Slide 1:MANAGED HEALTH PLANS Angela Shinners Health & Life Insurance Specialist Office: (920) 227-5487 anglelashinners@ymail.com www.myplanbuilder.com/ashinners Serving Clients Nationwide Monday – Friday 9am – 6pm Evenings & Saturdays by appointment angelashinners


Who iS Platinum Benefits Group? :Who iS Platinum Benefits Group? Platinum Benefits Group (PBG) helps small business owners with two to one-hundred employees realize significant cost reductions without sacrificing employee benefits We offer unmatched employee benefits, plan administration and customer service by utilizing our core principles of Value, Service and Integrity


HEALTHCARE CRISIS :HEALTHCARE CRISIS Ever-increasing healthcare costs Many small businesses forced to decrease level of care or implement shared costs with employees Some forced to drop group coverage all together Loss of key employees and Employers’ competitive edge


MYTHS ABOUT Employer sponsored Health INSURANCE :MYTHS ABOUT Employer sponsored Health INSURANCE Employer Groups Make Good Risk Pools False. Groups are usually not a diverse group of people; the number is larger in individual plans COBRA Costs Less Than Buying Your Own Health Insurance False. COBRA merely gives you the right to continue your group insurance and rarely costs less than an individual plan Group Insurance ALWAYS Costs Less False. Costs are higher because of guaranteed acceptance required with group plans and a smaller employee pool


Slide 5:Carrier/Employer Cannot Change YOUR Plan Without Your Approval False. Rising health insurance costs are forcing employers to either decrease benefits or increase deductible The Carrier Cannot Terminate Your Insurance False. Plans may be cancelled if a company experiences a significant claims year. Individual plans are guaranteed renewable until age 65 You Have Greater Protection With Group Insurance False. A comprehensive individual plan can provide same coverage as a group plan (max coverage to $6M). Group plans must offer certain benefits (i.e., maternity) and the cost is passed on to the company/ employee. Individual plan upgrades are available for specific benefits MYTHS ABOUT Employer sponsored Health INSURANCE


If you could . . . :If you could . . . Reduce your premium cost up to 50% and provide your employees with the same benefits Continue to deduct 100% of the premium Design a plan to fit the needs of your company Make healthcare costs a fixed amount Accomplish all of the above without the pain of renewal decisions . . . Would you?


Solution :Solution We provide the tools and expertise to reduce your healthcare costs without sacrificing employee benefits  and help you maintain a competitive edge in your industry


Employer benefits :Employer benefits Cost savings up to 50% Continue the tax advantage that group plans offer No issues with Group Cobra Can budget and control company costs Stay competitive in your industry Ease of administration HIPAA compliant


Ease of administration :Ease of administration Provides virtual accounts Allows multiple carriers No receipt management for premium reimbursement HRA and Section 125 non-discrimination testing Training provided for seamless addition and termination of employees into plan System training provided to Employees and Employer


Employee Benefits :Employee Benefits Continue to pay for benefits with pre-tax dollars Plan stays with employee regardless of employment status Keeps costs down by spreading risk to larger employee pool Employee pays up to 50% less than group coverage Freedom of choice Benefits comparable to current coverage


Unhealthy Employees :Unhealthy Employees With each company, certain employees may not be approved for individual plans due to pre-existing conditions. Platinum Benefits Group deals with this by utilizing HIPAA Law In 2006 Federal HIPAA Law required all states to provide state-guaranteed personal health policies Not subject to pre-existing conditions HIPAA or State plans may have a negative stigma Provides high level of coverage but at a higher cost Each state varies on how it deals with Federal HIPAA laws


Unhealthy Employees options :Unhealthy Employees options In some cases the group is too unhealthy for a Platinum Benefits Group Individual Managed Health Plan to be cost-effective We offer a Group Managed Health Plan utilizing the same principles as the individual plan as well as providing a significant savings to the Employer


Pricing Schedule :Pricing Schedule Annual compliance Plan document, summary plan description, discrimination testing Set up One-time fee, employer/employee accounts, VIPA accounts Employer/employee training Monthly administration Plan/VIPA and Claims administration Unmatched customer service Renewal


Plan type overview :Plan type overview PBG Fixed Contribution Employer sets amount Provides same amount to each employee Employee responsible for arranging their own coverage PBG HSA/Traditional Employer shares some risk with the plan Employee benefits are customizable PBG Group High deductible group coverage with traditional plan benefits


PBG Fixed contribution :PBG Fixed contribution Fixed contribution means a fixed expense for Employer Least amount of Employer HR involvement Lower administrative cost No shared risk for Employer Employee chooses a plan that meets their needs Individual owns plan; plan is portable and goes with the employee should they leave the company


PBG Hsa/Traditional Contribution :PBG Hsa/Traditional Contribution Customize plan to company/employee needs Healthy employees benefit Company shares in risk but employees are made more aware of health care costs Employees can benefit from HSA plan Implement with a Health Coaching Program; offer incentives based on health improvements Individual owns plan; plan is portable and goes with the employee should they leave the company


HRA Group :HRA Group Customize plan to company/employee needs Utilize for groups with large number of unhealthy individuals Company shares in risk but employees are made more aware of health care costs Implement with a Health Coaching Program; offer incentives based on health improvements Savings less than PBG HSA/Traditional Contribution plan Company owns plan and has Cobra responsibilities


NEXT STEPS . . . :NEXT STEPS . . . Employer completes Employer Survey PBG Provides quotes Creates proposal Creates fee schedule Presents plan and savings to Employer Reviews How It Works Form with Employee and Employer Employees fill out online application Employer sets timeframe for implementation of plan


Thank you for your timequestions? :Angela Shinners Health & Life Insurance Specialist Office: (920) 227-5487 angelashinners@ymail.com www.myplanbuilder.com/ashinners Thank you for your timequestions? Serving Clients Nationwide Monday – Friday 9am – 6pm Evenings & Saturdays by appointment angelashinners