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Purple cow eb for sme 2012 (employee orientation)


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Purple cow eb for sme 2012 (employee orientation)

  1. 1. 2012EmployeeOrientation 50pg
  2. 2. “What is a Purple Cow?” A unique product that stands out in the field. 1 “Moo!”Gotuaco’s Purple Cow is a unique healthcare product that stands out in the field of EMPLOYEE BENEFITS.
  3. 3. Vision 2FINANCIALSECURITY… throughPURPLE COW Employee Benefits.  LIKE Purple Cow Employee Benefits on Facebook
  4. 4. Mission 3To PROTECT Employers & Employees... fromFINANCIAL INSECURITY.  LIKE Purple Cow Employee Benefits on Facebook
  5. 5. Advocacy 4SUPPORT SME: SME they are the FUTURE HEROESof our economy!  LIKE Purple Cow Employee Benefits on Facebook
  6. 6. Purple Cow 2012 EB Primer 1What are Employee Benefits (EB)?EMPLOYEE BENEFITS are incentivesgiven to employees as part of an overallHR strategy to recruit or retain them. EB can help you win the war for talent
  7. 7. Purple Cow 2012 EB Primer 2 What is the purpose of EB? “The purpose of EMPLOYEE BENEFITS is to increase the economic security of employees.” - WikipediaEB can help your employees become financially secure
  8. 8. Purple Cow 2012 EB Primer 3 What are the most common EB? • Paid vacations, 75% • Health insurance, 61% • Paid sick leave, 59% • Disability insurance, 41% • Education reimbursement, 39% • Pension plan, 30% • Life insurance, 29% • Dental insurance, 24% - Small Business Poll on Compensating Employees (NFIB, US: 2003)All 4 insurance benefits are offered by Purple Cow!
  9. 9. Purple Cow 2012 EB Primer 4 What makes Insurance ‘sulit?’• LIFE INSURANCE provides you with instant cash in the event of death or total and permanent disability; (.25% of population between 18-65)• ACCIDENT INSURANCE provides you with instant cash in the event of accidental death or disablement; (10% of inpatient & outpatient cases)• HEALTH INSURANCE (medical insurance or HMO) protects you from losing money in the event of sickness or accident. (10% inpatient / 300% outpatient) Insurance saves you from losing your money
  10. 10. Purple Cow 2012 Benefits 1 3 Major Employee Benefits LIFE – ACCIDENT – HEALTH 3a. MEDICAL HMO1. LIFE INSURANCE 3b. Optional DENTAL HMO 3c. Optional APE2. ACCIDENT INSURANCE 3d. WELLNESS PROGRAM
  11. 11. Purple Cow 2012 Benefits 2 Benefit Summary LIFE – ACCIDENT – HEALTH1. Life = 5x MBL 13. Access to Big 5 Hospitals & Healthway2. Terminal Illness = up to 50% of 5x MBL 14. 100% Pre-Existing Conditions coverage3. Total & Perm. Disability Income = 5x MBL 15. 100% Congenital Conditions coverage4. Accidental Death = 5x MBL 16. 100% Special Procedures coverage5. Murder = 5x MBL 17. Benefits on top of Philhealth6. Accidental Disablement = __% of 5x MBL 18. Pooled Employee utilization7. Assault = __% of 5x MBL 19. Separate Dependent utilization8. Medical = HMO buffet of benefits 20. Optional Dental = HMO buffet of benefits9. Combined inpatient & outpatient limits 21. Optional APE = choice of mobile or clinic10. Max. Benefit Limits per disability per year 22. Free Wellness Program11. HMO patient for no-cash-out 23. Same benefits for Dependents12. Private patient for HMO reimbursement 24. Access through Social Media
  12. 12. Purple Cow 2012 Benefits 3 1. Life Insurance (worldwide) ASIANLIFE EXCLUSIONS1. Life 5x MBL 1. Suicide within the 1st year of coverage 2.5x2. Terminal Illness Rider (up to 50%) MBL3. Total & Perm Disability Income 5x MBL+Principals 18yo-65yo; Dependents 30dy-22yo / 18yo-65yo Example: If MBL = 20T, Life or TPDI = 100,000; TIR = 50,000;1. Life benefit = 5x MBL, for death by any If MBL = 40T, Life or TPDI = 200,000; TIR = 100,000;cause; If MBL = 60T, Life or TPDI = 300,000; TIR = 150,000;2. TIR benefit = up to 50% of 5x MBL, as an If MBL = 80T, Life or TPDI = 400,000; TIR = 200,000; If MBL = 100T, Life or TPDI = 500,000; TIR = 250,000.advance on the Life benefit, if terminally ill(< 12mos. to live); 50% balance upon death;3. TPDI Benefit = 5x MBL, in lieu of the Lifebenefit, whether sickness or accident. Life benefits are payable on top of Accident & Medical HMO benefits
