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Personal Benefits Plan
Life Is Complicated. Your Company’s Health Benefits Don’t Have To Be.
Your Name©American Health Resources, Inc. 2015 – Patent Pending
What Is PERSONAL BENEFITS PLAN?
Employer funds the benefit plan.
Each employee is given a Benefits Savings
Account.
Funds may be used by the employee to buy whatever health insurance and other benefits they want and need.
You help the employer set the
BUDGET.
Help each employee
CHOOSE their own benefits package.
The Personal Benefits Plan Is An Alternative to Group Health Insurance.
IT’S THAT SIMPLE!
Here’s How The Personal Benefits Plan Works…
It’s Smart, Simple, and Hassle Free!
1. We will use our ONLINE ANALYSIS TOOL to calculate the costs & savings for each employee’s health benefits, and give you a true ‘apples to apples’ comparison between group health insurance and an individual policy solution for your group.
2. Based on that, you decide how much you want to deposit into each employee’s BENEFITS SAVINGS ACCOUNT with AHR each month.
3. We will meet with each employee one-on-one to help them choose their optimal health insurance & other benefits they may want.
4. Employees use their Benefits Savings Accounts at AHR to pay for the benefits they choose. It’s consumer-directed benefits!
Personal Benefit Plans are ACA Exempt
Personal Benefits Plans are not considered a “group health plan” by the ACA, so complex ACA rules & reporting mandates are eliminated:
No annual returns to document healthcare benefits
No Summary Plan Descriptions (SPD) or CMS Credible Coverage reports
No COBRA
Benefits Savings Account deposits are COMPENSATION, NOT premium reimbursement.
They can be ADJUSTED to fit the needs of each individual employee, because there aren’t any nondiscrimination requirements.
ACA EXEMPT MEANS SIMPLE, FLEXIBLE
& STABLE BENEFITS
Personal Benefits Plan: The Smart Alternative to Group Health Insurance
Benefits based on real numbers:
1. Employer’s Budget
Personal Benefits Plan: The Smart Alternative to Group Health Insurance
Benefits based on real numbers:
2. Actual Employee’s Medical Expenses
Premiums paid by employee
Out of pocket expenses
Personal Benefits Plan: The Smart Alternative to Group Health Insurance
Benefits based on real numbers:
3. Actual Individual Insurance Premiums
Plan is designed for the employee’s needs.
Individual policies allow for subsidies.
Personal Benefits Plan: The Smart Alternative to Group Health Insurance
Benefits based on real numbers:
4. Financial Support
Premium Tax Credits
Cost Sharing Reductions
Personal Benefits Plan: The Smart Alternative to Group Health Insurance
Benefits based on real numbers:
5. Alternative Coverage Options
HSA’s
Cafeteria Plans (FSA’s)It eliminates the waste inherent in group health insurance and
improves employees satisfaction.
Personalized ‘Concierge’ Service
Expert help makes choosing insurance easy. Each employee gets a Personal Benefits Advocate who will help them choose their optimal coverage, based on their own unique needs:
Out-of-pocket expense & premium limits
Special kinds of coverage they may need
The doctors & hospitals they want
The insurance companies they prefer
It’s health insurance with a human touch, making benefits choices simple, pleasant & easy for your employees.
Personal Benefit Plans are a Better Solution.
Employee Satisfaction & Retention Retain your top talent! Employees overwhelmingly prefer to choose their own Personal
Benefits Packages over group health insurance.
Plan Stability & SimplicityOnce your clients shift to a Personal Benefits Plan, their benefits problem is solved. They
don’t have to worry about group health insurance again.
Cost Efficiency & EffectivenessPersonal Benefits Plans are more cost efficient, & provide insulation against insurance rate
increases. For most employers, these plans cost substantially less than group health insurance.
Employee Satisfaction and Retention
Out of Pocket Costs?
In network Doctors?
Premium Cost?
Insurance Company?
REAL TIME information and reporting
Online through our website
Call AHR and we will help you
Each employee will have the guidance of an expert healthcare advocate to help them choose their optimal coverage.
Decisions on cost for out-of-pocket expenses & premiums
Decisions on type of coverage they want, with doctors & hospitals they like, and with companies of their preference.
Deductible?Hospital?
Employee Satisfaction and Retention
A variety of compliant health
plans to choose from with the help of an
expert to make it all very simple for you.
Infinite flexibility
We offer HSA’s and FSA’s
Our new BENEFITS SAVINGS ACCOUNT is like no other in the industry
Free Wellness Planning for a healthier workforce
Employee Satisfaction and Retention
That’s what benefits are all about. A Benefits Savings Account lets employees choose the benefits they want, so, they will be more satisfied!
They choose their own health insurance, and may choose less expensive coverage so they have money left over for:
Co-pays and deductibles, & anything not covered by their insurance
Life, accident, disability, dental, vision, critical illness policies
Gym memberships or home exercise equipment
Any kind of health, recreational or nutritional product or service
Tuition and educational expenses
They can save their money for retirement, a new car, a down-payment on a home, emergencies or any other use.
Or not. It’s their choice.
See why Benefits Savings Accounts make so much sense?
..Especially for Lower Income Employees
Offering Group Health Insurance may actually hurt your lower income employees.
They lose eligibility for subsidies and cost-sharing reductions
Group health insurance often costs more than individual policies
May have higher out-of- pocket medical expenses. ©American Health Resources, Inc. 2015 – Patent Pending
A Personal Benefits Plan eliminates this problem,
because it’s not considered a ‘Group Plan’
by the ACA.
