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Unlocking CDHC  October 5, 2011
The Current Environment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acronym Overload HRA LTC LTD HMO POS PPO HDHP NAHU FSA HSA PAHU GPAHU MSA HCR ERISA PPACA HIPAA COBRA LOA STD LPFSA CMS CRA DCA MERP PHI = CDHC ( C onsumers  D on’ t  H ave a  C lue) CHIP TPA EAP VEBA IRS POP OTC
Driving Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source:  Centers for Medicare and Medicaid Services; 2004 Annual Survey, Employee Health Benefits; The Kaiser Family Foundation; Charting the Cost of Inaction, National Coalition on Health Care, May 2003; MSNBC 2007Study – Centers for Medicare and Medicaid Services
Contributing Factors Average Annual Worker and Employer Contributions to Premiums and Total Premiums for Family Coverage, 1999-2010 $5,791 $6,438* $7,061* $8,003* $9,068* $9,950* $10,880* $11,480* $12,106* $12,680* $13,375* $13,770* * Estimate is statistically different from estimate for the previous year shown (p<.05).  Source:  Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2010.
Driving Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source:  Centers for Medicare and Medicaid Services; 2004 Annual Survey, Employee Health Benefits; The Kaiser Family Foundation; Charting the Cost of Inaction, National Coalition on Health Care, May 2003; MSNBC 2007Study – Centers for Medicare and Medicaid Services; Health Leader’s Media reference to Standard and Poor’s 2010 Study
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],PRIVATE BUSINESS  REACTION *Source:   Wall Street Journal , April 11, 2006 National Coalition on Health Care, 2009 Report-The Henry J. Kaiser Family Foundation. Employee Health Benefits: 2008 Annual Survey. September 2008
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],PRIVATE BUSINESS  REACTION
Contributing Factors Among Firms Offering Health Benefits, Percentage of Firms that Report They Made the Following Changes as a Result of the Economic Downturn, by Firm Size, 2010 *Estimate is statistically different between All Small Firms and All Large Firms within category (p<.05). Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2010.
TOP 5   EMPLOYER PRIORITIES Source:  Deloitte Consulting (2006) Copyright © 2006 Deloitte Development LLC. All rights reserved. Employers’ number one employee benefit priority is to control healthcare costs.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],BROKER/AGENT  REACTION
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],VB AGENT  REACTION
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Broker/VB AGENT  History The Reluctant Partnership ,[object Object],[object Object],[object Object],[object Object],[object Object],What has your relationship been like?
TOP 5   EMPLOYER PRIORITIES Source:  Deloitte Consulting (2006) Copyright © 2006 Deloitte Development LLC. All rights reserved. Employers’ number one employee benefit priority is to control healthcare costs.
[object Object],[object Object],[object Object],[object Object],[object Object],ENTER  CDHC A STEP IN THE RIGHT DIRECTION
TOOLS •  FSA •  HRA •  HSA •  Voluntary THE The Solution A Consumer-Driven   Benefits   Approach
[object Object],[object Object],[object Object],FSA  True Cost Savings FSA AHEAD OF THEIR TIME?
[object Object],[object Object],FSA  True Cost Savings FSA
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],FSA  Key Points FSA
FSA  Win-Win Situation EMPLOYER Enhance  employee benefits Improve  recruitment and retention  Increase  FSA participation Unlock  new FICA savings BROKER/VB   SPECIALIST FSA options  “ free ’ s up ”  dollars  to spend on  voluntary benefits Employee savings help cushion increases in out-of-pocket expenses Offer employers an opportunity to offer enhanced benefits at no additional cost – the more employees that enroll, the greater the savings Help employees take the 1 st  step in managing their own healthcare dollars EMPLOYEE Accelerate  personal cash flow Manage  account via internet Achieve  immediate reimbursement End  “shoe box” administration Reduce  lost and unfiled claims Decrease  FSA forfeitures
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Health Reimbursement Accounts HRA
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HRA’s Continued HRA
[object Object],[object Object],[object Object],[object Object],[object Object],HRA Why Have an HRA?
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HRA HRA Design Considerations
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HRA Who Can Participate in an HRA?
[object Object],[object Object],[object Object],[object Object],[object Object],HRA Who  Cannot  Participate in an HRA?
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HRA Sample HRA Analysis
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HRA Sample HRA Analysis
[object Object],[object Object],[object Object],[object Object],[object Object],HRA Sample HRA Analysis  (cont.)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HRA Sample HRA Analysis Sample HRA Analysis  (cont.)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HRA Sample HRA Analysis Sample HRA Analysis  (cont.)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HRA Sample HRA Analysis Sample HRA Analysis  (cont.)
[object Object],[object Object],[object Object],[object Object],[object Object],Health Savings Accounts HSA
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Health Savings Accounts Basics HSA
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HSA Limits 2011 HSA
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HSA Limits 2012 HSA
[object Object],[object Object],[object Object],HSA: Ineligible Plan Designs
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HSA: Contributions
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HSA: Contributions (cont.)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Employer Contributions To The HSA
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Employer Contributions To The HSA
[object Object],[object Object],[object Object],[object Object],Rules For Using Your HSA
[object Object],[object Object],[object Object],[object Object],[object Object],Qualified HSA Distributions
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Qualified HSA Distributions (cont.)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HSA Advantages
[object Object],[object Object],[object Object],[object Object],[object Object],HSA Disadvantages
[object Object],[object Object],[object Object],[object Object],How To Avoid HSA Headaches
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],How To Avoid HSA Headaches (cont.)
Integration •  FSA •  HRA •  HSA •  Management Technology THE
Card will not work at non-qualified vendors The Emergence of Technology THE SIGNIFICANCE OF SIMPLICITY Debit Cards eliminate the hassle of traditional FSA/HRA/HSAs IIAS Abilities Ease of use and understanding = satisfaction with the plan Single platform for multiple accounts FSA/HRA/HSA payment connectivity
CDHC REQUIRES AN ‘individual consultative sell’ ,[object Object],[object Object],[object Object],[object Object],[object Object]
LET CLIENT PROFILE GUIDE PRODUCT SALE Employer Assessment Diagnostic Bear Bull In the zone P&L Outlier  Low-cost commodity Core to the business Conservative Innovative ,[object Object],[object Object],[object Object],[object Object],[object Object],Financial  Benefit  Labor  Culture Picture  Spending ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Deal Makers = Motivated Employers ,[object Object],[object Object],[object Object]
HSA Diagnostic Completely Unprepared   Ready Now Deal Makers = Motivated Employers Understanding  Healthcare   Employee Technology  Financial of health benefits  status    expectations  savvy  capacity Source:   2004 ChapterHouse LLC LET CLIENT PROFILE GUIDE PRODUCT SALE Employee Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Ignorant Expert Ill Healthy Right Privilege Technophobe Technophile Low Wage High Income ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Deal Breakers = Apprehensive employees with deeply rooted behaviors
A Combined  Broker/VB Benefits Strategy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Colonial Life And Accident Broker Presentation 1011

