dependent eligibility audits

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Dependent Eligibility Audits To Grow Your Business How To Use AFLAC The Big IDEA Internet Dependent Eligibility Audits

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AFLAC. How To Use. To Grow Your Business. Dependent Eligibility Audits. The Big IDEA ● Internet Dependent Eligibility Audits. What’s Important to Brokers?. Client Value. Market Share. Commission Income. GROW. ADD. INCREASE. Dependent Eligibility Audits. - PowerPoint PPT Presentation

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Page 1: Dependent Eligibility Audits

Dependent Eligibility AuditsTo Grow Your Business

How To Use

AFLAC

The Big IDEA ● Internet Dependent Eligibility Audits

Page 2: Dependent Eligibility Audits

What’s Important to Brokers?What’s Important to Brokers?

ADD INCREASE GROW

ClientValue

CommissionIncome

MarketShare

Page 3: Dependent Eligibility Audits

Dependent Eligibility AuditsDependent Eligibility Audits

We find and remove ineligible dependents

Page 4: Dependent Eligibility Audits

Benefits to EmployerBenefits to Employer

HealthcareCosts

Plan FiduciaryResponsibility

Claim Risks(stop loss)

REDUCE DECREASEMAINTAIN

Page 5: Dependent Eligibility Audits

Employer TrendsEmployer Trends

70%Percent of large firms over 2,000 employees conducting audits

Average annual cost to provide dependent coverage

Percent of dependents found by audits to be ineligible

$3,000 4%-8%

Page 6: Dependent Eligibility Audits

Results From Hospital AuditResults From Hospital Audit

Dependents

2,400Dependents Removed

7.8%1st Year Savings

$393,498

Page 7: Dependent Eligibility Audits

Results From Manufacturer AuditResults From Manufacturer Audit

Dependents

4,500Dependents Removed

6%1st Year Savings

$750,000

Page 8: Dependent Eligibility Audits

Results From School AuditResults From School Audit

Dependents

700Dependents Removed

6.8%1st Year Savings

$300,000

Page 9: Dependent Eligibility Audits

Employee Interviews

Significant Income Growth OpportunitySignificant Income Growth Opportunity

Broker Income

Mandatory Audit Process

Page 10: Dependent Eligibility Audits

Employee InterviewsEmployee Interviews

The Counselor Process

• Meet Individually with Employees• Complete Web-Based Affidavit• Explain Document Requirements• Offer Aflac Voluntary Products

Page 11: Dependent Eligibility Audits

Project Stakeholder Roles and ContributionsProject Stakeholder Roles and Contributions

ImpactThe Big

IDEA

• SPD Review• Customized Website• Counselor Training• Document Adjudication• Post-Audit Reporting• Communications Templates• Employee Call Center

Dependent Eligibility Audit

Aflac Product Offering

Broker

• Sell the Account• Select Counselors• Choose Products• Provide Project Timetable• Schedule Employee Appts• Manage the Project• Enjoy the Results

PLUS

Page 12: Dependent Eligibility Audits

Benefits of the Big Benefits of the Big IDEAIDEA

Benefits You Receive for your business

Benefits You Provide for your clients

• Face-to-Face Opportunity• Sell More Product• Differentiation from Others• Viewed as Problem-Solver• Open Additional Doors• Close More Accounts

• Remove Ineligibles• Update Dependent Records• Gather Additional Data*• Reduce Healthcare Costs• Reduce Claim Risks• Meet Fiduciary Responsibilities

* For better HR decision-making (spousal carve-outs, SSN reporting, etc)

Page 13: Dependent Eligibility Audits

Typical ROI on AuditsTypical ROI on Audits

Percent Removed 3% 5% 8%1st Year Savings $90,000 $150,000 $240,000

Savings Over 3 Years $219,600 $371,000 $585,600

Communications Cost* $1,500 $1,500 $1,500

Return on Investment 60 Times 100 Times 160 Times

• 1,000 Employees• 500 with Covered Dependents

* Letters to employee homes

• 1,000 Dependents• $3,000 Average Annual Healthcare Costs

Client Profile