Powered by LBMC Employment Partners, LLC

A Comprehensive Benefits Solutionoffered exclusively to you by:

2020

Presentation Overview• Who is LBMC Employment Partners and Physician Solutions,

LP?

• What is a Professional Employer Organization (PEO)?

• How does this solution benefit Independent Contractors?

• How does it work?

• What benefits are available and what are the costs?

Definitions

• PEO = Professional Employer Organization is an organization that provides a cost-effective approach to the administration of human resources (aka “benefits”).

• Physician Solutions, LP = The entity that IC providers will join via a simple contract and become Partners/Owners in order to obtain benefit options. Physician Solutions, LP is a client of LBMC Employment Partners.

• LBMC Employment Partners = A division of LBMC (Lattimore, Black, Morgan & Cain) to provide HR outsourcing services. One of their service offerings is the PEO.

Who is this solution and what is the organizational structure?

Independent Contractor

Physician Solutions, LP

LBMCEmployment Partners, LLC

PEO Services Offered

Overview of Enrollment Process for Physician Solutions

• Step 1: The main contact with Physician Solutions will email you the following items that must be completed/signed and returned to us before proceeding:

• Partnership agreement for Physician Solutions, LP

• Banking Authorization form for the account you would like us to deduct funds from

• An initial capital contribution check for $2,000 (must be a physical check mailed)

Overview of Enrollment Process for Physician Solutions

• Step 2: Complete online forms for our HR compliance, including:

• Application• Direct Deposit Form (if you want remaining funds returned to the same account,

please just write “Same account” on the form and SIGN this)• Partner Information Form• I-9• * If you have already sent a voided check in Step 1 and are using the same

account, you do not have to include another check in this step.

• Step 3: Complete online benefits enrollment including entering dependents and electing or waiving insurance options. You will receive a confirmation email when this step is complete.

• * Insurance cards will be mailed after this step is complete, but if you have not received them and are in need of a temporary card, please contact Kathy Waggoner at kwaggoner@lbmc.com to request this card.

• The entire enrollment process should not take you more than 30 minutes – 1 hour to complete. Email info@physiciansolutionslp.com for next steps in the enrollment process.

ICs joins Physician Solutions, LP through simple contract and initial capital contribution of $2,000.

ICs completes ACH authorization for additional $2,500 per month draft to occur(drafts will be the 1st business day of the month). IC enrolls for benefits online and

completes the remaining forms.

The money deducted will flow from the Physician Solutions’ account to LBMC EmploymentPartners where insurance premiums and administrative fees will be paid and a direct deposit

will be returned back to the IC on the 15th and last business day of each month.

ICs will work continuously with the LBMC Employment Partners HR/Benefits Manager toassist with any benefit questions.

Benefit selections will continue through the remainder of the calendar year*, and ICs willrenew or change benefits for the following calendar year at annual open enrollment.

*unless proof of qualifying event such as birth, marriage, divorce, job loss/change, etc.

Overview: How the Partnership will work

The Process – Understanding How it WorksExample A – Dr. John Smith

Dr. Smith joins Physician Solutions, LP through a simple legal contract

When initially joining Physician Solutions, he writes a check for $2,000 from his personal bank account – this is his initial capital contribution.

He needs to cover his wife and 2 children so he chooses Option 2 – family coverage for health, as well as dental and vision insurance.

On the first day of each month, an ACH draft of $2,500 is made.

Option 2: Family Deductible of $6,600Funds are received and the following deductions occur:

Health Insurance (Family – Option 2) $1,766.70+ Dental Insurance (Family) $99.87+ Vision Insurance (Family) $22.08+ Monthly Administrative Fee $95.00**

Total Cost $1,983.65

Each month thereafter, payments will be made on the 1st of each month through ACH draft

$2,500.00 capital contribution less benefits cost of $1,983.65 = $516.35 returned**Balance will be returned in 2 equal installments of $258.17 via direct deposit on the 15th and last business day of each month

** Administrative/Management fee includes PEO fees, life insurance premium for $30k guarantee issue coverage, workers’ compensation insurance, management fee for Physician Solutions, LP, Life Assistance Program, and Employee Benefits Advocacy Services