  13. 13. Purple Cow 2012 Benefits 4 2. Accident Insurance (worldwide) ASIANLIFE1. Accidental Death 5x MBL 3. Disablement _% 5x MBL2. Murder 5x MBL 4. Assault _% 5x MBL+Principals 18yo-65yo; Dependents 30dy-22yo / 18yo-65yo +Principals 18yo-65yo; Dependents 30dy-22yo / 18yo-65yo1. Accidental Death = 5x MBL, for death 3. Disablement = __% of 5x MBL, accordingfrom any type of accident; to a long schedule of indemnities;2. Murder = 5x MBL, in lieu of the Accidental 4. Assault = __% of 5x MBL, in lieu of theDeath benefit, for death not due to accident Disablement benefit, for disability not duebut murder (provoked or not). to accident but assault (provoked or not).Example: Example:If MBL = 20T, Accidental Death or Murder = 100,000; If MBL = 20T, Disability or Assault = __% of 100,000;If MBL = 40T, Accidental Death or Murder = 200,000; If MBL = 40T, Disability or Assault = __% of 200,000;If MBL = 60T, Accidental Death or Murder = 300,000; If MBL = 60T, Disability or Assault = __% of 300,000;If MBL = 80T, Accidental Death or Murder = 400,000; If MBL = 80T, Disability or Assault = __% of 400,000;If MBL = 100T, Accidental Death or Murder = 500,000. If MBL = 100T, Disability or Assault = __% of 500,000. Accident benefits are payable on top of Life & Medical HMO benefits
  14. 14. Purple Cow 2012 Benefits 5 2. Accident Insurance… LONG SCHEDULE OF INDEMNITIES1. Life (same as Accidental Death) 100% 14. Middle finger 6%2. Both hands or feet or sight of both eyes 100% 15. Ring finger 5%3. One hand and one foot 100% 16. Little finger 4%4. Either hand or foot and sight of one eye 100% 17. Metacarpals 1st/2nd - 3rd/4th/5th 3% - 2%5. Injuries resulting in being perm. bedridden 100% 18. Leg at or above knee 60%6. Any other injury causing Total Perm. Disab. 100% 19. Leg below knee 50%7. Arm at or above elbow 70% 20. One foot 50%8. Arm between elbow and wrist 50% 21. All toes on one foot 25%9. One hand 50% 22. Big toe 5%10. Four fingers and thumb of one hand 50% 23. Any toe other than big toe (each) 1%11. Four fingers 35% 24. Sight of one eye 50%12. Thumb 15% 25. Hearing - both ears 50%13. Index finger 10% 26. Hearing - one ear 25%+Multiple losses from 1 accident will be limited to the highest loss, not to exceed 100%. If a member suffered the loss of 1 hand/foot/eye prior to coverage, the benefit for a subsequent loss of the same will be ½. Losses refer to total and permanent loss of use or complete severance
  15. 15. Purple Cow 2012 Benefits 6 2. Accident Insurance… EXCLUSIONS1. Bodily or mental infirmity, hernia, ptomaine, bacterial or 12. War, invasion, act of foreign enemy or warlike operationviral infection (except pyogenic infection occurring with and (whether declared or undeclared), mutiny, strikes,through an accidental cut or wound) demonstrations, riots, civil commotion, conspiracy, military2. Disease, sickness, parasite, or disorder of the body/ takeover, state of siege, or any weapon or instrumentmind employing atomic fission or radioactive force whether in3. Poison, gas or fumes voluntarily or involuntarily taken time of peace or war4. Insect bites 13. Serving in the armed forces of any country, or5. Earthquake, volcanic eruption or tidal wave international authority, whether in war or peace6. Atomic explosion, nuclear fission, or radioactive gas 14. Entering, operating, servicing, ascending or descending from any aerial or submarine device or conveyance, except7. Pregnancy, childbirth, miscarriage or any complications as provided under a passenger aviation provision8. Accident occurring while or because the Insured is under 15. Hunting, motorcycling or pillion riding, mountaineeringthe influence of alcohol or any drug which necessitates the use of ropes or pitons, racing of any9. Suicide or any attempted threat while sane or insane, or kind, other than on foot, ice or winter sports, water-skiany intentionally self-inflicted injury jumping and tricks, yachting beyond 5 km. off a coastline, underwater activities involving the use of underwater10. Participation in any brawl, or committing any crime or apparatus, or using woodworking machinery driven byfelony mechanical power other than portable tools, applied by11. Provoked murder / assault or attempted threat [waived] hand and used solely for private purposes without reward
