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Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

Mar 28, 2015

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Page 1: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.
Page 2: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SMService Mark of

WellPoint, Inc. 2005 WellPoint, Inc.

Page 3: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

Introducing...........Introducing...........

Page 4: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

Michigan Individual PlansMichigan Individual Plans

Individual plans are grouped Individual plans are grouped into three categories;into three categories;

UniCare PPO PlansUniCare PPO Plans The Saver PlanThe Saver Plan High Deductible Health Plans High Deductible Health Plans

(HSA-Compatible)(HSA-Compatible)

Page 5: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

Six (6) UniCare PPO Plans offering the Six (6) UniCare PPO Plans offering the following deductibles:following deductibles:– $5,000$5,000 - $1,500- $1,500– $3,000$3,000 - $1,000- $1,000– $2,000$2,000 - $ 500- $ 500

The UniCare Saver 2000 PlanThe UniCare Saver 2000 Plan

Four (4) High Deductible Health Four (4) High Deductible Health Insurance Plans (HDHP) for Health Insurance Plans (HDHP) for Health Savings Accounts (HSAs)Savings Accounts (HSAs)

Dental PlansDental Plans

Term Life CoverageTerm Life Coverage

Individual PlanIndividual Plan ChoicesChoices

Page 6: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

Lifetime maximum of up to $5 million per Lifetime maximum of up to $5 million per membermember

FamilyFlex ®FamilyFlex ®

Each family member can have a different planEach family member can have a different plan

Preventive CarePreventive Care Out-of-Pocket Maximums provide protection Out-of-Pocket Maximums provide protection

against catastrophic expensesagainst catastrophic expenses

MedCall® and HealthyExtensions MedCall® and HealthyExtensions smsm programsprograms

No claim forms with network providersNo claim forms with network providers

Our Individual Medical Plans Our Individual Medical Plans OfferOffer

Page 7: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

– UniCare PPO PlansUniCare PPO Plans

– UniCare Saver PlanUniCare Saver Plan

– UniCare High Deductible Health UniCare High Deductible Health Insurance PlansInsurance Plans (HSA-Compatible)(HSA-Compatible)

Michigan Individual PlansMichigan Individual Plans

Page 8: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

Michigan Individual PlansMichigan Individual Plans

UniCare PPO PlansUniCare PPO Plans

– Consisting of six (6) plans with selected Consisting of six (6) plans with selected deductibles and varying co-insurance, deductibles and varying co-insurance, these plans offer rich and valuable these plans offer rich and valuable benefits; yet they are competitively benefits; yet they are competitively priced. priced.

Page 9: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

500 1000 1500 2000 3000 5000

Member $500 $1,000 $1,500 $2,000 $3,000 $5,000Family

Member

Family

80% 80% 70% 70% 70% 70%

80% 80% 70% 70% 70% 70%

$50 $100 $150 $200 $300 $500

$30 for 20 visits per member per year (par and non-par combined)

$200 Max covered expense per member par and non-par combined

80% 80% 70% 70% 70% 70%

of Maximum Covered Expense After DeductibleGround services up to Max of $1,000 per trip

Air services up to Max of $5,000 per trip

Prescription Drug Benefit

Rx Deductible Brand Name only

Generic prescriptions: $10 co-pay per Rx, No DeductibleBrand Name, formulary: $30 co-pay per Rx, above deductible applies

Brand Name, Non-formulary: $50 co-pay per Rx, above deductible applies

Professional Svcs, Lab & Xray and

Out & Inpatient Care

Other RoutineCare Services

Office Visits

AmbulanceServices

Physical & Occupational Therapy, Acupuncture

$30 Co-pay per visit per member, Unlimited number of visits with Deductible waived

$6,000 plus Deductible per year

UniCare PPO Plans

Max Out of Pocket

$5 Million per memberAnnual

Deductible

Individual Plans

Maximum 2 deductibles per family per year

$3,000 plus Deductible per year

Lifetime Maximum

Page 10: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

– UniCare PPO PlansUniCare PPO Plans

– UniCare Saver PlanUniCare Saver Plan

– UniCare High Deductible Health UniCare High Deductible Health Insurance PlansInsurance Plans (HSA-Compatible)(HSA-Compatible)

MichiganMichigan IndividualIndividual PlansPlans

Page 11: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

Individual UniCareIndividual UniCareSaver 2000 Plan FeaturesSaver 2000 Plan Features

This is a hospital plan with two office This is a hospital plan with two office visits and some limited outpatient visits and some limited outpatient pharmacy and lab & xraypharmacy and lab & xray

Benefits include 2 office visits to Benefits include 2 office visits to participating providers per member per participating providers per member per year year beforebefore deductible is met at a $30 deductible is met at a $30 CopayCopay

Preventive care benefitPreventive care benefit

Page 12: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

Individual UniCareIndividual UniCareSaver 2000 Plan BenefitsSaver 2000 Plan Benefits

$2,000 medical deductible$2,000 medical deductible UniCare pays 70%, you UniCare pays 70%, you

pay 30% for inpatient pay 30% for inpatient facility and eligible facility and eligible professional chargesprofessional charges

