ASG Perspectives

SPOTLIGHT ON: Brown and Brown of Pennsylvania

Thursday, February 21, 2019

Brown and Brown of Pennsylvania is an established national brokerage that continues to thrive via a business model that provides all the resources and advantages of a major enterprise, yet allows individual offices to operate on a local level.

According to Bill Shoemaker, benefits sales rep for the Mechanicsburg office in southern Pennsylvania, this means that each office is given the latitude to respond to—and accommodate—employer trends unique to their particular region.


As the sixth largest brokerage in the country, Brown and Brown has more than 8,000 employees in 200 offices nationwide. Brown and Brown of Pennsylvania is considered a profit center for the three locations that work together in the region: Philadelphia, Conshohocken, and Mechanicsburg.

“The offices are decentralized, meaning we work locally—and we truly do work that way, but we are able to leverage Brown and Brown national programs,” Bill explains. “So you could have a stop-loss carrier like ASG working with three Brown and Brown offices, which is great because we are communicating constantly and can see that any time one office excels at something, we have an opportunity to do more to leverage that model.”

Bill, who works primarily in the 50-plus employee market, partners with employers in his region to write primarily traditional, self-funded plans. “That’s the sweetheart spot and the majority of how we work with ASG,” he notes.

Trends Impacting Employer Options

In his position, Bill is able to keep his finger on the pulse of key marketplace trends. One emerging issue he points to has to do with employers, especially those in the manufacturing space, who are struggling to simply hire qualified employees.

“Central Pennsylvania is heavy blue-collar manufacturing,” he says. “In our region alone, we’re looking at one out of 10 candidates who have potential for an interview—and yet we hear from other Brown and Brown offices that it’s hard to find younger help who are skilled with their hands or have a trade.”

How this relates to brokering the right plan hinges on the swing to self-insured for smaller employers. Bill points out that self-funding is becoming more viable—even commonplace—for companies with fewer than 50 employees; however, stop-loss carriers are naturally more cautious about risk.

“Before, the process of writing a self-insured group was not as detailed as it is now,” he says. “The underwriting process today has to be more strict, in that employers and carriers have to make sure that employees are actually at work. If an employee goes out sick, or is out on an FLMA or another leave policy, all companies—especially if they’re stop-loss—should have a policy in place that will protect them if an employee is not working. If eligibility is not defined, it could result in a claim not being paid by the stop-loss carrier. You can’t assume any more.”

Responding to Industry Restructuring

Meanwhile, massive consolidations within the health care system are also impacting communities. “We’re going through a lot of change in our market, with large carriers and health systems consolidating,” says Bill. “Of the 150+ general acute hospitals in Pennsylvania, only about 25 remain independent.

"Again, that changes the landscape of healthcare because you have different pricing mechanisms: whereas the cost of services in regional facilities was previously relatively cheap, now you’ve got the small hospital paying inner-city prices. There’s a lot of struggle, and the carriers have to change to navigate the additional layers.

Ongoing Challenges Mean Stronger Partnerships

In such an ever-changing climate, Bill says he values being a long-time ASG partner more than ever.

He points out that one of our core values—making the ASG underwriting team available to all broker and TPA partners—“is simply good business. We get to talk to them, and tell them the whole story behind this employer or that one. With ASG, we know they’re going to honor the contracts and pay the claims timely, because they’re just good people and we trust them.”

 

For more information, please visit Brown and Brown of Pennsylvania online.

FACES of ASG: Meet Christopher Joy

Wednesday, October 03, 2018

 

A YEAR SINCE JOINING US at ASG, Christopher Joy has become an invaluable asset. With a 20-year background in self-funded employee benefits plans, Chris takes a ton of pride in helping employers craft competitive and affordable employee benefits solutions. And since he previously worked on "the other side of the desk" as a Broker and TPA, Chris knows all about building partnerships and structuring stop-loss solutions for the diverse needs of our employer groups.

 

 

What is your job title at ASG?

Underwriter

And what does that role entail?

Assessing risk and pricing coverage accordingly. Negotiating with Brokers and TPAs to arrive at a competitive stop-loss solution for their clients

How long have you lived in Gorham?

Two years

Do you have a family? Please tell us about them.

Yes, married with 2 young children

What was your first job, and how old were you?