  16. 16. Purple Cow 2012 Benefits 7 3a. Medical HMO (nationwide)ASIANLIFE (8,205 affil. MD, 383 hospitals, 428 clinics) TERMS & CONDITIONS1. Traditional HMO buffet of benefits 1. Instant rates, regardless of size2. Combined inpatient & outpatient limits 2. No franchising required3. Max. Benefit Limits per disability per year 3. No utilization report required4. HMO patient for no-cash-out 4. No individual applications required5. Private patient for reimbursement (HMO rate) 5. Minimum group size = 106. Access to Big 5 hospitals & Healthway 6. Minimum mode of payment = monthly7. 100% Pre-Existing Conditions coverage 7. Pooled Employee utilization to spread risk8. 100% Congenital Conditions coverage 8. Split Dependent utilization to reduce cost9. 100% Special Procedures coverage 9. Buy now, pay later10. Benefits on top of Philhealth 10. 1st year Virgin promo rate, if applicable+Principals 18yo-65yo; Dependents 30dy-22yo / 18yo-65yo +Same rates for Dependents in 2012 Medical HMO benefits are covered on top of Life & Accident benefits
  17. 17. Purple Cow 2012 Benefits 8 3a. Medical HMO… PRE-EXISTING CONDITIONS (Dreaded) PRE-EXISTING CONDITIONS (Non-Dreaded)1. Blood dyscrasias 1. Asthma, pleural effusion or other chronic airway obstruction conditions2. Benign / malignant new growths 2. Benign cyst / tumor and malignant conditions3. Chronic cardiac / cardio-vascular diseases 3. Chronic gynecologic conditions4. Collagen / connective diseases 4. Hemorrhoids and other chronic colonic and ano-rectal illnesses5. Diseases of the immune system 5. Diseased tonsils requiring surgery, cataracts & other opthalmo-otolaryngologic conditions6. Chronic hepatobiliary diseases 6. Pathological abnormalities of nasal septum and turbinate7. Neuro-surgical / neurological conditions 7. Sinus condition requiring surgery8. Chronic pulmonary diseases 8. Chronic neurologic conditions9. Chronic genito-urinary diseases 9. Calculus cholecystitis / cholelithiasis and/or urolithiasis10. Chronic gynecological conditions 10. Chronic conditions of the genitourinary system11. Chronic gastrointestinal conditions 11. Polyps, ulcers, liver cirrhosis and other chronic gastrointestinal diseases12. Endocrine abnormalities 12. Endocrine illnesses13. Antibiotic / chemotherapy-resistant diseases / bactemia / septicemia 13. Seizure disorders14. Chronic opthalmo-otolaryngologic diseases 14. Moderately to far advanced tuberculosis15. Chronic musculo-skeletal diseases 15. Chronic musculo-skeletal malignancies16. Pathological / accidental fractures 16. Malignancies of the blood and bone marrow17. Illnesses / injuries necessitating the use of isolation room / ICU or other IC facilities 17. Hypertension, coronary artery disease / myocardial ischemia, cerebrovascular accident and other chronic cardiac diseases18. Accidental injuries19. Second and third degree burns 18. Collagen / connective tissue diseases20. Surgical procedures requiring application / use of prosthesis for immediate treatment 19. Diseases of the immune system21. PEC (except congenital ones) subject to the provision on ‘PEC’ in this Agreement [waived] Dreaded & Non-Dreaded PEC are covered 100% up to MBL
  18. 18. Purple Cow 2012 Benefits 9 3a. Medical HMO… SPECIAL PROCEDURES or NEW MODALITIES OF TREATMENT1. Lithotripsy 11. Sclerotherapy2. Arthroscopic procedures 12. Physical & speech therapy3. Laparoscopic procedures 13. Angiography4. Laser therapy (excludes use for correcting vision) 14. Nuclear technologies5. Nuclear / radioactive isotope scans 15. Thallium scintigraphy6. Cost of artificial limbs, joint prosthesis and heart 16. CT scan / MRIvalve prosthesis 17. Pulmonary perfusion scan 18. Endoscopy7. Other new modalities of treatment for conditions withestablished etiologies and used as alternatives to 19. Bone densitometry scanconventional or traditional procedures 20. Anti-nuclear anti-body (ANA)8. Dialysis 21. C-reactive protein (rheumatic & complications)9. Chemotherapy 22. Lupus cell exam10. Radiation oncology / therapeutic radiology 23. Sleep therapy Special Procedures or New Modalities of Treatment are covered 100% up to MBL
