CONNECTIVITY SBAM’s HCMS Solution Powered by. Private Health Insurance Exchange Enrollment 2015...

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CONNECTIVITY SBAM’s HCMS Solution Powered by

Transcript of CONNECTIVITY SBAM’s HCMS Solution Powered by. Private Health Insurance Exchange Enrollment 2015...

Page 1: CONNECTIVITY SBAM’s HCMS Solution Powered by. Private Health Insurance Exchange Enrollment  2015 – 6 million  2016 – 12 million  2017 – 22 million.

CONNECTIVITYSBAM’s HCMS Solution

Powered by

Page 2: CONNECTIVITY SBAM’s HCMS Solution Powered by. Private Health Insurance Exchange Enrollment  2015 – 6 million  2016 – 12 million  2017 – 22 million.

Private Health Insurance Exchange Enrollment

2015 – 6 million2016 – 12 million2017 – 22 million2018 – 40 million

Estimates

In the small employer market (100ees and fewer) few technology providers have emerged. This may be the result of business reluctant to compete with the public SHOP Exchanges. However, Those public small group exchanges have seen enrollment well below expectations. The door may be open for new commercial alternatives to provide an exchange experience for small firms.

Accenture – April 2015

Page 3: CONNECTIVITY SBAM’s HCMS Solution Powered by. Private Health Insurance Exchange Enrollment  2015 – 6 million  2016 – 12 million  2017 – 22 million.

Opportunities & Threats

• Playing Offense• Shift to defined benefits is coming for employers of all size• Average SBAM member joining BCBSM/BCN over the last 7 months has 19.75 subscribers• Average BCN group has 20.21 subscribers• COBRA and CDHP plans continue to grow

• Playing Defense• Agents are looking for this solution – do not want to lose clients• SBAM needs the same product for the same reason

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Additional Considerations

• Movement toward Defined Contribution requires a complete HCMS platform

• Affordable Care Act “commoditizes” the products and the prices – Market Differentiating Product

• ACA requires a more technical sales approach (group vs. individual coverage), understanding measurement periods, stability periods, etc.

• Economics make it harder and harder for “traditional” open enrollment activities

• Regulatory requirements (COBRA, etc.) make it costly to run a health plan

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Additional Considerations

• Employer Mandate – Employers need a path to comprehensive coverage

• Employers that Maintain Coverage – Need a way to manage the costs. Defined contribution is a method to do that.

• 2018 Cadillac tax – Defined Contribution gets employers out from under this burden

• Compliance & Reporting – including ACA, IRS/DOL - Audits

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Goals

• Aligns with SBAM goal of providing products and services available to larger businesses. Scalability

• Deliver a solution for our market• Connects with current billing and enrollment platform and coverage for companies• Service to small business owners, their employees and agents • “One Stop Shop” for HR, Payroll, Time & Attendance and Benefits Administration (for small

business owners that generally do not have an HR staff person).• Revenue Growth

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Connectivity : Centralized Administration

A platform that connects the following elements in order to make the job of administering benefits less time consuming, less costly and more accurate:

• Human resource management, payroll, time & attendance, benefits enrollment and management (ee self service)

• Insurance Billing and Plan administration (group, individual and voluntary)

• COBRA Administration

• CDHP administration – Section 125, HSA and HRA

• ERISA Compliance – Checklists, SPDs, SBCs, Measurement Periods and Reporting

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Benepay HR technologiesOneTouch. One Solution.

• ACA Compliance

• HR/Benefits

• Time/Labor

• Payroll

The first truly integrated, paperless solution that automates benefits administration, HR, time and attendance, payroll and ACA compliance.

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HR Problems Today#1 time

• Tug of war between strategic initiatives and administration• 60-80% of HR time is spent on repetitive administrative tasks*

*According to SHRM data

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OneTouchsaves time

Automate Integrate Communicate

Automate manual tasksBring data togetherCommunicate with your workforce

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HR Problems Today#2 cost

• Typically $80-120 pepm* administrative cost• $1m over 5 years for a 250 person organization

*According to SHRM/Price Waterhouse data

Payroll

Benefits

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OneTouchreduces cost

Integrated approach eliminates duplicate efforts33-50% of HR time reclaimed/savedUp to 50% cost reduction

Single Sign On One User-FriendlyInterface

Automatic Data

Updates

OneDatabase

PaperlessReview/Approval

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HR Problems Today#3 compliance

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OneTouchkeeps you compliant

Free ACA Compliance CalculatorAutomatic policy updates

Data Repository

Data Management

ComplianceCalculator

& Dashboard

Complete workflow & Data

Package for IRS audit request

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We build technology that helps you…

OneTouch is a total benefits administration and HR solution for

your organization

Seamless flow of information between payroll, benefits, and human resources

Paperless environment, resulting in greater efficiencies and cost savings.

Enhanced user experience for HR management and employees.

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OneTouch BenAdmin™ includes…

• Eligibility & Enrollment

• Qualifying events

• Open Enrollment

• Task Management/Workflow

• Payroll calculations/reports

• Premium calculations

• Employee self service– Benefit deductions– Demographics– Employment data

• New Hire/Onboarding

• Terminations

• Carrier File Feeds

• Broker Portal

• Document Repository

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OneTouch HR™ includes…

• ACA Reporting (1094/1095) Services

• Automatic carrier upload of HR data changes

• Employee Self Service

• Organization Structure:– Locations– Departments– Jobs– Activities– Projects and/or ClientsEmployee Self Service

• Employee Personal Info – address, contact information, driver’s license, I9, job, EEO, etc.

• Position History

• Employment/Job profile – license/certifications, training, education, skills, salary range, etc.

• Analytics

• HR Reporting

All the HR basics in OneTouch BenAdmin™ plus…

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SBAM Total HCM SolutionValue and Retention

Client

Employees

Agent

Ancillary Product

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The Employee

• Wants things now

• Wants to be able to conduct business anywhere at any time

• Wants to be efficient and paperless

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• Needs to be compliant

• Wants to be integrated

• Wants to save time and money

Client

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• Needs to compete in a changing world• Growth• Retention• Perceived Value

Agent

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• Needs to provide as much member value as possible

• Connectivity

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• Open Enrollments

• Change Management

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How It Works

Client/EEs

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Add / Change / Deletes

Client/EEs

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OneTouch HR/BenAdmin™ Pricing

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• www.SBAM.org/connectivity• Chris McMillan – [email protected] 616-575-8701• Kellie Neirynck – [email protected] 517-375-7511• Jeff Thomas – [email protected] 517-242-5558• Hub Copp – [email protected] 248-207-5377

Questions?