Newspaper delivery, age 12

What advice would you give to a new hire in the stop-loss industry?

Don’t be afraid to pick up the phone and communicate with your clients and customers. Learn about the businesses that you are reviewing beyond the information provided on the financial reports.

What is your favorite season? Why?

Winter! I enjoy rising to the challenge presented by our robust Maine winters.

Do you have a favorite quote?

Tomorrow is whole new day!

 

On-Call with Sara Winand, RN: Rates for Air Ambulance Services Taking Off

Thursday, August 30, 2018

 

 

A recent issue of MyHealthGuide newsletter has put the spotlight on air ambulance regulation. In fact, the Health Care Administrators Association (HCAA) and Society of Professional Benefit Administrators (SPBA) recently initiated a targeted letter-writing campaign focuses on rising air ambulance transportation costs for self-funded health plans.

 

Without reform, America’s families, health care providers and the self-funded community face an increasing and often conflicting set of rules and regulations that fail to provide any semblance of financial certainty when life-saving air ambulance services are employed.

– HCAA and SPBA

 

Air ambulances are typically covered by health insurance if determined to be medically necessary, and if the service is limited to the nearest appropriate medical facility. Fees are generally not covered if the air ambulance is used solely for convenience. Almost all air ambulance services are out of network, and since the service must typically be arranged under urgent circumstances,any pre-service negotiation is rarely an option.

At ASG, we’ve seen first-hand instances in which air ambulance charges have skyrocketed into outrageous dollar amounts, especially when used in urgent situations and provided by non-network vendors, oftentimes without precertification. Many times a deposit is requested from the patient/family and without a signed negotiation the member is balanced billed.

For example, we recently worked with a claimant who had an accident in Georgia and was hospitalized there, but needed a specialized rehab facility for recovery. We soon learned there are only fourteen such facilities in the country; the closest location was quoting a three-week waiting period; and due to the woman’s condition, air transport was the only option to get the claimant to any of the other thirteen. On top of these obstacles, the employer group’s plan did not require a precertification for the service.

The claimant was ultimately transported from Atlanta to a rehab center in Chicago. The air ambulance bill: $258,000. Thankfully we were able to negotiate the claim to $136,000, even though the air ambulance company was pushing for immediate payment.

These numbers are not unexpected. A recent study conducted by the Montana Legislature broke down air ambulance costs into two main parts: liftoff fees and per-mile charges. While the former ranges between $8,500 to $15,200, the latter can be anywhere from $26 to $133 per mile. These variable charges are based on distance and staffing needed for the transport.

We and others in our industry are keeping a close eye on Sentinel Air Medical Alliance, an alliance of healthcare payors established in response to the rapid escalation of air medical transport rates. Sentinel's goal is to provide solutions for effectively controlling rates and ensuring proper utilization of air transport services. The alliance's areas of focus include prior authorization for air ambulance services, medical review of transport claims, claim negotiating and repricing, and consulting services to help healthcare payors develop strategies to control air ambulance costs.

Global Emergency Services provided by Assist America are included with every ASG sold stop loss policy. These services are a supplement to the health plan but it is imperative to contact them to make arrangements such as air ambulance as they cannot reimburse for arrangements made by another party. For more information on Global Emergency Services go to http://www.assistamerica.com/.

 

 


Spotlight on: Significa Benefit Services

Thursday, July 19, 2018

The more our ASG team does business with Lancaster, Penn.-based TPA Significa Benefit Services, the more we marvel at the value of a true partnership.

We first began working with Significa this past winter when Sales Executive Steve Shirk came to us with an opportunity to underwrite an employer group that presented several unusual cases, yet required timely coverage.

He recalls, “Time was of the essence and there was some pricing the broker wanted—in a level-funded format—so we worked around these things and ultimately, were able to move forward in a way that we all felt benefitted our customer.”

Get to Know Significa

Over the past months, it’s become clear that the 30-year-old firm shares more than a few core values with us at ASG.

For one, Regional Sales Director David O’Shea David notes that “as a TPA, we’re closer to the customer—we understand the customer’s needs. And that translates into our philosophy that the plan should be customized to fit the group, not the other way around.”

Transparency is key to achieving this end. “Without transparency, a business doesn’t know what to do to get control of its healthcare costs,” he explains. “By having access to claims data, and understanding the usage in that employer’s population, it helps us to design that plan in a way that helps control costs.”

