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Covenant Care – 25 to 250 employees A Competitive  Alternative for Fully Insured Clients  Covenant Advantage  200 Plus Employees Total Maximum Plan Cost Guarantee in Years 2 and 3
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The Covenant Care Program Introduction
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Covenant Care Program -Overview
CovenantCare Advantages Fully Insured CovenantCare Self-Funded Capped Funding Yes Yes No Lasers No No Yes Access to Claim Experience No (under 100 EE’s) Yes Yes Premiums Fixed Fixed Variable Cash Calls None None Weekly funding of claims up to specific per member Administration Higher Cost, Less Service Lower Cost, Great Service Lower Cost, Great Service Potential for year end savings No Yes Yes
The Health Care Dilemma
The Issue ,[object Object],[object Object],[object Object],35% At Risk 50% Healthy 15% Acute Chronic 59% of this years low cost population will be in next years high cost population. Low Cost Population
The Usual Approach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Reinsurance Premium Administrative Fees
The Solution ,[object Object],[object Object],[object Object]
Risk Management Strategy ,[object Object],[object Object],[object Object],[object Object],Claim Savings
Risk Management Strategy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Claim Savings
Covenant Applied Savings Techniques and  Risk Management Strategies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Incentive  and Results Based Wellness Initiatives ,[object Object],[object Object],[object Object],[object Object],[object Object]
CovenantCare Plan Features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Covenant Care Plan Design Comparison Premier Plan Plus Plan Access Plan Plan Maximum $5,000,000 $5,000,000 $250,000 Deductible $500 $1,500 $1,000 Coinsurance 80/20 to $12,500 100% after deductible 50/50 to $10,000 Office Visit $20 / $40 100% after deductible $20 / $40 RX Benefit $10 / $25 / $50 100% after deductible $10 (Generic Only) Maximum OOP $3,000 $1,500 $6,000
[object Object],[object Object],[object Object],[object Object],[object Object]

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Insurance Marketing Resources

  • 1. Covenant Care – 25 to 250 employees A Competitive Alternative for Fully Insured Clients Covenant Advantage 200 Plus Employees Total Maximum Plan Cost Guarantee in Years 2 and 3
  • 2.
  • 3.
  • 4. CovenantCare Advantages Fully Insured CovenantCare Self-Funded Capped Funding Yes Yes No Lasers No No Yes Access to Claim Experience No (under 100 EE’s) Yes Yes Premiums Fixed Fixed Variable Cash Calls None None Weekly funding of claims up to specific per member Administration Higher Cost, Less Service Lower Cost, Great Service Lower Cost, Great Service Potential for year end savings No Yes Yes
  • 5. The Health Care Dilemma
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. Covenant Care Plan Design Comparison Premier Plan Plus Plan Access Plan Plan Maximum $5,000,000 $5,000,000 $250,000 Deductible $500 $1,500 $1,000 Coinsurance 80/20 to $12,500 100% after deductible 50/50 to $10,000 Office Visit $20 / $40 100% after deductible $20 / $40 RX Benefit $10 / $25 / $50 100% after deductible $10 (Generic Only) Maximum OOP $3,000 $1,500 $6,000
  • 15.