Wellmark Enrollment Training Rev 6[2].ppt...

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Transcript of Wellmark Enrollment Training Rev 6[2].ppt...

  • ©  2011.  Benefi+ocus.com,  Inc.  All  rights  reserved.  |  Confiden>al  and  Proprietary   1  

    Online  Enrollment  Op>ons  -‐  Sales  Training  

  • Agenda  •  Understand  Why  This  is  Important  •  Enrollment  Op>ons  Available  

    –  EDI  –  Blues  Enroll  –  HR  InTouch  

    •  Blues  Enroll/HR  InTouch  Site  Review    •  FAQ  Review  •  Sales  Process  •  Implementa>on  and  Ongoing  Support  •  Compe>>ve  Overview  •  Objec>on  Handling  •  Q&A  

    ©  2011.  Benefi+ocus.com,  Inc.  All  rights  reserved.  |  Confiden>al  and  Proprietary   2  

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    ELECTRONIC  DATA  INTERCHANGE    

  • EDI  File  Key  Features  

    •  Extracts  Electronic  Data  Interchange  (EDI)  files  from  employer’s  HR  or  payroll  system  

    •  Handles  new  hires,  life  events,  rou>ne  changes,  and  annual  enrollment  

    •  Processes  HIPAA  834  or  Wellmark  proprietary  file  formats  for  health/dental/prescrip>on  benefits  

    –  Flex  spending  is  a  different  file  format  

    •  Sends  full  file  or  changes  only  file  as  needed  

    •  File  frequency  can  vary  based  on  employer  needs  

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  • EDI  File  Key  Benefits  

    •  No  enrollment  applica>ons  or  forms  to  submit  

    •  No  cost  from  Wellmark  for  EDI  file  setup  

    •  Eliminates  entry  into  mul>ple  systems  

    •  Increased  enrollment  accuracy  due  to  elimina>on  of  manual  keying  

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    BLUESENROLL  OVERVIEW      

  • BluesEnroll  Key  Features  

    •  User-‐friendly  online  enrollment  system  •  24/7  Human  Resources  Administrator  and  employee  access  •  Handles  new  hires,  life  events,  rou>ne  changes,  and  annual  

    enrollment  

    •  Easy  to  use  reports  plus  audit  trail  of  ac>vity  •  Incorporates  ancillary  products  –  informa>on  can  be  sent  to  

    other  carriers  (fees  apply  to  non  Wellmark  ancillary  products)  

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  • HR  Administrator  Access    

    •  HR  Administrator  managed    

    •  No  enrollment  applica>ons  or  forms  to  submit  

     

    •  Efficient  and  easy  to  use    

    •  Front-‐end  system  edits  reduce  errors  

     

     

     Member  Access  

     

    •  Employee  self-‐service  saves  >me  for  HR  staff  

     

    •  No  enrollment  applica>ons/forms  to  submit  

    •  Efficient  and  easy  to  use  

    •  Front-‐end  system  edits  reduce  errors  

     

    8  

    Op#on  2:  Blues  Enroll  Cont.  BluesEnroll  Key  Benefits  

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    HR  INTOUCH  OVERVIEW  

  • HR  InTouch  Key  Features  

    •  Online  enrollment  for  ALL  benefits  in  ONE  place  

    •  Data  exchange  with  ALL  carriers  •  HR,  benefits  and  content  

    management  portal  

    •  Online  training  and  communica>on  tools  

    •  Payroll  integra>on  op>on  •  Video  and  content  libraries  

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  • HR  InTouch  Key  Benefits  

    •  Provides  one  point  of  entry  for  administrators  and  employees  •  Eliminates  manual  process  and  data  integrity  issues  with  data  

    exchange  

    •  Increases  HR  efficiency  •  Communicates  effec>vely  with  employees  and  ensure  

    compliance  •  Eliminates  redundant  data  entry  and  discrepancies  •  Adds  value  to  employees  and  increases  employee  

    engagement  

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  • Why  HR  InTouch?  

