the Broker
Private Exchange Services
Worksite
• Top Contracts
• Best in Class Products
• Best in Class
Enrollment Tech
Platform
Individual
• Major Medical
• STM
• Medicare
• Voluntary
Non
Insurance
• Patient Advocacy
• Telemedicine
• Medical &
Domestic Tourism
How Does HE Help the Broker
General Agency Services
Supplemental
1. Critical Illness
2. Accident
3. Cancer
4. Hospital Indemnity
5. Life
6. Disability
General Agency
Top Contracts
Health Insurance
1. Major Medical
2. Short Term
3. Limited Medical
Selection Criteria
• Tools for Simplification
• Ease of Implementation
• Ease of Administration
• Works with Private Exchange
Non Insurance
1. Telemedicine
2. Patient Advocacy
3. Employee Counseling
4. Travel Medical Coverage
5. Billing Negotiation
6. Medical Tourism
Full
Service
• Set Up and Structured
Enrollment
• Maximize Revenue
through Cross &
Combo Selling
Support
Only
• Provide Materials
• Answer Questions
• Provide Guidance
& Direction
Call
Center
• Inbound &
Outbound
• Direct Non Payroll
• TPA Services
How Does HE Help the Broker
Implementation
1. Products/Services
2. Ownership
• Top Contracts Insurance & Non-Insurance
• As An Agency You Can Own Your Book of Business
3. Innovation
4. Compensation
• Best Alliance Partnerships in the Country in
Overall Innovation – Technology & Services
• Remain competitive and grow market share
• Proven System That Maximizes Income Stream
5. Support • Provide or Support Enrollment, Sales, & Marketing
Why Would You Want To Partner with Hamilton Edwards?
But More Important Than Anything Else…
Why Would You Want To Partner
with Hamilton Edwards?
…We Know Where
The Bodies Are Buried!
Ways Brokers Can Do Business
Send Implementation
to Call Center
Connect Call
Center with
Employer
Handle
Implementation
Internally
1. Broker Sales
Case
2. Broker Decides
How to Enroll
Case
3. Manage &
Service
Account
Weigh What is Best for ROI
for Agency & Client
Call Center Sends Reports
Of Who Enrolled to
Agent Cubed
Ways Brokers Can Do Business
Referral
Broker Refers
the Business
Handle it All
1. Broker Sales
Case
2. Broker Decides
How to Enroll
Case
3. Manage &
Service
Accounts
Broker Can Refer,
Handle the Whole Thing,
Or Something In Between
Sales Only
Outsource Enrollment
1. Hamilton Edwards
2. Call Center
Broker Compensation Schedule
Independent
Agency Sales Agent Referral
Compensation A B C
Broker A
Maximum Comp. Structure.
Has GA Support
Health Insurance 100% 30% 20%
Supplemental Insurance 100% 29% 20% Broker B
Sales Case/Helps Set up
Enroll
TPA Fees
Paid % Anything Above $10 PEPM
<$2000/Mo. Revenue 50% 30% N/A Broker C
Referral Only
>$2000/Mo. Revenue 100% 30% N/A
TPA Set Up Fees 100% N/A N/A
* TPA Set Up fees can be $50 to $150 1 time/per person
Case Example
Home Health Care Agency
Size Group
Current Group Rates
(Actual) Private Exchange Example
Private Exchange
Actual (Final)
$2,500 $2,500 Deductible Includes (Supplemental)
Employees Current Best Worst Accident/HI
15 Employees $10,776.00 $5204.69 $6174.65 $5,689.73
Proposed Savings $5,517.31 51.20% Actual Savings $5086.27/47.2%
GA Support Commission Sales Agent Referral
Commissions Based on Total Comp
(Monthly)
Total Ins Comm
(Monthly) $1275.50 $377.58 $255.10 $5689.73
Commission Admin Fees
Set up Fee
( 1 Time) $750 1 Time Charge Set Up $50/per. Fee
On Going Monthly Fee $225 $67.50 $0
On going fee based on 15
employees
Total Monthly Payout $1500 $445.08 $255.10
Includes Ins. Commission &
TPA Fee Payout
Total Annual $18,006 $5340.96 $3061.20 Monthly Payout over 12 months
Break Down $100 PEPM $30 PEPM $17 PEPM
Actual Example Broker Comp Payout
Home Health Care Agency
Case Example
Radiology Group
Size Group
Current Group Rates
(Actual) Private Exchange Example
Private Exchange
Actual (Final)
$3,500 $3,500 Deductible Includes (Supplemental)
Employees Current Best Worst Accident/HI
25 Employees $9,273 $6227 $7606 $7,240
Proposed Savings $3045 32.8% Actual Savings $2033/22%
GA Support Commission Sales Agent Referral
Commissions Based on Total Comp
(Monthly)
Total Ins Comm
(Monthly) $1593 $500 $333 $7240
Commission Admin Fees
Set up Fee
