Standard Insurance Overview and the Need for Life and Disability Insurance
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Transcript of Standard Insurance Overview and the Need for Life and Disability Insurance
Standard Insurance Overview and the Need for Life and Disability Insurance
2Please refer to the proposal and accompanying marketing materials for additional plan information.
Why Choose The Standard?
• Our values and our client focused culture• A dedicated team that is interested in your needs• An underwriting and pricing strategy that promotes the lowest net cost
and long-term relationships• Contractual flexibility• Enhanced contractual features and services that provide additional
benefits to your members and their families• A commitment to exceed your expectations
3Please refer to the proposal and accompanying marketing materials for additional plan information.
Group Life and AD&D Features and Benefits
Included in quoted plan:• Accelerated Benefit for eligible employees who are terminally ill• Repatriation Benefit up to $5,000• MEDEX Travel Assist• Electronic Beneficiary Designations• AD&D Family Benefits Package• Seat Belt and Airbag Benefit• Conversion and Portability • Waiver of Premium
*Provided by a third-party administrator.
Your Plan
4Please refer to the proposal and accompanying marketing materials for additional plan information.
Group Long-Term Disability Features and Benefits
Included:• Return To Work Incentive (allows for up to 100% income
replacement between return-to-work earnings and long-term disability benefit during the first 12 months of disability)
• Reasonable Accommodation Expense Benefit • Social Security Assistance• Survivors Benefit• One claim form for STD and LTD• Rehabilitation Incentive Benefit (LTD benefit is increased by 10% if
in an approved rehabilitation program)• Partial Disability is covered from first day of disability• Continuity of Coverage • Employee Assistance Program*
*Provided by a third-party administrator.
Your Plan
5Please refer to the proposal and accompanying marketing materials for additional plan information.
Group Short-Term Disability Features and Benefits
Included:• Partial Disability is covered from first day of disability• No pre-existing condition exclusion• Reasonable Accommodation Expense Benefit• Non-occupational coverage
Your Plan
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Account Service
7Please refer to the proposal and accompanying marketing materials for additional plan information.
• Employee Benefits Manager and Field Service & Underwriting Manager
Management oversight of your account• Employee Benefits Consultant
Your advocate at The Standard Plan and claim trend evaluation and recommendations Local support for on-site consultations
• Account Manager Day-to-day account service and support
A service team dedicated to you
Account Service
8Please refer to the proposal and accompanying marketing materials for additional plan information.
Our disability management program delivers on the promises made when coverage is purchased.
• Supportively pay those who are entitled to benefits in a timely, accurate and sensitive manner
• Identify those who can return to work and help them to do so as soon as is reasonable
• Uphold the integrity of the contract
• Control costs by identifying and combating fraud
Benefits Administration
9Please refer to the proposal and accompanying marketing materials for additional plan information.
When a disability claim is submitted, the employee is placed at the center of everything that we do
• Triage – We apply the right resources to each claim
• Early intervention – Acting quickly facilitates return to work and correct claim duration
• Team approach – Working together eases communication and improves outcomes
Nurse Case Manager
PhysicianConsultant
SocialSecurity
Assistance
VocationalCase Manager
Employee
BenefitsAnalyst
Benefits Administration
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Our Nurse and Vocational case management staffing model is recognized by a leading human resource consulting firm as an industry Best Practice
•Medical and Rehabilitation Experts
Nurse Case Managers
Vocational Case Managers
Mental Health Unit
Medical Director
Consulting Physicians•
Social Security Services•
Special Investigations Unit•
Overpayment Recovery Unit•
Employer Tax Services
Benefits Administration
11Please refer to the proposal and accompanying marketing materials for additional plan information.
Disability Claim Process
Claim Received
Administrative Staff· Prepares claim record within one work day· Evaluates forms and information for
completeness· May follow up at least every 15 days until
needed information is received; employee notified of incomplete status
· Assigns claim to Fast Track or Triage
Fast Track Claims· Employee has returned to work· Routine pregnancy· Clearly defined recover period
Short Duration Claims· Complex pregnancy· Routine surgery· Simple fracture· Other conditions expected to
resolve within duration guidelines
Long Duration / Complex Claims· Disability expected to exceed STD
maximum benefit period· Complex diagnosis· Multiple diagnosis· Claim filed late
Nurse Case ManagerDisability Specialist Triage
Claim Decision MadeDuration managed by Benefits Analyst
Claim Decision MadeDuration managed by Benefits Analyst with advice from Nurse Case Manager and Vocational Case Manager as needed
Claim Decision MadeDuration managed by our Managed Disability Team (Benefits Analyst, Nurse Case Manager and Vocational Case Manager)
Benefits Administration
12Please refer to the proposal and accompanying marketing materials for additional plan information.
