health net of arizona individual family plan plan year kick off
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Health Net of Arizona Individual & Family Plan Plan Year Kick Off. September 2005. Agenda . Welcome Introductions Accolades & Service Improvements Product Portfolio Renewal Information Broker Contest. Plan Year Kick Off. Welcome & Introductions Glen Padula. Introductions.

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Presentation Transcript
agenda
Agenda
  • Welcome
  • Introductions
  • Accolades & Service Improvements
  • Product Portfolio
  • Renewal Information
  • Broker Contest
plan year kick off

Plan Year Kick Off

Welcome & Introductions

Glen Padula

introductions
Introductions
  • Health Net Senior Management
    • Roger Greaves, chairman of the board
    • Mark El-Tawil, president, Health Net of Arizona, Inc.
introductions5
Introductions
  • Individual & Family Plan Sales Team
    • Chris Porterfield, manager
      • Account Executives
        • Jim Walsh, Phoenix
        • Griselle Signorelli, Phoenix
        • Audrey English, Phoenix
        • Chris Keel, Tucson
      • Broker Support
        • Emely Ortiz
        • Leslie Williams
        • Trish Farkas
        • Gail Sedgewick
        • Patti Houle
        • Tobi Perham
introductions6
Introductions
  • Individual & Family Plan Underwriting Team
    • Nancy Fugiel, manager
      • Underwriters
        • Cheryl Balhorn
        • Sorinela Dima
        • Leticia Torres
    • Steve Macias, director of sales Medicare
plan year kick off7

Plan Year Kick Off

Health Net National Perspective

Roger Greaves

plan year kick off8

Plan Year Kick Off

Health Net of Arizona

Financial Snapshot

Mark El-Tawil

hnaz financial snapshot
HNAZ Financial Snapshot
  • HNAZ has made significant operational improvements driving Net income improvements by over $2.0 million for the same period last year

YTD Net Income – June 30, 2005 $3,176,616

Prior Year To Date $1,048,545

  • Reported Net Premium Income rose to $211 million vs. $208 million for the same period last year
  • YTD MCR including Medicare Advantage improved slightly to 87.1% vs. 87.9% for the same period
  • Health Net of Arizona is financial strong with Capital of over 400% of the Risk-Based need

Note: All numbers are presented on statutory basis and reflect the Arizona company business only and do no reflect Health Net Life members or products managed by Health Net of Arizona.

plan year kick off10

Plan Year Kick Off

Accolades & Service Improvements

Mark El-Tawil

accolades service improvements
Accolades & Service Improvements
  • Announcing Excellent Accreditation by NCQA
    • “NCQA’s ‘Excellent’ Accreditation status is reserved for the best health plans in the nation. It is only awarded to those plans that meet or exceed NCQA’s rigorous requirements for consumer protection and quality improvement and deliver excellent clinical care.” – Margaret E. O’Kane, president
accolades service improvements12
Accolades & Service Improvements
  • Ranking Arizona
    • Ranked #1 HMO in Arizona by Ranking Arizona Magazine
accolades service improvements13
Accolades & Service Improvements
  • Top tier claims payer
    • Health Net of Arizona was ranked in the top three claims payers in Arizona
      • Arizona Hospital and Healthcare Association Survey
      • Ranked by percentage of claims paid within 60 days
accolades service improvements14
Accolades & Service Improvements
  • Average speed of answer – 20
    • Average number of seconds it takes to answer an incoming call
  • Abandonment rate – 1%
    • Number of callers who voluntarily hang up before answer
  • Financial claim quality – 99.57%
    • Percentage of incorrect payments or claim denials that result in financial errors
  • Payment (claims) quality – 98.58%
    • Percentage found by subtracting the number of claims with a payment error from the total number of reviewed claims
plan year kick off15

Plan Year Kick Off

November Renewal

Chris Porterfield

november renewal
November Renewal
  • No Benefit Changes
  • Rate changes effective November 1, 2005
  • All in-force membership
november renewal17
HMO Average Increase

In-force prior to 6/1/05

14.75%

New 6/1/05 to present

6.75%

PPO Average Increase

In-force prior to 6/1/05

14.75%

New 6/1/05 to present

6.75%

November Renewal
plan year kick off18

Plan Year Kick Off

Product Portfolio

Chris Porterfield

product portfolio
Product Portfolio

HMO and PPO 90% Plans

  • Membership in 90% plans has been frozen as of November 1, 2005
  • Current members can continue this coverage
    • Current members will not be forced into another plan
product portfolio20
Product Portfolio

Introducing Health Savings Accounts

  • Now Selling for November 1, 2005 effective dates
    • Health Net’s HSA Compatible, High-Deductible PPO Plans offer advantages and choice
      • Convenience of automated reimbursement to the member
      • Option to save
    • Advantage of one of the largest and most stable banking partners, Wells Fargo
product portfolio21
Product Portfolio
  • High-Deductible HSA Plan Designs
    • Three plan designs at the individual level and three at the family level

Individual

      • Individual plan 1 - $1,750, 100/50
      • Individual plan 2 - $2,600, 100/50
      • Individual plan 3 - $2,600, 80/50 + Rx

Family

      • Family plan 1 - $3, 500, 100/50
      • Family plan 2 - $5,150, 100/50
      • Family plan 3 - $5,150, 80/50 + Rx
product portfolio22
Product Portfolio
  • Marketing Materials for HSA
    • HSA Brochure
      • Describes how the Health Net High-Deductible PPO plan works in conjunction with the Wells Fargo Health Savings Account
      • Goes into the overall plan brochure in the back pocket
product portfolio23
Product Portfolio
  • Marketing Materials
    • Plan Brochure
      • Pocket folder
      • High-Deductible PPO plans are shown in the brochure
product portfolio24
Product Portfolio
  • Marketing Materials
    • Application
      • The new plans are found in a third column where the applicant selects the type of coverage for which they are applying
product portfolio25
Product Portfolio
  • Marketing Materials
    • Overview
      • This folded brochure shows each of the Health Net plan designs side-by-side
      • This brochure will be included with renewal packets
  • Marketing the Health Net HSA programs
    • Health Net U
      • Classes scheduled
plan year kick off26

Plan Year Kick Off

Underwriting Enhancements

Nancy Fugiel

underwriting enhancements
Underwriting Enhancements
  • Rate Ups
    • Rate ups are available for November 1, 2005 effective dates for the following conditions
      • Hypercholesterolmia
      • Depression
      • Anxiety/Panic Attacks
      • Hypertension
      • Irritable Bowel Syndrome
      • Pancreatitis
      • Psoriasis
      • Chiropractic Maintenance Care
  • Multiple exclusion riders available for November 1, 2005 business
plan year kick off28

Plan Year Kick Off

Medicare Producer Programs

Steve Macias

plan year kick off30

Plan Year Kick Off

Producer Rewards

Chris Porterfield

producer rewards
Producer Rewards

Bonus Opportunity

  • $50 per approved application
  • November, December & January effectives
  • Introducing new broker commissions
  • Progressive commission structure
    • Based on producer’s total Health Net book
    • 10% - 1-99 new and in-force contracts
    • 11% - 100 – 199 new and in-force contracts
    • 12% - 200 – 299 new and in-force contracts
    • 13% - 300+ new and in-force contracts
  • Bonus payments will be based on quarterly book review in January, April, June and October
contest
Contest
  • Announcing the Race for Cabo Contest
    • Individual and Family Plan production can be combined with Medicare production
    • Top Seven producers with at least 150 new members
    • Effective dates September 1, 2005 thru February 1, 2006
      • Casa Del Mar, Cabo San Lucas, Mexico
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