Introducing

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					IHC Health Solutions
  ….previously HPA




          STM
Short-Term Medical Insurance
        Agenda
• Introduce IHC Health Solutions
• Products
  –   Secure STM/Secure Saver STM
  –   Secure Lite/Secure 12x3
  –   Secure Dental One
  –   Rx pay card
  –   Overseas travel
• Sales opportunity
• Contracting
• Business submission (online demo)
    Introducing IHC Health Solutions

Headquarters:
  • Rockford, Illinois & Phoenix, Arizona
  • Tampa, Florida – Marketing
Founded: 1939
  • IHC member company – A rated, NYSE (IHC)
     • $1 Billion assets
STM and Dental Products – Underwritten by
 Standard Security Life Ins Co of NY – an IHC
 Group member company
  • Carrier – Distribution relationship - Stability
      Short Term Medical
• STM – What is it?

  – Affordable major medical coverage purchased
    on a temporary basis

  – Accept/reject

  – Effective dates as early as 12.01a.m. the next
    day. Can request later effective date up to 60
    days after application date
      STM eligibility
• Eligible applicants ages 18 through 64
  years and 11 months, spouses, and
  dependent children under age 19 (under
  25 if full time student)
• Child only ages 2-18
• Applicants can answer health questions
  with „NO‟ response
      Payment Options

• Monthly pay – up to 6 or 12 months
  – Check, money order, credit card, auto bank
    withdrawal
• Single pay – 30 to 180 days, select exact
  number of days
• 10 day free look period
       Payment options
• Your subsequent monthly credit card/ach
  premium deductions will occur based upon
  the effective date of coverage.
  – If your coverage effective date is the 1st -15th,
    your premium will be deducted on the 1st of
    the month.

  – If your coverage effective date is the 16th-
    31st, your premium will be deducted on the
    15th of the month.
       STM Plan Enhancements

• Ambulance; now up to $500 per occurrence for
  ground and up to $1,000 per occurrence for air.

• Removal of $2,500 benefit maximum for knee
  injuries/disorders and gallbladder removal
  surgery; benefit now pays up to the calendar-
  year maximum

• Removal of the six-month waiting period for
  hysterectomy, tonsillectomy, adenoidectomy,
  repair of deviated nasal septum or any type of
  surgery involving the sinus, myringotomy,
  tympanotomy, herniorraphy or cholecystectomy
                    Secure STM

             Secure Short Term Medical

            Flexible major medical coverage
               Competitive premium rates
                  $2 million per person
Choice of payment, deductible, and co-insurance options
           $250, $500, $1000, $2500, $5000
    Simplified underwriting & instant effective dates
              Use any doctor or hospital!
   Additional discount incentives for PHCS providers
                   No waiting periods
              Up to 12 months of coverage
                    Eligibility up to 65
           Unlimited re-applies in most states
             Product approved in 45 states
          Secure Saver STM

            Secure Saver STM



• A smart health plan designed to keep
  premiums low without exposing
  clients to high deductibles
• Premium savings up to 45% less than
  the Secure STM plan
• $50 Co-Pay for office visits
       Secure Saver STM

• Instead of a calendar-year deductible, this plan
  offers a choice of daily maximums: $250, $500,
  $750 or $1000.
• Plan participants pay for the first dollar of
  covered expenses up to their chosen daily
  maximum;
• Plan pays 100% of the expense in excess of the
  daily maximum for all covered expenses
• $4,000 calendar-year out-of-pocket maximum;
  every dollar spent on daily maximum expenses
  applies to the $4,000 out-of-pocket maximum
                     Secure STM/ Saver Und. Q‟s
•   1. Will there be any other group or individual major medical health insurance in force on the policy effective
    date?
•   2. Is the proposed insured, spouse, or any dependent child now pregnant?
•   3. Have you or any person applying for coverage been declined for health insurance for a condition that is still
    present?
•   4. Are you or any person applying for coverage currently eligible for Medicaid?
•   5. Are you or any person applying for coverage currently over 300 pounds if male or over 250 pounds if
    female?
•   6. Within the past 5 years have you or any person applying for coverage been aware of, received an abnormal
    test report for, been diagnosed with, been treated by or received follow-up care with a member of the medical
    profession, taken medication for or had a device surgically implanted or in place for:
•   ■ heart disorder, heart attack, coronary artery disease, coronary bypass or stent
•   ■ peripheral vascular disease or carotid artery disease
•   ■ stroke or other neurological disorder, cancer or tumor
•   ■ paraplegia, quadriplegia or multiple sclerosis, stem cell transplant
•   ■ emphysema or COPD (chronic obstructive pulmonary disease)
•   ■ diabetes, liver disorder
•   ■ kidney disorder other than stones
•   ■ degenerative disc disease or herniated disc
•   ■ rheumatoid or psoriatic arthritis
•   ■ degenerative joint disease of the knees or hips
•   ■ alcohol or drug abuse or dependency
•   ■ hemophilia
•   7. Have you or any person proposed for coverage been diagnosed or treated for Acquired Immune Deficiency
    Syndrome (AIDS), AIDS-related complex, or any other immune system disorder? Answer this question “no” if
    you have tested positive for HIV but have not developed symptoms of the disease AIDS
                     Secure Lite and12x3