  19. 19. Purple Cow 2012 Benefits 10 3a. Medical HMO… EXCLUSIONS1. Expenses that should be taken care of by any government programs such as Philhealth 13. Illnesses / injuries attributable to the plan member’s own misconduct / gross negligence / immoral habits, and willful and unnecessary exposure to danger or2. Services rendered or supplies provided free of charge health hazards3. Additional hospital charges and/or professional fees resulting from a plan member taking 14. Self-inflicted injuries including, but not limited to, any form of suicide attempta room accommodation more than his R&B limit (excesses and/or incremental costs)4. Maternity and maternity-related conditions and/or complications except those benefits that 15. Sexually transmitted disease, AIDS, rehabilitative treatment for alcoholism andmay be provided by the (optional) Maternity benefit drug abuse5. Sterilization of either sex or reversal of such, artificial insemination, sex change, 16. Acquisition of prosthetic appliances, artificial aids, durable equipment, surgicallyconsultation/confinement regarding fertility implanted devices and external prosthetic devices except those that are explicitly covered and enumerated in the ‘Special Procedures or New Modalities of Treatment’6. Non-recommended confinement, convalescent / domiciliary / custodial care, rest cures provision of this agreement7. Dental-related cases except those that may be provided by the Dental Benefits and to the 17. Organ transplant-expense relating to organ donation of the donating party/partiesextent that are necessary for the repair or alleviation of damage caused solely by accidentalinjury sustained (and not caused by the plan member) 18. Executive check-ups, unless explicitly provided in the master policy, and/or confinements purely for diagnostic purposes, as well as non-recommended8. Circumcision, cosmetic / aesthetic procedures except re-constructive surgery to treat confinementsfunctional defects due to a covered disease and/or accidental injury9. Psychiatric disorders, psychosomatic conditions, treatment for any mental or nervous 19. Take-home medicines, unless optional ‘Reimbursement of Prescribed Medicines’disorders, illness / injury / condition / complication arising from the plan member’s excessive benefit is provided, and vaccines, except for first doses of either anti-venom, anti-alcohol intake and/or use of regulated/prohibited drugs rabies or anti-tetanus used for emergency treatment10. Illnesses and/or injuries arising from the plan member’s participation in brawls, riots, 20. Medico-legal fees including the cost of Medical Certificates that a plan membercommission of a crime, violation of ordinances, or the like may require for any purpose it may serve him or her11. Illnesses / injuries resulting from conditions of war or sustained from combat-related 21. Congenital disease / deformity that is evident to the plan member at birth and/oractivities can be clinically determined to be congenital [waived] 22. Medical / surgical procedures and/or diagnostic tests that are experimental in12. Illnesses / injuries resulting from the plan member’s active participation in hazardous nature and/or not generally accepted by the medical profession such as, but not limitedactivities such as, but not limited to, bungee jumping, hang-gliding, scuba diving, to, iridology, chiropractic services, and acupuncturemountain/wall climbing, and professional sports
