individual health insurance portfolio. advantage agent new product portfolio new portfolio key...
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Individual Health Insurance Portfolio
Advantage Agent
New Product Portfolio
New Portfolio
Key drivers• Agent feedback• Appeal to a broader market• Keep ahead of competition• Maintain HSA leadership
Plans in our new portfolio• MaxPlanSM
• CoreMedSM
• RightStartSM
• OneDeductible HSASM
• SaveRight HSASM
Advantage Agent
The Result
New Portfolio
Premium Savings
Extensive Benefits
Customary Plans
HSA Plans
MaxPlan
CoreMed
RightStartSaveRight HSA
OneDeductible HSA
An integrated portfolio that offers:• Exciting improvements • Ability to customize plans like never before• A range of plans for all types of individuals and families
Advantage Agent
Quality is the FrameworkAll plans in the Assurant Health portfolio begin with a quality framework of: Security. Convenience. Cost savings.
All plans include:• Worldwide coverage, 24 hours-a-day• Initial 12-month rate guarantee• Your choice of doctors and hospitals• No referrals necessary to see a specialist• Single deductible for accidents• No limits on Intensive Care Unit (ICU)• Ground and air ambulance • Transplant coverage• Preventive Services• HealthyDiscount
New Portfolio
Advantage Agent
Overall Improvements• No prescription drug deductible for
generics
• HealthyDiscount expanded (where available)
• Expanded complications of pregnancy coverage
• Improved maternity benefits
• No age limit for dependents to remain onparents’ policy
New Portfolio
Advantage Agent
Overall Improvements —No prescription drug deductible for generics on MaxPlan, CoreMed and RightStart
Generic prescriptions• Convenient $15 copay • No deductible
Brand name prescriptions• $500 deductible • Convenient $25 copay + coinsurance
New Portfolio
Advantage Agent
Overall Improvements —HealthyDiscount expandedHealthyDiscount rewards healthy clients with a 10% reduction of renewal premiumsExpanded: • Now available for all new portfolio plans
Benefits:• To client − Saves healthy clients 10% at
renewal time (1st 6 anniversaries)• To agent − Increase your persistency and
renewal income
New Portfolio
Advantage Agent
Overall Improvements —Expanded Complications of Pregnancy CoverageExpandedCovers all complications of pregnancy except:
• elective C-sections• hyperemesis gravidarum
For CoreMed, MaxPlan and OneDeductible HSA
BenefitWith more common complications of pregnancy now covered in the base plan, the popularity of these plans will grow among clients with families
New Portfolio
Advantage Agent
Overall Improvements — Improved Maternity BenefitsCovers
• Prenatal care• Delivery and post-care
Subject to a waiting period and a maternity-specific deductible
• Pays at 100% after deductible
Deductible amounts• $1,000, $2,500, $5,000 and $10,000
Client Benefit• At any deductible, client gets our
network discounts − this can translate to thousands in savings
• Caps clients out-of-pocket exposure
New Portfolio
Advantage Agent
Customer’s Total Annual Cost
$x,xxx $x,xxx
Customer Saves $x,xxx
This grid illustrates the competitive advantage of the improved maternity benefits to your clients.
Couple Age 35
Assurant Health CoreMed($2,000 Ded, $2,500 Mat Ded)
Golden Rule Plan 80($2,500 Ded, $4,000 Mat
Benefit)
Plan Premium Maternity OOP Plan Premium Maternity OOP
$xxx $2,500 $xxx $x,xxx
Sales Tool — Improved Maternity Benefits
New Portfolio
Advantage Agent
This grid illustrates the competitive advantage of the improved maternity benefits to your clients.
