Purple cow eb for sme 2012 (sales presentation)


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  • Purple cow eb for sme 2012 (sales presentation)

    1. 1. 2012 SalesPresentation 102pg
    2. 2. Disclaimer Renowned author Seth Godin approved my use of the term PURPLECOW (2/4/09): “It’s fine with me, just please make it clear that I haven’t endorsed your service.”
    3. 3. 20121. INTRODUCTION The Purple Cow STORY
    4. 4. “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.
    5. 5. Vision 2FINANCIALSECURITY… throughPURPLE COW Employee Benefits.  LIKE Purple Cow Employee Benefits on Facebook
    6. 6. Mission 3To PROTECT Employers & Employees... fromFINANCIAL INSECURITY.  LIKE Purple Cow Employee Benefits on Facebook
    7. 7. Advocacy 4SUPPORT SME: SME they are the FUTUREHEROESof our economy!  LIKE Purple Cow Employee Benefits on Facebook
    8. 8. Philosophy 5 DOINGBUSINESS with SME:MORE FUN in the PHILIPPINES!  LIKE Purple Cow Employee Benefits on Facebook
    9. 9. 20122. VALUE PROPOSITION The Purple Cow USP
    10. 10. Purple Cow 2012 Value Proposition 1 More VALUE…Purple Cow gives you all 3 of today’s majoremployee benefits in 1 package, designedto provide multiple layers of protection: Group Life: P50,000 – P1,000,000 Group Accident: P50,000 – P1,000,000 Group Health: P10,000 – P200,000 You can get MORE benefits for ALL of your staff
    11. 11. Purple Cow 2012 Value Proposition 2 + Less PRICE…Purple Cow saves you 25% - 50% on the 2 most frequently selected Room &Board categories (Ward & Semi-Private)when you combine them with our Max.Benefit Limits:  Ward 10-20-30T: starts at P4,991 / P6,378/yr*  Semirates for new Virgin / new Non-Virgin accounts. See Costs section for all the rates) *(Starting 30-40-50T: starts at P6,821 / P8,646/yr*You can get LOWER rates for MAJORITY of your staff
    12. 12. Purple Cow 2012 Value Proposition 3 = More HAPPINESS! Purple Cow shares the Good News witheach level of your SME organization:  Employees: More financial security  HR: Better recruitment & retention  Finance: Greater financial viability  CEO: Major ‘pogi’ points You can make EVERYONE happy
    13. 13. 20123. MACRO / MICRO The Purple Cow BIG & SMALL Pictures
    14. 14. Purple Cow 2012 Macro & Micro 1 The P6T Philippine Economy Tran./Cm ./Str., 503, 8% FIRBS, 841, 14% Elec/Gas/Wat., 413, 7% Manuf. Cm .SocSv., 181, 3% Wh/Re.Trd. Wh/Re.Trd., 1,069, 18% Min./Quar., 103, 2% Fin/RE/BzSvc. Constrctn., 94, 2% Tran./Cm ./Str. Elec/Gas/Wat. Agr/Fis/For., 76, 1% Cm .SocSv. Min./Quar. Constrctn. Agr/Fis/For. Manuf., 2,716, 45%(in Billions of Pesos) BusinessWorld Top 1000 Corp. in the Phil., 2009 ed. FIRBS = Financial Services, Real Estate & Business Services