    •  HR  EFFICIENCY:    HR  InTouch  increases  overall  HR  efficiency  and  helps  drive  down  administra>ve  costs  

    •  COMMUNICATE  EFFECTIVELY:  HR  InTouch  enables  organiza>ons  (administrators)  to  communicate  more  effec>vely  and  educate  employees  on  healthcare  and  benefit  op>ons  

    •  EMPLOYEE  ENGAGEMENT:    HR  InTouch  is  user-‐friendly  and  can  increase  employee  engagement.    Employers  will  experience  the  value  when  HR  InTouch  is  u>lized  by  their  employees  

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  • AVAILABLE  SERVICES  Electronic  Data  Interchange   BluesEnroll   HR  InTouch  

    Online  Enrollment   X   X   X  

    -‐  Leverage  exis>ng  HR/Payroll  System   X   X   X  

    -‐              One  source  of  entry  for  HR  and  Benefits   Vendor  Dependent   X  

    HR  Efficiency      X   X  

    -‐  Wellmark  Only  Data  Integra>on/Repor>ng Vendor  Dependent    X   X  -‐  ALL  Benefit  Data  Integra>on/Repor>ng X  -‐  Payroll  Integra>on X   X  -‐  Business  Rule  Automa>on   Vendor  Dependent   X   X  -‐  Workflow  Management    Vendor  Dependent   X   X  -‐  Administra>ve  Tools   Vendor  Dependent   X   X  Employee  Communica#on       X  

    -‐  Personalized  Messaging   X  -‐  Training  Programs   X  -‐  HR  &  Benefits  Video  Library   X  -‐  FAQ  Knowledgebase     X  ©  2011.  Benefi+ocus.com,  Inc.  All  rights  reserved.  |  Confiden>al  and  Proprietary   13  

    Online  Enrollment  Op>ons  Matrix  

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    SALES  PROCESS    IMPLEMENTATION  

    ACCOUNT  MANAGEMENT  

  • SALES  PROCESS  –  HR  InTouch  

    •  Wellmark/FAI  Team  members  iden>fy  client  targets  –  Emails  &  marke>ng  brochure  campaign  

    •  Sales  process  steps  –  Wellmark/FAI  AM  discovery  discussion  with  client  to  gauge  interest,  

    needs  &  requirements  

    –  Engage  Benefi+ocus  once  client  shows  interest  –  Wellmark/FAI  AM  to  schedule  on  site  demo  with  Benefi+ocus  &  Broker  

    (where  applicable)  

    –  Wellmark/FAI  AM  manage  service  agreement  process  with  Benefi+ocus  (if  needed)  

    •  Implementa>on  process  begins  once  service  agreement  is  signed    

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  • Implementa>on  Op>ons  

    •  Manual  to  BluesEnroll  •  Manual  to  HR  InTouch  •  EDI  to  HR  InTouch  •  BluesEnroll  upgrade  to  HR  InTouch  

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  • Expect  A  Successful  Implementa>on  

    •  No  extra  implementa>on  fees  •  “Warm  Handoff”  to  Benefi+ocus  Implementa>on  Team  •  Implementa>on  consultants  manage  each  company’s  unique  

    needs  and  challenges  

    •  Dedicated  Project  Manager  is  responsible  for  effec>ve  delivery  of  the  HR  InTouch  portal  

    •  Thorough  development  and  tes>ng  •  “Go  Live”  in  a  maner  of  weeks  •  Resources  to  promote  employee  adop>on  

