Group med bridge
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Transcript of Group med bridge
Finally, A solution to
Help Employers & Help Employers & EmployeesEmployees
with health care costs
The Medical BridgeSM Opportunity
Are you ready to…
Compete for employee top talent with a strong benefits program?
Control health care costs and expand coverage for your employees?
Provide 1-to-1 benefits counseling and enrollment at no direct cost?
Innovative solutions are necessary
Offering a competitive benefits package remains critical to attracting and retaining key talent
Managing health plan costs is a top business priority
1Source: Hewitt Associates: “U.S. Health Care Cost Rate Increases Reach Highest Levels in Five Years, According to New Data”
Average cost of group health coverage expected to rise 8.8% from 2010 to 2011*
Employers respond to rising costs
Absorb rate increase at
renewal
Shift more contribution to
Employee
Direct impact to employer’s bottom line
Shift more contributions to
employees
Direct impact to employee’s pocket book
Re-design plan and introduce
HDHP solutions
Increase in employee’s exposure to
health care costs
1Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2006-2010.2National consumer study, Financial Industry Regulatory Authority Investor Education Foundation in consultation with the U.S. Department of Treasury and President’s Advisory Council on Financial Literacy, 2009.
Current Health Plan
•Higher annual deductible
•Higher co-insurance amounts
Employees face more costs• 2X increase in employees covered
by plan with a $1,000+ deductible1
• 60% of Americans do not have funds to cover unexpected costs2
Employee out-of-pocket costs
Expenses covered by health plan
Employer faces higher plan costs at renewal with current plan design
Employers respond to rising costs
Expenses covered by health insurance
Medical Bridge solution
Out-of-pocket costs
1Plan design and benefits vary by state. See state specific plan information for availability in each state.
Expenses covered by health insurance
The Medical BridgeSM opportunity A solution for employers and
their employees• Employer saves money by
redesigning the health plan
• Employees receive benefits to help pay out-of-pocket costs from a hospital confinement or other covered health care event
• Pays lump-sum benefits directly to employees
• Benefits for outpatient surgery, diagnostic tests, and wellness visits may also be available1
Current Plan
Annual Deductible $500
Coinsurance 80/20
EE Cost $177
ER Cost $532
Total Cost $708
% Increase +17%
Proposed Health Plan
$1,500
70/30
$154
$461
$615
(13%)
Add Colonial Life’s Hospital Confinement Indemnity Plan
MB3000GMB 1.0
• Premiums have decreased; however, employees are now faced with more out-of-pocket exposure.
• Solution…
The Medical BridgeSM opportunity
Plus GMB 1.0 Plan 2 with Health Screening*
Hospital Confinement $1,000
Outpatient Surgery Option 1 ($500 Tier 1, $1,000 Tier 2, $1,500 CY Max)
Health Screening = $50
GMB 1.0 Premium
Proposed Health Plan
Annual Deductible $1,500
Co-insurance 70/30
Total Health Cost $615 (ER Savings is $532 - $461 = $72/EE/Month)
Employer can use savings to purchase GMB1.0 100% for the employees.** $72.00 X 100 Employees = $7,200 savings per
month $17.47 X 100 Employees = $1,747/month
EE Discounted Composite Rate = $17.47/month
The Medical BridgeSM opportunity
**Employers who pay 100% of the premium for any Colonial Life product may not be eligible for certain complimentary employer services offered by Colonial Life.
*Plan options and benefits vary by state, and product may not be available in all states. Ask your Colonial Life contact for the plan options available in your state.
Expenses covered by health insurance
Medical Bridge solution
Out-of-pocket costs
Expenses covered by health plan
The ShiftEmployers are changing health plans to manage benefit costs
The RiftEmployees face more out-of-pocket costs
The BridgeMedical Bridge helps provide a soft landing for employees
A solution that works for you and your employees
Group Medical BridgeSM 1.0 Highlights
Group contract
• Situs state• Optionally renewable• No portability option• Minimum account size 10 enrolled + participation• Defined enrollment period required
Flexible plan designs
• HSA-compliant option (in most states)• Higher benefit amounts and flexibility• Employer optional benefits
Underwriting options
• Guaranteed issue (GI)• Guaranteed issue with pre-existing conditions
waived (GX2)
Premium options
• Age-banded• Composite• Discounted composite
Benefits vary by state, and product may not be available in all states.
Competitive underwriting• No health questions*
• Pre-ex waived for all covered insureds*
• Available in accounts with 10+ employees
Group Medical BridgeSM 1.0
Why it’s appealing
*Participation requirements must be met for GI and GX2**Employer contribution required
Flexible rating options• Rates for voluntary and employer-paid business
• Composite and discounted composite rates available**
Group Medical BridgeSM 1.0
Why it’s appealingNot affected by health care reform• Offered in addition to qualified health insurance.
• “Excepted benefits” under HIPAA and not subject to market reform provisions.
Minimal federal law implications to an employer• Colonial Life believes this plan is not subject to COBRA.1, 2
• May qualify as an ERISA plan. Colonial Life can provide assistance to employers in complying with certain ERISA requirements. 1
1Employers should consult their attorney concerning the applicability of COBRA and ERISA. 2The obligation to provide continuation of coverage under COBRA is imposed by Federal Law on the employer.