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UNICARE Start. UNICARE is part of WellPoint Health Networks, Inc., one of the largest health care companies in the nation! WellPoint is a Fortune 500.

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Presentation on theme: "UNICARE Start. UNICARE is part of WellPoint Health Networks, Inc., one of the largest health care companies in the nation! WellPoint is a Fortune 500."— Presentation transcript:

1 UNICARE Start

2 UNICARE is part of WellPoint Health Networks, Inc., one of the largest health care companies in the nation! WellPoint is a Fortune 500 company, and has been recognized as Fortune’s “Most Admired” health care company for the last two years

3 UNICARE is reinventing the Individual and Small Group insurance market!

4 Public versus corporate points of view...

5 Assumed Price Willing To Pay INDIVIDUALS (non-Poor) Range of existing Plans 50% Source: California Healthcare Foundation

6 Physician Hospital Pharmacy Hospital Physician $200 $300 $400 $500 $ Hospital Physician Source: Health Care Financing Administration, 1999, Scott-Levin, 1999 $45 $85 $125 $165 $205 Pharmacy

7 $150 68% 7% PRICE Average Annual Usage % of Americans % of Total Dollars $1,20024%23% $12,000 8%70% Source: Watson Wyatt Worldwide

8 Opportunity is knocking!

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10 Lifetime maximum of up to $5 million Wide choice of plans Preventive Care Out-of-Pocket Maximums provide protection against catastrophic expenses MedCall® 24-hour nurse hotline No claim forms with network providers Our Individual Medical Plans Offer

11 UNICARE Saver 2000 Plan High Deductible for Medical Savings Accounts (MSAs) UNICARE Plans offer several deductibles: –$2,000 –$1,500 –$1,000 –$500 UNICARE Premier No Deductible Plan Term Life Coverage Individual Plan Choices

12 We offer LOW-MEDIUM-HIGH plan options based on plan design and premium! Please note: New sales brochures present benefits and share of costs in a “you pay (this)” format

13 Saver 2000 Plan provides in-hospital coverage with $2,000 deductible Deductible plans with choice of 5 deductibles! Premier No Deductible Plan (with NO Annual Deductible!) $30 Co-Pays for in-network physician office visits on all plans! Office visit co-pay excludes lab and x-rays Individual & Family Medical Plans Features

14 Covers hospitalization and provides some limited benefits 2 office visits to participating providers per member, per year (adult) before deductible is met for a $30 Copay No preventive care benefit (except for babies and children through age 6) Employment-related accidental injury or illness covered (unless covered by Worker’s Compensation Insurance or Employer liability laws) No Maternity Individual UNICARE Saver 2000 Plan Features

15 $2,000 medical deductible UNICARE pays 70%, you pay 30% for inpatient facility and eligible professional charges $200 Brand Name drug deductible $500 Drug Maximum, per member per year (in- and out- of network) Drug Co-pays: Retail ( 30 days ): $10 for Generic $25 for Brand Name Mail order ( up to 60 days) : $20 for Generic $50 for Brand Individual UNICARE Saver 2000 Plan Share of Costs

16 Four separate plans with a choice of deductibles and in- network coinsurance levels Up to 4 office visits to participating providers per member (adult) before deductible is met for a $30 copay $200 worth of covered charges for Preventive Care for children and adults *(subject to deductible and coinsurance) Employment-related accidental injury or illness covered (Unless covered by Worker’s Compensation Insurance or Employer liability laws) Individual UNICARE Deductible Plans * Other than mandated benefits

17 5 Deductible plans: –$2,000 –$1,500 –$1,000 –$500 Individual UNICARE Deductible Plans Share of Costs 80/20 to $3,000 in-network out-of- pocket max.* on the $500 and $1,000 plans 70/30 to $3,000 in-network out-of- pocket max.* on the $1,500 and $2,000 plans * Must also meet deductible

18 Individual UNICARE Deductible Plans Prescription Drug Share of Costs Brand Name Drug Deductibles According to Plan: Plan Deductible UNICARE 500$50 UNICARE 1,000$100 UNICARE 1,500$150 UNICARE 2,000$200 Drug Co-Pays for all plans Retail ( 30 days ): $10 for Generic $25 for Brand Name Mail order ( up to 60 days) : $20 for Generic $50 for Brand Name

19 Individual UNICARE Premier No-Deductible Plan Features Rich benefits and no annual deductible Unlimited office visits $200 worth of covered charges for preventive care for adults* (subject to any coinsurance or copay) Employment-related accidental injury or illness covered (Unless covered by Worker’s Compensation Insurance or Employer Liability Laws) * Other than mandated benefits

20 Individual UNICARE Premier No-Deductible Plan Share of Costs $30 Copay 80/20 to $3,000 in- network out-of-pocket maximum* No brand name drug deductible No drug maximum limitation Drug Co-pays: Retail (30 days): $10 for Generic $25 for Brand Name Mail order (up to 60 days): $20 for Generic $50 for Brand * Must also meet deductible

21 Office Visits $30 office visit copay excludes lab and x-rays Other Common Elements Annual Out-of-Pocket Maximum* Individual $3,000* on all plans for in-network charges! $10,000* on all plans for out-of-network charges! Family $6,000* on all plans for in- network charges! $20,000* for out-of-network charges on all plans!

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23 Affordable Term Life Insurance Individual Term Life insurance is available to anyone who qualifies for one of our medical plans Easy to apply for: Have applicant check the box on application form and complete the Term Life Insurance Application Addendum

24 Marketing Strategies 70% of those in the market don’t have a Life insurance agent Window of opportunity: people don’t buy Term Life insurance unless YOU sell them Term Life insurance Sound financial planning; Term Life is a “financial safety net” for your clients and those who depend on them

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26 Key Features to Look For in an Agent Agreement Future renewals based on commission schedule in force when case was written. Renewals paid for as long as case is in force. Ownership and assignment provisions.

27 Our Commitment to You: Your UNICARE Agent Agreement Ownership contract (six cases issued) Corporations can be licensed No limitations on renewals Do not accept agent of record on individual business

28 UNICARE Competitor Plans First Year Commission 20% ? Contract Ownership Yes! ? Free Quoting Software Yes! ? Access to Underwriters Yes! ? AgentOnline/AgentConnect Coming? UNICARE: Compare the difference!

29 Example of individual production at one case per week. Average premium of $150 per case, 20% commission first year-accruing scale. Month 1$120 Month 2 $240 Month 3$360 Month 4$480 Month 5$600 Supplemental Income

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