“The Start Up” Presentation for the Cayman Captive Forum.
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Transcript of “The Start Up” Presentation for the Cayman Captive Forum.
“The Start Up”Presentation for the Cayman
Captive Forum
Dixon AbellPresident, Abell, LLCMonroe, LAPresident, Well Health Insurance Ltd.
Ernie Achtien, CPA, CPCUCFO, Captive Resources, LLCSchaumburg, ILBoard Member, Well Health Insurance Ltd.
Doug HaydenSr. Vice President, Captive Resources, LLCSchaumburg, ILCaptive Consultant, Well Health Insurance Ltd.
Panel
Increase in Health Insurance Premiums
38%
109%
172%
38%
113%
180%
11%
29%
47%
8%
24%
38%
0%
20%
40%
60%
80%
100%
120%
140%
160%
180%
200%
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Health Insurance Premiums
Workers' Contribution to Premiums
Workers' Earnings
Overall Inflation
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2012. Bureau of Labor Statistics, Consumer Price Index, U.S. City Average of Annual Inflation (April to April), 1999-2012; Bureau of Labor Statistics, Seasonally Adjusted Data from the Current Employment Statistics Survey, 1999-2012 (April to April).
Can A Captive Mitigate The Trend?Can A Captive Mitigate The Trend?
Improved Health Management– Paradigm shift – we CAN impact costs of health benefits
Return of Underwriting Profits– Reduces need to increase retention/risk
Reduced Costs– Gain leverage in the marketplace– Greater predictability through spread of risk
Control Over Insurance Destiny
Who Formed Well Health Insurance Ltd.?Who Formed Well Health Insurance Ltd.?
Captive Resources introduced the group stop-loss captive concept to its current casualty captive customers
Captive Resources introduced the group stop-loss captive concept to the brokerage community
Captive Resources worked with the stop-loss marketplace and started a relationship with Berkley as the program’s policy issuing carrier, reinsurer and underwriter
The Program added its first partner company in May 2011 and now covers over 10,000 lives
• Use your current plan design if desired
• Choose the specific stop loss limit that fits your company best
• Obtain aggregate stop loss protection if desired
• Select your own third party administrator
• Access to local, regional and national PPO networks
Well Health Flexibility
Member Assessment
Specific Claims Layers(Per Person Per Policy Year)
Employee Share
Catastrophic Stop-Loss Coverage
Per Claim
MEMBER AGGREGATE ATTACHMENT
POINT
(each member’s) Specific Deductible SIR
Captive Co-Participation
Member Loss Fund
$200,000 IN EXCESS OF SIR
CAPTIVE CO-PARTICIPATION
BETWEEN MEMBERS
WITH AGGREGATE STOP-LOSS
Berkley Stop Loss Policy
Well Health WellnessWell Health Wellness
Development of Health Management/Wellness Platform– Based on member direction and industry best practices
Health Management/Wellness Workshops– Topical presenters and breakout sessions– Networking/member interaction
Well Health webinar series Member Website Buying Groups
Well Health Insurance Ltd.
WELL HEALTH
STOP LOSS
CAPTIVE
Networking
Wellness
Plan Design
ClaimManagement
Employer’s Total Health Care Costs
Defining SuccessDefining Success
Impacting the Total Cost of Healthcare – The Other 85%– Predictability– Outperform industry cost trends– Captive dividend distribution
Promotion of healthy behavior Vendor Integration Healthy and Productive Workforce – and Dependents Benchmarking Results
ContactsContacts
Contact Phone Email
Kevin Hallen (847) 879-2369
Doug Hayden (847) 879-2357
Jim Merkel (847) 944-9818
Larissa Akrawi
(847) 879-2382
