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Life & Disability Insurance

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Presentation on theme: "Life & Disability Insurance"— Presentation transcript:

1 Life & Disability Insurance
Products and Services

2 Our Advantage Strength & Stability
Broad Product Offerings with Added Value Benefit Features That Make The Difference Flexible Reporting Superior Customer Service Our strength, innovation and dedication makes us the right solution to your needs. 9/18/2018

3 Our Strength and Stability
A.M. Best: A (Excellent) agency rating Parent company ranked 38th on the Fortune 500 list Parent company named Most Admired Health Insurance Company by Fortune Magazine Parent company ranked 2nd on 2006 Business Week’s Top 50 Performing Companies More than 96,000 group customers and 5.8 million members* Large Case/National Accounts Expertise More than 50 years of experience* Information above is based on collective data along with our other affiliated life and disability companies *Anthem Life internal data 2006 9/18/2018

4 Easy Enrollment & Administration
One Anthem Life & Disability Application All traditional Life products Dedicated Account Manager as a single point of contact for life and medical Some joint administration with medical program Enrollment assistance for voluntary plans 1% discount off medical product when purchased with Life 9/18/2018

5 Broad Product Offerings - Life
Employee and Dependent Voluntary AD&D* Dependent Term Life Life Product Portfolio Employee AD&D Voluntary Life 1) Employee AD&D is available with Basic and Supplemental Life Employee Basic and Optional Term Life *(Portability) not currently available in all states 9/18/2018

6 Broad Product Offerings
Disability Product Portfolio Voluntary STD and LTD (Insured) 25% participation required Short-Term Disability (STD) (Insured & ASO) Long-Term Disability (LTD) (Insured & ASO) 9/18/2018

7 Innovative Supplemental Programs
Resource Advisor Included with group Life and Disability plans at no additional cost Provides employees and family members with resources that may help them achieve a healthier balance including: 24 hour toll-free telephone counseling Legal/Financial Counseling for employee or their beneficiary Counseling sessions for an employee’s beneficiary Face to face counseling sessions for beneficiaries and for employees who become disabled Access to Online Resources: resources and providers for child care and elder care, legal and financial resource center, excellent articles and links to a myriad of helpful resources Online will preparation and identity theft information Resource Link is included with Small and Large Group Life plans 9/18/2018

8 Life Insurance Products and Services 9/18/2018

9 Flexible Plan Designs Earnings schedules Level amounts
Benefits based on the associate’s wages Level amounts Gives all associates the same benefit amount Employment classification schedules Benefits based on the associate’s job classification Length-of-service schedules Relates the amount of insurance to an associate’s years of service with the company 9/18/2018

10 Competitive Benefit Features
Accelerated Death Benefit feature at no charge Accidental Death and Dismemberment (AD&D) benefits Seat belt benefit Education assistance benefit Access AdvantageTM Account Interest-bearing checking account allows beneficiaries to access funds as they need them Waiver of Premium in the event of a disability Control Plus Account also provides a competitive interest rate on the checking for money remaining at 6 months and again at 12 months providing the member with bonus dollars derived from the interest. (Speaker notes…current interest rate for CONTROL PLUS ACCT is 1.30%) 9/18/2018

11 Competitive Benefit Features
Travel Assistance through Worldwide Assistance Services Included with Large Group Life/AD&D plans at no additional cost Provides employees and dependents with resources and information when traveling 100 miles or more away from home Emergency medical assistance Travel services Pre-departure information 24 hour multilingual call center 9/18/2018

12 Multiple Funding Options
Pooled Refund eligible, with or without premium stabilization reserve Minimum premium Retrospective premium 9/18/2018

13 Superior Claim Service
Dedicated Service Center 99.9% payment accuracy in 2006 98% of claims decisions paid within 30 days in 2006 Average claim turn around time- 3.3days Call abandonment rate below 2% 94% of all calls answered in less than 30 seconds Average speed of answer – 9 seconds Busy rate – 0% Anthem Life internal data 2006 9/18/2018

