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Elite Portfolio Roth B Robertson

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Elite Portfolio Roth B Robertson Elite Portfolio Exclusive Features of Elite: $25 million lifetime maximum benefit for MaxPlan Elite, CoreMed Elite and OneDeductible ... – PowerPoint PPT presentation

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Title: Elite Portfolio Roth B Robertson


1
Elite PortfolioRoth B Robertson
2
Elite Portfolio
  • Built on Familiar plans
  • MaxPlan Elite
  • CoreMed Elite Plan
  • RightStart Elite Plan
  • OneDeductible Elite Plan
  • SaveRight HSA Elite Plan

3
Exclusive Features of Elite
  • 25 million lifetime maximum benefit for MaxPlan
    Elite, CoreMed Elite and OneDeductible Elite
  • Increased preventive services benefits
  • 1,500 for MaxPlan Elite and OneDeductible Elite
  • 1,000 for CoreMed Elite, RightStart Elite and
    SaveRight HSA Elite
  • Eliminated 75 emergency room fee on all Elite
    plans
  • New coinsurance out-of-pocket maximum amounts for
    MaxPlan Elite, CoreMed Elite and RightStart Elite
  • New non-network deductibles and coinsurance
    out-of-pocket maximum amounts for all Elite plans

4
Out-of-Pocket Changes
  • Coinsurance out-of-pocket maximums for MaxPlan
    Elite, CoreMed Elite and RightStart Elite
  • 50/50 and 60/40 coinsurance OOP increased 1,000
  • 70/30 and 80/20 coinsurance OOP increased 2,000
  • Non-network deductibles and coinsurance
    out-of-pocket maximums

Non-network deductible Individual deductible plus Non-network coinsurance out-of-pocket maximum
MaxPlan Elite 2,000 (Family individual x 2) 10,000 (Family 20,000)
CoreMed Elite 2,000 (Family individual x 2) 15,000 (Family 30,000)
RightStart Elite 2,000 (Family individual x 3) 15,000 (Family 30,000)
OneDeductible Elite 2,000 (Family individual 4,000) 10,000 (Family 20,000)
SaveRight HSA Elite 2,000 (Family individual x 2) 15,000 (Family 30,000)
Note Only 3 of Assurant Health PPO
policyholders use non-network providers
5
Additional Product Enhancements
The Assurant Health Elite Individual Health
Insurance Portfolio is further enhanced by IM
product changes.
  • Dental Plushigher-level benefits for dental
    insurance, including 75/visit for semi-annual
    well services
  • Office visit copay available with 5,000 and
    10,000 deductibleson MaxPlan Elite and CoreMed
    Elite plans
  • Maternity benefit waiting period 90 days for all
    plans
  • Maternity option for RightStart Elite and
    SaveRight HSA Elite (in states where approved)
  • Deductible credit pilot
  • New customers 8 month pilot program that credits
    10 of the selected deductible when proof of
    prior coverage is provided
  • Inforce customers First quarter test providing
    10 deductible credit in 2008 for selected
    renewing customers
  • Available with MaxPlan Elite, CoreMed Elite and
    OneDeductible Elite.

6
Elite Sample Rates CoreMed, 5,000 Ded
Market Current Plan Elite Plan
Dallas (752) 240.49 238.09
Chicago (606) 170.47 168.39
Kansas City (640) 140.31 138.80
Ft. Lauderdale (333) 190.23 188.13
Phoenix (850) 158.38 156.20
Atlanta (303) 187.34 186.63
  • Assumptions
  • Male, age 40 Spouse, age 40
  • CoreMed, Preferred Risk, February 1, 2008
    effective date
  • Current Plan 6M Lifetime Max, 5,000 Ded, 50
    Coinsurance (60 Atlanta), 3,500 coinsurance out
    of pocket (3,000 Atlanta), 750 Facility Fee,
    with 24 month rate guarantee
  • Elite Plan 25M Lifetime Max, 5,000 Ded, 50
    Coinsurance (60 Atlanta), 4,500 coinsurance out
    of pocket (4,000 Atlanta), 750 Facility Fee,
    with 24 month rate guarantee
  • Networks HealthLink Chicago Coventry
    Atlanta North Broward Ft. Lauderdale all
    others -- PHCS

7
Elite Sample Rates OneDeductible / HSA
Market Current Plan Elite Plan
Dallas (752) 424.53 431.24
Chicago (606) 295.17 300.03
Kansas City (640) 259.01 262.83
Ft. Lauderdale (333) 356.52 361.91
Phoenix (850) 314.22 318.75
Atlanta (303) 288.68 293.43
  • Assumptions
  • Male, age 40 Spouse, age 40
  • OneDeductible HSA, Preferred Risk, February 1,
    2008 effective date
  • Current Plan 8M Lifetime Max, 5,700 Ded, 100
    Coinsurance, 12 month rate guarantee
  • Elite Plan 25M Lifetime Max, 5,700 Ded, 100
    Coinsurance, 12 month rate guarantee
  • Networks HealthLink Chicago Coventry
    Atlanta North Broward Ft. Lauderdale all
    others -- PHCS

8
Elite Sample Rates CoreMed, 3,500 Ded
Market Current Plan Elite Plan
Dallas (752) 299.06 295.61
Chicago (606) 211.43 208.61
Kansas City (640) 175.63 173.23
Ft. Lauderdale (333) 241.89 238.58
Phoenix (850) 198.99 196.06
Atlanta (303) 236.31 234.13
Note 24 month rate guarantee available March 15
on 3,500 Deductible
  • Assumptions
  • Male, age 40 Spouse, age 40
  • CoreMed, Preferred Risk, February 1, 2008
    effective date
  • Current Plan 6M Lifetime Max, 3,500 Ded, 50
    Coinsurance (60 Atlanta), 3,500 coinsurance out
    of pocket (3,000 Atlanta), 750 Facility Fee,
    with 12 month rate guarantee
  • Elite Plan 25M Lifetime Max, 3,500 Ded, 50
    Coinsurance (60 Atlanta), 4,500 coinsurance out
    of pocket (4,000 Atlanta), 750 Facility Fee,
    with 12 month rate guarantee
  • Networks HealthLink Chicago Coventry
    Atlanta North Broward Ft. Lauderdale all
    others -- PHCS
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