  20. 20. Purple Cow 2012 Benefits 11 3b. Optional Dental HMO (nationwide) HP DENTAL (790 dentists, 659 clinics) EXCLUSIONS1. (1) permanent filling 1. Dental procedures not included in the list of 10 benefits2. (2) oral prophylaxes 2. Reimbursements for seeing your own dentist3. Unlimited consultations4. Simple tooth extractions if indicated5. Temporary fillings when indicated6. Gum treatment except for alveolectomy/gingivectomy 17. Simple adjustment of dentures +Access to HP Dental-accredited clinics in SM, Market2, Festival, Robinson’s, Shangrila, and ATC malls.8. Re-cementation of fixed bridges/crowns/jackets/inlays/onlays +Dental card and booklet provided, as well as an9. Treatment of pain/lesions/wounds/burns orientation and an annual utilization report.10. Emergency dental procedures if necessary +Discounts available on procedures not included in the dental HMO plan.+Appointment preferred (unless emergency) Optional Nationwide Dental HMO: +/- P300 Optional Dental HMO benefits are covered on top of Medical HMO benefits
  21. 21. Purple Cow 2012 Benefits 12 3c. Optional Annual Physical Exam VARIOUS (mobile or clinic) EXCLUSIONS1. Physical examination 1. APE procedures not included in the Basic 5 APE plan2. Chest X-Ray3. CBC Basic 54. Urinalysis5. Fecalysis+The Annual Physical Exam (APE) is a diagnostic tool, not a cure for sickness or accident. Results can serve as a baseline for referral to specialists who can authorizetests and/or prescribe further treatment.+By appointment only, 30 days in advance.+Pay as you go, so you don’t lose it if you don’t use it(don’t pay in advance, as payment is not transferable).+Call Lala Perido at GRA to help design, source, price& schedule your APE during the year [888-0001 x835]. Optional APE: +/- P400 or P500 (for mobile or clinic APE) Optional APE benefits are covered on top of Medical HMO benefits
  22. 22. Purple Cow 2012 Benefits 13 3d. Free Wellness Program ASIANLIFE (call 890-1758 ext. 278 to schedule) EXCLUSIONS1. Comprehensive Wellness Program (to 2x/yr) 1. Cost of vaccinesA company’s corporate wellness program is a key component of The Comprehensive Wellness Program is customized to meetcompany success. Based on a company’s health and wellness your health & wellness needs through the following services:needs/wants, AsianLife has developed a CWP that can motivate HEALTH RISK ASSESSMENTS: Comprehensive writtenand maintain good health. AsianLife brings corporate wellness assessment and detailed CUR (current utilization report) areprograms to the client’s location and implements a wellness provided which gives the employee and the employer theprogram that suits the client’s actual health profile to achieve information needed to set wellness goals.their unique needs and goals. HEALTH PROMOTION & DISEASE MANAGEMENTTo effectively manage healthcare costs, organizations must SEMINARS: Pooling from a wealth of resources and expertiseinclude programs that proactively help employees maintain and available through the medical partners, numerous presentationsimprove their health. The road to better health (and fewer and seminars are available for the client’s workforce to promotepreventable health claims) is paved with small decisions we Wellness.make every day. The result of doing nothing is continued HEALTH SCREENINGS: Periodic onsite health screenings suchskyrocketing of health-care costs, rising absenteeism, and lower as blood pressure and body fat analysis are available in theemployee productivity. program in addition to more extensive screenings such as bloodWellness Bottom Line: gains can include… analysis.Improved employee health; HEALTH PROTECTION MEASURES: Scheduled vaccineIncreased workforce productivity; administration program can be done within company premises.reduced health insurance premiums; The vaccine may vary depending on the need/requirement of thelower workers compensation claims. company. Free Wellness Program benefits are covered on top of Medical HMO benefits
  23. 23. Purple Cow 2012 Competitive Advantages 1 Why Purple Cow? 1 ‘Large’ Size Fits All SME: If you are an SME, with 10 or more regularemployees (per DTI), you can join the herd, and be treated just like a large Company. (Unlike most HMO plans) You can enjoy the same toys as the Big Boys
