Doug Thomas President & CEO

It all starts with getting familiar and comfortable with SELF INSURANCE

1)Pre-establish with a third party provider, medical insurance that will be consistent with your previous coverage or better… We used EBMS and the Hecht Group to facilitate the program. 2)Now, instead of paying premiums to a traditional insurance company, deposit your current monthly premium payment amount in an interest bearing account that your company will control and manage. 3)Purchase Medical CAP Insurance to safeguard the company/program from major medical at whatever level your team is comfortable… ie; $25k max 4)As time passes, adjust the monthly deposit per employee amount up or down. A) Interest Bearing Medical Account should carry a ~3 month claim coverage balance. B) If your balance is below, adjust upward slightly, if above, adjust downward… (Recommend doing this quarterly at most)

Even though you have now been self insured for some period of time, your employees and their family members have been going to traditional medical clinics or likely the emergency room to receive medical care at significant expense for the services provided while also likely requiring long appointment lead times, significant waiting room time and very little actual time with the doctor.

Now that you are comfortable with Self Insurance and the benefits of spending less on medical insurance than you did in the past… It might be time to…

1) Build a clinic or partner with an existing MiCare Clinic. BCS’s MiCare Clinic Build-Out cost was ~$65k. 2) Hire a medical staff (if you are starting from scratch). Your third party administrator EBMS will assist with all administrative details. 3) Equip the MiCare Clinic with basic furniture, exam room equipment, tech equipment, supplies and a pharmacy. 4)Begin seeing patients via an online appointment scheduling system provided by EBMS / MiCare. 5)Most visits are completed from arrival to departure in under 30 minutes. Average time with Doctor is 20 minutes (Less than 7 minutes with the doctor and over 30 minutes in the waiting room for the traditional clinic national average) Average MiCare Clinic Cost ~$130/visit… national traditional clinic average ~$360/visit 6)Begin experiencing increased employee satisfaction, reduced time away from work and additional incremental medical cost savings… MiCare Next Steps…

Questions?