( 1 Time) $1250 1 Time Charge Set Up $50/per. Fee
On Going Monthly Fee $275 $114 $0
On going fee based on 25
employees
Total Monthly Payout $1525 $614 $333
Includes Ins. Commission &
TPA Fee Payout
Total Annual $18,300 $7368 $3996 Monthly Payout over 12 months
Break Down $61 PEPM $25 PEPM $13 PEPM
Actual Example Broker Comp Payout
Radiology Group
GA Support Commission Sales Agent Referral
Commissions Based on Total Comp
(Monthly)
Total Ins Comm
(Monthly) $362 $109 $70 $7240
Commission Admin Fees
Set up Fee
( 1 Time) $0 (New Hires $50) 1 Time Charge Set Up $50/per. Fee
On Going Monthly Fee $375 $223 $0
On going fee based on 25
employees
Total Monthly Payout $737 $332 $70
Includes Ins. Commission &
TPA Fee Payout
Total Annual $8844 $3984 $840 Monthly Payout over 12 months
$30 PEPM
Actual Example Broker Comp Payout
Radiology Group – Second Year – Nothing New –No New Hires

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Who is he presentation v1.0

  • 2. Group Broker Concerns with Defined Contribution 1. Loss of Revenue 2. Too Much Work • Can I make as much money 1st Year & Beyond? • DC seems to require so much more to enroll 3. Loss of Ownership 4. Compliance • I do not want to lose control of my book of business • “I hear so much about legality of DC” 5. Fear of Unknowns • What is going to happen if?....
  • 3. Who Is Hamilton Edwards A Private Exchange Marketing Organization Providing Services, Products, Marketing and Support including Setup/Implementation to the Broker Community for Employers in a Private Exchange
  • 4. Exchange Services • Customized Exchange • Support & Education General Agency • Insurance • Non- Insurance Implementation • Enrollment • TPA Services How Does HE Help the Broker Private Exchange Marketing Organization
  • 5. 1. Benefits for the 21st Century 2. Employer Defines Dollars 3. Employee Chooses Plans 4. Employers Have More Control 5. Employees Have More Options 6. Insurance Products Offered On Tax Free 1. Can Be Offered Under A Cafeteria Plan 2. Work in Conjunction with HSAs 3. Third Party Administration Minimizes Workload for Employer & Provides Compliance
  • 6. Customized Exchange • Agency, Employer, Association Branding • Flexible Set Up of Products & Services on Website Support • Setup & Enrollment via Call Center or One On One • TPA Support Education • On Line Training • Innovation to Market • Benefit Partners University How Does HE Help the Broker Private Exchange Services
  • 7. Worksite • Top Contracts • Best in Class Products • Best in Class Enrollment Tech Platform Individual • Major Medical • STM • Medicare • Voluntary Non Insurance • Patient Advocacy • Telemedicine • Medical & Domestic Tourism How Does HE Help the Broker General Agency Services
  • 8. Supplemental 1. Critical Illness 2. Accident 3. Cancer 4. Hospital Indemnity 5. Life 6. Disability General Agency Top Contracts Health Insurance 1. Major Medical 2. Short Term 3. Limited Medical Selection Criteria • Tools for Simplification • Ease of Implementation • Ease of Administration • Works with Private Exchange Non Insurance 1. Telemedicine 2. Patient Advocacy 3. Employee Counseling 4. Travel Medical Coverage 5. Billing Negotiation 6. Medical Tourism
  • 9. Full Service • Set Up and Structured Enrollment • Maximize Revenue through Cross & Combo Selling Support Only • Provide Materials • Answer Questions • Provide Guidance & Direction Call Center • Inbound & Outbound • Direct Non Payroll • TPA Services How Does HE Help the Broker Implementation
  • 10. 1. Products/Services 2. Ownership • Top Contracts Insurance & Non-Insurance • As An Agency You Can Own Your Book of Business 3. Innovation 4. Compensation • Best Alliance Partnerships in the Country in Overall Innovation – Technology & Services • Remain competitive and grow market share • Proven System That Maximizes Income Stream 5. Support • Provide or Support Enrollment, Sales, & Marketing Why Would You Want To Partner with Hamilton Edwards? But More Important Than Anything Else…
  • 11. Why Would You Want To Partner with Hamilton Edwards? …We Know Where The Bodies Are Buried!