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  • Implementa>on  Phases  

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    1.  Discovery  Phase  

    •  Connect  with  our  implementa>on  consultants  

    •  Gather  content  

    •  Collect  benefit  informa>on  

    2.  Set  Up  Phase  

    •  Design  site  structure  

    •  Implement  branding  

    •  Configure  benefits  ________________  

    3.  Tes#ng  Phase  

    •  Conduct  joint  walk-‐through  

    •  Obtain  approval  and  sign  off  

    4.  Go  Live  Phase  

    •  Train  HR  Administrators  

    •  Transi>on  to  HR  Support  Team  

    •  Roll  out  employee  adop>on  materials  

  • Typical  Implementa>on  Timeline  

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    Week  1   Week  2   Week  3   Week  4   Week  5   Week  6  -‐  11   Week  12  -‐  16  

    Payroll  

    Enrollment  

    Portal  

    Kickoff  mee>ng  

    Complete  ques>onnaire  

    Review  and  approve  configura>on   Resolve  any  excep>ons  

    Import  data   Go  live!  

    Configure   Internal  tes>ng  

    Request  data  

    Kickoff  mee>ng   Collect  content  

    Configure  

    Review  and  approve  configura>on  

    Go  live!  

    Discovery   Sign-‐off  requirements  

    Code  inbound  payMax  

    Code  outbound  payMax  Internal  tes>ng  payMax  

    User  acceptance  tes>ng  

    Set  up  secure  file  transfer  

    Go  live!  

  • Account  Management  –  HR  Administrator  Support  

    •  Dedicated  Account  Manager  •  System  training  •  Benefit  strategy  consulta>on  •  Ongoing  touch  base  mee>ngs    •  Scheduled  client  on  sites    •  Issue  management  and  escala>on    •  User  group  conferences    •  Ongoing  system  configura>on  •  OE  planning  and  prepara>on    

    •  Project  plans    •  System  configura>on    •  Rates  valida>on,  tes>ng,  repor>ng  

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  • Member  Services  –  Member  Support  

    •  Member  Support  –  Password  reset  –  Applica>on  support/naviga>on  –  8:30  –  5:30  hours  of  opera>on  –  90  percent  of  calls  answered  

    within  30  seconds  

    –  Abandonment  rate  less  than  5  percent  

    –  Greater  than  95  percent  first  call  resolu>on  

    –  Enhanced  Open  Enrollment  support  

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  • Online  Sales  and  Marke>ng  Resources  

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    BluesEnroll  and  HR  InTouch  Online  Toolkit  

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    HR  INTOUCH  COMPETITIVE  OVERVIEW  

  • Benefi+ocus  Strengths  in  the  Marketplace    

    •  Industry  leading  technology  •  Simplified,  user-‐centric  design  •  Modern,  clean  user  interface  •  Integra>on  of  video  •  Ability  to  incorporate  voluntary  benefits  •  No  implementa>on  fees  •  Established  carrier  rela>onships  •  Large  number  of  data  links  •  Focus  only  on  benefits  

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  • ADP  -‐  Workscape  

    Key  Strengths  

    •  24/7  call  support  •  Compensa>on  planning  to  improve  

    oversight  &  control  

    •  Goal  management  tools  assist  with  achieving  corporate  goals  through  pay-‐for-‐performance  

       

    Key  Weaknesses  

    •  Up  front  implementa>on  fee  and  annual  plan  design  change  fee  

    •  Lack  of  video  content  •  No  SSO  support  to  exis>ng  employee  self-‐

    service  apps  (401K,  total  comp…)  

    •  No  dedicated  Account  Manager-‐different  call  centers  support  each  module    

    •  Mul>ple  pla+orms  depending  on  solu>on  being  recommended  

    Product  Highlights  

    •  Merged  with  ADP  July  1,  2010  •  The  Workscape  Total  Rewards  Pla+orm  offers:  

    •  Online  benefits  enrollment  and  management  sotware  for  employers  •  Enrollment  /  benefits  management  sotware  for  brokers  and  consultants  •  Partnership  with  WebMD  for  an  integrated  wellness  program,  health  content,  decision  

    support  tools,  etc.  

