HEALTHCONNECT REPORT OPTIONS OVERVIEW

Transcription

1 HEALTHCONNECT REPORT OPTIONS OVERVIEW Produced by the LISI Product Department LISI (5474) Copyright LISI, Inc.

2

3 Table of Contents Selected Medical Plan Information... 3 Plan Grid... 4 Side by Side... 6 Side by Side Detail.. 8 Employee Rate Side by Side.. 10 Full Benefits Employee Rate Detail.. 18 Single Plan Detail Underwriting Guidelines Rider Report General Plan Information Current/Renewal.. 30 Cost Comparison Employee Elect Employee Elect EE Elect. 42 Table Rates Dual/Multi Option Proposal Dual Option Multi Option Final Rates for Multi Option Selected Dental Plan Information. 65 Dental Side-by-Side. 66 Dental Plan Listing Dental Underwriting Guidelines. 72 Dental Employee Elect 74 Life and Vision Plan Information.. 77 Group Life Proposal Group Vision Proposal Special Settings LISI Settings Button... 87

4 Page Intentionally Left Blank Page Intentionally Left Blank 2

5 Selected Medical Plan Information Section Overview: The Selected Medical Plan Information section contains standard quote reports with options similar, if not identical, to the Classic QuoteStar system. All reports in this section show only plans selected during the plan selection period of the quoting process. When selecting multiple reports as shown above, all reports will sort by options chosen in this section. These reports have the ability to show employer contribution based on the information entered into the system. If you do not want to display this information, select No in the circled section above. Reports in this Section (Page number): Plan Grid.. 4 Employee Rate Detail Side by Side... 6 Single Plan Detail.. 20 Side by Side Detail... 8 Underwriting Guidelines EE Rate Side-by-Side 10 Rider Report Full Benefits

6 Selected Medical Plan Information Plan Grid Report Description: The Plan Grid report shows a listing of all plans selected to quote, with basic benefits and total monthly premium for the group. Report Variations: You can choose to show this report with or without the Low/Standard/High RAF monthly premium totals for each plan. Suggested Usage: Overview piece used early in the quoting process to help pare down plan choices. Overview for all plans in a carrier portfolio. Use either this Plan Grid report or the Cost Comparison report. 4

7 Selected Medical Plan Information: Plan Grid 5

8 Selected Medical Plan Information Side by Side Report Description: The Side by Side comparison report shows a grid of plans selected to quote. The grid contains a basic summary of benefits, both in and out of network, and the total monthly premium, broken down by employee cost, dependent cost, and employer contributions. It will show percentage change versus current if current plan information is available and entered into the system. Report Variations: You can show this report with or without the monthly premium amounts. To leave out the dollar amounts, select the Benefits Only box in the circled section above. You can have anywhere from two to seven plans across per page, as illustrated above. You can include current and renewal plan information, if available and entered into the system, by selecting the Yes button as shown above. Suggested Usage: Easy-to-read side-by-side comparison with basic benefit categories. Overview for all plans in a carrier portfolio. Use either this Side by Side report or the Side by Side Detail report. 6

9 Selected Medical Plan Information: Side by Side 7

10 Selected Medical Plan Information Side by Side Detail Report Description: The Side by Side Detail report shows a spreadsheet-like selection of plans to compare benefits and premiums; it is more detailed than the Side by Side report. Additional benefits shown on this report include out-patient surgery, ER Visit, and Lab & X-ray. It will show percentage change versus current if current information is available and entered into the system. Report Variations: You can show this report with or without the monthly premium amounts. To leave out the dollar amounts, select the Benefits Only box in the circled section above. You can have either two or three plans across per page, as illustrated above. You can include current and renewal plan information, if available and entered into the system, by selecting the Yes button as shown above. Suggested Usage: Spreadsheet comparison for more detailed benefits review. Use either this Side by Side Detail report or the Side by Side report. 8

