Terms
carrier
If an employer doesn't have group health insurance in place but is interested, what do you need to collect?
A census
(T/F): ADPIA is a carrier
False- Broker
If someone has a POP plan with us does it mean they’re using us for H&B?
No! That is just a form to have med deductions come out pretax rather than post
Complimentary benefit admin portal
What is EASE?
Health insurance for business- must have 2 EE participating
Group Health Insurance
If an employer does offer health insurance, what do you need to collect?
False- 2 employees- (Unless you do ICHRA)
What is ancillary coverage?
Dental, vision, life, short term disability, long term, etc
Automated e-mail alerts sent to you or your primary contact, notifying of when an employee may need to be added/removed from coverage
Eligibility notifications
the company selling the carrier's policy
broker
What goes on a census?
Name, Gender, Zip Code, Dependent information if applicable
(T/F): EASE is completely complimentary to our clients
What is the benefit of evaluating level funded?
Can sometimes see a cost savings if the group is primarily healthy/not risky
Allows employees to compare health plans available before enrolling and the cost per paycheck
online plan comparison
What does BOR mean?
Broker of record
What happens after we receive quotes back from carrier?
(T/F): Groups must use us for medical insurance for us to write them ancillary coverage(dental, vison, etc).
True
◦How would you overcome the objection of : I don’t want to make any changes to my current plan?
Nothing changes with your current plan- the only thing that changes is ADP is the listed broker
What is deduction management?
What type of plan lets clients take their medical deductions pretex? (AKA: Section 125 Plan)
Pop plan
What happens in a BOR after we get their medical invoice?
Docusign signature, that's it!
T/F): A company can get better rates if they go through ADPIA
False- the rates are the same if they come to ADPIA or open market!
What is required to evaluate level funded?
A medical questionnaire
Relationship manager- new service model!