                    Secure 12x3 Short Term Medical

•   A permanent major medical and mini med product hybrid
•   $750,000 policy maximum
•   1 to 36 months of STM coverage (Secure Lite – 6 mo maximum)
•   Continuous claims coverage
•   Eligible ages 2 thru 65
•   $25 doctor visit benefits up to 4 times per year – 1st dollar benefit
•   No decline question, no ht/wt question, non insulin dependent
    diabetics eligible
•   No networks – choose own doctors and hospitals
•   Unlimited rewrites (in most states)
•   Teledoc included
•   AME optional rider
                             Secure 12x3
                      Secure 12x3 Short Term Medical

$25 first dollar             Doctor visits (4 per year or benefit period)
$1,000 per day               In-hospital charges

$1,250 per day               In-hospital Intensive care charges
$500 per day                 Surgical charges
$500 per day                 Outpatient emergency room charges


$500 per day                 Inpatient physician visits


$2,500 per day/ $5,000 Max   Surgeon/anesthesiologist services per policy period
per benefit period
              STM lite and 12x3 Und Q‟s
•   Will there be any other group or individual major medical health insurance in force on the
    policy effective date?

•   Are you or any person applying for coverage now pregnant?

•   Are you or any person applying for coverage currently eligible for Medicaid?

•   Within the past 5 years have you or any person applying for coverage been aware of,
    received an abnormal test report for, been diagnosed with, been treated by or received
    follow-up care with a member of the medical profession, taken medication for or had a
    device surgically implanted or in place for: ¦ heart disorder, heart attack, coronary artery
    disease, coronary bypass or stent ¦ peripheral vascular disease or carotidartery disease ¦
    stroke or other neurological disorder ¦ cancer or tumor ¦ paraplegia, quadriplegia or
    multiple sclerosis ¦ stem cell transplant ¦ emphysema or COPD (chronic obstructive
    pulmonary disease) ¦ insulin-dependent diabetes ¦ liver disorder ¦ kidney disorder other
    than stones ¦ degenerative disc disease or herniated disc ¦ rheumatoid or psoriatic arthritis
    ¦ degenerative joint disease of the knees or hips ¦ alcohol or drug abuse or dependency ¦
    hemophilia

•   Have you or any person proposed for coverage been diagnosed or treated for Acquired
    Immune Deficiency Syndrome (AIDS), AIDS-related complex, or any other immune system
    disorder? Answer this question “no” if you have tested positive for HIV but have not
    developed symptoms of the disease AIDS.
                             STM Prospects
•   Offer STM to customers without health insurance
     – Instant effective dates, affordable comprehensive coverage
     – Cover them during the underwriting period for IM
     – Preserve your client should they not qualify for IM or if the policy is issued
        with excessive riders and or rate ups
•   Individuals that cannot afford major medical insurance
•   Individuals that need coverage for 12 months or less
•   Individuals that want something more than a limited medical benefit
    plan
•   Individuals that can’t qualify for major medical due to medical history
•   Individuals looking for an alternative to Cobra
•   Senior market – approaching medicare eligibility
                       Rx Pay Card

                        Rx Pay Card

– Available nationwide at over 42,000 pharmacies
– Convenient Internet enrollment for instant coverage
– Formulary program with 4 tiers
   •   Tier 1 – Generic Drugs – up to $10 co-pay
   •   Tier 2 – Brand and Generic – up to $20 co-pay
   •   Tier 3 – Brand and Generic – up to $50 co-pay
   •   Tier 4 – Brand – negotiated special discounts
– Automatic Acceptance - no underwriting or health
  questions
– No time limits for pre-existing conditions
– No monthly or annual maximums
              Secure Dental One

                 Secure Dental One


•   Freedom to choose any dentist
•   Personal portability
•   Auto acceptance
•   Immediate coverage for preventive care
•   $100 Lifetime deductible
•   Eligibility through age 64
              Secure Dental One

                  Secure Dental One


• Three plan options
  – Basic One
  – Classic One
    • Calendar year max - $750
  – Premier One
    • Calendar year max - $1,250
              Overseas Travel Medical

                    Overseas Travel Medical

•   U.S. citizens traveling abroad
•   Non U.S. citizens traveling to the U.S.
•   Hospital & Medical Expenses
•   24-Hour Medical Emergency Services
•   Trip Cancellation
•   Lost Luggage
•   Emergency Dental
•   Emergency Evacuation
•   Accidental Death & Dismemberment
•   Return of Minor Children
           Overseas Travel Medical

               Overseas Travel Medical


• Max Benefit Choices
  – $50K, $100K, $250K, $1M
• Deducibles
  – $125, $250, $500, $1,000, $2,500
• Hazardous sports rider
  – $10K
 Summary

              HPA
Easy to buy, Easy to sell products!

     Questions or Comments!
         Tim Schappel
  tschappel@hpainsurance.com
       800-277-3323 x236
       262-716-3109 (cell)

				
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posted:7/4/2011
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