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Balance Critical Illness & Accident Plans

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Presentation on theme: "Balance Critical Illness & Accident Plans"— Presentation transcript:

1 Balance Critical Illness & Accident Plans
Brought to you by: Anthem and The IHC Group © IHC Group 2015 For training purposes only. Not for public distribution or solicitation.

2 Why Sell Balance? Timing: Perfect product to accompany an ACA plan or an STM plan Need: Consumers are hungry for solutions to offset deductibles and out-of-pocket costs Compensation: Great income potential when cross-sold with an ACA plan © IHC Group 2015 For training purposes only. Not for public distribution or solicitation.

3 The IHC Group Corporate Overview
Madison National Life Insurance Company, Inc. (MNL) is the underwriting carrier for Balance Ebix Health Administration Exchange, a member of The IHC Group, administers Balance New York Stock Exchange traded company (NYSE:IHC) © IHC Group 2015 For training purposes only. Not for public distribution or solicitation.

4 Balance Guarantee issue product that complements your clients medical plan Provides a package of insurance coverage, services and discounts, including: Critical Illness Medical Expenses due to Accidents Hospital Confinement due to Accidents Disability Income due to Accidents Doctor on Demand Association based non-insurance services such as emergency road-side reimbursement and legislative hotline Insurance benefit payments go directly to your client unless assignment to a medical provider is requested Association membership in Communicating For America, Inc. (CA) is required. © IHC Group 2015 For training purposes only. Not for public distribution or solicitation.

5 Consumer Perspective No coordination of benefits with the members health plan Critical illness and accident plans assist in funding out- of-pocket costs or daily living expenses Payments may be assigned to providers or paid directly to insured Critical illness and Accident Medical Expense benefits can provide income in excess of plan out-of-pocket to help defray the impact of significant illnesses on family budgets © IHC Group 2015 For training purposes only. Not for public distribution or solicitation.

6 The Broker Perspective
Single product source No need to deal with multiple underwriters or administrators for ancillary plans Outstanding customer service for all bundled Balance products at one location Lower cost Bundling ancillary products lessens the impact of selection Lower administrative cost due to multiple products on single bill Product ease Co-branding arrangement with Anthem limits client confusion Online policy fulfillment © IHC Group 2015 For training purposes only. Not for public distribution or solicitation.

7 State Availability Map
© IHC Group 2015 For training purposes only. Not for public distribution or solicitation.

8 Accident Benefit Levels
Balance 1 Balance 2 Balance 3 Balance 4 Critical illness $2,500 $5,000 $7,500 $10,000 Accident medical Accident hospital confinement $150 per day $150 per day Accident disability income $1,000 per month Individual monthly cost $34.95 $44.95 $54.95 $64.95 Family monthly cost $51.95 $69.95 $89.95 $109.95 Exclusions and limitations apply © IHC Group 2015 For training purposes only. Not for public distribution or solicitation.

9 Accident Medical Expense
Balance 1 Balance 2 Balance 3 Balance 4 Accident medical insurance $2,500 $5,000 $7,500 $10,000 Deductible per accident $100 $250 $500 Coverage eligibility A family membership covers the primary member, spouse and all dependents up to age 26 Coverage duration After the deductible, benefits are payable for medical expenses incurred as a result of each covered accident Pays medical expenses resulting from a covered accident The benefit payment is up to the amount of the medical expense © IHC Group 2015 For training purposes only. Not for public distribution or solicitation.

10 Accident Hospital Confinement
Balance 1 Balance 2 Balance 3 Balance 4 Accident hospital confinement $150 Per day Coverage eligibility A family membership covers the primary member, spouse and all dependents up to age 26 Coverage duration Benefits are available for up to 30 days when hospital confined due to a covered injury © IHC Group 2015 For training purposes only. Not for public distribution or solicitation.

11 Accident Disability Income
Balance 1 Balance 2 Balance 3 Balance 4 Accident Disability Income Insurance $1,000 per month Coverage eligibility This benefit is available only to the primary insured Coverage duration Pays a monthly benefit up to 12 months for disability due to a covered accident After a 90 day elimination period © IHC Group 2015 For training purposes only. Not for public distribution or solicitation.