    15. 15. Purple Cow 2012 Macro & Micro 2The P600B Financial Services Sector 21 Insurance, 104, 17% Fin.Hold.Co., 95, 15% Banking PreNd.P/E/M, 12, 2% 21 L/NL. Ins. Inv.Co./Hous., 10, 2% Fin.Hold.Co. PreNd.P/E/M Credit.Card, 6, 1% Inv.Co./Hous. 3 PreNd.Hlth, 6, 1% Credit.Card Mutual.Fund, 3, 1% 3 PreNd.Hlth Fin./Lease, 2, 0% Mutual.Fd. Paw nshop, 1, 0% Fin./Lease Paw nshop Banking, 380, 61%(in Billions of Pesos) BusinessWorld Top 1000 Corp. in the Phil., 2009 ed. Insurance includes Medical INS.; Pre-Need Health = HMO
    16. 16. Purple Cow 2012 Macro & Micro 3 The Insurance vs. HMO Industries 88 Non-Lf.INS, 42, 38% 15 PreNd.HMO, 12, 11% 35 Life.INS 88 Non-Lf.INS 15 HMO 35 Life.INS, 57, 51% HMO Figures: AHMOPI, 2009(in Billions of Pesos) Life & Non-Life Insurance Figures: Insurance Commission, 2009 Insurance Industry (123 Co./P99B) > HMO Industry (15 Co./P12B)
    17. 17. Purple Cow 2012 Macro & Micro 4 The Medical INS. vs. HMO Markets 5/123 Med. INS, 2, 8% 15 HMO 5/123 Med.INS 15 PreNd.HMO, 12, 92% HMO Figures: AHMOPI, 2009(in Billions of Pesos) Medical Insurance Figures: Delphi, 2009Medical INS. market (5 of 123 Co./P2B) < HMO market (15 Co./P12B)
    18. 18. Purple Cow 2012 Macro & Micro 5 The QUESTION: Q: “What should you get?” the BIGGER product (HMO) from the smaller industry? (HMO) (HMO is 90% of the healthcare market, but the HMO industry is 1/10th the size of the Insurance Industry); or the smaller product (medical insurance) from the BIGGER industry? (insurance) Can you get the best of both worlds? (Medical Insurance is 10% of the healthcare market, but the INS. industry is 10x the size of the HMO Industry).
    19. 19. Purple Cow 2012 Macro & Micro 6 The ANSWER: A: “You should get…” the BIGGER product… (HMO) ♠ Buffet of Benefits ♥ Nationwide Network ♦ No-Cash-Out ♣ No Inner Limits from the BIGGER industry! (insurance) ♠ More Stability ♥ More Underwriting ♦ More Regulation ♣ More ExperienceAn HMO plan from an INS. CO. can give you the best of both worlds!
    20. 20. Purple Cow 2012 Macro & Micro 7 The Healthcare ‘Red Ocean’ LG GROUP LG 100 2,958 HEALTH M20 0+ee (.4%) MEDIUM MEDIUM 2,923 (.4%) GROUP P15-100M; HEALTH 100-199 ee SMALL SMALL 61,762 (7.6%) P3-15M; 10-99 ee MICRO MICRO <P3M assets; 1 – 9 743,949 firms (91.6%) ee Figures: NSO 2001; DTI 2004The top 1% of all enterprises receive all the Healthcare attention…
    21. 21. Purple Cow 2012 Macro & Micro 8 The Healthcare ‘Blue Ocean’ LG LG 100 2,958 M20 0+ee (.4%) MEDIUM MEDIUM 2,923 (.4%) P15-100M; 100-199 ee SMALL GROUP SMALL 61,762 (7.6%) HEALTH P3-15M; 10-99 ee MICRO INDIVIDUAL MICRO HEALTH <P3M assets; 1 – 9 743,949 firms (91.6%) ee Figures: NSO 2001; DTI 2004…while 99% of all enterprises remain un-served or under-served!