Couple Age 35
Assurant Health CoreMed($2,000 Ded, $2,500 Mat Ded)
Blue Cross($1,750 Ded, $2,000 Mat Max)
Plan Premium Maternity OOP Plan Premium Maternity OOP
$xxx $2,500 $xxx $x,xxx
Sales Tool — Improved Maternity Benefits
New Portfolio
Customer’s Total Annual Cost
$x,xxx $x,xxx
Customer Saves $x,xxx
MaxPlanMaxPlanSM
CoreMedCoreMedSM
RightStartRightStartSM
Customary PlansCustomary Plans
Advantage Agent
MaxPlanSM
Value Proposition: • Maximum protection to achieve security
and predictability • Most extensive benefits • Many options
Who is it for?MaxPlan is ideal for clients who:
• understand the value of protecting both their health and their assets
• want no limits on how often they see their doctor – always at a set price
• are highly concerned about havingan adequate level of protection
MaxPlanSM
Advantage Agent
MaxPlanSM HighlightsDoctor office visit copay optionUnlimited visits at $35 /visit
Preventive services Eligible from 1st day of coverage $750 per person/calendar year
Generic prescription drugs Convenient $15 copay on generics with no deductible, no limit
Brand name prescription drugs$500 deductible$25 copay and 20% coinsurance
Family deductibleOnly 2X individual deductible
Lifetime maximumUp to $8 million
MaxPlanSM
Deductibles $0, $500, $1,000, $1,500, $2,500, $5,000, $10,000 or $25,000 (Family deductible maximum is two times the deductible and is met collectively by two or more persons)
Plan Structures 100/0, 80/20, 70/30, 50/50
Out-Of-Pocket Maximum $0 to $10,000, depending on coinsurance
Lifetime Benefit Maximum
$3 million or $8 million
24 Month Rate Guarantee*36 Month Available
Available with $5,000 deductible
MaxPlanSM Details
See brochure for complete details
See brochure for complete details
MaxPlanSM
*not available in KS, MN, MS, NM, ND or OR
Advantage Agent
CoreMedSM
Value Proposition: • Broad coverage at the best value• No inside limits• The plan clients ask for
• Most flexible• Most requested• Most sold
Who is it for?• Excellent for people who want to control
premiums without sacrificing benefits• Appeals to a wide range of individuals
and families
CoreMedSM
Advantage Agent
CoreMedSM Highlights
Office visit copay option Four visits/person/year − just $35 per visit
Preventive services $500/person/year
Generic prescription drugs Convenient $15 copay on generics withno deductible, no limit
Brand name prescription drugs$500 deductible$25 copay and 50% coinsurance
Family deductibleOnly 2X individual deductible
CoreMedSM
Deductible Options $0, $500, $1,000, $1,500, $2,000, $3,500, $5,000 or $10,000 (Family deductible maximum is two times the deductible and is met collectively by two or more persons)
Plan Structures 80/20, 70/30, 50/50
Out-Of-Pocket Maximum $1,250 to $7,500 depending on coinsurance
Lifetime Benefit Maximum
$2 million or $6 million
Facility Fees • Outpatient: $200/outpatient surgery• Inpatient: $200 per day for the first three days
24 Month Rate Guarantee*36 Month Available
Available with $3,000, $5,000 or $10,000 deductibles
CoreMedSM Details
See brochure
for complete
details
See brochure
for complete
details
CoreMedSM
15% cheaper than $1000 deductible!
15% cheaper than $1000 deductible!
*not available in KS, MN, MS, NM, ND or OR
50% to $4000 Out-Of-Pocket =
16% Savings!
50% to $4000 Out-Of-Pocket =
16% Savings!