    •  Custom  communica>on  services    

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  • Businessolver  

    Key  Strengths  

    •  Allows  for  the  ability  to  anach  documents  •  Electronic  approval  of  EOI    •  Ability  to  create  reports  with  graphs  and  

    charts    

    •  Very  good  job  at  integra>ng  with  carriers  and  payroll  systems  

    •  Call  center  

    Key  Weaknesses  

    •  Not  many  other  tools  for  employees  besides  access  to  their  benefits  data  

    Product  Highlights  

    •  Allow  employees  and  HR  Administrators  access  to  Benefitsolver,  an  online  portal,  for  enrolling  and  managing  their  benefits.  

    •  Administrators  can:  view  current  and  historical  eligibility  and  enrollment  informa>on/manage  and  monitor  annual,  new  hire,  and  ongoing  enrollment/download  billing  and  other  files/access  real-‐>me  data/create  and  post  messages  for  employee  communica>on  

    •  Employees  can:  self  enroll  and  accesss  benefits  informa>on/review  and  modify  personal  informa>on/review,  download,  and  print  benefits  overviews/view  payroll  deduc>ons/print  relevant  benefits  forms  and  their  current  Benefits  Summary  

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  • ERP  Systems  

    27  

    Product  Highlights  

    •  Enterprise  Resource  Planning  Systems  are  designed  to  facilitate  the  flow  of  informa>on  between  all  business  func>ons  inside  the  boundaries  of  the  organiza>on  and  manage  the  connec>ons  to  outside  stakeholders  

    •  Key  components  of  an  ERP  System  include:    transac>onal  database,  management  portal,  customizable  repor>ng,  workflow  management,  messaging/chat,  human  capital  management,  customer  rela>onship  management,  payroll,  talent  management,  recrui>ng,  and  compliance  management  

    Key  Strengths  

    •  Allows  for  integra>on  across  various  systems  in  larger  organiza>ons  

    •  Permits  control  of  business  processes  that  cross  func>onal  boundaries  –  marke>ng,  sales,  manufacturing,  etc  

    •  Provides  top-‐down  view  of  the  enterprise  •  Detailed  tracking  of  business  processes  

    from  hiring  and  HR  data,  to  orders,  invoices  and  cash  receipts  

       

    Key  Weaknesses  

    •  Benefit  enrollment  and  communica>on  is  not  core  competency  

    •  Inconsistent  pricing  and  unexpected  fees  •  Limited  customiza>on  opportunity  •  Costly  and  labor-‐Intensive  implementa>on  

       

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  • Ceridian  

    Key  Strengths  

    •  Have  strategic  alliances  with  Lawson,  Oracle,  Ul>mate  Sotware,  SAP,  Workday,  Kronos  and  other  systems  

    •  Scalable  technology  from  single-‐proprietor  shops  to  80,000+  employee  businesses  

    •  Ceridian’s  Know-‐How  approach  gives  companies  proven  integrated  technologies,  significant  savings,  enviable  service,  valuable  exper>se,  global  accessibility,  compliance,  safety  and  responsibility  

       

    Key  Weaknesses  

    •  Expensive  with  lots  of  unnecessary/unused  features  

    •  No  SSO,  have  to  login  to  each  solu>on  •  User  interface  is  dated  •  Repor>ng  func>onality  is  not  user  friendly  •  Payroll  company  going  beyond  core  

    competencies  and  cannot  offer  the  func>onality  of  HR  and  benefits  focused  vendors  

     

    Product  Highlights  

    •  Integrated  solu>on  including  human  resources,  payroll,  payment,  benefits,  health  produc>vity  and  compliance  solu>ons  

    •  Also  offer  variety  of  services  including  tax  filing,  HR  outsourcing,  employee  assistance  programs  and  health  and  wellness  programs    

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  • bSwit  

    Key  Strengths  

    •  Have  Utah  Exchange  contract:      www.exchange.utah.gov  

    •  Offer  several  differen>a>ng  features  including:  asset/property  tracking,  educa>on/skills  tracking,  leave  administra>on,  vaca>on/>me  off  tracking,  and  >me  and  anendance  