Life Claim Process
Beneficiary· Complete Beneficiary Statement· Submit to the Employer or to The Standard
Processor· Prepares claim file and creates system record within 24 hours· Evaluates claim for complete data· assigns claim to your assigned Life Analyst
Life Analyst· Completes review of the claim within 5 business days of assignment· Determines if claim is approved, denied or additional information is
needed
Denied· Reviewed by Life Benefits Supervisor· Letter is mailed to all parties involved
(Employer, Beneficiary, etc.)· Phone call to follow-up
Additional Info Needed· Letter is sent requesting additional/
missing information· Follow up every 15 days
Approved· Beneficiary receives payment by
Standard Secure Access (SSA), lump sum payment or installment
Employer· Complete Life Benefits
Application· Submit to The Standard
Benefits Administration
Technology and Reporting
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Our AdminEASESM secure Web site streamlines day-to-day plan management
• Timesaving efficiencies Online administration guide Claim forms for all products Employer claim submission Billing and payment details Access to Reports OnlineSM
Order supplies Update member information Resource center Request Schedule A
Technology and Reporting
Positively Different
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According to our customers, The Standard:
• Possesses integrity• Demonstrates expertise• Exhibits commitment• Provides personalized service• Does things differently
Who Is
The Standard?
17Please refer to the proposal and accompanying marketing materials for additional plan information.
The Standard is a leader in Employee Benefits
• National leader in Disability, Group Life and Dental insurance
• Insured first group client in 1951, which remains in force today
• The largest subsidiary and core business of StanCorp Financial Group, Inc., a Fortune 1000 company*
• Known in the insurance industry for exceptional service and integrity
• Committed to serving our customers since 1906
Who Is
The Standard?
*StanCorp is a separate entity from Standard Insurance Company and is not responsible for The
Standard’s financial condition or contractual obligations.
18Please refer to the proposal and accompanying marketing materials for additional plan information.
We take our commitment to you seriously
• We commit to being honest and ethical in all that we do• We commit to focusing on your needs and finding solutions
as your needs change• We commit to meeting your needs for communication
materials and open enrollment support• We commit to implementing your plan within proposed
targets• We commit to accessibility and same day responses
Who Is
The Standard?
19Please refer to the proposal and accompanying marketing materials for additional plan information.
• Help protect what is priceless• What would happen if an employee suddenly died?
Could their family live without their income? Would their family be able to cover the medical expenses associated with a
terminal illness? Would their family be able to cover burial and funeral expenses?
Need for Life Insurance
20Please refer to the proposal and accompanying marketing materials for additional plan information.
Beliefs about Disability:
People insure —Their possessions Houses Cars
Their lives Income protection for their survivors
Their health
But they don't think about insuring or protecting their income.
Need for Disability
Insurance
21Please refer to the proposal and accompanying marketing materials for additional plan information.
Disability: The Odds
The incidence and consequences of disability are greater than most people think. Consider these statistics:
• Almost 3 in 10 of today’s 20 year olds will become disabled before reaching age 67 (Social Security Administration Fact Sheet 2009)
• Every 90 seconds in the United States someone files for bankruptcy in the wake of a serious illness (The American Journal of Medicine, Vol 122, No 8, August
2009) • 27 percent of Americans say they would have difficulty supporting
themselves financially immediately following a disability. Three out of four (74 percent) say they would face financial trouble within six months (The Disability Survey conducted by Kelton Research on behalf of the LIFE Foundation, April 2009)
Need for Disability
Insurance
22Please refer to the proposal and accompanying marketing materials for additional plan information.
How Disability Insurance HelpsDisability insurance provides income replacement when insured
employees experience a covered illness, injury, or pregnancy. The coverage can help with bills such as mortgage or rent payments, groceries, utilities and tuition – expenses that health insurance won’t cover.
Employees Safeguard lifestyle Protect loved ones Peace of mind
Employers Retention/recruiting tool Good will — when employees understand the benefit, they
appreciate the “safety net” Plan provisions (like Return to Work) can help your valuable
employees get back to a more productive and rewarding life
Need for Disability
Insurance