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CASE 1.
(TRADITIONAL
BUSINESS PLANS TOO COSTLY)
-
Small Business with 9 employees
-
Business
owner wants to provide Health
and Dental benefits
-
Business
owner finds traditional Plans
too costly plus they include various
Exclusions and Deductibles
ACCERTA
SOLUTION:
An AccertaChoice
Plan can be tailored to the Company’s
Budget $1,000
to $1,500 per family will provide
valuable benefits that will meet
the basic Health and Dental needs
of mist families Cost will not escalate
in the Future Plan sponsor has full
control over the maximum exposure
Cost-plus option can be added as
an additional coverage for Key employees
on a “as needed” basis
CASE 2.
(INSURANCE
PLAN PREMIUMS HAVE INCREASED DRAMATICALLY)
-
Small business
with 15 employees
-
Business Owner
just received policy renewal notice
from an existing Health and Dental
Plan insurer
-
Renewal
Premiums have increased dramatically
-
Business owner
very upset and wants to cancel
the Plan
ACCERTA
SOLUTION:
-
An AccertaChoice
Plan plus Catastrophic Loss
and Out-of-Country coverage
would provide immediate savings
and long-term cost stability
to the business owner
-
Employees
would be responsible for managing
their Health-Care expenditures.
This will give employees real
incentive to ask for Generic
drugs or question recommended
treatment
CASE 3.
(INSURANCE
PLAN PREMIUMS HAVE INCREASED DRAMATICALLY
DUE TO RISING DRUG COSTS)
-
Business with 50 employees
-
Business
owner just received policy renewal
notice from an existing Health
and Dental Plan insurer
-
Renewal
Premiums have increased dramatically
due to rising drug costs
-
Structure a Plan that combines
Accerta ASO Dental coverage and
an AccertaChoice Plan to cover
extended Health Care, Prescription
drugs and vision claims
-
Include
a cost-plus option to provide
additional flexibility
-
Plus
add Catastrophic Loss and Out-of-Country
coverage above the base AccertaChoice
Plan to cover for unforeseen large
expenses
-
Business
owner has total control over current
and future costs due to defined
contribution of AccertaChoice
and the tight Plan design and
administration control of Accerta
ASO Dental Plan
CASE 4.
(UPGRADE
COVERAGE FOR KEY EMPLOYEES)
-
Business
owner wants to upgrade coverage
for Key employees
-
Does
not want to increase benefits
under the existing insured Plan
due to higher costs plus the existing
Plan does not cover many services
that Key employees are asking
for such as Dental implants or
Cosmetic procedures
-
The business owner can purchase
AccertaFlex Plans for Key employees
-
Accertaflex
is a stand-alone cost-plus arrangement
that allows the Plan sponsor to
enhance coverage for Key employees
while maintaining full control
over costs
CASE 5.
(MOST
TAX EFFECTIVE TO REWARD KEY EMPLOYEES)
-
Business owner is looking
for the most tax effective way
to reward Key employees
-
The
Plan Sponsor is considering either
giving raises or offering the
option to increase Health and
Dental Coverage
-
A
raise would be fully taxable in
the hands of the employee and
could result in increased payroll
taxes i.e. CPP, EI, EHT, WSIB
etc.
-
A contribution to the
Health Savings Account (HAS) for
the employee would yield the same
deduction as straight salary and
potentially save on payroll taxes
-
The
HAS funds flow into the employees’
hands tax-free
-
For
employees considering orthodontics
for their children, which otherwise
would have been paid for out of
after-tax dollars, the savings
would be significant
-
Its
like getting a much larger raise,
with no additional costs and even
potential savings, to the employer
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