14 Disability Insurance Programs
Products and Services 9/18/2018

15 The Anthem Life Disability Philosophy
Create optimal disability outcomes for both the employee and the employer while providing a positive member experience. Customized care We evaluate a member’s functional ability based on clinical and vocational information—not just statistics and norms. The team intervenes early and stays with the case, continuously working with the employee, provider and employer to develop an action plan designed to achieve the best possible outcome. 9/18/2018

16 Features That Make A Difference
Behavioral RN Review Health Review Flexible Reporting Vocational Rehabilitation Disability Resources Dedicated Disability Case Manager Social Security Advocacy 9/18/2018

17 Features That Make A Difference
Short-Term Disability (STD) ASO case management models - Levels 1, 2, 3 Flexible Advice to Pay services Behavioral Health Disability Program Resource Advisor Program Return to Work Assistance (Vocational Rehabilitation) Social Security Advocacy Optional paperless claims intake process W-2 reporting and employer FICA matching services available 9/18/2018

18 Features That Make A Difference
STD Case Management Models Level 1 Least intensive management Level 2 More proactive management Level 3 Most proactive management ASO Only ASO Only Fully Insured & ASO ASO = Administrative Service Only 9/18/2018

19 Features That Make A Difference
Short Term Disability Case Management Models Level One (ASO only) Disability approval based on attending physician statement Payment continues until notification from client of return to work Desirable option when governed by management request, labor restriction or company culture Level Two (ASO only) Disability payments begin based on initial attending physician statement Estimated time off work compared to optimal duration guidelines for given diagnosis or procedure Disability leave beyond normal duration requires periodic medical updates for continued benefits 9/18/2018

20 Features That Make A Difference
Short Term Disability Case Management Models Level Three (Fully Insured or ASO) Objective medical documentation required to support disability Claimant’s job description evaluated to determine functional impairment Clinical information and functional requirements assessed in conjunction with duration guidelines Full vocational rehabilitation services included 100% review of all behavioral health claims by staff psychologist Registered Nurses assist in case management Independent Medical Examinations available for use when appropriate 9/18/2018

21 Features That Make A Difference
Flexible Advice to Pay Services Full range of case management options available Reporting frequency based on client need to meet payroll requirements Disability claim reporting can be tailored for customer absence tracking 9/18/2018

22 Features That Make A Difference
Behavioral Health Program In-house Behavioral Health professionals All claims reviewed For appropriate diagnosis, treatment and disability determination For early identification of depression in chronic and acute medical conditions Ongoing behavioral health training for disability case managers 9/18/2018

23 Features That Make A Difference
Return To Work Assistance Certified Vocational Rehabilitation Consultants on staff Vocational rehabilitation assistance Return-to-work assistance (STD and LTD) In-house transferable skills analyses Internet access for rehabilitation opportunities 9/18/2018

24 Disability Products and Services
Social Security Advocacy In-house Social Security Consultants with years of experience working for Social Security Administration Immediate involvement in claims with catastrophic/terminal conditions Award activity* 67% within 12 months 86% over 24 months Saved an average of 15% in attorneys’ fees during each of the past 5 years* Highly successful overpayment recovery program *Anthem Life Internal Data 2006 9/18/2018

25 Flexible Reporting Frequency based on client need Financial data
Daily or weekly authorization reports available for Advice to Pay customers or upon client request Quarterly and annual reporting on closed cases Financial data Gross and net benefit, withholdings, tax reporting, W-2 issuance Report elements Data for International Classification of Diseases (ICD), Major Diagnostic Categories (MDC), age/gender, tenure and alternate duty programs Trends Client data sorting Comparative reporting Claims costs 9/18/2018

26 Superior Customer Service
Dedicated Service Center Over 98.1% financial accuracy in 2006 93% of calls answered in <30 seconds in 2006 Average speed to answer - 8 seconds Call abandonment rate % Busy Rate - 0% Anthem Life internal data 2006 9/18/2018

27 Legal Disclaimer Life and Disability products are underwritten by Anthem Life Insurance Company. Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In most of Missouri: RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. (serving Virginia excluding the city of Fairfax, the town of Vienna and the area east of State Route 123.). In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi") underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare") underwrites or administers the HMO policies; and Compcare and BCBSWi collectively underwrite or administer the POS policies. Independent licensees of the Blue Cross Blue Shield Association. ® ANTHEM is a registered trademark. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. 9/18/2018


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