Steve notes, “When we understand the customer, we understand what kinds of carriers and programs we want to bring to the program. Telemedicine programs, bringing in a fiduciary group—we’re tailoring the administration of that plan to meet the customer’s very specific needs.”

The second key is managing claims costs. David points out, “In our world, we’re auditing the emergency room client, we’re monitoring the surgical claims—we’re constantly looking for savings for the customer by managing the risks on a regular basis.”

Lastly, transparency—often a tricky achievement in our line of business, but key to proactively managing costs by managing care. At Significa, says Steve, “We have a robust claim reporting tool. We’re understanding the usage in our groups’ populations. After nine months or so we understand what the population is doing, and at that point, we can make changes to the plan.

“For example, when we see high utilization, we know the plan design is wrong. We want the employer to begin to get some control over costs—so we are able to reduce fourth, fifth, or sixth-year costs through a proactive approach to managing costs, managing care, and providing satisfying health benefits.”

The result of this diligence: knowledgeable employers and happy employees. “We find that once the employers see that full transparency, they’re able to make good decisions about managing healthcare costs effectively,” says David.

A Hands-On Approach

Significa also maintains relationships with vendors that the firm can match with the unique needs of employer groups. Steve explains, “By farming the data and understanding what’s going on, we can bring the right vendor to the table—and then we can control expense and enhance the experience with that customer.”

Significa is applying that model and differentiating itself with a third key partner: brokers. Specifically, by building consortiums, customers can buy in as participants, allowing Significa and its broker partners to grow business together.

“The small employer with 30 lives, 50 lives—they don’t have a lot of negotiating power. But in a consortium with thousands of lives that we can negotiate on their behalf, they now have the power of a large employer with the ability to negotiate insurance costs while spreading risks among several groups.”

Recognized for Experience and Caring

Here at ASG, we’ve often heard about the accolades Significa receives on a regular basis for its highly experienced claims professionals and dedication to customer service. “I think we bring a very good, experienced package with compassion and understanding about how we can assist our customers in managing risk,” notes Steve. “Being able to make recommendations, prove those recommendations to the customer, then implement those recommendations and measure those successes in subsequent years truly sets us apart.”

We value our relationship with Significa and look forward to many years of mutual success and growth!

 

SPOTLIGHT ON: INTERLINK COE Networks & Programs—Proactively Managing Plan Expenses

Monday, February 05, 2018

 

There’s a rapidly growing company in Hillsboro, OR, that’s been around for 23 years and is currently on the brink of changing the world.

Well, the world of cancer care management—which could prove to be monumental for all of us in the healthcare insurance industry.


For over 23 years, INTERLINK COE Networks & Programs has provided transplant network services for reinsurance carriers, insurance companies, self-funded employers, and other managed care clients in the United States.

INTERLINK is an established Center of Excellence-based company that recognizes the value of ensuring geographic coverage of evidence-based care protocols for plans across the nation. Its Centers of Excellence network provides access to high-cost, low-frequency medical procedures used by health plans of a range of sizes.

The company was founded by John Van Dyke, a former PPO negotiator, in 1995. In 2010, INTERLINK saw an opportunity to work with reinsurers to develop targeted cancer care management programs into the Centers of Excellence model.

INTERLINK’s CancerCARE program extends the firm’s Center of Excellence networks with specialized cancer case management nurses who provide consultative support for members looking to choose providers and seek treatments. Targeted cancer benefit language for employer plans is also included at no cost.

“Cancer is the number one employer-paid stop-loss deductible; number one reinsurer reimbursed claim at all levels; and also the number one cause of bankruptcy for members who are covered,” notes Van Dyke.

During a time when health plan premiums have increased 7% to 9% per year, the cost of cancer treatment has jumped an average of 20%. Van Dyke adds that health plans have no control over the frequency of cancer diagnoses, but can influence care quality with benefit incentives and definitions when inserted in the plan document.

However, he believes, there is an opportunity to control costs and increase optimal member outcomes, simply through improved quality of treatment. Better treatment translates into minimized complications and risk of reoccurrence—and ultimately, lower plan costs.

“Our CancerCARE program, from a plan level in managing cancer, is the number one investment that a plan could make to manage their members’ cancer care,” he says.

