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Slide 1




Working Together to
Build a Better Health
 Plan in the Face of
       Change
Slide 2

Agenda

1   Explain how educating
    your employees about Gap
    or Bridge Coverage can
    save you money today,
    even if no employee enrolls
    at this time.

2   Demonstrate how allowing
    your employees to
    purchase Gap Coverage
    will save them money today
                                   Carl Barber
    and make the transition to a
    high deductible health plan
    [HDHP] easier tomorrow.
Slide 3

Employer Benefits
Benefits Achieved Today by Educating Your Employees about Gap Coverage


 1   Your employees will place of far greater value on the
     health insurance you currently offer.

 2   They will expect increasing premiums, deductibles, and
     co-pays every year going forward.

 3   They will understand how moving to a high deductible
     health plan and purchasing Gap Coverage can be to their
     benefit.

 4   They will make every effort to minimize your current
     health insurance usage understanding this will result in
     lower premium increases for both employer and
     employee.
Slide 4

Employer Key Points to Know
Key Points to Know As an Employer Considering the Addition of Gap Coverage


 1   Compared to others, my employee paid gap coverage is a
     far greater benefit to both employees and employers.

 2   No cost to the employer to add my gap coverage to your
     current benefit plan.

 3   It can lower your payroll taxes.

 4   Makes transitioning to a high deductible health plan
     easier.

 5   We handle all education, enrollment, and claims
     processing.

 6   Employees need up to one year's exposure to gap
     coverage to feel comfortable choosing an HDHP option.
Slide 5



Healthcare Costs
Where we have been…




Premiums have
increased 113%
 for employers
  and 131% for
employees over
the last decade
Slide 6



Healthcare Costs
Where we are headed…




       By 2019
   a single-family
  plan is projected
 to cost employers
  and employees a
     combined
     $28,530
Slide 7



Healthcare Costs
Impacting employees and employers



  • It is projected all companies large and
    small will be offering a HDHP within the
    next five years and 50% of employees
    will select this option

  • The current maximum deductible for a
    HDHP is $6000
Slide 8



Healthcare Costs
Impacting employees and employers




    •Unpaid medical bills are the number one reason
    for bankruptcy filings in the US today.

    •70% of those filing had health insurance.

    •The average debt was $18,000.

    •The current maximum deductible for a HDHP is
    $6000.
Slide 9



What’s missing in your health plan?
A solution to minimize the impact of increasing
deductibles and co-pays.

                                        Gap Coverage
                                        1.  Pays employee a fixed cash amount for
                                            covered medical expenses.
              Gap Coverage              2. No deductibles or co-pays.
                                        3. Employee buys it, pays for it, and carries it
                                            from employer to employer and even into
                                            retirement.
                                        4. My gap coverage has never had a premium
                                            increase on an existing policy allowing
                                            employees to lock-in today’s lower prices.
           Health                       5. No need to change your current plan.
   Reimbursement       Health Savings   6. Uses pre-tax dollars reducing payroll taxes
                         Account            for employers and employees.
         Account
                                        7. Employee designs the plan that best suits
                                            their needs.
                                        8. Benefits can be increased as deductibles
                                            and co-pays increase.
                                        9. Affordable-plans average $6-$8 a week.
                                        10. Works with your HRA and HSA or ours.
Slide 10



What’s missing in your health plan?
A solution to minimize the impact of increasing
deductibles and co-pays.

                                        Health Savings Account
                                        1.   Employee owned and controlled.
              Gap Coverage              2.   Funded with pre-tax dollars.

                                        3.   Accumulates year to year if not spent.

                                        4.   Can be funded by employee and employer.

                                        5.   Employee takes employer contributions
           Health                            with them upon termination.
   Reimbursement       Health Savings
                         Account        6.   Funds can be invested similar to an IRA
         Account
                                             with similar penalties.

                                        7.   Employee determines eligibility of
                                             expenses.
Slide 11



What’s missing in your health plan?
A solution to minimize the impact of increasing
deductibles and co-pays.

