Welcome Agents APG Insurance Services

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Welcome Agents!APG Insurance Services
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A Welcome From . . . Al Paone Art Geiss
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Three Things Before We Start . . .
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Delivering Value

• Curt Klein
• Vice President, SalesThe Assurance Group

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Why Are You Here Today?

• Consolidating Industry
• Less Less Players Each Year
• The Usual Suspects
• Tendency To Get Stale
• Agents Like Us Are Always Looking For The Next
  Best Deal
• Heres the freshest deal on the market.

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Whats Valuable In An IMM Product?

• Consumer Benefit Selections/Options
• Networks
• Competitive Rates
• Ease of Underwriting
• Issue Speed
• Sales Platform
• Commissions and Compensation
• Carrier Support
• Carrier Stability

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New Gens Website Resource
www.newgenhealthplans.com
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Meet Your Carrier Partner

• Kate Lizzi
• Sales ManagerInsurers Administrative Corporation

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www.iacusa.com

• Who is IAC?
• Established 1978
• Member of the IHC Group since 2006
• Specializing in the development, marketing and
  administration of fully insured health plans
• Leader in forward-thinking plan designs
• Reliable claims payment history

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www.ihcgroup.com
More than 25 years of life, health and stop-loss
insurance experience

• 1.3 billion in assets
• 1 million customers
• Three carriers rated A- (Excellent)by A.M.
  Best
• NYSE IHC

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IHC is the only insurance company to offer you
the opportunity to go from partnership to
ownership
With the IHC Stock Ownership Plan, you earn stock
with every sale!
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New Generations Portfolio Overview

• Insured by Standard Security Life
• Rated A- Excellent by A.M. Best

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Offer your clients the coverage they deserve.

• Variety of plans
• Affordable, flexible plan options
• Choice of prescription drug benefits
• 1 million calendar year and 5 million lifetime
  maximums
• More than 70 PPO networks

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Deluxe Plan
For individuals looking for traditional,
comprehensive coverage

• 40 office visit copay
• Deductibles range from 1,000 to 25,000
• 50, 70 or 80 coinsurance
• Out-of-pocket maximum ranges from 2,000 to
  10,000

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Advantage Plan
An affordable alternative to the Deluxe Plan
that offers lower premiums without sacrificing
benefits

• 40 office visit copay
• Deductibles range from 1,000 to 25,000
• 80 coinsurance
• Two separate out-of-pocket maximums
• 3,000 for medical services and supplies
• 6,000 for surgery and hospitalization

Save 38
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Premier Plan
A smart health plan designed to keep premiums low
without exposing clients to high deductibles

• 40 office visit copay
• 4,000 or 8,000 out-of-pocket maximum
• 250, 500 or 1,000 daily deductible
• 100 coinsurance after the daily deductible is
  met!

Save 18 - 50
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Copay Plan
An affordable plan for clients that prefer the
predictability of copays

• 500 or 1,000 deductible
• Once the in-network deductible is met, all
  covered services are covered by copays
• 4,000 or 8,000 out-of-pocket maximum
• Inpatient surgical services and confinement copay
  of 500 is per day, and is the only copay that
  applies to the out-of-pocket maximum

Save 10 - 20
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Value Plan
Peace-of-mind coverage with maximum affordability

• Deductibles range from 2,500 to 25,000
• 80 coinsurance
• 6,000 out-of-pocket maximum

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Value Plan
Peace-of-mind coverage with maximum affordability

• Maximum limitations on some services
• 40 office visit copay, limit 2 visits per year
• 40 Dx lab or x-ray copay, limit 2 per year
• 20,000 calendar-year maximum for outpatient
  surgery
• 500 calendar-year maximum for outpatientdiagnost
  ic imaging
• Mental/nervous/chemical dependency benefits
• Chiropractic care
• Ambulance

Save 52
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High Deductible Health Plan
A consumer-directed health plan that offers the
opportunity to invest in a health savings
account (HSA)

• Individual deductibles range from 1,800 to
  5,250
• Family deductibles range from 3,600 to 10,500
• Coinsurance options of 100 or 80
• Out-of-pocket max for the 80 coinsurance option
  is 5,250 individual, 10,500 family