In 2018, the company CEO estimates the expected frequency of transplants will be 14.66 per 100,000 insured members; and of those 14.6 forecasted transplants, nearly half (6.0 of 14.66) will be for a cancer-related diagnoses.

“With benefit caps removed, a single poor outcome transplant can now cost the plan many millions,” says Van Dyke, “but if you put the CancerCARE benefit language in your plan, you could identify 41% of your transplant cases proactively. With this early notice, you can better manage your expenses within the plan."

Taking Risk Management to the Next Level

“Once you put CancerCARE in your plan, you’re already managing your transplant risk.”

–John Van Dyke, CEO

INTERLINK’s TransplantCARE and CancerCARE programs are based on performance narrowed concepts through networks that are built on “value-driven principles, the best providers, and timing for the best cost,” says Van Dyke. “When you performance narrow with INTERLINK, and outcome improving your very low-frequency, high-cost medical procedures, we’re not disrupting care, but improving member decision quality.”

The Data Tell the Story

The INTERLINK performance model addresses all solid organ transplant programs. The data-accepting capabilities of the model was extended in 2017 to accept transplant outcome data for all transplant teams throughout the U.S.

“We’re looking at 25 of the most telling outcomes for all transplant teams,” explains Van Dyke. "Which identifies for us those transplant teams posting the best outcomes.”

That data, says Van Dyke, "comes to us risk-adjusted by transplant center and team—so we have the cleanest data set in healthcare to rank the lowest-rated to the number one outcome provider in the country.”

For example, should a covered member require a liver transplant, he explains, “INTERLINK’s narrow-performance network directs them to a facility where the surgical team is high-performance, high-competency. We’re looking for a great member outcome, which almost always comes with a lower cost.”

A New Era in Cancer Care Management

As Van Dyke continues to work with brokers, consultants and health plans of all types to incorporate the Centers of Excellence model to cancer treatment, he understands that the healthcare market can be slow to adapt to new concepts. Yet after nearly three decades working in the business, he is confident INTERLINK’s solution is about to have a significant impact.

“I see the cancer care and transplant programs as examples of today’s most important initiatives,” he says. “Our focus is on quality care, and the outcome of quality care is reduced price. So if healthcare moves on this pathway, I believe this is how we’re going to solve our healthcare crisis.”


 

Spotlight on Moreton & Company: Data, Innovation & Service — Oh My!

Thursday, December 14, 2017

 

Almost universally, there is a belief among business-to-business companies that two key ingredients make a relationship work: quality and trust. According to Julie Acocks, manager of the underwriting department at Moreton & Company, the relationship with ASG fits that bill just right.

As Utah’s largest independent insurance broker with more than 100 years of experience providing brokerage services to organizations in the Salt Lake Valley and across the United States, Moreton & Company has built a solid business on a foundation of superior customer service and innovative solutions for its clients’ most challenging insurance needs.

Julie’s perspective takes that commitment a level deeper. She says, “When it comes to stop-loss, many think it’s a commodity, but it is not: the difference lies in when it comes to getting the claim paid and dealing with difficult things — because things come up, and that’s a reality with stop-loss.

“The promise then becomes, who can I count on to be there to deal with this situation, handle the tricky conversations about how to make it work, and eventually, ensure the claim gets paid? We have been in that situation, and I have always felt like ASG has had my back.”

 

We’ve been honored to help make the tough stuff happen for Moreton, a company that has a great reputation for integrity and honoring its work. In fact, we first started working with the firm when our Vice President Mike Holland flew out to Utah to introduce himself personally — an effort that was not lost on Julie: “Mike met our team, and really wanted to make sure I felt comfortable with the company and what’s going on in the marketplace. We became a great partner from then on.”

Julie notes that Moreton tends to be proactive about staying current with industry trends and helping its clients stay informed and knowledgeable. “In the time I’ve worked with ASG, I so appreciate that they take the same approach to working with clients. I would tell you that ASG is probably my top stop-loss partner.”

We also appreciate that brokers like Moreton are always working with one eye toward the future. Julie explains that Moreton stays ahead of the curve by providing its clients not just with insurance coverage, but with the tools and knowledge they need to evaluate their needs, choose coverage that is right for them, and protect their company and their employees.