11 Selected Medical Plan Information: Side by Side Detail 9

12 Selected Medical Plan Information Employee Rate Side by Side Report Description: The Employee Rate Side by Side report shows the employee rates, broken down by employee only and employee total cost, underneath a brief summary of plan benefits. It will show four plans per page, listed in columns, with totals at the bottom. Report Variations: You can include current and renewal plan information, if available and entered into the system, by selecting the Yes button as shown above. Suggested Usage: Side-by-side comparison of employee rates. Useful for showing employee rates across a portfolio of plans. Use either this EE Rate Side by Side report or the Employee Rate Detail report. 10

13 Selected Medical Plan Information: Employee Rate Side by Side 11

14 Selected Medical Plan Information: Employee Rate Side by Side 12

15 Page Intentionally Left Blank 13

16 Selected Medical Plan Information Full Benefits Report Description: The Full Benefits report is a comprehensive, one-plan-per-page benefit summary sheet for each plan selected. Report Variations: None. Suggested Usage: Useful as benefit summaries for Multi Option reports or Employee Worksheets. Do not click Add Full Benefits under Single Plan Detail report if printing this report. 14

17 Selected Medical Plan Information: Full Benefits 15

18 Selected Medical Plan Information: Full Benefits 16

19 Page Intentionally Left Blank 17

20 Selected Medical Plan Information Employee Rate Detail Report Description: The Employee Rate Detail (Breakdown) report is a detailed rate page showing employee only, dependent and employee total rates for each employee. It contains basic benefit information. This report will print as many plans per page as will completely fit, based on the number of employees quoted. Report Variations: None. Suggested Usage: Useful as backup information when showing either the Side by Side reports or the Dual/Multi Option reports. Use either the EE Rate Side by Side report or this Employee Rate Detail report. 18

21 Selected Medical Plan Information: Employee Rate Detail 19

22 Selected Medical Plan Information Single Plan Detail Report Description: Single Plan Detail is a one-plan-per-page, detailed report that shows a simple summary of benefits, followed by premium totals with an employee level rate breakdown at the bottom. The main page of the report can extend to two pages if the census is larger than 25 employees. This report is most likely to increase the size of your proposal. By decreasing the number of selected plans, you can decrease the size of the proposal overall. Report Variations: Add a page of full benefits (one plan per page) by selecting the Add Full Benefits checkbox as shown above. Do not select the Full Benefits report if selecting this option. Add a page of table rates and rate averages (one plan per page) by selecting the Add Table Rates checkbox as shown above. Suggested Usage: Useful for showing detailed rate and benefit information for selected medical plans. Use either this Single Plan Detail report or a combination of the Full Benefits and Employee Rate Detail reports. 20

23 Selected Medical Plan Information: Single Plan Detail 21

24 Selected Medical Plan Information: Single Plan Detail 22

25 Selected Medical Plan Information: Single Plan Detail 23

26 Selected Medical Plan Information Underwriting Guidelines Report Description: This report generates detailed underwriting guidelines. It will print as many per page as will completely fit. Report Variations: None. Suggested Usage: Useful for all quotes. 24

27 Selected Medical Plan Information: Underwriting Guidelines 25

28 Selected Medical Plan Information Rider Report Report Description: Rider Report is a basic report of available riders for all plans selected. It breaks down the rates of the rider by family status. Report Variations: None. Suggested Usage: Useful on all quotes where plans shown have available riders. 26

29 Selected Medical Plan Information: Rider Report 27

30 Page Intentionally Left Blank 28

31 General Plan Information Section Overview: The General Plan Information section offers reports that are situational-based, such as renewing groups and enrollment meetings. These reports offer brokers a way to reduce tedious reporting tasks down to simple mouse clicks. The reports in this section do not utilize the plans requested in the initial quote section. Reports in this Section (Page number): Current/Renewal.. 30 Cost Comparison.. 34 Employee Elect Employee Elect EE Elect.. 42 Table Rates

