8. WHY PURPLE COW?8. WHY PURPLE COW?31 COMPETITIVE ADVANTAGES31 COMPETITIVE ADVANTAGES

Appendix:

1 ‘Large’ Size Fits All SME: If you are an SME, with 10+ employees, you can join Purple Cow, be part of a bigger group, and be treated like a large company.

(Unlike most HMO plans)

You can enjoy the same toys as the Big Boys

1#1:

Purple Cow 2011

Why Purple Cow?

2 Ways to Access Healthcare: you can see an HMO doctor for free,

or your own doctor for reimbursement at the HMO rate – each time you avail.

(Unlike most HMO plans)

You can see your own doctor, cheaper

2#2:

Purple Cow 2011

Why Purple Cow?

3 Major Emp. Benefits in 1 Package: you get Life, Personal Accident & Health

(medical HMO, dental HMO, opt. APE, opt. Reimbursement) – all in 1 package.

(Unlike most HMO plans)

You get all the Employee Benefits you will ever need

3#3:

Purple Cow 2011

Why Purple Cow?

4 Modes of Payment: you can choose from annual, semi-annual,

quarterly, or monthly modes of payment to suit your cash flow or budget.

(Unlike most HMO plans)

You can pay Annual (60%), S.A. (5%), Qtr. (30%) or Mo. (5%)

4#4:

Purple Cow 2011

Why Purple Cow?

Up to 5 R&B x 3 MBL Choices each: you can choose up to 5 SME Room & Board

categories x 3 Maximum Benefit Limits each to suit your wants, needs or budget.

(Unlike most HMO plans)

You can try new combinations to see if they are ‘sulit’

5#5:

Purple Cow 2011

Why Purple Cow?

100% Pre-Existing Conditions: you get 100% Pre-Existing Conditions

coverage, up to MBL, for cancer, hypertension, diabetes, asthma, etc.

(Unlike most HMO plans)

You are covered for dreaded & non-dreaded diseases

6#6:

Purple Cow 2011

Why Purple Cow?

100% Congenital Conditions: you get 100% Congenital Conditions

coverage, up to MBL, for mitral valve pro-lapse, rheumatic heart disease, hernia, etc.

(Unlike most HMO plans) You are covered for medical conditions since birth

7#7:

Purple Cow 2011

Why Purple Cow?

8#8:

Purple Cow 2011

Why Purple Cow?

Benefits on Top of Philhealth: your HMO limits are on top of Philhealth,

so you won’t need as much MBL. Your Benefits = Philhealth + MBL, not just MBL.

(Unlike most HMO plans)

You get full HMO benefits on top of Philhealth benefits

#9:

Pooled Employee Utilization: your Employee utilization is pooled together with the employee utilization

of all other groups, to spread your risk.

(Unlike most HMO plans)

Stick with the Herd: there’s safety in numbers

9Purple Cow 2011

Why Purple Cow?

#10:

Separate Dependent Utilization: your Employee and Dependent utilization

are separate, so you won’t have to worry about Dependents affecting your rates.

(Unlike most HMO plans)

You can provide voluntary Dependent coverage w/o fear

10Purple Cow 2011

Why Purple Cow?

Life Insurance:your Life insurance benefit = 5x MBL.

Twist: if you don’t die, but you’re totally and permanently disabled, TPDI =

5x MBL.

(Unlike all HMO plans)

11

You can get 1 year’s worth of income replacement

#11:

Purple Cow 2011

Why Purple Cow?

Accidental Death Insurance (PA): your Accidental Death benefit = 5x MBL.

Twist: if you don’t die by accident, but by Murder, you get 5x MBL.

(Unlike all HMO plans)

You can get another year’s worth of income replacement

12#12:

Purple Cow 2011

Why Purple Cow?

#13:

Disability Insurance (PA): your Disability benefit = __% of 5x MBL.

Twist: if you don’t get disabled by accident, but by Assault, you get __% of 5x

MBL.

(Unlike all HMO plans)You can get up to 1 year’s worth of income replacement

13Purple Cow 2011

Why Purple Cow?

#14:

Medical HMO: you can get inpatient, outpatient and

emergency treatment from 21,519 doctors, 352 hospitals, and 358 clinics nationwide.

(unlike some HMO plans)

You can go to MMC/ SLMC/ CSMC/ AHMC/ TMC/ Healthway

14Purple Cow 2011

Why Purple Cow?