For example, Julie notes that she and the firm are “all about the data — presenting the data to the client and making sure that they get the most bang for their buck. The whole brokerage industry requires being entrepreneurial and innovative, especially when there’s enough flexibility in the client’s budget to dig into the data.”

She recalls a jumbo group she had been working with: “Of the hundred million dollars they were spending, 30% of it was cancer. That’s a big budget, so you have to go out and find someone who can cover it. You have to look at the top claims on a client-by-client basis — because hundreds of thousands on a big claim can make a big difference. And when you work with a company like ASG — a company that you know has your back — you are able to evolve with the times and deliver innovative solutions to your clients.”

We look forward to continuing our partnership with Julie and the team at Utah’s largest independent insurance broker!

Moreton & Company is the Assurex Global Partner in Utah. Assurex Global is an exclusive partnership of the most prominent independent agents and brokers in the world, and it enables Moreton & Company to find and place coverage for its clients in all parts of the world.


 

 

Millennials: Getting a Pulse on Today's Workforce Needs

Saturday, September 16, 2017

With employer clients kicking off summer intern season, their thoughts will be moving to full-time hires in short time. As a TPA or Broker partner, the following article reprinted from Benefits Broker Pro offers insight into what may be keeping your groups up at night – and what's going on in the heads of today's emerging workforce.

Millennials spurn jobs with poor insurance offerings

A new survey from Anthem finds poor insurance offerings contribute to 35 percent of millennials turning down a job offer.

Poor millennials — they’re reviled for self-interest, stuck in lower-paying jobs, and laden with student debt.

But that self-interest might be doing them a really good turn when it comes to jobs, since an Anthem survey reveals they’re looking out for themselves when it comes to jobs that don’t offer good insurance benefits.

Money appears to be millennials’ primary motivator, with the survey finding they are more likely than the previous generation (29 percent of 18–34 year-olds, compared with 19 percent of 35–54 year-olds) to have engaged in long-term financial planning over the past year.

Employers are jumping on the financial wellness bandwagon, hoping that financial wellness programs will aid them in recruiting and retaining younger employees beset by employee stress that’s centered on the number-one cause in the U.S. — money. But Anthem says bosses are missing a big opportunity by not also beefing up their insurance offerings.In fact, the survey finds poor insurance offerings contribute to the fact that 35 percent of millennials have turned down a job offer, compared to 27 percent of U.S. respondents overall: job refusals were either fully or partially due to dissatisfaction with insurance offerings.

One particular type of insurance Anthem suggests is disability coverage, since such policies can provide benefits not just to employees but employers as well. Integrated disability and medical benefits, it says, can help save money by helping employees get back to work sooner and by reducing benefits administration costs.

And the benefit to employees — particularly those who aren’t especially well paid — can be substantial, since workers living paycheck to paycheck could not only end up jobless because of an injury or illness leaving them unable to work but also end up moving back in with mom and dad.

Survey results indicate that, among U.S. adults working at a company with at least two employees, 26 percent indicated they do not have short- and/or long-term disability insurance. And of survey respondents who did not have disability insurance, many say they didn’t have it either because their employer did not offer it (53 percent) or because it was too expensive (32 percent).

“Disability benefits protect financial wellness, but they are also an important part of overall health and wellbeing,” Mike Wozny, president of Anthem Life Insurance Company, says in a statement.

Wozny adds, “Anthem recognizes that physical, emotional and financial health is interconnected, and by treating the whole patient, health care professionals of all specialties can help patients get better faster and also save money in the process.”

 

 

Click here to access the original article.

A Value-Based (and Very Smart) Approach to Partnerships

Thursday, June 29, 2017

It’s always gratifying to be called number one, and we were especially pleased when we came out on top of the list of preferred carriers for western Nebraska’s Regional Care, Inc. (RCI), an independent TPA.

That’s according to RCI’s Vice President of Sales Tom Applehans, who recently chatted with ASG about a number of steps the firm has been taking to provide more value to the marketplace.

“Our leadership team has taken a hard look at how we were interacting with our stop-loss partners. We felt that we maybe could do better if we worked a little bit closer with some of the carriers and the reps that had done the best job for us. So I surveyed the team and asked: of all the partners that we work with, who are the ones who are the most responsive, the most reliable on renewables, and so forth. ASG was a resounding number one on the list of responses from the team.”

