1. Retiree Outsourcing Model that Combines an Individual Policy Exchange with a Traditional Group Policy Approach for Medicare Supplement Coverage
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Thomas A Ference
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Human Resources Mining & Distribution Co
Locating, Validating and Accelerating HR  Innovation
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2. Group and Individual Policy Exchange, Retiree Outsourcing
Retiree Medical Outsourcing using an individual insurance policy exchange only can cause consternation for retirees with resultant PR problems for the employer as retirees lose their tried and true coverage under their prior group benefits plan.
This vendor has 25+ years of retiree benefits administration
Their outsourcing model provides post-age 64 retirees an option of either an insurance exchange or a group plan.
Multiple insurance carriers and Medicare Advantage plans are offered as options on the individual exchange side.

3. Group and Individual Policy Exchange, Retiree Outsourcing
A fully-insured, ERISA-exempt, outsourced group plan is also offered to the post-age 64’s by a carefully chosen reputable carrier arranged for by the vendor
Retaining group plan allows retirees to participate in a plan design comparable to what they have been used to or in any other customized plan design as group coverage is not constrained by standardized plan designs A thru N.
Experience shows that 70%+ of retirees retain the group plan in year 1 with some eventual migration to the exchange side over time.
Pre-65’s remain in their current group plan but the administration can be outsourced to the vendor administrator

4. Retiree Outsourcing Model
Customer Care Center
Age 65+
Outsourced Group Plan
Medicare Exchange
Pre-Age 65
Current Group Plan

5. Customer Care Center Plan Selection and Enrollment Assistance
Provider Assistance
Claim Questions and Assistance
Low-income subsidy filings
Interface with Social Security, Medicare and CMS
Pharmacy Assistance
Billing and Payment Assistance
Ongoing Service and Support

6. Next Steps
This product/service is contained in the HR Specialty Products & Services Catalogue™
Operational level details about this particular service provider can be obtained in conference with the vendor
The HR Mining &Distribution Co. is an independent and contracted representative of the vendor
Upon your request, we will arrange for an introduction that can range from a simple, quick conference call to a services overview / system demo
Tom Ference (Chicagoland area) or
Thank you for your potential interest in this fresh thinking