What is the purpose of EB?

“The purpose of EMPLOYEE BENEFITS is to increase the economic security of employees.”

- Wikipedia

EB can help your employees become financially secure

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EB Primer

1. Paid vacations, 75% 2. Health insurance, 61%3. Paid sick leave, 59%4. Disability insurance, 41%5. Education reimbursement, 39%6. Pension plan, 30%7. Life insurance, 29%8. Dental insurance, 24%

What are the most common EB?

All 4 insurance benefits are offered by Purple Cow!

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- Small Business Poll on Compensating Employees (NFIB, US: 2003)

Purple Cow 2011

EB Primer

What makes Insurance ‘sulit?’ • LIFE INSURANCE provides you with instant cash

in the event of death or total and permanent disability; (.25% of population between 18-65)

• ACCIDENT INSURANCE provides you with instant cash in the event of accidental death or disability; (10% of inpatient & outpatient cases)

• HEALTH INSURANCE (Medical / Dental HMO and/or INS) protects you from losing money in the event of sickness or accident, and treats you as well (if HMO). (10% inpatient / 100% outpatient)

All insurance can make or save you money in multiples

4Purple Cow 2011

EB Primer

Benefits OverviewLIFE – ACCIDENT – HEALTH

LIFE

1. LIFE INSURANCE * Total & Perm. Disability Income

HEALTH

3. MEDICAL HMO * 21,519 MD, 352 hospitals, 358 clinics

4. DENTAL HMO * 775 dentists, 645 clinics

5. Opt. Annual Physical Exam * 124 hospitals, 241 clinics, 31 mobile

6. Health & Wellness Program * 2x/year; tailored to utilization report

ACCIDENT

2. ACCIDENT INSURANCE

a. Accidental Death * Murder

b. Disability * Assault

1Purple Cow 2011

Benefits

Benefits SummaryLIFE – ACCIDENT – HEALTH

1. Life = 5x MBL 13. 100% Pre-Existing Conditions coverage

2. Total & perm. disability income = 5x MBL 14. 100% Congenital Conditions coverage

3. Accidental death = 5x MBL 15. Benefits on top of Philhealth

4. Murder = 5x MBL 16. Special procedures = 30%/100% of MBL

5. Accidental disability = __% of 5x MBL 17. Opt. Outpatient Reimb. for meds, dental, vision

6. Assault = __% of 5x MBL 18. Dental = HMO (775 dentists / 645 clinics)

7. Medical = HMO (21,519 MD / 352 hospitals / 358 clinics) 19. Dental access to major malls in Metro-Manila

8. Access to Big 5 Hospitals & Healthway 20. 1 permanent filling, 2 oral prophylaxes, etc.

9. Combined inpatient & outpatient limits 21. Opt. APE = designated or mobile clinic

10. Max. Benefit Limits per disability per year 22. Health & Wellness Program 2x/year

11. HMO patient for no-cash-out 23. Same benefits for all Employees

12. Private patient for reimbursement (HMO rate) 24. Same benefits for all Dependents

2Purple Cow 2011

Benefits

4. DENTAL HMO (nationwide)HP DENTAL (775 dentists / 645 clinics) EXCLUSIONS

1. (1) permanent filling 1. Dental procedures not included in the dental HMO plan

2. (2) oral prophylaxes1

+No reimbursements allowed (unless you get the optional Outpatient Reimbursement Plan for Rx Medicines, Dental & Vision).

+Discounts of up to 20% available on procedures not included in the dental HMO plan.

+Dental card and booklet provided, as well as an orientation and an annual utilization report.

3. Unlimited consultations

4. Simple tooth extractions if indicated

5. Temporary fillings when indicated

6. Gum treatment except for alveolectomy/gingivectomy

7. Simple adjustment of dentures

8. Re-cementation of fixed bridges/crowns/jackets/inlays/onlays

9. Treatment of pain/lesions/wounds/burns

10. Emergency dental procedures if necessary

+By appointment only (unless emergency)

Dental HMO benefits are covered on top of Medical HMO benefits

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Benefits

3 Major Employee Benefits in 1 Plan: you get Life, Accident & Health (medical

HMO, dental HMO, optional APE, and Wellness program) – all in one plan.

(Unlike most HMO plans)

You get all the Employee Benefits you will ever need

3Purple Cow 2011

Why Purple Cow?

Competitive Advantage #3:

Dental HMO Network: you can get 1 permanent filling, 2 oral

prophylaxes, and 8 other benefits from 775 dentists and 645 clinics nationwide.

(Unlike most HMO plans)

You can go to SM/ Market2/ Festival/ Robinson’s/ Shangrila/ ATC

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Why Purple Cow?

Competitive Advantage #15:

Same Benefits for Dependents: Dependents can get the same benefits, terms and conditions as Employees

(as well as the same costs in 2011).

(Unlike most, if not all, HMO plans)

Your Dependents are treated like Employees

19Purple Cow 2011

Why Purple Cow?

Competitive Advantage #19: