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“The Start Up” Presentation for the Cayman Captive Forum. Panel. Dixon Abell President, Abell , LLC Monroe, LA President, Well Health Insurance Ltd. Ernie Achtien , CPA, CPCU CFO, Captive Resources, LLC Schaumburg, IL Board Member, Well Health Insurance Ltd. Doug Hayden
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“The Start Up” Presentation for the Cayman Captive Forum
Panel • Dixon Abell • President, Abell, LLC • Monroe, LA • President, Well Health Insurance Ltd. • Ernie Achtien, CPA, CPCU • CFO, Captive Resources, LLC • Schaumburg, IL • Board Member, Well Health Insurance Ltd. • Doug Hayden • Sr. Vice President, Captive Resources, LLC • Schaumburg, IL • Captive Consultant, Well Health Insurance Ltd.
Increase in Health Insurance Premiums Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2012. Bureau of Labor Statistics, Consumer Price Index, U.S. City Average of Annual Inflation (April to April), 1999-2012; Bureau of Labor Statistics, Seasonally Adjusted Data from the Current Employment Statistics Survey, 1999-2012 (April to April).
Can A Captive Mitigate TheTrend? • Improved Health Management • Paradigm shift – we CAN impact costs of health benefits • Return of Underwriting Profits • Reduces need to increase retention/risk • Reduced Costs • Gain leverage in the marketplace • Greater predictability through spread of risk • Control Over Insurance Destiny
Who Formed Well Health Insurance Ltd.? • Captive Resources introduced the group stop-loss captive concept to its current casualty captive customers • Captive Resources introduced the group stop-loss captive concept to the brokerage community • Captive Resources worked with the stop-loss marketplace and started a relationship with Berkley as the program’s policy issuing carrier, reinsurer and underwriter • The Program added its first partner company in May 2011 and now covers over 10,000 lives
Well Health Flexibility • Use your current plan design if desired • Choose the specific stop loss limit that fits your company best • Obtain aggregate stop loss protection if desired • Select your own third party administrator • Access to local, regional and national PPO networks
Specific Claims Layers(Per Person Per Policy Year) Berkley Stop Loss Policy Catastrophic Stop-Loss CoveragePer Claim CAPTIVE CO-PARTICIPATION BETWEEN MEMBERS WITH AGGREGATE STOP-LOSS $200,000 IN EXCESS OF SIR Captive Co-Participation Member Assessment Member Loss Fund MEMBER AGGREGATE ATTACHMENTPOINT (each member’s) Specific Deductible SIR Employee Share
Well Health Wellness • Development of Health Management/Wellness Platform • Based on member direction and industry best practices • Health Management/Wellness Workshops • Topical presenters and breakout sessions • Networking/member interaction • Well Health webinar series • Member Website • Buying Groups
Well Health Insurance Ltd. Employer’s Total Health Care Costs Wellness WELL HEALTH stop loss captive Plan Design Networking Claim Management
Defining Success • Impacting the Total Cost of Healthcare • The Other 85% • Predictability • Outperform industry cost trends • Captive dividend distribution • Promotion of healthy behavior • Vendor Integration • Healthy and Productive Workforce – and Dependents • Benchmarking Results