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Employee Elective, Health and Wellness-Driven, Fully-Insured Indemnity Program to Increase Employee Pay and Generate Tax & Other Savings for the Employer.

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Presentation on theme: "Employee Elective, Health and Wellness-Driven, Fully-Insured Indemnity Program to Increase Employee Pay and Generate Tax & Other Savings for the Employer."— Presentation transcript:

1 Employee Elective, Health and Wellness-Driven, Fully-Insured Indemnity Program to Increase Employee Pay and Generate Tax & Other Savings for the Employer HR Specialty Products & Services Catalogue Executive Summary A No Frills Distillation of Vendor’s Marketing Collateral Thomas A Ference President & CEO Human Resources Mining & Distribution Co Locating, Validating and Accelerating HR  Innovation Office: Cell: Fax: Website:

2 Health & Wellness EE and ER Tax Savings Program
Employee health management and wellness programs typically come at cost to the employer They can also be ineffective in that “unhealthy well” and “chronically ill” employees do not participate at desired levels. This fully-insured product was developed to both increase health management and wellness program participation and decrease the cost of the healthcare benefits. It provides fully-insured, indemnity-type benefit payments to and pay increases for, employees who elect to participate.

3 Health & Wellness EE and ER Tax Savings Program
Employees access the program via a user-friendly portal that provides access to a wellness activities menu, health coaches, telemedicine, provider cost and quality information plus Rx price shopping. The pre-tax nature of the insurance premiums combined with a monthly wellness activities dollar credit provided under the insurance policy combine after all program expenses to produce both: - an increase in pay for (most) employees which is estimated for each employee at time of program participation election (or not), -an increase in employer income resulting from corporate FICA tax savings

4 Health & Wellness EE and ER Tax &Cost Savings Program
The benefits to the plan sponsor and employees as documented in a suite of robust management reports can include: - health management and wellness programs with increased participation levels - a decrease in the plan sponsor’s healthcare benefits spend - an increase in employee net pay (taking some pressure off wage increases) and additional tax savings income for the employer

5 Revenue Generating Way to Improve Employee Health
Provide Dollar Motivations for Employees Engage Employees To Improve Health Conditions Increase Employee After Tax Incomes Generate Tax Savings Income for Employer Reduce Plan Sponsor Health Benefits Spend

6 Employees’ Health Management Process
Use Individualized Assessment to Determine Program Viability Realize Net Tax Benefit / Pay Increase Complete HRA -Used for Program Personalization Pay Monthly Program Insurance Premium Engage with Wellness & Health Coach, or Realize Gross Tax Benefit Perform Eligible Activity Receive Insured Indemnity Payments* *Insured indemnity benefit payments = $100/day in hospital (up from 5 up to 31days) , $50 per eligible test (up to 5 per year) and $625/ month program participation

7 ER and EE Tax Savings Via Using an Insured Approach
Employee Tax Savings* Employer Tax Savings Income Item Before After Delta Monthly pay $4,000 Premium Deduction (755) Various Taxes (872) (652) Indemnity Claim 625 Net Pay $3,128 $3,218 + $90 Income Item Before After Delta Monthly Pay $4,000 Premium Deduction (755) Employer FICA (306) (248) Employer Fee (31) Net Cost $4,306 $4,279 -$27 * Assumes a $48,000 per year employee and an OH 3.46 % state tax rate

8 Robust Information for Members and Plan Sponsor
Member Portal Program Reports TESTIMONIALS FINANCIAL SUMMARY ELIGIBILITY TOTAL PARTICIPANT CONTACTS BY TYPE REALTIMETELEMED CONSULTS DNA TESTING REALTIMECHOICES REALTIMEWELLNESS RECENT SCREENING EVENT SUMMARY PARTICIPANTS IDENTIFIED WITH CHRONIC CONDITIONS HEALTH RISK ASSESSMENT HEALTH SCREENING/EARLY CANCER DETECTION BENEFIT DAILY IN-HOSPITAL INDEMNITY BENEFIT

9 Next Steps This product/service is contained in the HR Specialty Products & Services Catalogue™ This summary is provided for informational purposes only and is not an offer to sell insurance Operational level details about this particular service provider can be obtained in conference with the licensed vendor The HR Mining &Distribution Co. is an independent and contracted representative of the vendor but is not the licensed agent Upon your request, we will arrange for an introduction that can range from a simple, quick conference call to a services overview / system demo with the agent Tom Ference (Chicagoland area) or


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