    22. 22. Purple Cow 2012 Macro & Micro 9 The Healthcare ‘Purple Ocean’ LG LG 100 2,958 M20 0+ee (.4%) MEDIUM MEDIUM 2,923 (.4%) P15-100M; PURPLE 100-199 ee COW SMALL EB 4 SME SMALL 61,762 (7.6%) P3-15M; 10-99 ee MICRO MICRO <P3M assets; 1 – 9 743,949 firms (91.6%) ee Figures: NSO 2001; DTI 2004The GOAL: to protect more & more SME from financial insecurity
    23. 23. 2012 4. EB PRIMERA Whole New WORLD of Employee Benefits
    24. 24. 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
    25. 25. 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
    26. 26. Purple Cow 2012 EB Primer 3What 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
    27. 27. 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
    28. 28. Purple Cow 2012 EB Primer 5 Why give Insurance to employees?• Because you want to take care of the hands that take care of YOU (Employees are your key success factors);• Because you want to STOP your Employees from LOSING MONEY to medical emergencies – the most common cause of their financial insecurity;• Because Employee health is not just Corporate wealth, but also Corporate Social Responsibility.Charity begins at home: give your staff the gift of health
    29. 29. Purple Cow 2012 EB Primer 6 Why get the Purple Cow?• The Purple Cow is UNIQUE: no other insurance company, HMO, agent, or broker offers such a plan;• The Purple Cow is SMART: it has all the features and benefits majority of our Customers say they want or need;• The Purple Cow is PERFECT: the recommended R&B and MBL are the right combination up to 99% of the time. WhyPurple Cowyouthe right less? for your SME pay more if is can pay choice
    30. 30. Purple Cow 2012 EB Primer 7 Why get AsianLife (ALGA) as Insurer?• ALGA is the BIGGE$T NAME in group life & medical insurance, and the only insurance company today that offers an HMO plan; (ALGA clients include PLDT, Smart & Meralco)• ALGA is the BE$T VALUE for your money, with the most useful life, accident & health benefits rolled into one;• ALGA offers the LOWE$T PRICE, when comparing all its insurance & HMO features & benefits. ALGA gives you the best of both INS and HMO worlds
    31. 31. Purple Cow 2012 EB Primer 8 Why get GRA as Broker?• GRA is the #1 Filipino, (2) family-owned, full-line insurance brokerage in the country today: it produces >P1B in premiums, and has been in the Top 5 since 1965;• GRA’s partners, Larry Gotuaco & Albert del Rosario, are legends in the industry; the Next Generation of Meg Isleta, Andy Gotuaco & Tom Gotuaco carry on the Tradition;• GRA’s Tom Gotuaco is the Creator of PURPLE COW: the only EB plan today that treats SME like a large company. GRA offers the perfect admin backroom for Purple Cow
    32. 32. 2012 5. BENEFITSYour SECRET to Financial Security
    33. 33. Purple Cow 2012 Benefits 1 3 Major Employee Benefits (per IC) LIFE – ACCIDENT – HEALTHLIFE (worldwide) HEALTH (nationwide)1. LIFE INSURANCE 3. MEDICAL HMO * Terminal Illness Rider * 8,205 affil. MD, 383 hospitals, 428 clinics * Total & Perm. Disability Income 4. Opt. DENTAL HMOACCIDENT (worldwide) * Basic 10: 790 dentists, 659 clinics2. PERSONAL ACCIDENT 5. Opt. Annual Physical Exam a. Accidental Death * Basic 5: mobile or clinic * Murder b. Accidental Disablement 6. Health & Wellness Program * up to 2x/yr; tailored to utilization report * Assault
