Specified Health Event Protection - SHE

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Specified Health Event Protection - SHE
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Introduction

• Designed to increase revenue
• More competitive in the marketplace
• Broadened benefit structure

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Specified Health Event (SHE)
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Specified Health Event ProtectionThe Need

• SHE addresses the growing burden of higher
• Copayments
• Deductibles
• Provider expenses
• Risks for
• Heart Disease
• Stroke
• Burns
• Organ Transplants

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Specified Health Event ProtectionThe Need
Estimated Women Reoccurrence Men
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SHE Age Limits

• Age Banded
• Payroll 1870
• Nonpayroll 1864
• Dependent Children Covered up to age 25

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SHE Eligibility

• Billing
• Plan Options
• Combination Benefits
• Primary Specified Health Events

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SHE BenefitsPlans 1 and 2

• First-Occurrence Benefit
• Primary/Spouse 5,000
• Child 7,500
• Reoccurrence Benefit 2,500
• Hospital Confinement Benefit 300
• Secondary Specified Health Event Benefit 250
• Continuing Care Benefit 125

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SHE BenefitsPlans 1 and 2

• Ambulance Benefit Ground 250, Air 2,000
• Transportation Benefit 0.50/mile
• Limited to 1,500/occurrence
• Lodging Benefit 75/day
• Waiver of Premium Benefit
• Continuation of Coverage Benefit

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SHE BenefitsPlan 2

• Major Human Organ Transplant Benefit 25,000
• HIC Benefits
• Hospital Intensive Care Unit Benefit
• Sickness Injury Days
• 700/day 800/day 17
• 1,200/day 1,300/day 815
• Confinement in a Step-Down Intensive Care Unit
• Sickness Injury Days
• 350 per day 350 per day 115 or
• 350 per day 350 per day 1630 (ICU)

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SHE BenefitsPlan 2

• Progressive Benefit 2 indemnity
• First-Occurrence Building Benefit Rider 500
• Primary Specified Health Event Recovery Benefit
  Rider 500/month

SHE BenefitsRiders
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SHE Product Comparison Chart
Personal Recovery Plus A-70000 Series New SHE Protection A71000 Series
Policy Provisions Policy Provisions Policy Provisions
Age Availability 1870 (Payroll) 1864 (Direct/Nonpayroll) 1870 (Payroll) 1864 (Direct/Nonpayroll)
Bill Form Availability All All
SNG Payroll and Direct No Yes
Policy Benefits Policy Benefits Policy Benefits
First-Occurrence Benefit Primary/Spouse/Dependent Level 1 2,000 Level 2 5,000 Primary/Spouse 5,000 Dependent 7,500
Reoccurrence Benefit Level 1 1,000 Level 2 2,500 2,500
Daily Hospitalization Level 1 200/day Level 2 300/day 300/day
Continuing Care Benefit 100 125
Transportation Benefit Up to 1,500 100-mile radius Up to 1,500 50-mile radius
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Personal Recovery Plus A-70000 Series New SHE Protection A71000 Series
Policy Benefits Policy Benefits Policy Benefits
Lodging 60/day 100-mile radius 75/day 50-miles radius
Ambulance Benefit 100 Ground 1,000 Air 250 Ground 2,000 Air
Secondary Specified Events No 250 per procedure
HIC Benefit No Sickness 700/day (Days 17) 1,200/day (Days 815) Injury 800/day (Days 17) 1,300/day (Days 815) Step-Down ICU 350/day (Days 115) or 350/day ICU extended (Days 1630)
Progressive Benefit No Plan 2 Only 2/month
Major Human Organ Transplant Benefit No Plan 2 Only 25,000
Waiver of Premium Benefit Yes Yes
Building Benefit Rider No Yes
Recovery Benefit Rider No Yes
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SHE Policy Sample

• Plan 1 A71100
• Plan 2 A71200

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SHE Applications

• Payroll A71001 and A71001A
• Nonpayroll A71002 and A71002A

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SHE Forms

• Payroll Account/Insurance Acknowledgment M0138B
• Change/Reinstatement A71003 and H-L0046
• Claims S-3087, A-2575, S-00198, and S-2029
• Brochure A71175 Plan 1 and A71275 Plan 2
• Outline of Coverage A18425 Plan 1 and A18425H
  Plan 2

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SHE Premium Rates

• MRS073
• Rates are age-banded.
• Rates are listed for base plans.

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SHE Commissions
First Year Renewals
New Associate 40.00 7.00
Veteran Associate 31.30 10.00
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Marketing SHE Protection
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Selling SHE

• Plan Discount
• Target Market
• Comprehensive Umbrella
• HSAs
• Age Bands
• Younger Males
• Parents

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SHE Into L.E.A.S.E.

• Steps
• Level of Importance
• Time
• Transition Statements
• Trial Closes

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SHE Into L.E.A.S.E.

• Aflac Credibility
• Fact-Finding
• Need
• Product Overview
• Close

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Overcoming Objections/Additional Products

• Cornering Technique
• Isolate Objections
• Rewind and Replay
• Other Objections
• Offering Additional Products

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SHE Conversions
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Existing Product Convert To Conversion Limitations
Personal Recovery Plus (Series A-70000) Specified Health Event Protection Plan One or Two (Series A-71000) Cannot have an existing Aflac Personal Recovery Plus policy in addition to a Specified Health Event Protection plan Cannot purchase the Hospital Intensive Care Protection plan and the Specified Health Event Protection (Plan Two)
Personal Recovery Plus Specified Health Event Protection Plan Two Only (Series A-71000) Cannot convert Hospital Intensive Care and Specified Health Event to Specified Health Event Protection (Plan One)
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Thank you and Good Luck!