  24. 24. Purple Cow 2012 Competitive Advantages 2 Why Purple Cow? 2 Ways to Access Healthcare:You can see an HMO doctor for free, or your own doctor for reimbursement at the HMO rate – each time you avail. (Unlike most HMO plans) You can see your own doctor, cheaper
  25. 25. Purple Cow 2012 Competitive Advantages 3 Why Purple Cow?3 Major Employee Benefits in 1 Plan: You get Group Life, Accident & Health (medical HMO, optional dental HMO,optional APE, and Wellness) – all in 1 plan. (Unlike most HMO plans)You get all the Employee Benefits you will ever need
  26. 26. Purple Cow 2012 Competitive Advantages 4 Why Purple Cow? 4 Modes of Payment: You can choose from annual, semi-annual, quarterly, or monthly modes of payment to suit your cash flow or budget. (Unlike most HMO plans)You can pay Annual (60%), S.A. (5%), Qtr. (30%) or Mo. (5%)
  27. 27. Purple Cow 2012 Competitive Advantages 5 Why Purple Cow? 5 R&B x 3 MBL Choices each:You can choose up to 5 SME Room & Board categories x 3 Maximum Benefit Limits each, to suit your organizational needs. (Unlike most HMO plans)You can try new combinations to see if they are ‘sulit’
  28. 28. Purple Cow 2012 Competitive Advantages 6 Why Purple Cow? 100% Pre-Existing Conditions: You get 100% coverage up to MBL for Pre-Existing Conditions such as cancer, hypertension, diabetes & asthma. (Unlike most HMO plans)You are covered for dreaded & non-dreaded diseases
  29. 29. Purple Cow 2012 Competitive Advantages 7 Why Purple Cow? 100% Congenital Conditions: You get 100% coverage up to MBL forCongenital Conditions such as mitral valveprolapse, rheumatic heart disease & hernia.You are covered for most HMO plans) since birth (Unlike medical conditions
  30. 30. Purple Cow 2012 Competitive Advantages 8 Why Purple Cow? 100% Special Procedures: You get 100% coverage up to MBL for Special Procedures such as arthroscopy,laparoscopy, chemotherapy, P/T & MRI.You are covered for most HMO plans) of treatment (Unlike newer modalities
  31. 31. Purple Cow 2012 Competitive Advantages 9 Why Purple Cow? Benefits on Top of Philhealth:Your HMO limits are on top of Philhealth, so you won’t be needing as much MBL: Benefits = Philhealth + MBL (not just MBL). (Unlike most HMO plans)You get full HMO benefits on top of Philhealth benefits
  32. 32. Purple Cow 2012 Competitive Advantages 10 Why Purple Cow? Pooled Employee Utilization: Your Employee utilization is pooledtogether with the employee utilization of all other SME, to spread your risk. (Unlike most HMO plans) You get to enjoy the safety of a bigger group
  33. 33. Purple Cow 2012 Competitive Advantages 11 Why Purple Cow? Separate Dependent Utilization:Your Employee and Dependent utilization are separate, so you won’t have to worryabout Dependents affecting Employee rates. (Unlike most HMO plans) You can offer Dependent coverage without fear
  34. 34. Purple Cow 2012 Competitive Advantages 12 Why Purple Cow? Life Insurance:Your Life benefit covers death by any cause, including suicide after 1 year. For example: Ward 20T = 100T; Semi 40T = 200T. (Unlike all HMO plans)Life = 5x MBL: 1 year’s worth of income replacement
  35. 35. Purple Cow 2012 Competitive Advantages 13 Why Purple Cow? Terminal Illness Rider: Your TIR benefit is a 50% advance on your Life benefit, payable if you have < 12 mos. to live (50% balance payable upon death).TIR = 50% of 5x MBL, in all HMO plans) living expenses (Unlike lieu of life, for
  36. 36. Purple Cow 2012 Competitive Advantages 14 Why Purple Cow? Total & Perm. Disability Income: Your TPDI benefit is in lieu of your Lifebenefit, payable if you are unable to work at all, due to sickness or accident. (Unlike all HMO plans)TPDI = 5x MBL, in lieu of Life, for living expenses
  37. 37. Purple Cow 2012 Competitive Advantages 15 Why Purple Cow? Accidental Death Insurance:Your Accidental Death benefit is a doubleindemnity to your Life benefit, and covers death by accident only. (Unlike all HMO plans) Accidental Death = 10x MBL