    34. 34. 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. Opt. Dental = HMO buffet of benefits9. Combined inpatient & outpatient limits 21. Opt. APE = choice of mobile or clinic10. Max. Benefit Limits per disability per year 22. Health & Wellness Program (up to 2x/yr)11. HMO patient for no-cash-out 23. Same benefits for Dependents12. Private patient for reimbursement (HMO rate) 24. Access through Social Media
    35. 35. 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
    36. 36. Purple Cow 2012 Benefits 4 2a. 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
    37. 37. Purple Cow 2012 Benefits 5 2b. 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
    38. 38. Purple Cow 2012 Benefits 6 2c. 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
    39. 39. 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
    40. 40. Purple Cow 2012 Benefits 8 3b. 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
    41. 41. Purple Cow 2012 Benefits 9 3c. 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
    42. 42. Purple Cow 2012 Benefits 10 3d. 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
    43. 43. Purple Cow 2012 Benefits 11 4. 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
    44. 44. Purple Cow 2012 Benefits 12 5. 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
    45. 45. Purple Cow 2012 Benefits 13 6. Health & Wellness (up to 2x per year) 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 Health & Wellness Program benefits are covered on top of Medical HMO benefits
    46. 46. 2012 6. COSTS Your INVESTMENT in Financial SecurityLEGEND:• VIRGIN – new account that has never had group health before (medical INS or HMO)• VIRGIN Renewal – renewing Virgin account• NON-VIRGIN – new or renewing Non-Virgin account• NON-VIRGIN Renewal – renewing Non-Virgin account
    47. 47. Purple Cow 2012 Costs: New VIRGIN Standard: Life INS / Accident INS / Medical HMO Optional: Dental HMO (+/- P300) / APE (+/- P400 or P500) 1 Cost Summary R&B MBL ANN SEMI QTR MO R&B MBL ANN SEMI QTR MO 10T 4,991 2,646 1,398 500 REG 60T 12,332 6,537 3,454 1,234 PVTWARD 20T 5,442 2,885 1,524 545 80T 13,888 7,361 3,889 1,389 (R&F) (Top rank Small co 30T 6,206 3,290 1,738 621 50-100) 100T 15,185 8,049 4,252 1,519 30T 6,821 3,615 1,910 683 80T 16,277 8,627 4,558 1,628 LRGSEMI PVTPVT 40T 7,510 3,981 2,103 751 (Top rank 100T 17,422 9,234 4,879 1,743 (Spvr) Med co 100-200) 50T 8,248 4,372 2,310 825 120T 19,116 10,132 5,353 1,912 50T 9,722 5,153 2,723 973 100T 26,933 14,275 7,542 2,694 SML JR PVT SUITE(Top rank 60T 10,570 5,603 2,960 1,058 (Top rank 150T 30,327 16,074 8,492 3,033 Small co Large co 10-50) > 200) 70T 11,394 6,039 3,191 1,140 200T 34,264 18,160 9,594 3,427
    48. 48. Purple Cow 2012 Costs: New NON-VIRGIN Standard: Life INS / Accident INS / Medical HMO Optional: Dental HMO (+/- P300) / APE (+/- P400 or P500) 3 Cost Summary R&B MBL ANN SEMI QTR MO R&B MBL ANN SEMI QTR MO 10T 6,378 3,381 1,786 638 REG 60T 15,705 8,324 4,398 1,571 PVTWARD 20T 6,903 3,659 1,933 691 80T 17,613 9,336 4,932 1,762 (R&F) (Top rank Small co 30T 7,834 4,153 2,194 784 50-100) 100T 19,181 10,167 5,371 1,919 30T 8,646 4,583 2,421 865 80T 20,767 11,007 5,815 2,077 LRGSEMI PVTPVT 40T 9,483 5,026 2,656 949 (Top rank 100T 22,134 11,731 6,198 2,214 (Spvr) Med co 100-200) 50T 10,385 5,504 2,908 1,039 120T 24,226 12,840 6,784 2,423 50T 12,332 6,536 3,453 1,234 100T 34,689 18,386 9,713 3,469 SML JR PVT SUITE(Top rank 60T 13,378 7,091 3,746 1,338 (Top rank 150T 38,807 20,568 10,866 3,881 Small co Large co 10-50) > 200) 70T 14,394 7,629 4,031 1,440 200T 43,644 23,132 12,221 4,365
    49. 49. 20127. COMP. ADVANTAGES Why PURPLE COW? 