       

    Key  Weaknesses  

    •  Poor  user  experience  •  Lack  of  wellness  integra>on  •  Cannot  support  voluntary  benefits  

    enrollment  

    Product  Highlights  

    •  bSwit  offers  benefits,  HR  and  payroll  technology  •  Tools  for  streamlining  HR  include:  applicant  tracking,  benefits  administra>on,  educa>on  

    tracking,  employee  history,  employee  portal,  employee  self-‐service,  leave  administra>on,  performance  appraisals  and  >me  and  anendance  

    •  System  also  offers  employee  e-‐files,  a  feature  that  serves  as  an  electronic  filing  cabinet  for  1-‐9,  W-‐4,  HIPAA  forms,  discipline  events,  severance  agreements  and  files  can  be  designated  a  viewable  or  non-‐viewable  by  employees  

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  • EbixBenergy  

    Key  Strengths  

    •  Very  fast  in  making  healthcare  informa>on  available  

    •  Interac>ve  sotware  engages  the  consumer  •  Co-‐founding  member  of  Hi-‐Ethics,  giving  

    them  access  to  the  most  widely-‐referenced  health  websites  

    Key  Weaknesses  

    •  Only  sell  to  mid-‐size  and  large  companies    •  Primarily  sold  through  brokers  but  might  

    change  now  with  merger  to  Ebix  

    •  Exper>se  lies  with  health  informa>on  not  benefits  sotware  

    •  Data  exchange  between  carriers  and  brokers  is  not  standard  

    Product  Highlights  

    •  EbixBenergy  offers  benefits  and  HR  technology  •  Tools  for  streamlining  HR  include:  Real  Value  Statement,  financial  calculator,  plan  comparison,  

    health  &  wellness  management  tools,  benefits  documenta>on,  Personal  Health  Record  

    •  In  coopera>on  with  A.D.A.M.,  Inc.’s  health  &  wellness  sotware  to  provide  similar  offerings  as  our  Healthwise®  Knowledgebase  

    •  Parent  company,  A.D.A.M.,  Inc.  was  just  bought  by  insurance  sotware  company,  Ebix,  Inc.    

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    OBJECTION  HANDLING  

  • Common  Objec>ons  From  Clients  

    •  “I’m  concerned  about  having  our  employees  enroll  in  their  own  benefits.”  

    •  “Many  of  our  employees  don’t  have  access  to  a  computer.”  

    •  “We  have  no  budget  for  something  like  this.”  •  “We  have  this  available  in  our  current  system  with  Peoplesot/Lawson/Oracle/JD  Edwards/Homegrown.”  

    •  “Online  enrollment  is  available  with  our  current  payroll  provider  (ADP/Ceridian,  other).”  

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  • Overcoming  Common  Objec>ons  from  Clients  •  “I’m  concerned  about  having  our  employees  enroll  in  their  own  

    benefits.    They  won’t  know  what  to  do.”  •  This  is  typically  a  concern  or  fear  around  loss  of  control  or  loss  of  job.  The  key  is  having  this  conversa>on  with  the  decision  maker  –  not  the  end  user.  The  goal  of  HR  InTouch  is  to  help  the  administrator  become  more  efficient  and  add  value  to  employees.  Most  employees  are  accessing  computers  at  home,    the  library  or  through  friends.    HR  InTouch  is  designed  to  be  simple  for  users  with  all  levels  of  computer  exper>se  and  it  guides  employees  through  the  enrollment  process  step  by  step.  Integrated  videos  and  documents  can  help  educate  the  employee.  

    •  “Many  of  our  employees  don’t  have  access  to  a  computer.”  •  In  many  cases,  employees  are  already  accessing  the  Internet  at  home,  the  library  or  other  loca>ons.    Many  clients  also  set  up  a  laptop  in  a  central  loca>on  that  allows  the  employee  access  HR  InTouch  at  work.    All  they  need  is  access  to  the  Internet.  