He continues, “We like that ASG takes pride in their interpersonal relationships. The group gets along well with the team, and ASG is consistently competitive in its underwriting. You’ve also been reasonable in terms of medical underwriting and blocking in proposals. The biggest thing right now is finding partners that are reliable and that we like.”

That input prompted the RCI leadership team to green-light a preferred program within the company. While the program is “somewhat informal” at this point, its objective is to narrow the wide net of potential markets the company goes to for the bulk of its business.

This relationship-building aspect of our partnership translates into serious value for RCI, which serves over 200 clients with members in all 48 states from its headquarters in western Nebraska.

“What we’ve been explaining to our clients is that there is exposure if we aren’t selective and working closely with our stop-loss markets,” Tom notes. “So by taking this approach, we can do more business with vetted carriers, which reduces their exposure and improves our competitive position—it’s a way of managing risk and driving competitive pricing via consolidation and relationships, while still providing quality information and services. Rather than over-shop, we’re encouraging our people to simply do a better job working within defined markets.”

Tom points to the equal importance of bringing proactive solutions to existing and prospective clients. “It can be as simple as going back and looking at the network that’s in place, and taking the time to perform a discount analysis to uncover whether there’s an opportunity to improve pricing through a change,” he says.

The firm has also recently introduced telemedicine, and added a clinical program to help clients who have employers with high claims. Enhanced wellness and well-being programs (which include biometric screenings) and a new pharmacy program help RCI provide more thoughtful strategies while also controlling costs.

The goal in providing these tools, says Tom, is to enable RCI representatives to become trusted advisors with their clients. “And as we have those conversations, we’re working closer with our stop-loss partners so they have an idea of the direction we’re taking,” he says, adding that “if we can impact risk, that’s ultimately factored into the renewal and pricing on the front end.”

Response to the updates has been favorable among RCI clients. Tom notes the staff is also excited for the opportunity “to have those types of conversations, and try to get at underlying cost drivers rather than taking a more transactional approach to marketing.”

It’s all hands on deck at RCI headquarters, he adds. “We’ve been making some pretty sweeping changes over the past couple of years. It’s a work in progress, so every week we meet with our respective teams and leadership groups to try and constantly refine how we’re doing things internally and working with our clients. Everybody is being asked to find best in class solutions to address the kinds of problems our clients are facing. Historically, this company has had a very good reputation—as having great people, offering great service, etc.—so I think that we’re building on that, but also pushing the boundaries toward a high degree of excellence.”

Speaking for ASG, we are thrilled to be leading the charge with our valued partners!

Click here if you’d like to find out more about RCI.

Relationships: The Heart of Teamwork

Friday, May 12, 2017

Here at ASG, we frequently talk about relationships with our TPA and Broker partners. That’s because the interactions we have are incredibly important not only to our mutual business, but to ensuring we both offer the best possible services while striving to protect our employer groups’ interests.

In several instances, we also maintain important relationships with companies directly.

This is the case with Canon Virginia, Inc., a global manufacturer for Canon’s office and consumer products based in Newport News, Va.


Since 2004, we’ve worked in partnership with Phil Gilstrap, an Independent Broker, and Canon’s Benefits Administration group, led by Jackie Wall and Rhonda Bunn. Jackie and Rhonda administer coverage for the approximately 1,200 employees of Canon Virginia and a nearby subsidiary, all located in and around the Virginia Beach area.

Our relationship with Canon began when the company had been seeking a carrier change. ASG founding member Al Graffam happened to be the first Stop-Loss representative to respond with a complete presentation – and “the relationship has been a success since then,” notes Phil.

At the time, he recalls, the carrier that Canon had been working with seemed to have a philosophy based on looking at all clients equally. “If they had a pool that was bad, they just increased the rate on all players the same way,” he explains. “As a result, Canon was seeing tremendous cost increases on their policies. It seemed like the actuaries were looking at the numbers and saying, ‘Let’s just increase everybody.’”

ASG and Companion Life took a different stance. “Even without any longevity of experience with Canon, they still gave us some relevance when it came to our own loss ratio, and that was key,” says Phil. “Now that we’ve got 14 years in, we feel that ASG can really look at our medical claims and predict our needs. This holds rates down, and saves a ton of money. I crunched some numbers and determined that if we had stayed with the other carrier, based on the increases Canon had in its last year with them, by this time it would have cost Canon in the area of several million dollars.”

