Allied™ Funding AdvantageAdvanced Alternative Funding
Training
OVERVIEW
• What Makes the Plan Successful• Proposals• Claim Fund• Stop Loss Policy• Enrolling a Group
PLANKEY
HIGHLIGHTS
KEY POINTS FOR THE PLAN• Contained Risk – Employer
protection• Stabilized Cash Flow• Pre-packaged Plan – All in One• Claim Fund Savings
WHATMAKES
ALTERNATIVE FUNDING
PLANSWORK
• Healthy Risk Pool• Smart Health Care Consumption
– Good Plan Design– Follow the Money
• Participation• Commitment
COVERAGEPROPOSALS
Proposal
Ease of Presentation
COVERAGEPROPOSALS
• Annual Cost Summary– Claim Fund– Stop Loss– Admin & Sales
• Maximum Costs• Expected Costs
COVERAGEPROPOSALS
• Monthly Costs–Composite
Rates–Cost
Breakdown
COVERAGEPROPOSALS
ERISA Benefit Plans Available:• Premium Advantage Plans• HSA Qualified Plans• Indemnity Freedom
CLAIMFUND
• Accounting – Fully Insured vs Alternative Funding
• Reporting– Monthly Accounting– Quarterly Utilization
CLAIMRUNOUT
• 12/21 – 9-month Run-Out• No Additional Fees• Claim Fund Refund
STOPLOSS
POLICY
• Plan Year• Specific Stop Loss• Aggregate Stop Loss
– Accommodation– Early Termination– Minimum Aggregate
Deductible
IMPORTANTTHINGS
TO KNOW
• Employer Enrollment Changes• COBRA• Employer Directed Claims
Payments
ENROLLMENT&
UNDERWRITING
• For Groups of 10 to 99• Medically Underwritten
– Medical Enrollment Form– <50 – Traditional– 50+ – Simplified
• Prescreens for Quotes
• Submission Requirements– Final Proposal– Employer App– Employee
Enrollment Forms & Waivers
– Current & Renewal Rates
– Quarterly Tax/Wage Report
– Employer’s First Payment
ENROLLMENT&
UNDERWRITING
The RIGHT Benefits. The RIGHT Price.
GET YOUR ADVANTAGE TODAY!Phone: 888-767-7133
Fax: 913-945-4396
Quote Email: [email protected]
Website:www.alliednational.com