                                        Health Reimbursement Account
                                        1.   Employer owned and controlled.
              Gap Coverage              2.   Funded with pre-tax dollars.

                                        3.   Stay with employer upon employee
                                             termination.

                                        4.   Funded by employer only.

           Health                       5.   Administered by plan service provider.
   Reimbursement       Health Savings
                         Account        6.   Employer not required to prepay into fund.
         Account
                                        7.   Plan determines eligibility of expenses.

                                        8.   Employer decides if funds are rolled from
                                             year-to-year.
Slide 12



What’s missing in your health plan?
A solution to minimize the impact of increasing
deductibles and co-pays.

                                        Alternatives:

              Gap Coverage              Flexible Spending Account-

                                        Similar to a Health Savings
                                           Account except with a “use it or
                                           lose it” rule.

           Health                       Personal Savings-
   Reimbursement       Health Savings
                         Account
         Account                        42% of workers report they live
                                          paycheck to paycheck. ( Career
                                          Builder survey)
Employers underestimate the power of non-medical
coverages and voluntary benefits to drive employee
loyalty.

Are benefits very important for feelings of loyalty to a company?

 Health benefits 3Employers Yes
      Category                                                    57%
               Employees Yes                                                66%

 Non-medical
 benefits
       Category 2Employers Yes         32%
 (dental,
 disability,     Employees Yes                              51%
 vision, life)

 A choice of
 Health Benefits
 Voluntary
               Employers Yes 24%
 benefits       Employees Yes                   40%


              0.00%     10.00%    20.00%   30.00%Met40.00% 50.00% Employee Benefits Trends
                                                    life 10th Annual Study of 60.00% 70.00%
Employees have a different perspective on the value of
personalized benefits than most employers.
Because of economic conditions:


   • 73% would like more personalized benefits geared to
     employee age groups
   • 74% would like more personalized benefits geared to
     individual circumstances
   • 73% would like a greater variety of benefits to choose
     from
   • 59% are willing to bear a bigger share of the cost rather
     than lose benefits
   • 70% who are very satisfied with benefits state they are
     very satisfied with their job
                                         Met life 10th Annual Study of Employee Benefits Trends
Slide 13


Adding Voluntary Benefits:



                 •Increases employee
                   loyalty
                 •Improves job satisfaction
                   and performance
                 •Saves employers and
                   employees money
Slide 14




 Is there any reason why
you would not want to add
voluntary benefits to your
       benefit plan?