Your employees may become eligible for Federal subsidies & cost-sharing
reductions.
Plan Stability and Simplicity
Personal Benefits Plans are far more stable than group health insurance, because you can adapt them as needed without
disrupting anyone’s health insurance policy.
Adjust the dollars, not the insurance.
Personal Benefits Plans are not considered a “group health plan” by the ACA, so complex ACA rules and reporting mandates are eliminated:
No annual returns to document healthcare benefits
No Summary Plan Descriptions (SPD) or CMS Credible Coverage reports
No COBRA ACA exempt means simple & stable!
More Cost Efficient and Cost Effective.
Federal Protection In The Individual Market
If an insurance company overcharges for health insurance
on the individual market, they must return the excess premiums to the
consumer. This is one of the reasons why premiums are typically lower on the individual market than
they are for group policies.
Alignment of Incentives
By providing a Benefits Savings Account, two additional opportunities of savings occur:
You eliminate waste Now, it’s their money, and they will
use it wisely to buy what they actually need.
You eliminate excess enrollment
Dual coverage and unnecessary enrollment is gone.
Why Personal Benefits Plans are More Cost Efficient and Cost Effective.
You no longer have to buy a health policy for your whole group based on the sickest
person in your group.
Personal Benefit Plans are scalable, meaning that you can set the amount
you deposit into each persons’ Benefits Savings Account depending on their individual needs. There
are no discrimination rules, so you can do what makes sense for each
person, and your business.
Federal Subsidies: Premium tax credits and cost sharing reductions that reduce out-of-pocket medical expenses do two important things:
They reduce premiums now
They insulate you from premium increases in the future, because subsidies are based on income, not insurance premiums
Let AHR get you out of this dynamic...
Have increased over 172% over the last 15 years.
Increased FASTER than inflation.
It’s the fastest growing expense faced by businesses to date.
Group Health Insurance Premiums:
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2012. Bureau of Labor Statistics, Consumer Price Index, U.S. City Average of Annual Inflation (Apr. To Apr.), 1999-2012; Bureau of Labor Statistics, Seasonally Adjusted Data from the Current Employment Statistics Survey, 1999-2012 (Apr. to Apr.).
…And Simplify Your Life.
HAVE A PRO MANAGE YOUR BENEFITS
We help you set a budget, & we take care of the rest. Benefits simplified.
Reduce or eliminate future rate increases.
Never go through the turmoil of changing health plans again!
Single Check Solution: write 1 check to AHR, & we pay all of the voluntary & other related employee benefits for you.
Eliminate the administrative & regulatory hassles of having a group plan. No COBRA, no reporting, no worries.
And most important: Employee satisfaction.
Everyone gets what they want, and you no longer have to choose for
them!
To Get Started, This Is What We’ll Ask Your Employees
This Is What We Will Show You
An “apples to apples” comparison between the cost of your current group health
insurance, including employee out-of-pocket expenses, & the
cost of a Personal Benefits Plan.
AHR Provides Comprehensive Value To You & Your Employees
©American Health Resources, Inc. 2015 – Patent Pending
K E Y A N A LYS I S & G U I DA N C EThe PBP Analysis tool is HOW you analyze the whole picture, including: Group vs. Individual Impact of additional income on subsidies Actual tax effects, based on real effective income tax rates Employee out-of-pocket medical expenses
Give your prospect an ‘apples to apples’ comparison to group health insurance, & determine HOW MUCH to give each employee, net of taxes, while maintaining
HIPAA compliance & financial confidentiality.
AHR Provides Comprehensive Value To You & Your Employees
©American Health Resources, Inc. 2015 – Patent Pending
I M P L E M E N T I O N & S U P P O RTEDUCATE & HELP with individual policies on the exchange.
MANAGE new enrollments, changes, terminations.
Help employers REBALANCE compensation at plan renewal dates .
AHR Provides Comprehensive Value To You & Your Employees
©American Health Resources, Inc. 2015 – Patent Pending
R EG U L ATO RY CO M P L I A N C EThe RULES for group plans are complex & the PENALTIES for noncompliance are
severe.
AHR makes sure their plan stays compliant.
AHR Provides Comprehensive Value To You & Your Employees
©American Health Resources, Inc. 2015 – Patent Pending
P L A N A D M I N I S T R AT I O NPROVIDE HSA’s or FSA’s:
These are often part of the solution in a consumer-directed benefits plan.
MONITOR health plans & out-of-pocket costs to ensure that additional compensation is adequate and appropriate.
We’ll provide the analysis for free, so that you can make an informed decision.
If you choose to move forward, we will help each employee make the transition and provide expert, ongoing support .
There is no downside.
This information will help you to choose the most cost-effective way to provide employee benefits.
Regardless of what you decide to
do, at least you will know you’ve made an informed decision.
©American Health Resources, Inc. 2015 – Patent Pending
AHR Is Committed To Our Clients
AHR takes more care of small & mid-market clients than any other provider, offering a personalized ‘concierge’ benefits experience that includes a unique combination of technology innovation, expert advice (from specially trained independent insurance brokers) & dedicated customer service. This gives our clients and their employees the freedom to choose the most personalized and hassle-free benefits plan for them and their employees. We’ve been helping employers for over 20 years, and our passion is making benefit choices simple, pleasant and easy for both you and your employees.
Thank You!
Broker Contact Information
Health Insurance with a Human Touch.