    50. 50. 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
    51. 51. 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
    52. 52. 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
    53. 53. 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%)
    54. 54. 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’
    55. 55. 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
    56. 56. 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
    57. 57. 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
    58. 58. 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
    59. 59. 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
    60. 60. 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
    61. 61. 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
    62. 62. 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
    63. 63. 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
    64. 64. 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
    65. 65. 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
    66. 66. 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
    67. 67. 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
    68. 68. 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
    69. 69. 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
    70. 70. 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
    71. 71. Purple Cow 2012 Competitive Advantages 22 Why Purple Cow? FREE Health & Wellness Program: ALGA can conduct a Health & Wellness program for your SME (up to 2 sessions per year), based on your own health issues. (Unlike most HMO plans)You can get customized Wellness seminars & screenings
    72. 72. 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
    73. 73. 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 www.purplecow.ph or Facebook. (Unlike most HMO & insurance plans) C3 helps you to take charge of your own health
    74. 74. Purple Cow 2012 Competitive Advantages 25 Why Purple Cow? The Price is Right: Purple Cow rates are lowest where theymatter the most: in the 2 lowest categories, where you enroll up to 90% of your staff! (Unlike most HMO plans) You get the greater good for the greater number
    75. 75. Purple Cow 2012 Competitive Advantages 26 Why Purple Cow? The Design is Right: Purple Cow provides medical necessity, not luxury! Savings from excess R&B/MBL are reallocated to benefits of greater use. (Unlike most HMO plans)Your R&B/MBL combos are good up to 99% of the time
    76. 76. Purple Cow 2012 Competitive Advantages 27 Why Purple Cow? The Perfect Insurer: You get serviced by the biggest name in group life & medical, and the only insurance company today that offers an HMO plan. (Unlike all insurance companies)You get the best of both INS & HMO worlds from ALGA
    77. 77. Purple Cow 2012 Competitive Advantages 28 Why Purple Cow? The Perfect Broker: You get represented by a legend in the industry, and the only insurance brokertoday that treats SME like a large company. You get the perfect insurance brokers) from GRA (Unlike all backroom support
    78. 78. Purple Cow 2012 Competitive Advantages 29 Why Purple Cow? Buy Now, Pay Later: You can sign up today, get covered rightaway, and pay later when GRA bills you (during your EB orientation, at the earliest). (Unlike some HMO plans) You can take advantage of a credit float
    79. 79. Purple Cow 2012 Competitive Advantages 30 Why Purple Cow? Easy Sign Up: 1) Complete/email Masterlist (Excel); 2) Sign/fax Endorsement sheet; 3) Sign/fax Letter of Guarantee (letterhead). (Unlike some HMO plans)Click ‘Join the Herd!’ to download on www.purplecow.ph
    80. 80. Purple Cow 2012 Competitive Advantages 31 Why Purple Cow? Claims Utilization Report: You get a detailed, user-friendly report that gives you real insights into your company’s overall utilization patterns. (Unlike some HMO plans)You can learn a lot about the state of your group’s health
    81. 81. Purple Cow 2012 Competitive Advantages 32 Why Purple Cow? Group Renewal Rates: You get broker-negotiated group renewal rates for the calendar year, so you can plan in advance without hassling HR or FIN. (Unlike most HMO plans)Your renewals become semi-automatic for HR & Finance
    82. 82. Purple Cow 2012 Competitive Advantages 33 Why Purple Cow? Your Employees Win: Employees can use Purple Cow to take charge of their own health, and protect themselves from even more emergencies. (Unlike most HMO plans)P.Cow helps employees to become financially secure
    83. 83. Purple Cow 2012 Competitive Advantages 34 Why Purple Cow? Your HR Wins: HR can use Purple Cow to recruit and retain staff – especially if you are in a highly competitive work environment. (Unlike some HMO plans)P.Cow helps HR to power Recruitment & supply Benefits
    84. 84. Purple Cow 2012 Competitive Advantages 35 Why Purple Cow? Your FINANCE Wins: FINANCE can use Purple Cow to cut healthcare costs, and reduce future exposure to claims utilization risk. (Unlike most HMO plans)P.Cow helps FINANCE to limit all liabilities to the card
    85. 85. Purple Cow 2012 Competitive Advantages 36 Why Purple Cow? Your Company Wins: When your Employees win, and HR & Finance win, your Company wins! (Unlike some HMO plans)P.Cow promotes ‘Win-Win’ among all Co. stakeholders
    86. 86. Purple Cow 2012 Competitive Advantages 37 Why Purple Cow? SME Nation Wins: When your Company wins, and other SME companies win, Purple Cow SME Nation wins! (Unlike all HMO plans)P.Cow promotes ‘Win-Win’ among all SME stakeholders
    87. 87. Purple Cow 2012 Competitive Advantages 38 Why Purple Cow? Virgins can Win Even More: You get a 1st year Virgin promo rate if your company has never had group medical insurance or HMO before.You can renew at(Unlike all HMO plans) prevailing Virgin Renewal rates as well
    88. 88. Purple Cow 2012 Competitive Advantages 39 Why Purple Cow? Purple Cow is Perfect for SME: Purple Cow is designed by SME, for SME. It is the result of an AIM-ME business plan, and backed by years of broker experience. (Unlike most HMO plans)You can enjoy all the benefits of Purple Cow innovation
    89. 89. Purple Cow 2012 Competitive Advantages 40 Why Purple Cow? Purple Cow Grows as You Grow: If you grow BIG, you can opt to self-insure using the same Purple Cow schedule of benefits, as well as the same HMO network.You can transition smoothlyTPA plans) (Unlike all from insured to self-insured
    90. 90. 20128. SUMMARY What’s in it for…ME?