The value of this relationship has not been lost on Jackie, Canon Virginia’s Benefit Supervisor. “We know that ASG cares about Canon Virginia and we’re grateful to them for taking care of us,” she says. “It’s refreshing that whenever anything is needed, it’s no more than a phone call or e-mail away. I know I can talk to just about anybody at ASG and have the confidence that it’s being done right.”

Mutual Challenges and Goals

Rhonda, who works as Canon Virginia’s HR & PR Director, notes that like other employers throughout the country, an aging workforce has become a challenge that must be met head-on. “We’re all getting older, and so we’re dealing with things we haven’t had to deal with in the past,” she notes.

For example, 20 years ago the company had a younger workforce and covered more pregnancies, “whereas now it’s dealing more frequently with things like muscular skeletal issues,” says Rhonda.

On the flip side, notes Phil, “Canon is still hiring, and many of the people they’re hiring are young – but they too present a different set of issues. However, because Canon stays ahead of the curve and we’re working with a partner like ASG, the company is able to address trends as they come.”

The team points to the many preventative measures the company has implemented as proactive efforts to keep claims down. Examples include hiring a registered dietician and offering Weight Watchers on-site, both of which have been met with extremely positive reception among team members.

“We’re definitely in touch,” says Jackie. “We try to have that open relationship and have our members tell us what’s happening… what kind of environment would you like to see. They’re very comfortable coming up to HR and saying, ‘What doctor should I see?’ or ‘Can you explain this part of my policy?’ And we are here for them.”

In fact, she notes, Canon Virginia is especially proactive in communicating the economics of insurance coverage with its family members. “We tell them we’re self-funded, and we tell them what it is. We want them to understand their premiums are based on the rates that they pay. If they go unnecessarily not caring about staying in-network or not taking care of themselves, they know that what they do will impact their costs as well. We show them the numbers and they see what they contribute, and what we contribute, and they get it.”

Keeping these lines of communication open feeds into the overall culture at Canon Virginia, which Rhonda notes is based on caring about employees and vendors as a family. She sums up the company’s approach: “We want to work with people who understand our environment and treat us like family – who are responsive, and who customize, and pay attention to the details – and that’s what we get with ASG.” 

For more information about Canon Virginia, visit http://www.cvi.canon.com/.

 

The Humanity of the RFP: An Underwriter's Perspective

Friday, April 28, 2017

by Michael Tushman, Regional Marketing Representative

Stop-loss underwriters work hard.

In any given year, an underwriter might review more than 750 groups. And I’m not going to lie… after awhile, they can all begin to seem like there’s little to differentiate one employer from another.

Unfortunately, this can be particularly true for fully insured groups looking to convert to self-funding.

All of our TPA and broker partners are very good at submitting the basics of a request for proposal. You know — the standard stuff, including a census, plan design, current rates, loss data (if available) and the type of stop-loss contract they’re looking for.

What’s missing though?

Well, from the perspective of this underwriter’s desk, I’d say something to capture our interest. Something that makes the prospect really stand out.

Just like regular people, we underwriters like to read stories. Stephen King, James Michener, Ernest Hemingway, Mark Twain…. All good stuff.

What we love to read stories about is why a group is being marketed. Their motivations. Their back stories. Their goals and objectives for working with a new stop-loss partner.

I promise you, we aren’t looking for an epic narrative destined for a Pulitzer Prize… just something that helps us come up with creative solutions to help you retain or win business.

So next time you market a current group or a prospect, give some consideration to telling us:

  • -Why is this group being marketed? Are they doing a simple market check (which is okay) or does the group intend to make a move?
  • -What creative strategies are you going to employ that puts you in the best position to win the business?
  • -What’s your relationship with the group or the agent working with you? Do you have a history with the group or previous success with the agent? Or do you see this as an opportunity to get your foot in the door? (We are here for you!)
  • -What’s the group’s financial goals? A ballpark estimate is fine… just give us an idea for scope.

Help us help you! Consider bringing your group to life by personalizing your next RFP and helping your client group to stand out from all the others.

 

 

Innovative Products. Personalized Services.

Solutions for YOUR Business.

Let’s talk about protecting your clients’ self-funded health plans.

 

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