Health Net of Arizona Individual & Family Plan Plan Year Kick Off September 2005.
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Transcript of Health Net of Arizona Individual & Family Plan Plan Year Kick Off September 2005.
Health Net of ArizonaIndividual & Family PlanPlan Year Kick Off
September 2005
Agenda
Welcome Introductions Accolades & Service Improvements Product Portfolio Renewal Information Broker Contest
Welcome & Introductions
Glen Padula
Plan Year Kick Off
Introductions
Health Net Senior Management
– Roger Greaves, chairman of the board– Mark El-Tawil, president, Health Net of
Arizona, Inc.
Introductions
Individual & Family Plan Sales Team– Chris Porterfield, manager
• Account Executives– Jim Walsh, Phoenix– Griselle Signorelli, Phoenix– Audrey English, Phoenix– Chris Keel, Tucson
• Broker Support– Emely Ortiz– Leslie Williams– Trish Farkas– Gail Sedgewick– Patti Houle– Tobi Perham
Introductions
Individual & Family Plan Underwriting Team
– Nancy Fugiel, manager• Underwriters
– Cheryl Balhorn
– Sorinela Dima
– Leticia Torres
– Steve Macias, director of sales Medicare
Health Net National Perspective
Roger Greaves
Plan Year Kick Off
Health Net of Arizona
Financial SnapshotMark El-Tawil
Plan Year Kick Off
HNAZ Financial Snapshot
HNAZ has made significant operational improvements driving Net income improvements by over $2.0 million for the same period last year
YTD Net Income – June 30, 2005 $3,176,616 Prior Year To Date $1,048,545
Reported Net Premium Income rose to $211 million vs. $208 million for the same period last year
YTD MCR including Medicare Advantage improved slightly to 87.1% vs. 87.9% for the same period
Health Net of Arizona is financial strong with Capital of over 400% of the Risk-Based need
Note: All numbers are presented on statutory basis and reflect the Arizona company business only and do no reflect Health Net Life members or products managed by Health Net of Arizona.
Accolades & Service Improvements
Mark El-Tawil
Plan Year Kick Off
Accolades & Service Improvements
Announcing Excellent Accreditation by NCQA
– “NCQA’s ‘Excellent’ Accreditation status is reserved for the best health plans in the nation. It is only awarded to those plans that meet or exceed NCQA’s rigorous requirements for consumer protection and quality improvement and deliver excellent clinical care.” – Margaret E. O’Kane, president
Accolades & Service Improvements
Ranking Arizona
– Ranked #1 HMO in Arizona by Ranking Arizona Magazine
Accolades & Service Improvements
Top tier claims payer
– Health Net of Arizona was ranked in the top three claims payers in Arizona
• Arizona Hospital and Healthcare Association Survey
• Ranked by percentage of claims paid within 60 days
Accolades & Service Improvements
Average speed of answer – 20– Average number of seconds it takes to answer an
incoming call Abandonment rate – 1%
– Number of callers who voluntarily hang up before answer
Financial claim quality – 99.57%– Percentage of incorrect payments or claim denials
that result in financial errors Payment (claims) quality – 98.58%
– Percentage found by subtracting the number of claims with a payment error from the total number of reviewed claims
November RenewalChris Porterfield
Plan Year Kick Off
November Renewal
No Benefit Changes Rate changes effective November 1, 2005 All in-force membership
November Renewal
HMO Average Increase In-force prior to 6/1/05
– 14.75% New 6/1/05 to present
– 6.75%
PPO Average Increase In-force prior to 6/1/05
– 14.75% New 6/1/05 to present
– 6.75%
Product PortfolioChris Porterfield
Plan Year Kick Off
Product Portfolio
HMO and PPO 90% Plans
– Membership in 90% plans has been frozen as of November 1, 2005
– Current members can continue this coverage
• Current members will not be forced into another plan
Product Portfolio
Introducing Health Savings Accounts Now Selling for November 1, 2005 effective dates
– Health Net’s HSA Compatible, High-Deductible PPO Plans offer advantages and choice
• Convenience of automated reimbursement to the member
• Option to save
– Advantage of one of the largest and most stable
banking partners, Wells Fargo
Product Portfolio
High-Deductible HSA Plan Designs
– Three plan designs at the individual level and three at the family level
Individual
• Individual plan 1 - $1,750, 100/50
• Individual plan 2 - $2,600, 100/50
• Individual plan 3 - $2,600, 80/50 + Rx
Family
• Family plan 1 - $3, 500, 100/50
• Family plan 2 - $5,150, 100/50
• Family plan 3 - $5,150, 80/50 + Rx
Product Portfolio
Marketing Materials for HSA
– HSA Brochure • Describes how the Health Net High-
Deductible PPO plan works in conjunction with the Wells Fargo Health Savings Account
• Goes into the overall plan brochure in the back pocket
Product Portfolio
Marketing Materials
– Plan Brochure • Pocket folder • High-Deductible PPO plans are shown
in the brochure
Product Portfolio
Marketing Materials
– Application• The new plans
are found in a third column where the applicant selects the type of coverage for which they are applying
Product Portfolio
Marketing Materials
– Overview • This folded brochure shows each of the
Health Net plan designs side-by-side• This brochure will be included with renewal
packets Marketing the Health Net HSA programs
– Health Net U• Classes scheduled
Underwriting Enhancements
Nancy Fugiel
Plan Year Kick Off
Underwriting Enhancements Rate Ups
– Rate ups are available for November 1, 2005 effective dates for the following conditions
• Hypercholesterolmia
• Depression
• Anxiety/Panic Attacks
• Hypertension
• Irritable Bowel Syndrome
• Pancreatitis
• Psoriasis
• Chiropractic Maintenance Care
Multiple exclusion riders available for November 1, 2005 business
Medicare Producer ProgramsSteve Macias
Plan Year Kick Off
Medicare Producer Programs
Placeholder
Producer RewardsChris Porterfield
Plan Year Kick Off
Producer RewardsBonus Opportunity $50 per approved application November, December & January effectives
Introducing new broker commissions Progressive commission structure
– Based on producer’s total Health Net book– 10% - 1-99 new and in-force contracts– 11% - 100 – 199 new and in-force contracts– 12% - 200 – 299 new and in-force contracts– 13% - 300+ new and in-force contracts
Bonus payments will be based on quarterly book review in January, April, June and October
Contest
Announcing the Race for Cabo Contest
– Individual and Family Plan production can be combined with Medicare production
– Top Seven producers with at least 150 new members
– Effective dates September 1, 2005 thru February 1, 2006
• Casa Del Mar, Cabo San Lucas, Mexico