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Presented By:. L. S. & Associates. Insurance Consultants Inc. The Answer To Healthcare Reform. Health Care Reform–Reality Check.

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  1. Presented By: L. S. & Associates Insurance Consultants Inc. The Answer To Healthcare Reform

  2. Health Care Reform–Reality Check The following information is designed to help you understand the changing face of healthcare and the challenges we encounter with the implementation of the new healthcare reform laws. Healthcare, as we have known it, is a thing of the past. The complexities of Health Care Reform present new challenges for employers which have forced them to consider alternative business ideas to survive. Employers, now more than ever, are relying on their insurance benefits partner to think outside of the box with cutting edge ideas that provide real solutions. Insurance agents have become complacent and over the years have relied on a few convenient traditional healthcare options that have now run their course of un-productivity. The words new, outside the box. creative, cutting edge are not in their vocabulary or realm of expertise. Employers are looking for a benefits partner that can provide certainty in uncertain times. Employers are more than ever wanting their agents to earn their keep and identify the services and value they offer. Savvy business owners are tired of the same old games and are partnering with consultants who provide real solutions.

  3. Average Annual Premiums for Single and Family Coverage 1999-2012 $15,745* You can see by looking at this chart, that in a little over 10 years, the average cost of health insurance for a family has gone up by almost $10,000!.That is nearly a 175% increase!

  4. How are you responding? • Continue to do what you have always done and keep listening to the insurance agent that has gotten you into the situation you are in today and hope for the best? • Continue to shift more costs and out-of-pocket expenses to employees by increasing deductible’s, coinsurance limits and employee premium contributions? Or… • Consider thinking outside the box by using a creative strategy to guarantee savings without risk, and improve benefits at the same time.

  5. The Secondary Supplemental Out-Of-Pocket Medical Insurance Concept Pair a High Deductible Major Medical Plan with a Secondary Supplemental Medical Plan Complexities created by the new healthcare reform laws have opened the door for this creative concept to flourish. Employers have to meet the Essential Benefits Guidelines for benefit coverage and be within the 9.5% threshold of affordable premiums. Under the healthcare guidelines, the secondary plan does not have to be funded by the employer and can be sold on a voluntary basis with certain participation requirements being met which will lower the employers medical contributions towards employee premiums.

  6. How easy is this concept? • A simple two I.D. card system. One card for Major Medical and another card for the Supplemental Medical. • If a covered claim is subject to the new high deductible or co-insurance limit by the Major Medical, the bill is applied to the secondary supplemental medical coverage, instead of the insured potentially being responsible. The benefits can be assigned and paid directly to the provider. This idea has been around for years. For example: With Medicare, seniors have out-of-pocket expenses after Part A & B pays their portion of services. A Medicare Supplement helps fill the void. Employers can utilize this concept with their group health benefits, giving them phenomenal health coverage and creating substantial savings.

  7. Cost Effective Enhanced Benefits Greater Flexibility of Plan Designs Implements long range plan to help control medical costs Spreads the claims risk Minimizes the out-of-pocket expenses related to deductibles & co-insurance An attractive benefit plan that attracts and retains key employees Why The “Secondary Supplemental Medical Insurance” Concept Works

  8. How to Implement the Concept: • Modify your current benefit plan to a High Deductible (3k-5k) Health Insurance Plan (This creates an instant medical premium savings of 30-43%) • Customize the supplemental Out-Of-Pocket Medical Insurance plan that fits your needs (The supplemental insurance plan covers the increased deductible and coinsurance limit) The two plans combined in most cases cost less than your current plan with same or better coverage! Some models have shown employers saving thousands even hundreds of thousands of dollars

  9. Five Easy Steps to make your benefit dollar work harder for you… • Increase your major medical deductible • Create a substantial savings • Customize the supplemental plan that fits your needs best • Use a portion of the savings generated by moving to the higher deductible to pay for the supplemental medical plan • Enjoy the substantial premium savings and enhanced benefits for you and your employees

  10. Example Case Design

  11. Actual Client

  12. Additional Services We Offer

  13. How much can we save you? FIND OUT TODAY!! To schedule an appointment: L. S. & Associates Insurance Consultants Inc. Local: 662-393-9115 Toll Free: 1-888-393-9115

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