12 Critical Illness Benefit Levels
Balance 1 Balance 2 Balance 3 Balance 4 Critical Illness Coverage $2,500 $5,000 $7,500 $10,000 Pays a lump sum benefit upon diagnosis of: Heart attack Coronary bypass Life-threatening cancer Kidney failure Loss of sight, speech or hearing Severe burn* Paralysis Major organ transplant Stroke Coma *Amount payable is a percentage of the benefit based on the area burned The amount payable will be reduced by 50 percent if the covered person is age 65 or older on the date the benefit becomes payable. Covered illnesses may vary by state © IHC Group 2015 For training purposes only. Not for public distribution or solicitation.

13 Critical Illness Continued
Coverage eligibility A family membership covers the primary insured and spouse only Dependent children are not covered for Critical Illness Coverage Subject to a 12 month pre-existing condition limitation (based on date of first diagnosis) Benefit varies by type of illness and other terms; benefit reduces by 50% when the insured attains age 65 Coverage terminates at age 70 Coverage duration 30 Day Waiting Period / 90 Days for Life Threatening Cancer diagnosis Critical illnesses diagnosed in the first 30 days of coverage will have the lesser of a $500 benefit or 10 percent of the amount that it would have paid for the condition if first diagnosed more than 30 days after the insured person’s effective date. © IHC Group 2015 For training purposes only. Not for public distribution or solicitation.

14 Compensation Standard writing agent compensation is 26%*
*Enrollment and monthly admin fee not included

15 Getting Started You must be contracted with The IHC Group and Anthem in order to sell Interim Care Contracting is available at the Anthem Coverage Resource Center -ic Click “Get set up to sell” You must have an active Health license in each state that you do business and be appointed by the carrier © IHC Group 2015 For training purposes only. Not for public distribution or solicitation.

16 Important Information
THIS PLAN IS NOT CONSIDERED TO BE MINIMAL ESSENTIAL COVERAGE AS DEFINED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA). ENROLLING IN AND MAINTAINING THIS PLAN WILL NOT EXEMPT YOU FROM THE SHARED RESPONSIBILITY PAYMENT (TAX) THAT MAY APPLY IF YOU DO NOT HAVE PLAN WITH ACA-COMPLIANT COVERAGE. Communicating for America, Inc. (CA) is a national non-profit advocacy organization that supports affordable healthcare for all Americans. Since 1972, more than 100,000 consumers have trusted CA to help them find affordable health insurance and GAP plans to stretch their healthcare dollar while advocating on their behalf with insurance companies, regulators and lawmakers. About Madison National Life Insurance Company, Inc. Madison National Life Insurance Company, Inc. (Madison National Life), domiciled in Wisconsin is licensed to sell insurance products in 49 states, the District of Columbia, Guam, American Samoa and the U.S. Virgin Islands. Its core products and services are health insurance, group life and disability income, employer stop-loss, specialized individual life and annuity products to military and government personnel. It is rated A- (Excellent) for financial strength by A.M. Best Company, a widely recognized rating agency that rates insurance companies on their relative financial strength and ability to meet policyholder obligations (an A++ rating from A.M. Best is its highest rating). Ebix Health Administration Exchange Ebix Health Administration Exchange is a full service administrative services company that operates in 50 jurisdictions in the individual and employer markets, and provides state of the art and highly efficient open health insurance exchanges through its affiliation with Ebix Incorporated, and, through an affiliate, is the provider of pet insurance solutions that provide pet parents, specialty pet hospitals and universities and general veterinary practices with the only open exchange in the country for all interested constituencies. About The IHC Group The IHC Group is an organization of insurance carriers and marketing and administrative affiliates that has been providing life, health, disability, medical stop-loss and specialty insurance solutions to groups and individuals for over 30 years. Members of The IHC Group include Independence Holding Company (NYSE:IHC), American Independence Corp. (NASDAQ: AMIC), Standard Security Life Insurance Company of New York, Madison National Life Insurance Company, Inc. and Independence American Insurance Company.. For more information about The IHC Group, visit © IHC Group 2015 For training purposes only. Not for public distribution or solicitation.

17 Thank you Questions? Please reach out to your Anthem representative, call or © IHC Group 2015 For training purposes only. Not for public distribution or solicitation.


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