Save 22 - 50
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The Individual Can Choose An HSA With IACs
Vendor OR Can Choose Their Own HSA Provider.
American Health Value is IACs HSA
provider. Learn more about them
at www.americanhealthvalue.com
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Offer your client an affordable prescription drug
option!
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• When should plan participants use TelaDoc?
• When the primary care physician is not available
• For non-emergency medical issues, questions or
  concerns
• Prescription refills
• Short-term, limited refills only
• No DEA-controlled substances
• When the participant is traveling and needs
  medical care

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Preventive care is included with every IAC Health
Plan

• 100 coverage, not subject to deductible
  coinsurance
• Routine cervical cytological screening (Pap)
• Mammography
• Subject to deductible coinsurance
• Prostate and colorectal cancer screening
• Child-wellness screening

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Improve access to preventive care with an
optional wellness benefit.

• 100 benefit up to 250 or 500
• Per insured per calendar year at in-network
  providers
• No waiting period!
• Includes
• Routine physical exams and diagnostic testing
• Well-child screening
• Prostate cancer screening
• Colorectal cancer screening
• Flu shots

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IAC Personal Health Plans cover more than just
the basics.

• Optum 24-Hour NurseLine
• Wellsource Personal Wellness Profile
• Access to the ASH Network of naturopaths,
  dieticians, chiropractors and alternative health
  providers
• LabOne Select
• MyHealthCompass.com

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Extend coverage with our optional benefits.

• Secure DentalOne
• EyeMed Vision Care
• Supplemental accident coverage
• Life insurance
• 24-hour occupationalcoverage
• 18-month rate guarantee

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Clients have 24/7 online access to their health
plan.

• View claim payment status
• View EOBs
• Request a new ID card
• Request certificate of creditable coverage
• Submit name changes
• Links to value-added health plan services

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GAP Plan Overview
2 Plan Selections . . . Protection Package
Protection Plus Package
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GAP Plan Overview
Family - 49.50 Month
Individual - 39.50 Month
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GAP Plan Overview
Family - 79.50 Month
Individual - 59.50 Month
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Underwriting Guidelines

• Kate Lizzi
• Sales ManagerInsurers Administrative Corporation

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Preferred Underwriting Rate

• Preferred rates available
• 10 discount
• Available only during initial application
• Complete a Preferred Rating Questionnaire and
  submit it with the application
• Download from the Web site
• Print from QuoteEz.net
• Available in online quoting
• We recommend quoting STANDARD rates in the field
• If customer qualifies for preferred IAC will
  automatically adjust the rate

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Underwriting Submission

• Protect your placement rate with prescreens!
• Fast track to get your information use the
  electronic filed underwriting guide.
• Uwind_wisconsin_at_iacusa.com

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Underwriting Submission

• Online Applications
• Asks detail to ensure application is complete
• UW Decision made quicker
• Funds are drafted immediately

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Underwriting Review

• As requirements are received they are reviewed
  within 24 - 48 hours
• Requirements will appear on the underwriting Web
  site the following day
• Please check the underwriting Web site daily to
  ensure you are on top of your pending business
  and requirements to get a timely decision made
  timely

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Personal Health Interview

• Required when an applicant is
• Age 50 or older and uses tobacco or does not
  include physician information
• A newborn under 6 months of age
• Rated up 50 or higher for build
• Applying for a preferred health discount
• Over the age of 45 and not replacing coverage
• At the discretion of the underwriter when
  additional information is needed for
  clarification
• The first attempt is usually made within 3 to 4
  hours of an Underwriters request

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Medical Records Requests

• Medical records or an Attending Physicians
  Statement (APS) are required when an applicant
  is
• Age 60 and older
• Not replacing coverage and have two or more
  coronary co-morbid conditions and over the age of
  50
• Rated 70 or more due to build
• A foreign national
• At the discretion of the underwriter
• Current average turn around time is 14 days
• To ensure records are obtained in a timely
  manner, we suggest that you make your client
  aware of the medical record request and ask them
  to inform their doctor.