  • 12. Ways Brokers Can Do Business Send Implementation to Call Center Connect Call Center with Employer Handle Implementation Internally 1. Broker Sales Case 2. Broker Decides How to Enroll Case 3. Manage & Service Account Weigh What is Best for ROI for Agency & Client Call Center Sends Reports Of Who Enrolled to Agent Cubed
  • 13. Ways Brokers Can Do Business Referral Broker Refers the Business Handle it All 1. Broker Sales Case 2. Broker Decides How to Enroll Case 3. Manage & Service Accounts Broker Can Refer, Handle the Whole Thing, Or Something In Between Sales Only Outsource Enrollment 1. Hamilton Edwards 2. Call Center
  • 14. Broker Compensation Schedule Independent Agency Sales Agent Referral Compensation A B C Broker A Maximum Comp. Structure. Has GA Support Health Insurance 100% 30% 20% Supplemental Insurance 100% 29% 20% Broker B Sales Case/Helps Set up Enroll TPA Fees Paid % Anything Above $10 PEPM <$2000/Mo. Revenue 50% 30% N/A Broker C Referral Only >$2000/Mo. Revenue 100% 30% N/A TPA Set Up Fees 100% N/A N/A * TPA Set Up fees can be $50 to $150 1 time/per person
  • 15. Case Example Home Health Care Agency Size Group Current Group Rates (Actual) Private Exchange Example Private Exchange Actual (Final) $2,500 $2,500 Deductible Includes (Supplemental) Employees Current Best Worst Accident/HI 15 Employees $10,776.00 $5204.69 $6174.65 $5,689.73 Proposed Savings $5,517.31 51.20% Actual Savings $5086.27/47.2%
  • 16. GA Support Commission Sales Agent Referral Commissions Based on Total Comp (Monthly) Total Ins Comm (Monthly) $1275.50 $377.58 $255.10 $5689.73 Commission Admin Fees Set up Fee ( 1 Time) $750 1 Time Charge Set Up $50/per. Fee On Going Monthly Fee $225 $67.50 $0 On going fee based on 15 employees Total Monthly Payout $1500 $445.08 $255.10 Includes Ins. Commission & TPA Fee Payout Total Annual $18,006 $5340.96 $3061.20 Monthly Payout over 12 months Break Down $100 PEPM $30 PEPM $17 PEPM Actual Example Broker Comp Payout Home Health Care Agency
  • 17. Case Example Radiology Group Size Group Current Group Rates (Actual) Private Exchange Example Private Exchange Actual (Final) $3,500 $3,500 Deductible Includes (Supplemental) Employees Current Best Worst Accident/HI 25 Employees $9,273 $6227 $7606 $7,240 Proposed Savings $3045 32.8% Actual Savings $2033/22%
  • 18. GA Support Commission Sales Agent Referral Commissions Based on Total Comp (Monthly) Total Ins Comm (Monthly) $1593 $500 $333 $7240 Commission Admin Fees Set up Fee ( 1 Time) $1250 1 Time Charge Set Up $50/per. Fee On Going Monthly Fee $275 $114 $0 On going fee based on 25 employees Total Monthly Payout $1525 $614 $333 Includes Ins. Commission & TPA Fee Payout Total Annual $18,300 $7368 $3996 Monthly Payout over 12 months Break Down $61 PEPM $25 PEPM $13 PEPM Actual Example Broker Comp Payout Radiology Group
  • 19. GA Support Commission Sales Agent Referral Commissions Based on Total Comp (Monthly) Total Ins Comm (Monthly) $362 $109 $70 $7240 Commission Admin Fees Set up Fee ( 1 Time) $0 (New Hires $50) 1 Time Charge Set Up $50/per. Fee On Going Monthly Fee $375 $223 $0 On going fee based on 25 employees Total Monthly Payout $737 $332 $70 Includes Ins. Commission & TPA Fee Payout Total Annual $8844 $3984 $840 Monthly Payout over 12 months $30 PEPM Actual Example Broker Comp Payout Radiology Group – Second Year – Nothing New –No New Hires

Editor's Notes

  1. We have gone through the trials and tribulations of Defined Contribution