NCAA Group Basic Accident Medical Program Presentation by lyt94624

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									   NCAA Group
 Basic Accident
Medical Program




                  March 1, 2007
NCAA Group Basic Accident
    Medical Program

               Current Landscape

 Escalating costs to treat athletic injuries
 Collective premium of $75-$100M paid annually by
 member institutions
 Environment of instability and unpredictable premiums
 Fragmented approach
 New solution required to empower institutions
NCAA Group Basic Accident
    Medical Program

  What do we mean by “Basic Accident”
              Insurance?

 Excess medical insurance that covers intercollegiate
 sports related injuries


 Protects the student-athlete and institution below the
 catastrophic insurance deductible of $75,000 per injury
NCAA Group Basic Accident
    Medical Program
         Program Goals and Benefits

 Provide long-term, stable resource
 Educate on ways to control costs
 Reward good performance
 Ensure highest quality service
 Provide online, real-time access to claims information
 Control/reduce program expenses
 Create centralized claims database
NCAA Group Basic Accident
    Medical Program

                    Partnership
      • Participant Accident Medical claim payer 40+ years
      • NCAA Catastrophic Insurance provider for 9 years
      • A.M Best Rating of A (Excellent)


      • Risk management and insurance advisor to the NCAA 15+ years
      • Experts in providing risk management and insurance services
        for the sports and entertainment industry


      • 35+ years experience in intercollegiate insurance business
      • Nearly two centuries of combined staff experience in intercollegiate
        sports insurance
      • Provides basic accident coverage to NCAA, NAIA, and NJCAA
        institutions
NCAA Group Basic Accident
    Medical Program

             Pillars For Success

 Insurance
 Cost Containment
 Risk Management
 Services
NCAA Group Basic Accident
    Medical Program

              Key Program Goal


Provide the tools and resources necessary to empower
 NCAA members to control costs and reduce expenses
                 related to athletic injuries
NCAA Group Basic Accident
    Medical Program
                 Pillar 1 - Insurance

 $75,000 medical maximum
 Excess of other insurance
 Range of deductibles available
 Standard accidental death benefit of $10,000
 Two year benefit period
 Expanded benefit riders available
 Premium based on individual institution’s experience
 Consistent underwriting methodology to determine premium
NCAA Group Basic Accident
    Medical Program

           Pillar 2 - Cost Containment


 Designed to put more premium dollars toward payment
 of claims and fewer toward program expenses
 Program surplus allocated to participating institutions
       Stabilization Fund
       Premium Credit Pool
NCAA Group Basic Accident
    Medical Program

            Fundamental Principle



  Group insurance programs must be built on the
   fundamental principle that managing costs and
  controlling losses is the key to long-term success
NCAA Group Basic Accident
    Medical Program

           Pillar 3 - Risk Management

 Member institutions play a key role in implementing
 “Best Practices”
 Best Practices include:
    Maximizing discounts
    Utilizing primary insurance
    Forming an Injury Management Team to implement
    best practices
    Using “Virtual Risk Manager” to manage program
NCAA Group Basic Accident
    Medical Program
               Virtual Risk Manager

Web-based system provided to institutions to manage all
elements of NCAA Basic Accident program
Electronic incident (claims) reporting and viewing
capabilities
Real-time claims status viewing
Access to customized claims reports
Access to “Best Practices” tools and information
Access to policy and coverage information
NCAA Group Basic Accident
    Medical Program

               Pillar 4 – Services

  Seamless administration of claims between basic
  accident and catastrophic layers
  Experienced claims managers
     Average of 22 years experience per individual
  Focus on efficient, accurate management of claims
NCAA Group Basic Accident
    Medical Program
      Claims Management Best Practices

 Repricing network provided by GlobalCare, Inc. which
 includes access to over 150 networks
 Mapping of preferred providers to available networks
 Inclusion of individual institution agreements
 Utilization of access cards and on-line referral system
 On-line incident reporting
 Real-time access to claims information and reports
 Optional services to manage claims within the deductible
NCAA Group Basic Accident
    Medical Program


            Panel Discussion -
  Answers to Frequently Asked Questions
NCAA Group Basic Accident
    Medical Program


 How many institutions are currently part of
              the program?
NCAA Group Basic Accident
    Medical Program


     Who is eligible to participate?
NCAA Group Basic Accident
    Medical Program


   Are there some best practices that are
required to participate in the program, or are
              they all optional?
NCAA Group Basic Accident
    Medical Program


  Will we be able to receive a proposal if a
        standard RFP is submitted?
NCAA Group Basic Accident
    Medical Program


When do you begin accepting applications for
        the 2007/2008 policy year?
NCAA Group Basic Accident
    Medical Program


What options are available for the accidental
   death benefit and how does it work?
NCAA Group Basic Accident
    Medical Program


 How does an institution earn credits toward
              its premiums?
NCAA Group Basic Accident
    Medical Program


  Are there materials available that can be
      shared with others on campus?
NCAA Group Basic Accident
    Medical Program
                        Next Steps
 Complete survey to provide feedback and request additional
 information
 Contact dedicated program representative
    866-528-6222
    ncaa@summitamerica-ins.com
 Re-visit Web cast or share with others – available at
 www.ncaa.org


               Thank you for your participation!

								
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