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EBRM

EBRM. Authorized UniCare General Agent. About Us. Since 1976, Employee Benefit Risk Management Services (EBRM) has driven itself to a leadership position in marketing services to the insurance industry. About Us.

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EBRM

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  1. EBRM Authorized UniCare General Agent

  2. About Us Since 1976, Employee Benefit Risk Management Services (EBRM) has driven itself to a leadership position in marketing services to the insurance industry

  3. About Us EBRM’s staff commits its resources and time to becoming thoroughly up-to-date in new federal health insurance legislation. As you are no doubt aware, federal regulation is a “moving target” under continuous scrutiny. Our job is to stay on top of the congressional and departmental ebb and flow SO YOU CAN FOCUS ON YOUR CUSTOMERS

  4. About Us • Your success is our mission. EBRM’s business philosophy is based on two assumptions: • Growth opportunities exist in both the individual and group marketplace • The need for efficient distribution is critical in a highly competitive marketplace

  5. About Us We market the following products through professional, independent insurance agents and brokers Health Disability Dental Major Medical Senior Care Life Annuities

  6. About Us • Our agents are guaranteed to receive 100% of the writing agent’s commissions • Our agents are eligible to receive any incentives/bonus offers from the companies we represent

  7. About Us • We understand that in an atmosphere of change, the needs of agents, brokers and their clients also change • We supply you the tools, knowledge and assistance to help grow your business and maintain a solid relationship with your clients

  8. About Us • Agent Services we provide: • Same Day Quoting • Competitive product analysis • Sales, Enrollment and Renewal Assistance • Underwriting Review / Application submissions • Toll free agency service line • Commissions paid directly to writing agents

  9. About Us • Some Companies we represent: • Blue Cross Blue Shield of Illinois • UniCare

  10. About Us • Our Location: • Oak Brook, IL 823 Commerce Drive Oak Brook, IL 60523 (phone: 800-982-EBRM) • Email:

  11. Economic Impacts • Our country’s current economic status has a direct impact on who can afford healthcare • With the rising cost of the basic necessities, insurance coverage is being overlooked or discarded • Results could be totally devastating for any family or business…

  12. Economic Impacts • Choice and Affordability are the keys to obtain and maintain insurance coverage • Offer multiple plan options • Offer higher deductibles and co-pays • Offer HSA plans • Offer Limited Benefit Plans • Maintain affordable premiums

  13. Looking to the Future Insurance or health maintenance organization (“HMO”) coverage underwritten by UniCare Life & Health Insurance Company, UniCare Health Insurance Company of Texas, UniCare Health Plans of Texas, Inc. (HMO only in Texas), UniCare Health Plans of the Midwest, Inc. (HMO only in IL/IN) or UniCare Health Insurance Company of the Midwest (IN and IL only)  registered mark and SM service mark of WellPoint, Inc. 2005 WellPoint, Inc.

  14. Looking to the Future UniCare offers innovative solutions • BusinessFlex • Defined Contribution • MemberFlex Options • 12 small group medical plan designs • Dental and Life products • 9 MemberFlex Options • 3 Voluntary Options • Composite rating

  15. Wellpoint, Inc • Parent Company: WellPoint, Inc. • NYSE: WLP • Headquartered in Indianapolis, Indiana • More than 42,000 associates nationwide • Approximately 34 million medical members • Blue Cross and/or Blue Cross and Blue Shield • 14 Blue Plans • Blue Cross of California, Blue Cross Blue Shield of Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, Wisconsin • HealthLink and UniCare • Non Blue Strategy • Broad range of specialty businesses

  16. Wellpoint, Inc • The nations largest publicly traded commercial health benefits company in terms of membership in the United States • More than 42 billion in premium revenue expected in 2005 – ranked #97 of FORTUNE 500 list this year • 4% combined anticipated membership growth in 2005 – highest among major health benefits companies

  17. UniCare, A Healthy Dose of Innovation Introducing.. Michigan Small Group Plans • All information and charts described in this presentation are brief descriptions of features and benefits of the plans when using participating providers, unless otherwise noted. For a more detailed description of the plans’ features, benefits, exclusions and limitations, please refer to the specific Plan Booklet and/or Certificate of Coverage. • In addition, should there be any discrepancies between the information provide herein and the specific Plan Booklet and/or the Certificate of Coverage, the terms of the Plan Booklet and/or the Certificate of Coverage shall govern.

  18. BusinessFlex UniCare, A Healthy Dose of Innovation SM

  19. HSA Compatible Plans Premier Flex Flex Advantage 1000 Ded – 80% Coinsurance 2650 Ded – 80% Coinsurance 5000 Ded – 100% Coinsurance 2650 Ded – 100% Coinsurance 500 Ded 80% Coin 1000 Ded 80% Coin 2000 Ded 80% Coin 2500 Ded 70% Coin Saver 1000 70% Coin 1000 Ded 80% Coin 2000 Ded 80% Coin Saver 2000 70% Coin Rich Benefits Maximum Protection Lower Cost Core Benefits Tax Savings Low Costs

  20. BusinessFlex Key Features • Defined Contribution Options • MemberFlex Options • Section 125 Premium Only Plan (POP)

  21. Defined Contribution Options Designed to help employers manage the contribution level toward employee benefits • Defined Contribution (DC) gives employers more power to control benefit costs and to better plan budgets for their growing businesses • For Medical Benefits, employers may choose from four contribution levels (DC 80, DC 100, DC Select & Traditional) • For Dental Benefits, employers may choose from three contribution levels (DC 15, DC Select & Traditional)