#15:

Dental HMO: 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

15Purple Cow 2011

Why Purple Cow?

#16:

Optional Annual Physical Exam: you can customize your APE and request

a designated or mobile clinic from GRA; or you can get a Basic 5 APE nationwide.

(Unlike most HMO plans)

You can decide if you want an APE, and if so, what kind

16Purple Cow 2011

Why Purple Cow?

#17:

Optional Reimbursement Plan: you can get reimbursed up to an aggregate limit of 1/10th your MBL for

Prescribed Medicines, Dental & Vision.

(Unlike all HMO plans)

You can get the best perks of medical insurance as well

17Purple Cow 2011

Why Purple Cow?

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

18#18:

Purple Cow 2011

Why Purple Cow?

#19:

The Price is Right: Purple Cow rates are lowest where they matter the most: in the 2 lowest categories, where you enroll up to 99% of your staff.

(Unlike most HMO plans)

You get the greater good for the greater number

19Purple Cow 2011

Why Purple Cow?

#20:

The Design is Right: Purple Cow provides medical necessity,

not luxury. Savings from excess R&B/MBL are reallocated to benefits of greater use.

(Unlike most HMO plans)

R&B/MBL combinations are good up to 99% of the time

20Purple Cow 2011

Why Purple Cow?

#21:

The Perfect Insurer: you get the biggest name in group life and medical, and the only insurance company in the PH today that offers an HMO-type plan.

(Unlike all insurance companies)

You can get the best of both worlds from ALGA

21Purple Cow 2011

Why Purple Cow?

#22:

The Perfect Broker: you get to retain the services of the

#1 Filipino, family-owned, full-line insurance brokerage in the PH today.

(Unlike most brokers)

You can outsource EB and other insurance lines to GRA

22Purple Cow 2011

Why Purple Cow?

#23:

Buy Now, Pay Later: you can sign up today, get covered right away, and pay later when GRA bills you

(during your EB orientation, at the earliest).

(Unlike some HMO plans) Sign up today and take advantage of the float tomorrow

23Purple Cow 2011

Why Purple Cow?

#24:

Easy Sign Up: 1) Email the completed Masterlist; 2) Fax the signed Endorsement; 3) Fax the signed Letter of Guarantee.

(Unlike some HMO plans)

You can download all 3 forms from our website

24Purple Cow 2011

Why Purple Cow?

#25:

Utilization Reports: you get a detailed, user-friendly report

that gives you insights into your own group’s utilization patterns, once a year.

(Unlike some HMO plans)

You will learn even more about your own company

25Purple Cow 2011

Why Purple Cow?

#26:

Group Renewal Rates: you get a group renewal rate increase or decrease at the start of every year,

so you can plan accordingly.

(Unlike most HMO plans)

Renewals will become as smooth as clockwork

26Purple Cow 2011

Why Purple Cow?

#27:

Group Experience Refund: you get to share in the excess, if any, of the group’s favorable utilization experience: ((premiums x 60%) – (YTD + IBNR claims)) x 50% = Exp. Refund

(Unlike most HMO plans)

Good experience refund formulas keep Suppliers honest

27Purple Cow 2011

Why Purple Cow?

#28:

Everyone Wins: Your Company wins; Purple Cow’s clients win;

The SME Nation wins.

(Unlike most HMO plans)

Everybody loves a Winner

28Purple Cow 2011

Why Purple Cow?

#29:

29Purple Cow 2011

Why Purple Cow?

Non-Employees can Win, too: you can even cover agents, associations, and multi-purpose cooperatives, as long as certain selection & payment criteria are met.

(Unlike most HMO plans)You can get Employee Benefits for Non-Employees

#30:

Virgins can Win Even More: you get a 1st year Virgin promo rate

if your company has never had group insurance or HMO before.

(Unlike all HMO plans)

You can renew at the prevailing Non-Virgin rates in 2012

30Purple Cow 2011

Why Purple Cow?

#31:

Large Companies can do a TPA: if you become a Large Company, you can self-insure as a stand-alone account, using the same Purple Cow schedule of benefits.

(Unlike all TPA plans)You can switch from insured to self-insured plans easily

31Purple Cow 2011

Why Purple Cow?

For more information, please visit www.purplecow.ph,

…or contact Tom Gotuaco via email or mobile phone.