    91. 91. 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 www.purplecow.ph & Facebook health, and know before you go1 health card for every employee You can avail anytime, anywhere
    92. 92. Purple Cow 2012 Summary 2 ♥ What’s in it for…HR? HR Features HR BenefitsA 3-in-1 Employee Benefits package, You get all 3 major employee benefitsnot just an HMO plan in one smart employer-paid packageA chance to compare HMO features You won’t need to wait for a proposal:and benefits easily this presentation is your proposalMultiple choices of Room & Board and You can adjust R&B and MBL combosMaximum Benefit Limits to pick from to suit your organizational needs3 forms to fill out (click ‘Join the Herd!’ You don’t need to create any forms:at www.purplecow.ph to download) use ours (no utilization report required)An opportunity to use Employee You can use Purple Cow to recruit &Benefits to perform key HR functions retain staff, as well as supply benefitsPurple Cow-negotiated renewal rates You won’t need to spend time reviewingand terms for the whole calendar year renewal proposals every yearRepresentation by a top local Broker You get broker assistance all year long1 schedule of benefits for all employees You can promote equal treatment
    93. 93. Purple Cow 2012 Summary 3 ♦ What’s in it for…Finance? FIN Features FIN BenefitsA complete Employee Benefits package You get the benefit of scale wheneverfor the price of an HMO plan you buy Purple Cow Employee BenefitsA chance to compare HMO rates easily, You get instant rates for the whole year:regardless of size no need to wait or negotiate4 ways to fit Purple Cow in your budget: You can pay for your healthcare costsannually, semi, quarterly, and monthly according to your cash flow or budgetMembership in a bigger & bigger pool of You can spread your risk in good timesSME (Small & Medium Enterprises) and bad, and establish greater viabilitySeparation of Employee vs. Dependent You can reduce the adverse effect ofutilization for pricing purposes dependent utilization on price increasesAn opportunity to use Employee You can use Purple Cow to limit yourBenefits to perform a key FIN function financial liability to the cardPurple Cow acts as Gatekeeper Purple Cow protects your interest1 set of fixed costs for all employees You can eliminate variable costs
    94. 94. Purple Cow 2012 Summary 4 ♣ What’s in it for the…CEO? CEO Features CEO BenefitsHappier Employees  very pogiHappier HR  CEO!Happier Finance 
    95. 95. 20129. CONCLUSIONS Purple Cow is the ANSWER!
    96. 96. Purple Cow 2012 Conclusions 1 Why Employee Benefits? Compensation in the PH cannot provide enough financial support in emergencies, and needs extra support; Benefits (EB) can provide that extra support, as most ‘emergencies’ in the PH are either life, accident, or health-related.Compensation + Benefits offer the best 1-2 punch for HR
    97. 97. Purple Cow 2012 Conclusions 2Why Purple Cow Employee Benefits? Employee Benefits are the KEY to your Financial Security – but not all benefits are created equal; Purple Cow Employee Benefits pool all 3 major employee benefits together, and treat your SME like a large company.Purple Cow offers the best EB formula for growing SME
    98. 98. Purple Cow 2011 Conclusions 3A job without financial security:  anxiety  depression  state of emergency  debt  desperationLESS financial security = MORE worry at work
    99. 99. Purple Cow 2011 Conclusions 4 A job with financial security:  security  peace of mind  happiness  focus  productivityMORE financial security = LESS worry at work
    100. 100. Purple Cow 2012 Conclusions 5 The Bottom Line 5% of Salary: that’s all you need for Purple Cow!5% is a small price to pay for everyone’s peace of mind
    101. 101. Purple Cow 2012 Conclusions 6 Our Broker Recommendation... Treat PURPLE COW as:  a business investment (HR & FIN);  a social investment (CSR).Purple Cow makes good business and social sense