$200 Brand Name drug $200 Brand Name drug deductibledeductible

$500 Drug Maximum, per $500 Drug Maximum, per member per year member per year (in- and out- of (in- and out- of network)network)

Two office visits per Two office visits per member per yearmember per year

Drug Co-pays:Drug Co-pays:

RetailRetail ( (30 days supply30 days supply))$10$10 for Generic with for Generic with No DeductibleNo Deductible$30 $30 for Brand Name for Brand Name

FormularyFormulary$50$50 for Brand Name for Brand Name

Non-Non-formularyformulary

Page 13: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

– UniCare PPO PlansUniCare PPO Plans

– UniCare Saver PlanUniCare Saver Plan

– UniCare High Deductible Health UniCare High Deductible Health Insurance PlansInsurance Plans (HSA-(HSA-Compatible)Compatible)

MichiganMichigan IndividualIndividual PlansPlans

Page 14: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

Health SavingsHealth Savings AccountsAccounts ((HSAsHSAs))• Health Savings Accounts are not

insurance policies, but separate agreements between an eligible individual and a qualified financial institution. For convenience, UniCare has partnered with JPMorgan Bank, N.A. (Chase) who can offer this service to you, however, it is not a requirement to use the Chase HSA to apply for UniCare’s HDHP. You may establish your account with any qualified financial institution.

First a word about HSAs...........

Page 15: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

Health SavingsHealth Savings AccountsAccounts ((HSAsHSAs)) President Bush signed into law on President Bush signed into law on

December 8December 8thth as part of the Medicare as part of the Medicare RX bill (RX bill (Eff.Eff. 1/1/20041/1/2004))

Who is eligible to open an HSA?Who is eligible to open an HSA? Anyone who is covered under a High Anyone who is covered under a High

Deductible Health Plan (HDHP)Deductible Health Plan (HDHP) Generally anyone under the age of 65 Generally anyone under the age of 65

(not Medicare eligible)(not Medicare eligible) Cannot be claimed as dependent on Cannot be claimed as dependent on

another person’s tax returnanother person’s tax return Not covered by any other health planNot covered by any other health plan

Page 16: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

What are the contribution rules and What are the contribution rules and tax treatment of an HSA?tax treatment of an HSA?

An HSA is generally exempt from tax (like an An HSA is generally exempt from tax (like an IRA) as long as a HDHP existsIRA) as long as a HDHP exists

Contributions may be made annually up to the Contributions may be made annually up to the lesser of the HDHP deductible amount or $2650lesser of the HDHP deductible amount or $2650

Individuals, employees or employers may Individuals, employees or employers may contribute to the HSA accountcontribute to the HSA account

The HSA account is owned by the individual, not The HSA account is owned by the individual, not an employeran employer

Withdrawals may be made without tax Withdrawals may be made without tax consequences to pay for medical expenses and in consequences to pay for medical expenses and in some instances for insurance premiumssome instances for insurance premiums

Un-used account balances may carry over from Un-used account balances may carry over from year to yearyear to year

Health Savings Accounts Health Savings Accounts (HSAs)(HSAs)

Page 17: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

More information regarding HSA More information regarding HSA Administration Services can be Administration Services can be found on the following Web sites:found on the following Web sites:

– www.hsainsider.comwww.hsainsider.com– www.nwww.nahu.orgahu.org

UniCare/WellPoint Integrated HSA UniCare/WellPoint Integrated HSA Program through Chase BankProgram through Chase Bank

Health Savings Accounts Health Savings Accounts (HSAs)(HSAs)

Page 18: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

What is an HDHP?What is an HDHP?

In order to qualify for an HSA, you In order to qualify for an HSA, you must be enrolled in a qualified HDHP. must be enrolled in a qualified HDHP. An HDHP is a health insurance plan An HDHP is a health insurance plan that meets the following U.S. Treasury that meets the following U.S. Treasury requirements:requirements:

– Annual Deductible of at least $1,000 Annual Deductible of at least $1,000 ($2,000 family)($2,000 family)

– Annual Out of Pocket not in excess of Annual Out of Pocket not in excess of $5,100 ($10,200 family)$5,100 ($10,200 family)

– No first dollar benefits-Deductible must No first dollar benefits-Deductible must apply to all benefitsapply to all benefits

High Deductible Health PlanHigh Deductible Health Plan(HSA-Compatible)(HSA-Compatible)

Page 19: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

UniCare’s High Deductible Health UniCare’s High Deductible Health Insurance Plans consist of four (4) plans Insurance Plans consist of four (4) plans with selected deductibles and varying with selected deductibles and varying co-insurance which, when coupled with co-insurance which, when coupled with a Health Savings Account, offers a Health Savings Account, offers premium savings, tax advantages*, and premium savings, tax advantages*, and investment opportunities.investment opportunities.

High Deductible Health PlanHigh Deductible Health Plan(HSA-Compatible)(HSA-Compatible)

*UniCare does not offer tax advice. For further information please consult your attorney or qualified

tax advisor.