    ©  2011.  Benefi+ocus.com,  Inc.  All  rights  reserved.  |  Confiden>al  and  Proprietary   33  

  • Overcoming  Common  Objec>ons  from  Clients  •  “We  have  no  budget  for  something  like  this.”  

    •  There  is  an  ROI  case  study  available  that  demonstrates  178%  ROI  with  an  ini>al  return  in  less  than  seven  months.    There  are  no  set  up  fees  with  HR  InTouch  so  the  point  of  entry  is  low.    The  PEPM  fee  is  typically  less  than  what  it  costs  organiza>ons  to  support  internal  processes  today.    And,  because  you  are  a  Wellmark/FAI  customer,  you  are  able  to  u>lize  HR  InTouch  at  a  reduced  fee.      

     

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  • Overcoming  Common  Objec>ons  from  Clients  •  “We  have  this  available  in  our  current  system  with  (PeopleSoI/

    Lawson/Oracle/JD  Edwards/Homegrown  system).”  •  Benefi+ocus  works  with  many  organiza>ons  in  this  scenario.    What  these  clients  have  found  is  that  the  overall  costs  to  support  this  type  of  system  and  the  IT  resources  required  to  support  it  far  outweigh  the  costs  and  benefits  of  HR  InTouch.    Because  HR  InTouch  is  delivered  via  Sotware  as  a  Service,  there  are  no  IT  resources  required  to  support  or  implement  the  system.    There  are  two  documents  available  to  help  support  this  scenario  (“the  costs  to  build  vs.  buy”  &  ERP).  

    •  “Online  enrollment  is  available  with  our  current  payroll  provider  (ADP/Ceridian,  other).”  

    •  These  types  of  companies  manage  payroll  very  well.    That  is  their  core  business.    We  have  many  clients  that  use  these  solu>ons  for  payroll  and  have  chosen  to  u>lize  HR  InTouch  for  their  benefits  administra>on  solu>on.    They  have  found  that  the  usability,  the  flexibility,  communica>on  and  educa>on  tools  available  within  HR  InTouch  are  much  stronger  than  what  is  available  through  their  payroll  vendor.  

       

     

    ©  2011.  Benefi+ocus.com,  Inc.  All  rights  reserved.  |  Confiden>al  and  Proprietary   35  

  • Benefi)ocus  SaaS  Advantages  

    •  Trusted  leader  in  benefits  management  

    •  Clear  pricing  structure  •  Data  exchange  support  •  Configurable  Pla+orm  and  Apps  •  Clearly  defined  implementa>on  

    >meframe,  support  and  training  

    •  Dynamic  communica>on  system,  including  video  libraries  and  custom  messaging  

    •  Limited  benefits  exper>se  •  Inconsistent  pricing  and  

    unexpected  fees  

    •  Rigid  technology  module  •  Limited  customiza>on  

    opportuni>es  

    •  Costly  and  labor-‐intensive  implementa>ons  

    •  Minimal  training  and  support  •  Inflexible  communica>on  

    system  

    ERP  Limita:ons  

    Sotware  as  a  Service  vs.  ERP  

    ©  2011.  Benefi+ocus.com,  Inc.  All  rights  reserved.  |  Confiden>al  and  Proprietary   36  

  • Why  Now?  

    •  2011  is  the  year  to  engage  all  manual  enrollment  clients  in  a  digital  solu>on  discussion  

    •  Automa>on  and  innova>on  are  our  keys  to  efficiency,  reten>on  and  success  

    •  Defer  ques>ons  to  the  digital  enrollment  subject  maner  experts  (Rick,  Tammy  or  Karrie)  

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    Q&A      

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    Online  Enrollment  Op>ons  -‐  Sales  Training