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The Online Individual Insurance Market - Perspectives, Experiences and Trends October 20, 2008 Sam Gibbs, Senior Vice Pr PowerPoint Presentation
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The Online Individual Insurance Market - Perspectives, Experiences and Trends October 20, 2008 Sam Gibbs, Senior Vice President eHealth, Inc. Today’s Talking Points Insurance Industry – Crisis or Opportunity? The eHealth online solution

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The Online Individual Insurance Market - Perspectives, Experiences and Trends

October 20, 2008

Sam Gibbs, Senior Vice President

eHealth, Inc.

today s talking points
Today’s Talking Points

Insurance Industry – Crisis or Opportunity?

The eHealth online solution

Innovation for small business health care – Business HSA

What’s in store for Health Insurance after the election

Questions and Answers

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us health insurance crisis
US Health Insurance Crisis

Consumers

Businesses

US ECONOMY

  • Layoffs
  • COBRA
  • Unknown access to affordable health insurance
  • 47 million uninsured
  • 6.1% unemployment
  • Shrinking employer sponsored health insurance over last seven years
  • Extremely High Health Care Costs
  • Can no longer afford to offer traditional health insurance

- Market Innovator

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ehealth customer advocate
eHealth – Customer Advocate
  • Representing over 180 health insurance carriers nationwide
  • Through choice consumers find affordable plans
    • “Get insured for the price of a latte per day”
  • Highly-configurable policies
    • Pay only for what you need
  • Simplifies complex decision process
    • Compare plans side-by-side based on key features
  • Consumer-friendly, intuitive interface

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slide5

94043

Home Page

eapproval overview
eApproval Overview
  • Complete online experience - instant underwriting
  • Via direct connection to carriers’ underwriting systems
  • If approved, coverage starts immediately
  • Permanent Policy Number Issued
  • Temporary Coverage ID immediately available to print

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ehealth ifp customer profile
eHealth IFP Customer Profile
  • Key demographic groups: self-employed, early retirees, SMB employees w/o company-based coverage, students.
  • As of August 2007 average monthly premiums on active policies ranged from $83 to $388 depending on state of residence

* For Individual Plans.

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hsa growth forecast
HSA Growth Forecast
  • Over the next decade, the growth in consumer-directed health plans and HSAs could be one of the most powerful trends affecting the U.S. economy
  • HSA adoption expected to grow significantly over 3-5 years:
    • The number of Americans covered by HSA qualified plans had grown to 6.1 million as of January 2008 from 4.5 million as of January 20071
    • Diamond Consulting estimates 15 million HSAs by 20102
  • HSA’s are fast becoming an important offering for banks and thrifts:
    • HSA’s are a critical lever for financial institutions seeking to maintain profitable long-term relationships2
    • The number of banks offering HSA’s has more than tripled between the end of 2005 and June of 20072
  • 1. Survey of health insurers performed by America’s Health Insurance Plans (AHIP)
  • 2. Diamond Consulting ,Seismic Shifts in the Health/Wealth Landscape.

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benefits to all constituents
Benefits to All Constituents

Employees

Employers

  • Health insurance option for employees not covered through group plans
  • Access to a broad selection of HSA-eligible plans in many states
  • Allows pre-tax contributions
  • Easy-to-navigate account center
  • Fully portable plans within state of residence
  • Enhances market opportunity with small businesses
  • Expected to drive application volume
  • Same recurring commission-based revenue model
  • Expected to deepen marketing partner relationships
  • Gain control over healthcare expenses
  • Hire and retain workers by enhancing benefits package
  • Streamline benefit management through easy to use account center
  • Earn Federal Business Income Tax deductions

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obama plan on health insurance
Obama Plan on Health Insurance

National Health Policy Offering

Guaranteed eligibility, FEHBP style benefits, subsidies for low income

National Health Insurance Exchange

Guaranteed issue; no underwriting; coverage > national plan

Requirements/incentives for employers offer or pay for “meaningful” coverage

Mandated kid coverage

Catastrophic reinsurance

Price Tag: Estimates range from $160* to $452** Billion per year.

*One year average of Tax Policy Center Urban Institute/Brookings Institution estimate An Updated Analysis of the 2008 Presidential Candidates' Tax Plans: Updated September 12, 2008

** Assessment of Barack Obama 2008 Health Reform PlanHealth Systems Innovations (August, 2008)

3

mccain plan on health insurance
McCain Plan on Health Insurance

Replaces employee health benefit tax exclusion with flat refundable credit $5000 family; $2500 individual

Cross-state purchasing of health insurance

Expanded availability of HSAs

GAP plan to cover high risk/hard to insure

Price Tag: Estimates range from $130* to 160** Billion per year

*One year average of Tax Policy Center Urban Institute/Brookings Institution estimate An Updated Analysis of the 2008 Presidential Candidates' Tax Plans: Updated September 12, 2008

** Health Systems Innovations estimate of similar proposal Analysis of 2007 Republican Health Reform Proposals (September 2007)

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post election realities
Post-Election Realities

Political Realities in 2009:

Momentum for reform not guaranteed (among policymakers and outside groups)

President McCain must face Democratic Congress

President Obama likely to need 6 to 10 Republican votes in Senate

Affordability: Record deficit $438 billion projected by CBO

$325 billion even after all Bush tax cuts allowed to expire

Likely to go higher with Fannie Mae/Freddie Mac takeover, AMT Relief, and $700 Billion "RTC2" proposal

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questions and answers
Questions and Answers

Sam Gibbs

Senior Vice President

eHealth, Inc.

(408) 887-1488

sam.gibbs@ehealth.com

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