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AFLAC. How To Use. To Reduce Healthcare Costs. Dependent Eligibility Audits. The Big IDEA ● Internet Dependent Eligibility Audits . Dependent Eligibility Audits. We find and remove ineligible dependents. Benefits to Employer. REDUCE. MAINTAIN. DECREASE. Healthcare Costs.
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AFLAC How To Use To Reduce Healthcare Costs Dependent Eligibility Audits The Big IDEA ● Internet Dependent Eligibility Audits
Dependent Eligibility Audits We find and remove ineligible dependents
Benefits to Employer REDUCE MAINTAIN DECREASE HealthcareCosts Plan FiduciaryResponsibility Claim Risks(stop loss)
Results From Hospital Audit Dependents2,400 Dependents Removed7.8% 1st Year Savings$393,498
Results From Manufacturer Audit Dependents4,500 Dependents Removed6% 1st Year Savings$750,000
Results From School Audit Dependents700 Dependents Removed6.8% 1st Year Savings$300,000
The Big IDEA AFLAC and Impact Technology People Knowledge Significant Results For Employers
Technology Customized Website • Employer’s SPD • Custom Rules • Custom Questions • Document Requirements • Product Offerings Crown Technologies
Technology Target Ineligibles • Drill-Down Questions • Define Relationships • Time and Date Stamp • Spousal Carveouts and Surcharges
People Trained Counselors • Organize the Audit • Schedule Employees • Face-to-Face Interviews • Ask Affidavit Questions • Explain Document Requirements Take Advantage of AFLAC’s Strengths
People Skilled Auditors • Employee Call Center • Document Tracking • Document Adjudication • Post-Audit Reporting Take Advantage of Impact’s Strengths
Process Well-Executed Event • Conduct Planning Session • Acquire SPD and Data • Develop Website • Train Counselors • Provide Templates* • Implement Event • Deliver Reports * For employee communications
Typical ROI on Audits Client Profile • 1,000 Employees • 500 with Covered Dependents • 1,000 Dependents • $3,000 Average Annual Healthcare Costs * Letters to employee homes
Executive Summary of Methodology / Results • Participation Status • Call Center Status • Document Submission Status • Ineligible Results • Analysis of Ineligibles • Annualized Savings
The Bottom Line The Internet Dependent Eligibility Audit A comprehensive, customized, personally-delivered solution designed to help you identify ineligible dependents and control healthcare costs. 12/21/2011