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Dependent Eligibility Audits To Reduce Healthcare Costs How To Use AFLAC The Big IDEA ● Internet Dependent Eligibility Audits.

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Presentation on theme: "Dependent Eligibility Audits To Reduce Healthcare Costs How To Use AFLAC The Big IDEA ● Internet Dependent Eligibility Audits."— Presentation transcript:

1 Dependent Eligibility Audits To Reduce Healthcare Costs How To Use AFLAC The Big IDEA ● Internet Dependent Eligibility Audits

2 Dependent Eligibility Audits We find and remove ineligible dependents

3 Benefits to Employer Healthcare Costs Plan Fiduciary Responsibility Claim Risks (stop loss) REDUCEDECREASEMAINTAIN

4 Results From Hospital Audit Dependents 2,400 Dependents Removed 7.8% 1 st Year Savings $393,498

5 Results From Manufacturer Audit Dependents 4,500 Dependents Removed 6% 1 st Year Savings $750,000

6 Results From School Audit Dependents 700 Dependents Removed 6.8% 1 st Year Savings $300,000

7 The Big IDEA AFLAC and Impact Significant Results For Employers TechnologyPeople Knowledge

8 Technology Customized Website Employer’s SPD Custom Rules Custom Questions Document Requirements Product Offerings Crown Technologies

9 Technology Target Ineligibles Drill-Down Questions Define Relationships Time and Date Stamp Spousal Carveouts and Surcharges

10 People Trained Counselors Organize the Audit Schedule Employees Face-to-Face Interviews Ask Affidavit Questions Explain Document Requirements Take Advantage of AFLAC’s Strengths

11 People Skilled Auditors Employee Call Center Document Tracking Document Adjudication Post-Audit Reporting Take Advantage of Impact’s Strengths

12 Process Well-Executed Event Conduct Planning Session Acquire SPD and Data Develop Website Train Counselors Provide Templates* Implement Event Deliver Reports * For employee communications

13 Communications - Newsletter

14 Communications – Payroll Stuffer

15 Communications – Letter

16 Communications –

17 Typical ROI on Audits Percent Removed 3%5%8% 1 st Year Savings$90,000$150,000$240,000 Savings Over 3 Years$219,600$371,000$585,600 Communications Cost*$1,500 Return on Investment60 Times100 Times160 Times 1,000 Employees 500 with Covered Dependents * Letters to employee homes 1,000 Dependents $3,000 Average Annual Healthcare Costs Client Profile

18 Executive Summary of Methodology / Results Participation Status Call Center Status Document Submission Status Ineligible Results Analysis of Ineligibles Annualized Savings

19 The Bottom Line The Internet Dependent Eligibility Audit A comprehensive, customized, personally-delivered solution designed to help you identify ineligible dependents and control healthcare costs. 12/21/2011


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