Advantage Agent
Assurant Health MaxPlan (no copay)Age 42 Family, $1,500 ded, 50% to $2,500, no mat, $500 Rx
$350.79
Golden Rule Copay Select ($25 copay)Age 42 Family, $1,500 ded, 80% to $2,000, Rx $15 Gen, Brand $100 ded $30/$60
$438.08
Annual Savings $1,047.48
Phoenix 85262 Rates Effective 5/1/06
Rate Positioning: MaxPlan vs. Golden Rule
Advantage Agent
RightStartSM
Value Proposition:• Basic benefits plus added protection
against serious illnesses and injuries• Most affordable plan
Who is it for?• Uninsured individuals and families• Individuals and families considering
dropping current coverage because of price
• Prospective clients with limited budgets
RightStartSM
Advantage Agent
RightStartSM Highlights
Doctor office visit copay option2 visits at $25/visit
Generic prescription drugsConvenient $15 copay on generics with no deductible, optional limit up to Annual Maximum amount
Brand name prescription drugs $500 deductible$25 copay with 50% coinsurance
RightStart benefitMany combinations to keep premium within budget
• Annual maximum• Outpatient services maximum • Prescription drug maximum
Also available as a non-PPO plan
RightStartSM
Deductible $500, $1,000 or $2,500 (Family deductible maximum is three times the deductible and is met collectively by three or more persons)
Plan Structures 75/25, 50/50
Out-Of-Pocket Maximum $2,000 with 50/50 plan$3,000 with 75/25 plan
Outpatient Services Maximum
$2,500, $5,000 or $10,000
Annual Maximum $50,000, $100,000 or $250,000
Lifetime Benefit Maximum $2 million
RightStartSM Details
See brochure for complete
details
See brochure for complete
details
RightStartSM
Health Savings AccountsHealth Savings Accounts
Advantage Agent
HSAs – A ReviewAn HSA plan is a combination of:• A qualified high-deductible health plan• A tax-favored savings account• Clients can use an HSA to pay medical expenses not paid by their high deductible
health plan — including bills that go toward meeting the deductible and many other expenses
Client Financial Benefits:• Pay no income tax on money deposited in HSA• No tax on interest or earnings as long as money
withdrawn is for qualified medical expenses• Unspent money rolls over year to year for use
in paying future medical expenses or supplementing retirement income
• At age 65, clients can withdraw money from HSA for non-medical expenses without penalty, paying only standard income tax
Health Savings Accounts
Funding an HSA is Easy
Premium savings from the high deductible health insurance plan can be used to fund HSA contributions
Advantage Agent
• Three million people are enrolled in HSA-qualified plans• That’s triple the number enrolled just 10 months ago• Assurant Health is the HSA leader
HSA Sales Continue Unprecedented Growth
Source: January 2006 report from America's Health Insurance Plans
Health Savings Accounts
10 months ago
Today
OneDeductible HSAOneDeductible HSASM
SaveRight HSASaveRight HSASM
HSA-Qualified Plans
Advantage Agent
OneDeductible HSASM
Value Proposition: • Convenient: One common deductible for ALL
covered expenses – even prescriptions – for everybody on the plan
• Simple: Easiest-to-understand plan • Extensive Benefits: Most robust HSA plan• Smart Financial Choice: Higher deductible and
lower premiums than conventional plans
Who is it for?• People who view health insurance as a financial
decision as well as a healthcare decision• Those willing to fund their everyday expenses,
but who want extensive catastrophic coverage• People who value the tax savings associated
with an HSA
OneDeductible HSASM
Advantage Agent
OneDeductible HSASM Highlights
Simple − One deductible for all family members
Preventive services• $500 annual preventive services benefit• New, optional first-dollar preventive services benefit
• $250/person/year after 12 months
Lifetime maximum benefit• Up to $8 million
HSA account administration options• HSA Tools• HSA Fundamentals
Also available as a non-PPO plan
OneDeductible HSASM
Deductibles Individual plan: $1,100, $1,600, $2,100 $2,850, $3,750, or $5,000 Family plan: $2,200, $3,200, $4,200, $5,700, $7,500 or $10,000