Benefits Information

Summary of Benefits Offered

• Group Health, Dental, and Vision Provider: BlueCross BlueShield• Health plans are High Deductible Health Plans (HDHPs) • 3 Health Plan Options available

• Health Savings Account (HSA) Provider: HealthEquity• Life Insurance: Lincoln Financial Group• Life Assistance Program:

• Work – Life Balance• Legal Assistance • Identity Theft• Worldwide Emergency Travel Assistance• Will Preparation Assistance

• Access to Discounted Auto/Homeowners/Renters/Condo/Umbrella Rates: Liberty Mutual • LBMC Benefit Advocacy Services: Third Party / HIPAA compliant• Workers Compensation Benefits and Administration: Zurich• Critical Illness and Accident Plan: Colonial

2020 HDHP Plan – Option 1In-Network (Your Cost) Out-of-Network (Your Cost)

Annual Deductible – Individual Annual Deductible – Family *individual deductible does not apply to family deductible

$1,900$3,800

$7,500$15,000

Out-of-Pocket Max – IndividualOut-of-Pocket Max – Family

$4,000$8,000

$15,000$30,000

Co-Insurance 80% 50%

Primary Care & Specialist Visits 20% after deductible 50% after deductible

Preventive Services 0% - No deductible N/A

Inpatient Services 20% after deductible 50% after deductible

Outpatient Services 20% after deductible 50% after deductible

Emergency Care Services 20% after deductible 20% after deductible

Urgent Care Center 20% after deductible 50% after deductible

Mental Health (In-Patient & Out-Patient) 20% after deductible 50% after deductible

Prescription Drugs 40%/50%/60% after deductible (Individual pays 0% after plan out of

pocket maximum has been met)

N/A

2020 HDHP Plan – Option 2In-Network (Your Cost) Out-of-Network ( Your Cost)

Annual Deductible – Individual Annual Deductible – Family *individual deductible does not apply to family deductible

$3,300$6,600

$7,500$15,000

Out-of-Pocket Max – IndividualOut-of-Pocket Max – Family

$5,000$10,000

$15,000$30,000

Co-Insurance 80% 50%

Primary Care & Specialist Visits 20% after deductible 50% after deductible

Preventive Services 0% - No deductible N/A

Inpatient Services 20% after deductible 50% after deductible

Outpatient Services 20% after deductible 50% after deductible

Emergency Care Services 20% after deductible 20% after deductible

Urgent Care Center 20% after deductible 50% after deductible

Mental Health (In-Patient & Out-Patient) 20% after deductible 50% after deductible

Prescription Drugs 40%/50%/60% after deductible (Individual pays 0% after plan out of

pocket maximum has been met)

N/A

2020 HDHP Plan – Option 3In-Network (Your Cost) Out-of-Network (Your Cost)

Annual Deductible – Individual Annual Deductible – Family *individual deductible does not apply to family deductible

$5,000$10,000

$15,000$30,000

Out-of-Pocket Max – IndividualOut-of-Pocket Max – Family

$6,250$12,500

$22,500$45,000

Co-Insurance 80% 50%

Primary Care & Specialist Visits 20% after deductible 50% after deductible

Preventive Services 0% - No deductible N/A

Inpatient Services 20% after deductible 50% after deductible

Outpatient Services 20% after deductible 50% after deductible

Emergency Care Services 20% after deductible 20% after deductible

Urgent Care Center 20% after deductible 50% after deductible

Mental Health (In-Patient & Out-Patient) 20% after deductible 50% after deductible

Prescription Drugs 40%/50%/60% after deductible (Individual pays 0% after plan out of

pocket maximum has been met)

N/A

2020 Physician Solutions Rates Medical

CDHP National Plans BCBSTN Option 1 Option 2 Option 3

Annual Deductible Individual:

Family:$1,900$3,800

$3,300$6,600

$5,000$10,000

Out-of-Pocket MaxIndividual:

Family: $4,000$8,000

$5,000$10,000

$6,250$12,500

2020 Monthly Medical Rates

Option 1 Option 2 Option 3

Individual Only $749.90 $630.96 $447.98

Individual + 1 $1,574.79 $1,325.04 $940.78

Family $2,099.72 $1,766.70 $1,254.35

Above rates are effective 1/1/2020

BCBS – Network P and Blue CardBlue

Network

PLargest, most broad and utilized network. Popular flagship choice for negotiated discounts. Providers located nationwide for convenient, easy access to care.