  22. Defined Contribution Options • Defined Contribution 80 limits employer share of monthly premium to no more than $80 per employee • Defined Contribution 100 limits employer share of monthly premium to no more than $100 per employee • Defined Contribution Select empowers employer to contribute any fixed monthly amount in excess of $100 per employee (in increments of $5.00) • Traditional Contribution enables employers to contribute 50% or more of the total monthly premium per employee

  23. BusinessFlex Key Features • Defined Contribution Options • MemberFlex Options • Section 125 Premium Only Plan (POP)

  24. MemberFlex SM Option Designed to give your employees choices • Employers can offer one, a few or all 12 plans to their employees • Employees can choose from rich-benefit plans with low deductibles, economy plans with high deductibles and HSA-Compatible (HDHP) plans • By extending to employees the ability to choose their coverage, everyone can get the protection they need at a price they can afford

  25. BusinessFlex Key Features • Defined Contribution Options • MemberFlex Options • Section 125 Premium Only Plan (POP)

  26. Section 125 P.O.P. Option POP offers you and your employees the opportunity to save tax dollars • Employees can use pre-tax dollars to pay their premiums • Employers can reduce their taxable payroll, FICA and other tax obligations • $125 annual fee Administrative services for the Premium Only Plan are provided by Ceridian Benefits Services, Inc., an independent company that is not affiliated with UniCare. UniCare does not provide tax advice. For tax information please consult your legal counsel or qualified tax advisor.

  27. Michigan Small Group Plans • Small Group plans are grouped into three categories: • Premier Flex Plans • Flex Advantage Plans • HSA-Compatible Plans (High Deductible Health Plans)

  28. Michigan Small Group Plans • Premier Flex Plans • Flex Advantage Plans • HSA-Compatible Plans (High Deductible Health Plans)

  29. Michigan Small Group Plans • Premier Flex (PF) Plans for groups of 2-99 Lives • PF PPO plans consist of five (5) plans with selected deductibles and varying co-insurance offering rich, valuable benefits that are competitively priced.

  30. Michigan Small Group Plans • Premier Flex Plans • Flex Advantage Plans • HSA-Compatible Plans (High Deductible Health Plans)

  31. Michigan Small Group Plans • Flex Advantage (FA) Plans for groups of 2-99 Lives • FA PPO plans consist of three (3) plans with selected deductibles and varying co-insurance; all offering important core benefits that are affordably priced to meet the growing demands of employees and employers in today’s rising health care market.

  32. Michigan Small Group Plans • Premier Flex Plans • Flex Advantage Plans • HSA-Compatible Plans (High Deductible Health Plans)

  33. Health SavingsAccounts (HSAs) First a word about HSAs........... • Health Savings Accounts are not insurance policies, but separate agreements between an eligible individual and a qualified financial institution. For convenience, UniCare has partnered with JPMorgan Bank, N.A. (Chase) who can offer this service to your clients, however, it is not a requirement to use the Chase HSA to apply for UniCare’s HSA-Compatible Plans. Your clients may establish an account with any qualified financial institution.

  34. Health SavingsAccounts (HSAs) • President Bush signed into law on December 8th as part of the Medicare RX bill (Eff.1/1/2004) • Who is eligible to open an HSA? • Anyone who is covered under a qualified High Deductible Health Plan (HDHP) • Generally anyone under the age of 65 (not Medicare eligible) • Cannot be claimed as dependent on another person’s tax return • Not covered by any other health plan

  35. Health Savings Accounts (HSAs) What are the contribution rules and tax treatment of an HSA? • An HSA is generally exempt from tax (like an IRA) as long as a HDHP exists • Contributions may be made annually up to the lesser of the HDHP deductible amount or $2700 Individual ($5450 Family) • Individuals, employees or employers may contribute to the HSA account • The HSA account is owned by the individual, not an employer • Withdrawals may be made without tax consequences to pay for medical expenses and in some instances for insurance premiums • Un-used account balances may carry over from year to year

  36. HSA-Compatible Plans(High Deductible Health Plan) What is an HDHP? • In order to qualify for an HSA, your client must be enrolled in a qualified HDHP. An HDHP is a health insurance plan that meets the following U.S. Treasury requirements: • Annual Deductible of at least $1,050 ($2,100 family) • Annual Out of Pocket not in excess of $5,250 ($10,500 family) • No first dollar benefits-Deductible must apply to all benefits

  37. HSA- Compatible Plans (HDHPs) HSA HDHPs for small groups 2-99 • UniCare’s HSA-Compatible (HDHP) PPO Small Group Plans consist of four (4) plans with selected deductibles and varying co-insurance, which when coupled with a Health Savings Account, offers premium savings, tax advantages*, and investment opportunities. *UniCare does not offer tax advice. For further information please consult your attorney or qualified tax advisor.

  38. HSA-Compatible Plans • More information regarding HSA Administration Services can be found on the following Web sites: • www.hsainsider.com • www.nahu.org • UniCare/WellPoint Integrated HSA Program with JP Morgan Chase Bank

  39. Ancillary Products • EBRM also offers a wide variety of Ancillary products. Ask us for details We are proud to be your Authorized UniCare General Agent Thank you for participating

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