17th Meeting of Senior Fellowship Officers of the UN System and Host Country Agencies

1. 17th Meeting of Senior Fellowship Officers of the UN System and Host Country Agencies London – 18 November 2008 Benedikt Butaye (Mr) – Key Account Manager

2. Agenda • Vanbreda International & organization • Evolution of the Fellowship Insurance • Fellowship Insurance: key figures Oct. 2007-Sept. 2008 • Medical • Life/Permanent Disability • Renewal 2009 • Vanbreda International services • ISO 9001:2000 Performance Guarantees • Provider Agreements and Savings

3. Vanbreda International • Employee Benefits Consultants, Administrators and Brokers • Specialized in employee benefits for international groups • Medical and Dental Coverage • Short & Long Term Disability Coverage • Long Term Care cover • Pension Plans • Loss of Life cover • Employee Affinity Plans • Core activity: medical claims handling • ISO 9001:2000 certified • Vanbreda is NOT an insurance company

4. Client Organization Fellows Trainees Study Tour Participants Medical Service Providers Organization Provider Relations Medical Claims Center International Benefits

5. Evolution of the Fellowship Insurance • “Fellowship insurance” = Group Life, Disability and Medical Insurance Policy • Negotiated by IAPSO/UNDP in 1982 • Separate experience and independent premium evolution for fellows since 2003 • Unchanged premiums since 2003 - 2008 • Estimated number of fellows in 2008 = 1,600 • 23 declaring organizations

6. Premiums versus Reimbursements 2007/2008 (Medical)

7. Reimb. by type of service & protection (Oct 07-Sept 08)

8. Reimb. by country of expense (Oct 07-Sept 08) – Top 10

9. Reimb. by country of expense (Oct 07-Sept 08) – Top 10

10. Reimb. by Organization (Oct 07-Sept 2008)

11. Life & Disability: experience

12. Renewal 2009 • Medical Insurance: unchanged 2009-2011 • Life & Disability insurance: decrease by 10% in 2009 (B1-B3)

13. VBI Services for Fellows and Trainees • Direct deposit in USD into bank accounts at no extra cost • Dedicated Vanbreda International website for fellows and trainees • www.vanbreda-international.com • Log-in code: “242/IAPSO01” (Personal Reference Number) in combination with “06/06/1963” (Date of Birth) • Info on: • Coverage • Direct Payment Procedure • Claims Filing • Downloading Forms • Contacts • VBI’s Network Provider list • Disease Management

14. VBI Services for Fellows and Trainees • Other Communication tools: • Brochure and FAQ brochure • Dedicated email, fax & telephone • In-house and integrated platform → real 24/7/365 (Antwerp & Kuala Lumpur) • Main languages per time zone • Professional language skills (20 languages) • Interpreting services “on call” for specific languages • No translations of documents necessary

15. ISO 9001:2000 Performance Guarantees • TAT Fellowship insurance • 2007: 90% of all claims were settled within 10 working days • Jan-Sept 2008: 91% of all claims were settled within 10 working days • Availability: 24/7 live customer service (Antwerp and Kuala Lumpur office) • Measurement of financial and procedural accuracy(pre and post verification) • Random Customer Satisfaction Surveys: 97% of all VBI members were satisfied

16. Provider Agreements and savings • Own network of 8,000 providers • Content agreement • Direct payment • Tariff agreements, e.g.: • In countries with a public list of fees: strict application of the published fee scales • In developing countries many hospitals uses different rate levels for local and international staff, etc.: aim at the lowest scale • Explicit discount % • Prompt payment discounts • Co-operation with US TPAs

17. Thank you & Questions