The BlueCard® Program gives you access to doctors and hospitals almost everywhere, giving you the peace of mind that you’ll be able to find the healthcare provider you need.

Outside of the United States, you have access to doctors and hospitals in nearly 200 countries and territories around the world through the BlueCard® Worldwide® Program.

Facts You Need to Know & Remember

• Changes can only be made with proof of a Qualifying Event and within 30 days of the event (i.e., marriage, divorce, new baby, loss of other coverage).

• If you want to cancel coverage, you must let us know by the 15th of that month. There are no mid-month cancellations. If notified timely, all plans will be cancelled at the end of the month.

• This is a qualified HDHP; therefore, you cannot be covered as a dependent on someone else’s PPO plan.

• When electing Individual + One or Family Coverage, you are responsible for the Family deductible. Individual deductible doesn’t apply if you have Individual + One or Family Coverage.

• If you elect Medical coverage and want to take advantage of the Health Savings Account with HealthEquity, please elect a deduction amount when completing your online enrollment

• Remember to use In-Network Providers to receive maximum benefit.

Facts You Need to Know & Remember

• Preventive care is covered at 100% in-network.• Once you meet the deductible in a plan year, the plan co-insurance

coverage takes effect (Preventive care does not apply to deductible).• Your out-of-pocket maximum equals your deductible plus your

coinsurance amount.• Step Therapy: For specified drugs, BCBS may require that members first

try the generic or a lower cost brand drug before the requested drug is dispensed.

• Pre-authorization requirements: Certain procedures and drugs may require pre-authorization.

• Due to state insurance laws, IC’s residing in Nevada or Hawaii are not eligible for Physician Solutions.

HSA Contribution Limits and Catch-Up Provisions

The IRS/US Treasury Department has released the 2019 HSA Contribution Limits as follows:

2019 2020 ChangeIndividual Coverage $3,500 $3,550 + $50Family Coverage $7,000 $7,100 + $100

• Over 55 “catch-up” provision: Additional $1,000• Members entitled to and enrolled in Medicare A, B, or D cannot contribute

to a Health Savings Account• When enrolled in a HDHP plan, you cannot participate as a dependent on

any type of PPO health plan

Health Savings Account (HSA) Information

• The funds in your Health Savings Account are yours – you own them. Your tax free dollars can earn interest.

• After your balance reaches $2,000, you will have the option to invest funds.

• Your contributions can be made in a lump sum payment or at your discretion throughout the year.

• You can choose to use your funds to offset your deductible, or you can continue to let your balance grow.

• Your year-end balance remains and rolls over to the next year. Unused funds continue to earn interest.

• All funds are yours and balances can be saved to use during retirement for qualified medical expenses.

2020 BCBS Dental PPO BenefitDeductible Calendar YearApplies to Coverage B, C and D only Individual $50 Family $150

Benefit MaximumApplies to Coverage A, B, & C (per individual, per calendar year) $1,000Coverage D (per individual, per lifetime) $1,500

Percentages Benefits

• Coverage A – Preventive & Diagnostic 100% Exams, X-rays, Cleanings, Fluoride Sealants, Space Maintainers

• Coverage B – Basic Restorative Care 80% Basic Restorative Services, Basic Oral Surgery, Basic Endodontics, Basic Periodontics

• Coverage C – Major Restorative Care 50% Major Restorative & Prosthodontics, (12 Month Waiting Period) Major Periodontics, Major Endodontics,

Major Oral Surgery

• Coverage D – Orthodontics 50% Dependent Child to Age 18(Per Individual; 12 Month Waiting Period)

• Preferred Option* Network Dentists paid at PPO fee schedule

Non-Network Dentists paid 30% less than PPO fee schedule

* Members may see any Dentist. Dentists in the BCBST network have agreed to limit their charges to a fee schedule. Since BCBST is not contracted with non-network Dentists, members may be responsible for any billed charges that exceed BCBST Maximum Allowable Charge.

2020 BCBS Vision BenefitIn-Network Out-of-Network

• Exams(1 exam and 1 contact lens fitting/follow-up within a 12 month period)

Comprehensive Eye Exam $10 Copay Up to $35Contact Lens Fitting and Follow-up – Standard $55 Copay Not CoveredContact Lens Fitting and Follow- up- Premium 10% off retail Not Covered

• MaterialsStandard Plastic Lenses (Limited to one set of standardPlastic lenses within a 12 month period)

Single $10 Copay Up to $30Bifocal $10 Copay Up to $45Trifocal $10 Copay Up to $60

• Frames(limited to one pair of frames within a 24 month period) $0 Copay up to Up to $50

$100 allowance

• Contacts(limit one set of lenses within a 12 month period)

Conventional $100 allowance Up to $80Disposable $100 allowance Up to $80Therapeutic Covered 100% Up to $200

2020 Rates - Dental and Vision

Monthly Dental and Vision Premiums Dental Rates – BCBS Vision Rates – BCBS

Individual $24.84 $7.36

Individual + 1 $48.56 $14.11

Family $99.87 $22.08

Federal Benefits Management

- A Federal Benefits Coordinator will provide:

• Help understanding and navigating Social Security & Medicare Benefits Programs

• Support for making the transition from full-time employment into retirement

• Assistance in moving off of your Group Health Plan to Medicare

• Help in all phases of disability filing procedures

PhysicianNow™ powered by MDLIVE is a convenient, cost-effective alternative to the emergency room, urgent care facility or in-office doctor’s appointment for most non-emergency conditions.

Member Benefits:Quick, convenient access to locally-licensed and board-certified doctors 24/7 via phone or video

Employer Benefits:Save on claims costs by routing members to a telehealth solution when appropriate. Average savings:

•ER visit: $908•PCP visit: $41•Urgent Care visit: $9

When to use PhysicianNow:•When it’s not an emergency•When it’s not easy to schedule with your doctor•When you’re traveling•When you’re too busy to go to your doctor’s office

• 97% patient satisfaction rating across its book of business

• 90% of patients issues are resolved• The average call-back time is 9 min • 93% of patients say they would use

the service again• 93% of patients say they would

recommend this service to family and friends

• Using telehealth services saves an average of $140 per visit

Source: MDLIVE book of business reports

Identity Protection: New Free Service to Eligible Members

Enrollment• Members must enroll with Experian, no auto-enrollment

• Members receive 12 months of services, regardless of the status of their medical coverage going forward

• Enroll via the web through BlueAccess• Link on the homepage in the Tools & Information section

• Enroll via the phone – toll free number plus engagement codes

• Members must re-enroll each year

• Members will be asked for their BCBST Subscriber ID• Other personal information may be requested to enable certain account features, at the

member’s discretion

Employee Benefit Advocacy Service• Answer questions about approved/excluded procedures• Assist with claims/billing issues for any providers enrolled• Complete Benefits Advocate on behalf of the independent

contractor• HIPPA Compliant

Margaret SmithPresident, Medical Accounts Management

(800)684-4440msmith@yesmam.com

Note: You can contact Margaret with questions on the plans as you are making decisions during the enrollment process

Benefits Available at Additional Cost

Accidento Benefits for covered person who receives injuries as a result of a covered accident.

Critical Illnesso Benefits for covered person with specified critical illness, such as heart attack or stroke.

Liberty Mutual offers LBMC members preferred rates on auto insurance, home or renter’s insurance through the Group Savings Plus® program.*

• More money in your pocket• Your premium is locked in for a full 12 months• PLUS many value added benefits, such as:

• 24/7, highly-rated claims service• Convenient payment options including electronic funds transfer

(EFT) or direct billing at home

Start Saving Today! Nashville: Call Anthony Trepka at 800-668-0593 ext. 55532Nationwide: Call 800-835-0894

*Discounts and credits are available where state laws and regulations allow, and may very by state. Certain discounts apply to specific coverages only. To the extent permitted by law, applicants are individually underwritten; not all applicants may qualify. Coverage provided and underwritten by Liberty Mutual Insurance Company and its affiliates, 175 Berkeley Street, Boston, MA. A consumer report from a consumer reporting agency and/or motor vehicle report, on all drivers listed on your policy, may be obtained where state laws and regulations allow.

©2008 Liberty Mutual Insurance Company. All Rights Reserved.

Health and Wellness• BCBST Health Assessment with Biometrics must be completed annually: Please locate

assessment online at www.bcbst.com

• Member PHA (Personal Health Assessment) recommended each year.

• Annual physicals are covered at 100% for all members.

• Individual health results are confidential and reported only in aggregate form to assist with health and wellness coaching.

• BCBS will offer self-directed health coaching programs and/or one-on-one health coaching to support members in achieving their personal health goals.

Services included In Monthly Administrative Fee Term Life Insurance – Lincoln Financial Group

o Life and AD&D equivalent to 1 times annual capital contribution(IC = $30,000)

Life Assistance Program Benefitso Work-Life Balance Assistanceo Worldwide Emergency Travel Assistanceo Will Preparation Assistance o Legal Assistanceo Identity Theft

PEO Administrative Feeso Back-end administration of all benefits, access to HR Account Manager and communication

Benefits Advocacy Serviceo Assists with claims/billing issues for any providers enrolled

Physician Solutions Management Feeo K-1 details provided annually for individual tax returns for each IC

Workers' Comp Benefito With the exception of those located in Washington state, Wyoming or New Hampshire (per law, unable to be

included in group policy) o Benefits are based on the annual capital contribution amount of $30K

PEO administrative fee is $95 per month unless located in New Hampshire, Wyoming, or Washington state where fee will be $85 per monthIn case of claim from independent contractor, please report immediately to Kathy Waggoner at kwaggoner@lbmc.com or (615) 309-2431

E-mail: info@physiciansolutionslp.com

Call: 1-866-328-5050

Please visit www.physiciansolutionslp.com for additional information. Simply let us know the easiest way to reach you and a preferred time.

To enroll

A SUITE OF FAST-GROWING COMPANIES

The LBMC Family of Companies

AUDIT, TAX & ADVISORYSTAFFING SOLUTIONSTECHNOLOGY SOLUTIONSEMPLOYMENT PARTNERSINVESTMENT ADVISORSINFORMATION SECURITYPHYSICIAN BUSINESS SOLUTIONSBUSINESS PROCESS SOLUTIONS

WHAT MAKES US DIFFERENT?Big 4 expertise, small market serviceHigh value, yet reasonable fees

Our approach is risk-based and tailored for each situationOur industry experts partner with you at each stage of the processThe combined resources available from the LBMC Family of Companies scale with you as you grow

EMPLOYMENT PARTNERSMinimize your time on employee services and maximize your bottom line. At LBMC Employment Partners, we provide a comprehensive suite of employee services to businesses of 5 to 3,000 employees across all industries, allowing employers to focus on core business operations that enhance revenue.

"Physician Solutions has not only helped me in recruiting because of its extreme convenience, but it's an added value for those that use it. If my customers ever have any questions or issues, Physician Solutions remains prompt in getting back to me, and accurate with any solutions."

- Cathy Lee, Senior Physician Recruiter

The many ways we enhance your business:

• Payroll services and payroll tax consulting• Human Resources consulting and

outsourcing• Professional Employer Organization (PEO)• Employee Benefits and ACA compliance

and reporting

EMPLOYMENT PARTNERS

Payroll servicesand payroll tax consulting

Professional Employer Organization (PEO)

Human Resources consulting and outsourcing

Employee Benefits and ACA compliance and reporting

Key Differentiators• Dedicated Human Resources Account Manager• Experienced and knowledgeable staff• Partnership with Healthcare 21 Business Coalition (HC21)• Benefit Advocacy Services• Annual financial audit performed by third party• A la carte service offerings • Innovative user of progressive technology • SSAE Certified (reporting on controls of a service organization,

formerly known as SAS 70)• Personalized service based on your specific needs• One point of contact for all HRO services• Staff experience in diverse industries• Resource for wellness initiative

Serving businesses of 5 to 3,000employees across all industries