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The Ohio Health Insurance Exchange - PowerPoint PPT Presentation


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The Ohio Health Insurance Exchange. Exchange Presentation Audio/Visual. A Private Insurance Exchange for Employers, Employees and Individuals. Built to meet our brokers needs Designed to fulfill consumer expectations. Location, Location, Location. Branding. Navigation. Next Steps.

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the ohio health insurance exchange
The Ohio Health Insurance Exchange

Exchange Presentation

Audio/Visual

a private insurance exchange for employers employees and individuals
A Private Insurance Exchange for Employers, Employees and Individuals

Built to meet our brokers needs

Designed to fulfill consumer expectations

broker tools1
Broker Tools
  • OHIEX provides an alternate marketplace from the state and/or federal insurance exchanges where an employee previously covered by an employer sponsored health plan (prior to 2014) may purchase health coverage.
  • Employer Portal
    • Define DCHPs
    • Customize employee benefit portfolio
    • Track employee plan selections
  • Employee Portal
    • Search and compare health plans
    • Enroll in a health plan
    • Track spending
company profile
Company Profile
  • Employer or HR Generalist creates account:
  • Asked to complete a company account profile
  • Creates an administrative portal for company
  • Captures pertinent tax and filing information
  • Upload logo for personalized look and feel
security
Security
  • Top-Level Security.
  • Only accessible by approved personnel
  • Password protected
  • Data is encrypted and stored on secure servers
  • We maintain strict HIPAA compliance and security protocols to protect PHI
tiered employee profiles
Tiered Employee Profiles
  • Employer defines contribution:
  • Can be tiered based on employee type
  • Contribution regulations still TBD
  • Each tier can receive different contributions
    • Full-Time
    • Part-Time
    • Executive Team
enter employee info
Enter Employee Info
  • Employer adds employee information:
  • Information persists to quoting forms and applications
  • Employee classification is kept confidential
  • Email automatically sent to the employee
  • Add employees individually or in bulk
account set up confirmation
Account Set Up Confirmation
  • Process verifies accuracy:
  • Confirm account set-up
  • Log-in prompt upon verification
  • Easy to follow process
  • Once verified, emails are sent to the employees
employee enrollment
Employee Enrollment
  • Employees start the enrollment process:
  • Secure named user access
  • Open marketplace
  • May be posted to the company intranet
  • Includes details on product and availability
  • Resource tools
  • Call Center support available
  • Process is laid out to employee:
  • Indication of subsidy eligibility
  • Info on public exchanges
  • Process flow provided to consumer
    • Run quotes and view coverage
    • Compare plans
    • Enroll in plan
subsidy eligibility
Subsidy Eligibility
  • Easy to use subsidy calculator:
  • Includes HCR FAQ’s
  • Requires minimally invasive information
  • Based on income and people in household
  • Ability to skip this step is included
subsidy eligibility1
Subsidy Eligibility
  • If consumer is eligible for subsidy:
  • Consumer will be directed to public exchange:
    • Exact subsidy eligibility determined
    • Subsidy info transfers to OHIEX
    • OHIEX shows adjusted premiums
    • OHIEX platform includes QHP’s
  • Consumer will then select plan from OHIEX
  • Enrollment will happen on the Public exchange
  • OHIEX then recommends ancillaries
plan selection assistance
Plan Selection Assistance
  • Employees completes a brief survey:
  • Narrows plan options based on responses
  • Determines best fit for consumer
  • Creates easy interface for plan selection
plan selection tools
Plan Selection Tools
  • Employees selects best option
  • Full cost breakdown and plan information
  • Side by side plan compare feature
  • Options for major medical and ancillary
  • Access to product brochures and networks
  • Information separated by product type
  • Click ‘Select’ to enroll
summary
Summary

We’re building a site that really brings home the reality that is the future of healthcare.

OHIEX is a destination for consumers to compare and select their health and ancillary insurance coverage's with the highest possible level of service.

Our consumers can turn to their broker at any time for guidance – in fact the broker can walk their client through the entire process, in person or from a remote location.

Alternately, the consumer has access to information about all the available products, enabling them to make independent, informed decisions if they so choose.