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Working Together

  • 1. Slide 1 Working Together to Build a Better Health Plan in the Face of Change
  • 2. Slide 2 Agenda 1 Explain how educating your employees about Gap or Bridge Coverage can save you money today, even if no employee enrolls at this time. 2 Demonstrate how allowing your employees to purchase Gap Coverage will save them money today Carl Barber and make the transition to a high deductible health plan [HDHP] easier tomorrow.
  • 3. Slide 3 Employer Benefits Benefits Achieved Today by Educating Your Employees about Gap Coverage 1 Your employees will place of far greater value on the health insurance you currently offer. 2 They will expect increasing premiums, deductibles, and co-pays every year going forward. 3 They will understand how moving to a high deductible health plan and purchasing Gap Coverage can be to their benefit. 4 They will make every effort to minimize your current health insurance usage understanding this will result in lower premium increases for both employer and employee.
  • 4. Slide 4 Employer Key Points to Know Key Points to Know As an Employer Considering the Addition of Gap Coverage 1 Compared to others, my employee paid gap coverage is a far greater benefit to both employees and employers. 2 No cost to the employer to add my gap coverage to your current benefit plan. 3 It can lower your payroll taxes. 4 Makes transitioning to a high deductible health plan easier. 5 We handle all education, enrollment, and claims processing. 6 Employees need up to one year's exposure to gap coverage to feel comfortable choosing an HDHP option.
  • 5. Slide 5 Healthcare Costs Where we have been… Premiums have increased 113% for employers and 131% for employees over the last decade
  • 6. Slide 6 Healthcare Costs Where we are headed… By 2019 a single-family plan is projected to cost employers and employees a combined $28,530
  • 7. Slide 7 Healthcare Costs Impacting employees and employers • It is projected all companies large and small will be offering a HDHP within the next five years and 50% of employees will select this option • The current maximum deductible for a HDHP is $6000
  • 8. Slide 8 Healthcare Costs Impacting employees and employers •Unpaid medical bills are the number one reason for bankruptcy filings in the US today. •70% of those filing had health insurance. •The average debt was $18,000. •The current maximum deductible for a HDHP is $6000.
  • 9. Slide 9 What’s missing in your health plan? A solution to minimize the impact of increasing deductibles and co-pays. Gap Coverage 1. Pays employee a fixed cash amount for covered medical expenses. Gap Coverage 2. No deductibles or co-pays. 3. Employee buys it, pays for it, and carries it from employer to employer and even into retirement. 4. My gap coverage has never had a premium increase on an existing policy allowing employees to lock-in today’s lower prices. Health 5. No need to change your current plan. Reimbursement Health Savings 6. Uses pre-tax dollars reducing payroll taxes Account for employers and employees. Account 7. Employee designs the plan that best suits their needs. 8. Benefits can be increased as deductibles and co-pays increase. 9. Affordable-plans average $6-$8 a week. 10. Works with your HRA and HSA or ours.
  • 10. Slide 10 What’s missing in your health plan? A solution to minimize the impact of increasing deductibles and co-pays. Health Savings Account 1. Employee owned and controlled. Gap Coverage 2. Funded with pre-tax dollars. 3. Accumulates year to year if not spent. 4. Can be funded by employee and employer. 5. Employee takes employer contributions Health with them upon termination. Reimbursement Health Savings Account 6. Funds can be invested similar to an IRA Account with similar penalties. 7. Employee determines eligibility of expenses.
  • 11. Slide 11 What’s missing in your health plan? A solution to minimize the impact of increasing deductibles and co-pays. Health Reimbursement Account 1. Employer owned and controlled. Gap Coverage 2. Funded with pre-tax dollars. 3. Stay with employer upon employee termination. 4. Funded by employer only. Health 5. Administered by plan service provider. Reimbursement Health Savings Account 6. Employer not required to prepay into fund. Account 7. Plan determines eligibility of expenses. 8. Employer decides if funds are rolled from year-to-year.
  • 12. Slide 12 What’s missing in your health plan? A solution to minimize the impact of increasing deductibles and co-pays. Alternatives: Gap Coverage Flexible Spending Account- Similar to a Health Savings Account except with a “use it or lose it” rule. Health Personal Savings- Reimbursement Health Savings Account Account 42% of workers report they live paycheck to paycheck. ( Career Builder survey)
  • 13. Employers underestimate the power of non-medical coverages and voluntary benefits to drive employee loyalty. Are benefits very important for feelings of loyalty to a company? Health benefits 3Employers Yes Category 57% Employees Yes 66% Non-medical benefits Category 2Employers Yes 32% (dental, disability, Employees Yes 51% vision, life) A choice of Health Benefits Voluntary Employers Yes 24% benefits Employees Yes 40% 0.00% 10.00% 20.00% 30.00%Met40.00% 50.00% Employee Benefits Trends life 10th Annual Study of 60.00% 70.00%
  • 14. Employees have a different perspective on the value of personalized benefits than most employers. Because of economic conditions: • 73% would like more personalized benefits geared to employee age groups • 74% would like more personalized benefits geared to individual circumstances • 73% would like a greater variety of benefits to choose from • 59% are willing to bear a bigger share of the cost rather than lose benefits • 70% who are very satisfied with benefits state they are very satisfied with their job Met life 10th Annual Study of Employee Benefits Trends
  • 15. Slide 13 Adding Voluntary Benefits: •Increases employee loyalty •Improves job satisfaction and performance •Saves employers and employees money
  • 16. Slide 14 Is there any reason why you would not want to add voluntary benefits to your benefit plan?