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Paramedical Exams

• A Para-medical examination will be required if we
  cannot obtain comprehensive medical records from
  the previous 24 months prior to the application
  date on clients at the same ages as the mandatory
  medical records requirement or at the discretion
  of the underwriter, based on the applicants
  medical history

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Offers, exclusions, and amendments are delivered
within 24 hours of final decision

• Rate ups may be accepted by email, fax or phone
  call
• Exclusion riders must be signed by the primary
  applicant or accepted telephonically by the
  primary applicant with a call to our rider
  acceptance unit
• Coverage is placed in force within 24 hours of
  acceptance

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Agent Compensation Overview

• Curt Klein
• Vice President, SalesThe Assurance Group

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Compensation Overview

• 1st Year Renewal
• Agent 21.00 5.00
• Assoc. Agent 18.00 4.00

1.) Commissions Paid As Earned or Advanced 2.) 8
Month Advance
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Compensation Overview
PMPM Gap Plan Commission

• P/F P/F P/I P/I
• Agent 2 2 1 1
• Assoc. Agent 8 7 6 5

PMPM GAP Plan Commissions are Paid Monthly
As-Earned.
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Compensation Overview
Stock Awards
Producer Level Stock Awards 35,000 to 100,000
Issued Premium One IHC Share For Each 5,000
100,000 Two IHC Shares For Each 5,000 Earn
Five Shares Starting At 35,000

• Stock Awards Are Made To The AOR Only

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Compensation Overview
Whats An Agent ContractReally Worth (1st Year)?

• Commission (21) 756
• Gap Commission 120 876
  (24.33)

Assumptions 1.) 3600 Annual Commissionable
Premium. 2.) Family Gap Plan Sold. 3.) Stock
Award Not Calculated.
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Compensation Overview
Whats An Agent ContractReally Worth (Years 2)?

• Commission (5) 180
• Gap Commission 72 252
  (7.00)

Assumptions 1.) 3600 Annual Commissionable
Premium. 2.) Family Gap Plan Sold. 3.) Stock
Award Not Calculated.
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Compensation Overview

• To Be Announced . . .

Incentive Trips!!
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Advanced Commissions

• Kate Lizzi
• Manager, SalesInsurers Administrative Corporation

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Program Details

• Advanced Amount IAC Individual Health Plans
  will advance 8 months worth of earned premium
• i.e. A case earns 100 per month, we advance 8
  months, the agent receives 800
• Interest Rate Annual interest rate will be 12,
  collected monthly, beginning in the second month
• Contracting Participation is available at any
  level. A GA does not have to advance for their
  agent to advance, vice versa. Sign off from the
  GA is required for a producer to participate.
• Paying off advance balance Case by Case
  recovery. Earned commission on an inforce case
  is applied towards that specific cases balance
  only.
• Outstanding debt on canceled cases New Advance
  amount used to pay off any outstanding advance
  debt on a canceled case

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Program Details

• Advances are processed weekly on Wednesday
  evenings
• Advance Statements will post to the website
  weekly on Friday
• Payments are mailed or deposited on Friday
• Earned Statements will post to the website on the
  15th of every month

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Canceled Cases

• Canceled cases do not collect interest
• Outstanding advance balances on canceled cases
  will be retrieved from new advances only
• Additional options will be offered in the future
• Cases will be paid off in order, earliest to
  latest cancel date
• Ultimately, bad debit will roll up, in extreme
  circumstances

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New Gens Website Resource
www.newgenhealthplans.com
Quoting Demonstration
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Want To Look At Your Rates?
1.) Go to www.newgenhealthplans.com
2.) Click on Agent Secure Login
3.) User ID 0200006 Password testagent1
4.) On left, click New Gen Online
5.) Burgundy Box - Go To New Gen Online
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IAC Web Site Overview

• Visit www.newgenhealthplans.com for access to
  sales tools

• Access online quoting application
• Download brochures and forms
• Check underwriting status
• Lookup PPO network providers
• Network Advantage

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Quoting New Generation Health Plans

• New Gen Online
• Online quoting and enrollment
• Streamlined underwriting
• newgen.iacusa.com
• Click on New Gen Online

• QuoteEZ
• Available March 2009
• Download software
• Create, print and email quotes
• For use with a paper application

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Getting Supplies

• Electronic materials are available to download at
  www.newgenhealthplans.com
• Agents can request printed materials by
  completing order form available under Resource
  Center on New Gen website.

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Final Questions?