Page 20: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

Single Family Single Family Single Family Single Family

$1,000 $2,000 $2,650 $5,250 $2,650 $5,250

$5,000 $10,000 $5,000 $10,000

GroundAir

Rx Ded.Generic

Brand (formulary)

Brand (non-form)

Plan 4Plan 3

100%

$30

80% 100%

After Plan Ded

$30 for 20 visits per member per year, par and non-par combined

100%

Up to Max of $5,000 per trip

After Plan Ded

You pay nothing after the Plandeductible is met

You pay nothing after deductible is met

100%

UniCare's HDHP

$10

Physical Therapy, Occupational Therapy, Acupuncture

80%

Plan 2Plan 1

80%

Annual Deductible*

Maximum Out of P ocket

*Plans 1, 2 & 3 feature a variable deductible that will adjust each year to reflect annual changes in the U.S. Treasury requirements

$50

After Plan Ded

$5 Million per member

(HSA-Compatible)Lifetime Maximum

Professional Svcs, Lab & Xray Radiation Therapy, Out & Inpatient

Care and Office Visits

Preventive CareImmunizations (Children through age 6), adult pap smear, annual mammogram, PSA screening.

80% 80% 100%

After Plan Ded$10$30$50

PrescriptionDrug

Benefit

$5,000 $10,000

Ambulance Services

Up to Max of $1,000 per trip

100%

80%

Page 21: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.
Page 22: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

UniCare’s Dental Insurance Plan UniCare’s Dental Insurance Plan provides affordable coverage for dental provides affordable coverage for dental care including: care including:

Access to quality care at discounted feesAccess to quality care at discounted fees A wide range of dental services for preventive, A wide range of dental services for preventive,

diagnostic, basic and major dental carediagnostic, basic and major dental care Freedom to choose any dentistFreedom to choose any dentist Additional savings for visiting an independently Additional savings for visiting an independently

contracted, in-network dentistcontracted, in-network dentist Annual deductible of $50 per person or $150 per family, Annual deductible of $50 per person or $150 per family,

waived for preventive and diagnostic services performed waived for preventive and diagnostic services performed by a contracted dentistby a contracted dentist

Page 23: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.
Page 24: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

Affordable Term Life Affordable Term Life Insurance Insurance

Individual Term Life insurance is Individual Term Life insurance is available to available to anyoneanyone who qualifies for who qualifies for one of our medical plansone of our medical plans

Easy to apply for:Easy to apply for: Have applicant check Have applicant check the box on application form and the box on application form and complete the Term Life Insurance complete the Term Life Insurance Application AddendumApplication Addendum

Page 25: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

Marketing StrategiesMarketing Strategies

70% of those in the market don’t 70% of those in the market don’t have a Life insurance agenthave a Life insurance agent

Window of opportunity: people don’t Window of opportunity: people don’t buy Term Life insurance buy Term Life insurance unless unless YOU YOU sell them Term Life insurance sell them Term Life insurance

Sound financial planning; Term Life is Sound financial planning; Term Life is a “financial safety net” for your a “financial safety net” for your clients and those who depend on clients and those who depend on themthem

Page 26: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.
Page 27: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

KeyKey FeaturesFeatures toto LookLook ForFor inin anan AgentAgent AgreementAgreement

Future renewals based on commission Future renewals based on commission schedule in force when case was written.schedule in force when case was written.

Renewals paid for as long as case is in force.Renewals paid for as long as case is in force.

Ownership and assignment provisions.Ownership and assignment provisions.

Page 28: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

OurOur CommitmentCommitment to You:to You:Your UniCare Agent AgreementYour UniCare Agent Agreement

Ownership contractOwnership contract

(six cases issued)(six cases issued) Corporations can be Corporations can be

licensedlicensed

UniCare does not UniCare does not accept accept agent of record agent of record changeschanges on individual on individual businessbusiness

Page 29: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

UniCareUniCare Competitor Competitor PlansPlans

PlansPlans

First Year Commission*First Year Commission* 20%20% ?? Renewal Commision*Renewal Commision* 10%10% ?? Contract OwnershipContract Ownership Yes!Yes! ?? Free Quoting SoftwareFree Quoting Software Yes!Yes! ?? Access to UnderwritersAccess to Underwriters Yes!Yes! ?? AgentOnline/AgentConnectAgentOnline/AgentConnect Yes!Yes! ??

UniCare: Compare the difference!UniCare: Compare the difference!

* Based on level 1 premium

Page 30: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

Example of individual production atExample of individual production at one case per week.one case per week. Average premium of $150 per case,Average premium of $150 per case, 20% commission20% commission first year-accruing scale.first year-accruing scale.

Month 1Month 1 $120$120Month 2 Month 2 $240$240Month 3Month 3 $360$360Month 4Month 4 $480$480Month 5Month 5 $600$600

SupplementalSupplemental IncomeIncome

Page 31: Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc. 2005 WellPoint, Inc.

ThankThank Y UY U forfor

AttendingAttending