32 General Plan Information Current/Renewal Report Description: Current/Renewal is a detailed report of current versus renewal information. It contains a basic summary of benefits, as well as a complete listing of employee premiums, separated by each plan a company currently offers. The group totals are by plan, with a summary of all plans at the end, showing total change in premiums. Report Variations: You can choose to print the report with either a basic summary of benefits or full benefits pages. Suggested Usage: Useful as a starter piece for brokers to send to their clients at renewal, especially when a group has multiple carriers. 30

33 General Plan Information: Current/Renewal 31

34 General Plan Information: Current/Renewal 32

35 General Plan Information: Current/Renewal 33

36 General Plan Information Cost Comparison Report Description: The Cost Comparison report displays a complete list of plans available in the marketplace for a group, based on selected carriers. It shows a breakdown of HMO and PPO plans based on the requested plan type. Report Variations: You can show plans sorted by premium or by carrier. You can include or exclude current and renewal information. Suggested Usage: Useful as a complete listing of plans to show a client that you have reviewed all plans available. Useful for reducing the size of a proposal by using this report in addition to limiting plan selection for the Single Plan Detail report. Use either this Cost Comparison report or the Plan Grid report. 34

37 General Plan Information: Cost Comparison 35

38 General Plan Information: Cost Comparison 36

39 General Plan Information: Cost Comparison 37

40 General Plan Information: Cost Comparison 38

41 Page Intentionally Left Blank 39

42 General Plan Information Employee Elect Report Description: The Employee Elect report is a detailed page of rates for every plan by carrier elect portfolio (i.e., Aetna Pick a Plan and Anthem Blue Cross EmployeeElect). It contains employee rates for each family status, with one page per employee. Please note: Employee Elect refers to any portfolio of medical plans offered by any carrier, not only to the Anthem Blue Cross EmployeeElect portfolio. Report Variations: By selecting Multiple Packages, you choose more than one carrier s portfolio and print a page per employee, per portfolio. When selecting EE Elect in the circled section above, the report changes into a grid format geared for employers. You can include a full benefits page for each plan included in the portfolio. Suggested Usage: Useful for enrollment meetings. 40

43 General Plan Information: Employee Elect 41

44 General Plan Information Employee Elect EE Elect Report Description: The Employee Elect EE Elect report is a detailed page of rates in a grid format for every plan by carrier elect portfolio (i.e., Aetna Pick a Plan and Anthem Blue Cross Employee Elect). The report contains employee, dependent and total rates. Please note: Employee Elect refers to any portfolio of medical plans offered by any carrier, not only to the Anthem Blue Cross EmployeeElect portfolio. Report Variations: By selecting Multiple Packages, you choose more than one carrier s portfolio and print a page per employee, per portfolio. When selecting EE Elect in the circled section above, the report changes into a grid format geared for employers. You can include a full benefits page for each plan included in the portfolio. You can limit the plans shown in a single portfolio by selecting from the list of plans in the circled section above. Suggested Usage: Useful for brokers who want to see premiums across a spectrum of plans on a single page. 42

45 General Plan Information: Employee Elect EE Elect 43

46 General Plan Information: Employee Elect EE Elect 44

47 Page Intentionally Left Blank 45

48 General Plan Information Table Rates Report Description: The Table Rate report is a complete rate matrix. It will print as many plans on a page as will fit completely. Report Variations: A single plan for a carrier. All plans for a single carrier. All plans for multiple carriers. All plans for all carriers. Report Usage: Useful when a group needs to calculate new hire rates or payroll deductions. 46

49 General Plan Information: Table Rates 47

50 Page Intentionally Left Blank 48

51 Dual/Multi Option Proposals Section Overview: Dual and Multi Option reports are among the most innovative features of the QuoteStar, Powered by HealthConnect, online quoting system. Their comparison features are some of the best looking reports the system produces and offers the potential for the most time-savings for brokers. These options were only available in a limited format in the Classic QuoteStar system. Reports in this Section (Page number): Dual Option 50 Multi Option 56 Final Rates for Multi Option

