how to save money on group health insurance

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Page 1: How to Save Money on Group Health Insurance

Save Money on Health InsuranceCompare group health plans and pick the best

Version 2, April 2011

Page 2: How to Save Money on Group Health Insurance

Carrier

• 400+ plans

• Constantly changing

• Increasing rates

Agent

• Lacks knowledge

• Lacks tools to perform a comprehensive analysis

Employer

• Often chooses health plan for employee

• Can’t compare apples to apples

• Takes 3 weeks with Excel

Employee

• Only one who knows the need

• Input rarely considered

• Takes what company provides

Where there’s confusion,

there is insurance revenue

Difficulty recommending the right plan

$$ vs. benefit dilemma

One size does not fit all

Current Situation

Page 3: How to Save Money on Group Health Insurance

Confusing

Complicated

Time-consuming

This makes choosing health insurance:

Subject to guesswork

A choice between costs and quality

Current Situation

Conflicting: costs versus employee retention

Page 4: How to Save Money on Group Health Insurance

Expensive medical costs: hospitalizations, surgeries

Immediate care in case of an emergency

Costly prescriptions

Peace of mind

Covered and Protected

We need health insurance to have coverage for:

Page 5: How to Save Money on Group Health Insurance

How we Pay

The periodic amount that we pay for insurance coverage

Usually paid monthly

Age and location (state) are important determinants

1. Premium

2. Deductible

3. Co-Insurance 4. Co-pay 5. Max out

of pocket

Page 6: How to Save Money on Group Health Insurance

Cumulative over the calendar year

The higher the deductible, the lower the premium

Exposure is limited by your maximum out of pocket

A deductible is the amount you have to pay before insurance starts paying towards your claims.

Deductible

Deductible Co-insurance Co-pay Max out

of pocket

Page 7: How to Save Money on Group Health Insurance

Insurance pays a portion, insured pays a portion

Kicks in after your deductible has been met.

Included in the cap on out-of-pocket fees

Example: 80/20 co-insurance plan, $1000 claim: you pay $200, insurer $800

Co-Insurance

Co-insurance is a percentage of each claim you must pay. Your health insurance pays the rest.

Deductible Co-insurance Co-pay Max out

of pocket

Page 8: How to Save Money on Group Health Insurance

A low co-pay can look like a good deal, but it can make health insurance very expensive.

Most people value their health insurance by the co-pay

”It only costs me $30 to see a doctor”

Co-Pay

Co-pay is a flat rate we pay for office visits and generic name and brand name prescriptions.

A lower co-pay generally means a higher premium

Deductible Co-insurance Co-pay Max out

of pocket

Page 9: How to Save Money on Group Health Insurance

When the maximum is met, any remaining applicable out of pocket requirements are waived for the remainder of the year.

Co-insurance payments are included and accumulated over the calendar year.

$7,500 is a common out-of-pocket maximum

Max out of Pocket

Max out of pocket is the most you will have to pay after your premium, given the worst-case scenario.

Deductible Co-insurance Co-pay Max out

of pocket

Page 10: How to Save Money on Group Health Insurance

To ensure you have a high performance insurance plan, you need to evaluate:

The Right Policy

Plus: you need to think about how each plan pays small, medium and large claims.

1.Premium

2.Deductible

3.Co-insurance

4.Co-pay

5.Max out of pocket

Page 11: How to Save Money on Group Health Insurance

Average annual claims by percentage of the US population*:

*Source: Watson Wyatt Worldwide

92% of people have small, frequent medical expenses (<$1,200) which usually have little or no coverage under most health insurance plans.

68%

24%8%

$150 $1,200 $12,500

Amount of claims per year:

Claim Levels

Page 12: How to Save Money on Group Health Insurance

Web-based technology that provides independent analytic comparisons of group health plans in California

All carriers and plans (400+) are included

Brings transparency to the insurance purchasing process- reveals all hidden costs

Designed for small businesses with less than 50 employees

Graphs, charts, reviews and explanations help to understand your choices

SuperAgent

SuperAgent makes over two million calculations in less than twenty seconds.

Page 13: How to Save Money on Group Health Insurance

Quickly submit your census: no data entry needed. Just click the people.

Allocate your budget: set your contribution level based on a fixed amount, variable amount or as a percentage

Compare your carrier and plans against all others. Review insurance carrier cost, quality of care, and customer satisfaction.

SuperAgent Features

Page 14: How to Save Money on Group Health Insurance

Plans are compared and ranked by value. Find the best plans for your budget and needs.

Detailed quotes for each of your members. Dependant costs are displayed separately.

Enroll and manage your group health insurance online

SuperAgent Features

Page 15: How to Save Money on Group Health Insurance

Save money- SuperAgent saves users an average of $700-$1000 per employee per year

Feel empowered- confidently select plans with the best ROI

Free, fast and easy to use- save time, money and energy

Retain employees- by involving them in the process and by offering more competitive benefits

Budget support: allocate your employer contribution wisely

Benefits

If you have 10 employees, this could mean you could save up to $10,000 a year!

Page 16: How to Save Money on Group Health Insurance

Would you like to:

Demonstration

We would like to show you a demonstration of the SuperAgent tool; see it for yourself.

See how effective your current coverage is?

Choose insurance plans based on quality and value?

See how much money you can save per employee?

Simplify your insurance purchasing decisions?

Learn how to effectively manage your budget?