Insuring Health Benefits in a Group Captive - Abell - Achtien

Report
“The Start Up”
Presentation for the Cayman
Captive Forum
Panel
Dixon Abell
President, Abell, LLC
Monroe, LA
President, Well Health Insurance Ltd.
Ernie Achtien, CPA, CPCU
CFO, Captive Resources, LLC
Schaumburg, IL
Board Member, Well Health Insurance Ltd.
Doug Hayden
Sr. Vice President, Captive Resources, LLC
Schaumburg, IL
Captive Consultant, Well Health Insurance Ltd.
Increase in Health Insurance Premiums
200%
Health Insurance Premiums
180%
180%
Workers' Contribution to Premiums
Workers' Earnings
160%
172%
Overall Inflation
140%
120%
113%
109%
100%
80%
60%
47%
38%
40%
29%
38%
20%
38%
11%
24%
8%
0%
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
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 (April to April), 1999-2012; Bureau of Labor
Statistics, Seasonally Adjusted Data from the Current Employment Statistics Survey, 1999-2012 (April to April).
2009
2010
2011
2012
Can A Captive Mitigate The Trend?
 Improved Health Management
– Paradigm shift – we CAN impact costs of health benefits
 Return of Underwriting Profits
– Reduces need to increase retention/risk
 Reduced Costs
– Gain leverage in the marketplace
– Greater predictability through spread of risk
 Control Over Insurance Destiny
Who Formed Well Health Insurance Ltd.?
 Captive Resources introduced the group stop-loss
captive concept to its current casualty captive
customers
 Captive Resources introduced the group stop-loss
captive concept to the brokerage community
 Captive Resources worked with the stop-loss
marketplace and started a relationship with Berkley as
the program’s policy issuing carrier, reinsurer and
underwriter
 The Program added its first partner company in May
2011 and now covers over 10,000 lives
Well Health Flexibility
• Use your current plan design if desired
• Choose the specific stop loss limit that fits your
company best
• Obtain aggregate stop loss protection if desired
• Select your own third party administrator
• Access to local, regional and national PPO networks
Specific Claims Layers
(Per Person Per Policy Year)
Berkley Stop
Loss Policy
Catastrophic
Stop-Loss Coverage
Per Claim
$200,000 IN
EXCESS OF SIR
Captive Co-Participation
Member Assessment
MEMBER
AGGREGATE
ATTACHMENT
POINT
Member Loss Fund
(each member’s)
Specific Deductible SIR
Employee Share
CAPTIVE COPARTICIPATION
BETWEEN
MEMBERS
WITH
AGGREGATE
STOP-LOSS
Well Health Wellness
 Development of Health Management/Wellness
Platform
– Based on member direction and industry best practices
 Health Management/Wellness Workshops
– Topical presenters and breakout sessions
– Networking/member interaction
 Well Health webinar series
 Member Website
 Buying Groups
Well Health Insurance Ltd.
Employer’s Total
Health Care Costs
Wellness
WELL
HEALTH
Networking
STOP LOSS
CAPTIVE
Claim
Management
Plan Design
Defining Success
 Impacting the Total Cost of Healthcare
– The Other 85%
– Predictability
– Outperform industry cost trends
– Captive dividend distribution
 Promotion of healthy behavior
 Vendor Integration
 Healthy and Productive Workforce – and Dependents
 Benchmarking Results
Contacts
Contact
Phone
Email
Kevin Hallen
(847) 879-2369
[email protected]
Doug Hayden
(847) 879-2357
[email protected]
Jim Merkel
(847) 944-9818
[email protected]
Larissa Akrawi
(847) 879-2382
[email protected]

similar documents