Plan Structures 100/0, 80/20, 50/50
Out-Of-Pocket Maximum $0 to $5,000, depending on coinsurance
Lifetime Benefit Maximum $3 million or $8 million
24 Month Rate Guarantee*36 Month Rate Guarantee*
Available with $5,000 deductible
OneDeductible HSASM Details
See brochure for complete
details
See brochure for complete
details
OneDeductible HSASM
*not available in KS, MN, MS, NM, ND or OR
Advantage Agent
SaveRight HSASM
Value Proposition: • Most economical HSA-qualified plan• Premium savings can be used to
help fund the HSA
Who is it for?• Those whose top priority is
premium savings• People willing to assume greater
risk but want catastrophic coverage• People who want the tax benefits of
an HSA plan and low premiums
SaveRight HSASM
Advantage Agent
SaveRight HSASM HighlightsNew! − 100% plan with $3000 deductible
Prescription drugs• Covered
Lifetime maximum• $2 million
HSA account administration• Comes with HSA Tools
Flexible options to keep premiums low• Outpatient services maximum
options available
Also available as a non-PPO plan
SaveRight HSASM
Deductible $2,000, $3,000 or $5,100(Family deductible maximum is two times the deductible and is met collectively by two or more persons)
Plan Structure 100/0, 75/25, 50/50
Out-Of-Pocket Maximum Options
$0 to $3,000 depending on coinsurance
Outpatient Services Maximum $15,000 or $25,000
Annual Maximum None
Lifetime Benefit Maximum $2 million
24 Month Rate Guarantee*36 Month Available
Available with $5,100 deductible
SaveRight HSASM Details100% plan
now available with $3,000 deductible.
Saves more
than 10% vs. comparable
OneDeductible design!
100% plan now available with $3,000 deductible.
Saves more
than 10% vs. comparable
OneDeductible design!
See brochure for
complete details
See brochure for
complete details
SaveRight HSASM
*not available in KS, MN, MS, NM, ND or OR
Advantage Agent
HSA Administration OptionsHSA Tools
• Simplified access to funds and user-friendly money management capabilities
• Online HSA account info seamlessly integrated with claims history
• Automatic deposit • Personalized Visa® debit card • Check-writing options • Investment options, including major mutual funds
HSA Fundamentals• Free• Interest-bearing account • Administered by Assurant Health• Automatic reimbursement for
out-of-pocket costs available
HSA-Qualified Plans
Suite Solutions
Advantage Agent
Suite SolutionsOverview
• Cash benefits that help pay out-of-pocket expenses• Available through membership in Health
Advocates Alliance
Who is it for?
• Clients who have a high deductible• Clients concerned about accidents
(typically clients with children)
Client Benefit
• “Gap” coverage provides security and savings• Portable• Easy
Suite Solutions
Advantage Agent
Product OptionsSecureSolution
• Accident Medical Expense Benefit• Accidental Death and Dismemberment Benefit• Weekly Accident Indemnity Benefit
SelectSolution
• Accident Medical Expense Benefit
• Critical Illness Expense Benefit
• Accidental Death and Dismemberment Benefit
• Weekly Accident Indemnity Benefit
• Identity Network Child Safety Services
• Identity Theft Benefit
• Discounts on dental, vision and more
Suite Solutions
Advantage Agent
Designed to be Easy for AgentsEasy Quoting
• Use proposal software or EASE
Easy Process
• One application
• One check
• No additional underwriting
It’s Working
• 25% of new plans include SuiteSolutions
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
J F M A M J J A S O N D
Percentage of 2005 new plans sold with Suite Solutions
Suite Solutions
Advantage Agent
New Enrollment Forms availableor
Avoid the hassle of paper: use EASE!
New Enrollment Forms availableor
Avoid the hassle of paper: use EASE!
Submitting your BusinessNew rates and all plans on EASE
Download current proposal software at the agent sales site
Any questions feel free to contact your MGA
CALL LPI LPI TODAY FOR UP TO DATE CHANGES TO THE ASSURANT PRODUCT LINE… YOU WILL BE SURPRISED!
LPI Companies Inc.LPI Companies Inc.
786-845-3900786-845-3900