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Dependent Eligibility Audits

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.

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Dependent Eligibility Audits

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

  2. What’s Important to Brokers? ClientValue MarketShare CommissionIncome GROW ADD INCREASE

  3. Dependent Eligibility Audits We find and remove ineligible dependents

  4. Benefits to Employer REDUCE MAINTAIN DECREASE HealthcareCosts Plan FiduciaryResponsibility Claim Risks(stop loss)

  5. Employer Trends 70% $3,000 4%-8% 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

  6. Results From Hospital Audit Dependents2,400 Dependents Removed7.8% 1st Year Savings$393,498

  7. Results From Manufacturer Audit Dependents4,500 Dependents Removed6% 1st Year Savings$750,000

  8. Results From School Audit Dependents700 Dependents Removed6.8% 1st Year Savings$300,000

  9. Significant Income Growth Opportunity Employee Interviews Broker Income Mandatory Audit Process

  10. Employee Interviews The Counselor Process • Meet Individually with Employees • Complete Web-Based Affidavit • Explain Document Requirements • Offer Aflac Voluntary Products

  11. Project Stakeholder Roles and Contributions The Big IDEA Impact Broker • SPD Review • Customized Website • Counselor Training • Document Adjudication • Post-Audit Reporting • Communications Templates • Employee Call Center • Sell the Account • Select Counselors • Choose Products • Provide Project Timetable • Schedule Employee Appts • Manage the Project • Enjoy the Results Dependent Eligibility Audit Aflac Product Offering PLUS

  12. Benefits of the Big IDEA 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)

  13. Typical ROI on Audits Client Profile • 1,000 Employees • 500 with Covered Dependents • 1,000 Dependents • $3,000 Average Annual Healthcare Costs * Letters to employee homes

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