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Health Insurance Fully Insured or Self Funded Financial Analysis  Raymond J. Gianantoni, FLMI
About Premium Analysis, Inc. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Insurance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Fact:  Benefit changes, unless dramatic, will yield low single digit savings.
Health Insurance ,[object Object],[object Object],Fact: For employers with 100-499 employees, only 29.6 % utilize  self-funded arrangements (National 2000 statistics)
Self-Funded – Why Low Utilization? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],In essence…  fear of the unknown
What should you do? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Example – Using Specific  Deductible Software    Stop-Loss Quotes Analysis -$190,176 -$88,437 n/a Projected Savings $280,780 $93,593 n/a Additional Claims $90,604  $5,156 n/a Premium Savings $305,099  $390,547 $395,703 Annual Premium $77.01 $98.58 $99.88 Family: 252 $27.11 $34.70 $35.16 Single: 222 Census $ 125,000 $ 100,000 $ 75,000
What Is  Monte Carlo Simulation ? ,[object Object]
Monte Carlo Simulation Probability of Results   There is a 84.5% probability that the self-insured plan will breakeven or improve the fully insured cost.  Based on census of Single-222 Family-252 Why not have the benefit of technology to help you make sound business Decisions on a large recurring expense? 204,580  3,986,507 4,191,087 80% 0  4,191,087 4,191,087 84.5% -277,371 4,468,459 4,191,087 Worst Case -277,371  4,468,459 4,191,087 90% 581,412 3,609,675 4,191,087 70% Savings Self-Funded Fully-Funded Probability
Compensation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],We ask that a confidentiality agreement be signed at the start of the engagement. Copies are available for your review. or
For more information contact: Raymond J. Gianantoni, FLMI Premium Analysis, Inc. 20 Maple Street, Suite 3 Springfield, MA 01103 Tel 413-732-2888 [email_address]

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Premium Analysis Presentation

  • 1. Health Insurance Fully Insured or Self Funded Financial Analysis Raymond J. Gianantoni, FLMI
  • 2.
  • 3.
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  • 5.
  • 6.
  • 7. Example – Using Specific Deductible Software Stop-Loss Quotes Analysis -$190,176 -$88,437 n/a Projected Savings $280,780 $93,593 n/a Additional Claims $90,604 $5,156 n/a Premium Savings $305,099 $390,547 $395,703 Annual Premium $77.01 $98.58 $99.88 Family: 252 $27.11 $34.70 $35.16 Single: 222 Census $ 125,000 $ 100,000 $ 75,000
  • 8.
  • 9. Monte Carlo Simulation Probability of Results There is a 84.5% probability that the self-insured plan will breakeven or improve the fully insured cost. Based on census of Single-222 Family-252 Why not have the benefit of technology to help you make sound business Decisions on a large recurring expense? 204,580 3,986,507 4,191,087 80% 0 4,191,087 4,191,087 84.5% -277,371 4,468,459 4,191,087 Worst Case -277,371 4,468,459 4,191,087 90% 581,412 3,609,675 4,191,087 70% Savings Self-Funded Fully-Funded Probability
  • 10.
  • 11. For more information contact: Raymond J. Gianantoni, FLMI Premium Analysis, Inc. 20 Maple Street, Suite 3 Springfield, MA 01103 Tel 413-732-2888 [email_address]