  • 1. Unlocking CDHC October 5, 2011
  • 2.
  • 3. Acronym Overload HRA LTC LTD HMO POS PPO HDHP NAHU FSA HSA PAHU GPAHU MSA HCR ERISA PPACA HIPAA COBRA LOA STD LPFSA CMS CRA DCA MERP PHI = CDHC ( C onsumers D on’ t H ave a C lue) CHIP TPA EAP VEBA IRS POP OTC
  • 4.
  • 5. Contributing Factors Average Annual Worker and Employer Contributions to Premiums and Total Premiums for Family Coverage, 1999-2010 $5,791 $6,438* $7,061* $8,003* $9,068* $9,950* $10,880* $11,480* $12,106* $12,680* $13,375* $13,770* * Estimate is statistically different from estimate for the previous year shown (p<.05). Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2010.
  • 6.
  • 7.
  • 8.
  • 9. Contributing Factors Among Firms Offering Health Benefits, Percentage of Firms that Report They Made the Following Changes as a Result of the Economic Downturn, by Firm Size, 2010 *Estimate is statistically different between All Small Firms and All Large Firms within category (p<.05). Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2010.
  • 10. TOP 5 EMPLOYER PRIORITIES Source: Deloitte Consulting (2006) Copyright © 2006 Deloitte Development LLC. All rights reserved. Employers’ number one employee benefit priority is to control healthcare costs.
  • 11.
  • 12.
  • 13.
  • 14. TOP 5 EMPLOYER PRIORITIES Source: Deloitte Consulting (2006) Copyright © 2006 Deloitte Development LLC. All rights reserved. Employers’ number one employee benefit priority is to control healthcare costs.
  • 15.
  • 16. TOOLS • FSA • HRA • HSA • Voluntary THE The Solution A Consumer-Driven Benefits Approach
  • 17.
  • 18.
  • 19.
  • 20. FSA Win-Win Situation EMPLOYER Enhance employee benefits Improve recruitment and retention Increase FSA participation Unlock new FICA savings BROKER/VB SPECIALIST FSA options “ free ’ s up ” dollars to spend on voluntary benefits Employee savings help cushion increases in out-of-pocket expenses Offer employers an opportunity to offer enhanced benefits at no additional cost – the more employees that enroll, the greater the savings Help employees take the 1 st step in managing their own healthcare dollars EMPLOYEE Accelerate personal cash flow Manage account via internet Achieve immediate reimbursement End “shoe box” administration Reduce lost and unfiled claims Decrease FSA forfeitures
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49. Integration • FSA • HRA • HSA • Management Technology THE
  • 50. Card will not work at non-qualified vendors The Emergence of Technology THE SIGNIFICANCE OF SIMPLICITY Debit Cards eliminate the hassle of traditional FSA/HRA/HSAs IIAS Abilities Ease of use and understanding = satisfaction with the plan Single platform for multiple accounts FSA/HRA/HSA payment connectivity
  • 51.
  • 52.
  • 53.
  • 54.

Hinweis der Redaktion

  1. As we’ve seen in the previous section, you’re selling CDHC, not CDHP. You’re selling more than a plan, and this requires a more consultative approach than usual.
  2. As we’ve seen in the previous section, you’re selling CDHC, not CDHP. You’re selling more than a plan, and this requires a more consultative approach than usual.
  3. As we’ve seen in the previous section, you’re selling CDHC, not CDHP. You’re selling more than a plan, and this requires a more consultative approach than usual.