  38. 38. Purple Cow 2012 Competitive Advantages 16 Why Purple Cow? Murder: Your Murder benefit is in lieu of yourAccidental Death benefit, and payable ifyou don’t die by accident, but by murder. (Unlike all HMO plans) Murder = 10x MBL, in lieu of Accidental Death
  39. 39. Purple Cow 2012 Competitive Advantages 17 Why Purple Cow?Accidental Disablement Insurance: Your Disablement benefit is based on a long schedule of indemnities. For example:loss of hand = 50% of Disablement benefit. Accidental Disablement plans) 5x MBL (Unlike all HMO = % of
  40. 40. Purple Cow 2012 Competitive Advantages 18 Why Purple Cow? Assault: Your Assault benefit is in lieu of your Disablement benefit, if you don’t get disabled by accident, but by Assault. (Unlike all HMO plans)Assault = % of 5x MBL, in lieu of Accidental Disablement
  41. 41. Purple Cow 2012 Competitive Advantages 19 Why Purple Cow? Medical HMO Network: You can get inpatient and outpatient treatment from 8,205 affiliated doctors, 383 hospitals, and 428 clinics nationwide. (unlike some HMO plans)You can go to MMC/ SLMC/ CSMC/ AHMC/ TMC/ Healthway
  42. 42. Purple Cow 2012 Competitive Advantages 20 Why Purple Cow? Optional Dental HMO Network: You can get 1 permanent filling, 2 oral prophylaxes, and 8 other benefits from 790 dentists and 659 clinics nationwide. (Unlike some HMO plans)You can go to SM/ Market2/ Festival/ Robinson’s/ Shangrila/ ATC
  43. 43. Purple Cow 2012 Competitive Advantages 21 Why Purple Cow? Optional Annual Physical Exam: You can order a Basic 5 APE or customize your APE; you can choose a nearby clinic for your staff or request a mobile APE. (Unlike some HMO plans)You can decide if you want an APE, and if so, what kind
  44. 44. Purple Cow 2012 Competitive Advantages 22 Why Purple Cow? FREE Wellness Program: ALGA can conduct a Wellness program for your SME (up to 2 sessions per year), based on your own set of health issues. (Unlike most HMO plans)You can get customized Wellness seminars & screenings
  45. 45. Purple Cow 2012 Competitive Advantages 23 Why Purple Cow? Same Benefits for Dependents: Dependents get the same benefits,terms and conditions as Employees (as well as the same costs in 2012). (Unlike most HMO plans) Your Dependents are treated like Employees
  46. 46. Purple Cow 2012 Competitive Advantages 24 Why Purple Cow? Access through Social Media: You can access info and interact directlywith suppliers via ‘C3’ (Command & ControlCenter), in or Facebook. (Unlike most HMO & insurance plans) C3 helps you to take charge of your own health
  47. 47. Purple Cow 2012 Summary 1 ♠ What’s in it for…Employees? EE Features EE BenefitsA complete Employee Benefits package You get more financial security fromthat can make you financially secure Purple Cow than from any other HMOLife INS, Accident INS, Medical HMO, You won’t need to get any moreOptional Dental HMO & Optional APE insurance benefits for yourselfNationwide Medical & Dental networks, You can use any accredited hospitalinclusive of all major hospitals & clinics or clinic for medical or dental treatmentChoice of doctor as a Private Patient for You can see your own doctor and getinsurance reimbursement at HMO rates reimbursed the rate of an HMO doctor100% Pre-Existing, 100% congenital, You are covered for existing illnesses,& 100% Special Procedures coverage natal conditions, & special proceduresEmployee Benefits on top of Philhealth You get full HMO + Philhealth benefitsAccess to benefit information through You can take charge of your ownC3 on & Facebook health, and know before you go1 health card for every employee You can avail anytime, anywhere
  48. 48. Purple Cow 2011 ConclusionsA job without financial security:  anxiety  depression  state of emergency  debt  desperationLESS financial security = MORE worry at work
  49. 49. Purple Cow 2011 Conclusions A job with financial security:  security  peace of mind  happiness  focus  productivityMORE financial security = LESS worry at work