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					  CIA Annual Meeting




LOOKING BACK…focused on the future
CIA Annual Meeting
Session 5207: Plan Design Issues

 •   Moderator: Ron Hoskins

 •   Speakers:
      • Teresa Negrich

      • Brian Kassner

      • Louis Bernatchez




 LOOKING BACK…focused on the future
CIA Annual Meeting
Session 5207: Plan Design Issues
 Agenda
 • Trends in Critical Illness (CI)

 • The health and wellness challenge

 • Health spending accounts for small groups




 LOOKING BACK…focused on the future
CIA Annual Meeting
Session 5207: Plan Design Issues
 •   Trends in CI
     •   Biggest demand from large financial services
         companies and smaller companies in the west
     •   Voluntary product with an expectation of
         some evidence free coverage
     •   Selection risk can be mitigated by fairly
         standard pre-x
     •   Currently, there is no significant price
         pressure due to the use of common reinsurers

 LOOKING BACK…focused on the future
CIA Annual Meeting
Session 5207: Plan Design Issues
 •   Critical illness trends
     •   6 primary players
     •   Players are looking for ways to differentiate
         the product through alternative benefit
         schedules – Will this mislead plan members?
     •   Support for the coverage varies significantly
         between advisors




 LOOKING BACK…focused on the future
CIA Annual Meeting
Session 5207: Plan Design Issues
 •   The health and wellness challenge
     •   Plan sponsors are looking for ways to
         improve the health of their members, increase
         productivity and reduce benefit costs
     •   Insurers are responding with web based self-
         help wellness tools and the delivery of
         proprietary and/or third party health and
         wellness programs
     •   Many of these are promoted as product
         differentiators at no additional cost


 LOOKING BACK…focused on the future
CIA Annual Meeting
Session 5207: Plan Design Issues
 •   The health and wellness challenge
     •   In promoting and delivering these products
         most insurers are stepping outside their core
         areas of expertise
     •   If third parties are delivering the core service,
         what value do the insurers bring?
     •   How do we measure the success of the
         programs?
     •   Will demand support the real economic cost
         of delivering these programs?

 LOOKING BACK…focused on the future
CIA Annual Meeting
Session 5207: Plan Design Issues
 •   The health and wellness challenge
     •   How do you select the right providers?
     •   Will the actions of health and wellness
         suppliers create liabilities for the insurers?




 LOOKING BACK…focused on the future
CIA Annual Meeting
Session 5207: Plan Design Issues
 •   Health spending accounts for small groups
     •   We are seeing a growing demand for HSAs
         from small groups with less than 50
         employees
     •   HSAs are seen as a means of providing
         “flexible” benefits and cost control
     •   Flexibility is achieved by providing the
         member with a lot of control over how the
         HSA money is spent


 LOOKING BACK…focused on the future
CIA Annual Meeting
Session 5207: Plan Design Issues
 •   Health spending accounts for small groups
     •   Cost control is achieved through the
         conversion of at least part of the benefit
         program from a defined benefit to a defined
         contribution program.




 LOOKING BACK…focused on the future

				
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