52 Dual/Multi Option Proposal Dual Option When you select the Census Split button above, you go to the page shown below. 50

53 Dual/Multi Option Proposal: Dual Option Report Description: Dual Option is a summary report of dual option combinations, showing a PPO option on top and a HMO option on the bottom, with a summary of both premium amounts below. It includes basic benefit summaries. This report will not accommodate a dual choice PPO/PPO or an HMO/HMO. If you have one of these dual choice plan combinations, use the Multi Option Report. Report Variations: You can choose to include or exclude current and renewal. You can choose to have benefit information, cost summary information, or both. You can choose to include or exclude an employee rate breakdown. You can choose to include or exclude available rider information. You can override the employer contribution in the system with a percentage of the low option. Suggested Usage: Useful as an apples to apples comparison for groups with current dual choice plans. 51

54 Dual/Multi Option Proposal: Dual Option 52

55 Dual/Multi Option Proposal: Dual Option 53

56 Dual/Multi Option Proposal: Dual Option 54

57 Page Intentionally Left Blank 55

58 Dual/Multi Option Proposal Multi Option When you select the Assign Plans button above, you go to the page shown below. 56

59 Dual/Multi Option Proposal: Multi Option Report Description: For groups with multiple plan designs, the Multi Option report displays plans chosen and the total group costs, broken down by employee and dependent costs, and/or to compare multi-plan packages. Report Variations: You can include or exclude current and renewal information. Suggested Usage: Useful for groups with multiple plan designs, such as a CaliforniaChoice group or a group with an Anthem Blue Cross/Kaiser wrap. 57

60 Dual/Multi Option Proposal: Multi Option 58

61 Dual/Multi Option Proposal: Multi Option 59

62 Dual/Multi Option Proposal: Multi Option 60

63 Page Intentionally Left Blank 61

64 Dual/Multi Option Proposal Final Rates for Multi Option Report Description: Final Rates for Multi Option is a detailed report showing census and plan selection, as well as employee, dependent, and total rates for each employee on the selected plan. You can only print one option from the Multi Option report choices at a time. Report Variations: You can add a base plan to your employer contribution schedule. You can rollover the single lump sum contributions to the dependent. Suggested Usage: Useful as a confirmation of employee plan selection and the first month s premium check. 62

65 General Plan Information: Final Rates for Multi Option 63

66 Page Intentionally Left Blank 64

67 Selected Dental Plan Information Section Overview: The Selected Dental Plan Information section offers the basic reports for dental products, showing the basic plan design, rate information for carriers, and plans selected during the quoting process. Also available in this section is the Dental Employee Elect report which offers enrollment meeting employee worksheets for dental products. Reports in this Section (Page number): Dental Side by Side. 66 Dental Plan Listing Dental Underwriting Guidelines. 72 Dental Employee Elect 74 65

68 Selected Dental Plan Information Dental Side-by-Side Report Description: The Dental Side by Side report shows a grid of plans selected to quote. The grid contains a basic summary of benefits, both in and out of network, and total monthly premium, broken down by employee and dependent costs. This report will print four plans per page. Report Variations: You can choose to include or exclude the premium information. Suggested Usage: Useful for comparing dental plans side by side. Use either this Dental Side by Side report or the Dental Plan Listing report. 66

69 Selected Dental Plan Information: Dental Side-by-Side 67

70 Selected Dental Plan Information: Dental Side-by-Side 68

71 Page Intentionally Left Blank 69

72 Selected Dental Plan Information Dental Plan Listing Report Description: The Dental Plan Listing report is a detailed rate page showing employee only, dependent and employee total rates for each employee. It contains basic benefit information. This report will print one plan per page. Report Variations: None. Suggested Usage: Use either this Dental Plan Listing report or the Dental Side by Side report. 70

