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15 th Side Billing

15 th Side Billing. 15 th Side Billing Overview. As part of platform transformation IBC will eliminate 15 th side billing. Customers will be transitioned upon renewal beginning with January 2014 renewals.

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15 th Side Billing

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  1. 15th Side Billing

  2. 15th Side Billing Overview As part of platform transformation IBC will eliminate 15th side billing. Customers will be transitioned upon renewal beginning with January 2014 renewals. Customers will transition to new billing arrangements during the first two months on the new platform.

  3. How it Works February 15, 2014 February 1, 2015 Membership data is effective on new system. Group renewal and membership renewal dates become one again. Effective on new platform. Data is still active on MHS. February 1, 2014 3

  4. 15th Side Billing Customers Impacts For the first year following Platform Transformation, customers will: For every year following Platform Transformation, customers will: • Be billed with a due date of the first of the month; this means paying insurance premiums 15 days earlier than they do currently. • Have a first-of-the-month yearly renewal rate • Receive a pro-rated 15-day invoice as their first invoice on the new platform; each invoice thereafter will cover a full month • Have a shorter benefit year (50 weeks) • Experience rate changes in 2015 two weeks earlier than in 2014

  5. How Will this Affect Members? Usage Limits: Out-of-Pocket Maximum: • Be billed with a due date of the first of the month; this means paying insurance premiums 15 days earlier than they do currently. • Have a first of the month yearly renewal rate • Once a member reaches their out-of-pocket maximum, IBC will cover 100% of the costs considered medically necessary. • For the first year after migration, members will have two weeks less to meet their out-of-pocket maximum. 5

  6. How Will this Affect New Business? IBC will continue to quote 15-side business to prospects who request a group effective date on the 15th of the month. Here’s how it works: A group’s benefit period will be 50 weeks for the first year, the prospect will be quoted for a 50 week contract ending on the last day of the prior month the following year New customers are set up under group numbers with the first of the month effective dates for first of the month products Membership is set up with 15th of the month effective dates, or any date requested, in the applicable group numbers Customers are invoiced with a due date of the first of the covered month 6

  7. Support From IBC IBC will provide educational materials and support to prepare 15th side customers for the change to a billing cycle Sales representatives have fact sheets and FAQs to explain changes to customers 7

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