73 Selected Dental Plan Information: Dental Plan Listing 71

74 Selected Dental Plan Information Dental Underwriting Guidelines Report Description: This report displays detailed dental underwriting guidelines. It will print as many per page as will completely fit. Report Variations: None. Suggested Usage: Useful on all dental quotes. 72

75 Selected Dental Plan Information: Dental Underwriting Guidelines 73

76 Selected Dental Plan Information Dental Employee Elect Report Description: The Dental Employee Elect report is a detailed page of rates for every plan by carrier elect portfolio (i.e., Anthem Blue Cross EmployeeElect). It contains employee rates for each family status, with one page per employee. Please note: Employee Elect refers to any portfolio of dental plans offered by any carrier, not only to the Anthem Blue Cross EmployeeElect portfolio. Report Variations: You can choose to show either the employee s monthly cost or the total monthly cost on the worksheet. You can choose to show the employee s cost by month, semi-monthly, bi-weekly or weekly. Suggested Usage: Useful for enrollment meetings. 74

77 Selected Dental Plan Information: Dental Employee Elect 75

78 Page Intentionally Left Blank 76

79 Life and Vision Plan Information Section Overview: The Life and Vision Plan Information section offers basic reports for life and vision products, showing the basic plan design, rate information for carriers, and plans selected on the report options page. Reports in this Section (Page number): Group Life Proposal.. 78 Group Vision Proposal

80 Life and Vision Plan Information Group Life Proposal Report Description: The Group Life Proposal report is a detailed rate page showing employee census and rates, along with volume quoted and rate/$1,000. This report will print as many plans per page as will completely fit, based on the number of employees quoted. Report Variations: You can include or exclude the Life Underwriting Guidelines with this report. You can choose to quote either a flat life amount per person or a multiple of salary. If you choose the multiple of salary, you are required to enter salary information on the census page for each employee. 78

81 Life and Vision Plan Information: Group Life Proposal 79

82 Life and Vision Plan Information: Group Life Proposal 80

83 Page Intentionally Left Blank 81

84 Life and Vision Plan Information Group Vision Proposal Report Description: The Group Vision Proposal report contains a benefit summary with a listing of monthly premium prices per tier, as well as a monthly total for the entire group. The report will default all employees listed as Employee + Child(ren) in the EE + One Child tier, unless you manually change the status by clicking the Split Emp/Child(ren) link in the circled section above. This report will print two plans per page. Report Variations: You can include or exclude the Vision Underwriting Guidelines with this report. 82

85 Life and Vision Plan Information: Group Vision Proposal 83

86 Life and Vision Plan Information: Group Vision Proposal 84

87 Special Settings 85

88 Page Intentionally Left Blank 86

89 Special Settings LISI Settings Button What is the LISI settings button: The LISI settings button produces a quote in the standard LISI format* with the touch of a button. Once you have chosen your plans and arrive at the Report Options page, pressing the LISI button will prompt the system to mark the appropriate checkboxes and options, and to produce a LISI standard proposal. When the screen refreshes and the checkboxes and options are marked by the system, you must choose the Life carriers and Amounts, as well as the Vision Plans you wish to quote. Please follow the steps below. 1. Enter Group Information 2. Enter Census Information (can import census) 3. Choose Carriers 4. Pre-Set RAF 5. Choose Plans 6. Press LISI Button Automatically selects all reports 7. Choose Life Carriers and Amount 8. Choose Vision Plans 9. Press Create Proposal Button You are done! What is included in the LISI standard quote: Cover Page Census Side by Side Seven plans per page in premium ascending order Plan Grid In premium descending order Single Plan Detail with Table Rates Full Benefits Dental Side by Side Dental Plan Listing Vision Life Underwriting Guidelines All lines of coverage grouped together *The standard LISI format is a consensus of standard quote formats from each of the LISI Offices. 87