2. Purple Cow 2011
Why Purple Cow?
1
#1:
1 ‘Large’ Size Fits All SME:
If you are an SME, with 10+ employees,
you can join Purple Cow, be part of a bigger
group, and be treated like a large company.
(Unlike most HMO plans)
You can enjoy the same toys as the Big Boys
3. Purple Cow 2011
Why Purple Cow?
2
#2:
2 Ways to Access Healthcare:
you can see an HMO doctor for free,
or your own doctor for reimbursement
at the HMO rate – each time you avail.
(Unlike most HMO plans)
You can see your own doctor, cheaper
4. Purple Cow 2011
Why Purple Cow?
3
#3:
3 Major Emp. Benefits in 1 Package:
you get Life, Personal Accident & Health
(medical HMO, dental HMO, opt. APE,
opt. Reimbursement) – all in 1 package.
(Unlike most HMO plans)
You get all the Employee Benefits you will ever need
5. Purple Cow 2011
Why Purple Cow?
4
#4:
4 Modes of Payment:
you can choose from annual, semi-annual,
quarterly, or monthly modes of payment
to suit your cash flow or budget.
(Unlike most HMO plans)
You can pay Annual (60%), S.A. (5%), Qtr. (30%) or Mo. (5%)
6. Purple Cow 2011
Why Purple Cow?
5
#5:
Up to 5 R&B x 3 MBL Choices each:
you can choose up to 5 SME Room & Board
categories x 3 Maximum Benefit Limits
each to suit your wants, needs or budget.
(Unlike most HMO plans)
You can try new combinations to see if they are ‘sulit’
7. Purple Cow 2011
Why Purple Cow?
6
#6:
100% Pre-Existing Conditions:
you get 100% Pre-Existing Conditions
coverage, up to MBL, for cancer,
hypertension, diabetes, asthma, etc.
(Unlike most HMO plans)
You are covered for dreaded & non-dreaded diseases
8. Purple Cow 2011
Why Purple Cow?
7
#7:
100% Congenital Conditions:
you get 100% Congenital Conditions
coverage, up to MBL, for mitral valve pro-
lapse, rheumatic heart disease, hernia, etc.
You are covered for most HMO plans) since birth
(Unlike medical conditions
9. Purple Cow 2011
Why Purple Cow?
8
#8:
Benefits on Top of Philhealth:
your HMO limits are on top of Philhealth,
so you won’t need as much MBL. Your
Benefits = Philhealth + MBL, not just MBL.
(Unlike most HMO plans)
You get full HMO benefits on top of Philhealth benefits
10. Purple Cow 2011
Why Purple Cow?
9
#9:
Pooled Employee Utilization:
your Employee utilization is pooled
together with the employee utilization
of all other groups, to spread your risk.
(Unlike most HMO plans)
Stick with the Herd: there’s safety in numbers
11. Purple Cow 2011
Why Purple Cow?
10
#10:
Separate Dependent Utilization:
your Employee and Dependent utilization
are separate, so you won’t have to worry
about Dependents affecting your rates.
(Unlike most HMO plans)
You can provide voluntary Dependent coverage w/o fear
12. Purple Cow 2011
Why Purple Cow?
11
#11:
Life Insurance:
your Life insurance benefit = 5x MBL.
Twist: if you don’t die, but you’re
totally and permanently disabled, TPDI =
5x MBL.
You can get 1 (Unlikeworth of income replacement
year’s all HMO plans)
13. Purple Cow 2011
Why Purple Cow?
12
#12:
Accidental Death Insurance (PA):
your Accidental Death benefit = 5x MBL.
Twist: if you don’t die by accident, but by
Murder, you get 5x MBL.
(Unlike all HMO plans)
You can get another year’s worth of income replacement
14. Purple Cow 2011
Why Purple Cow?
13
#13:
Disability Insurance (PA):
your Disability benefit = __% of 5x MBL.
Twist: if you don’t get disabled by
accident, but by Assault, you get __% of 5x
MBL.
You can get up to 1 year’s worth plans)
(Unlike all HMO of income replacement
15. Purple Cow 2011
Why Purple Cow?
14
#14:
Medical HMO:
you can get inpatient, outpatient and
emergency treatment from 21,519 doctors,
352 hospitals, and 358 clinics nationwide.
(unlike some HMO plans)
You can go to MMC/ SLMC/ CSMC/ AHMC/ TMC/ Healthway
16. Purple Cow 2011
Why Purple Cow?
15
#15:
Dental HMO:
you can get 1 permanent filling, 2 oral
prophylaxes, and 8 other benefits from
775 dentists and 645 clinics nationwide.
(Unlike most HMO plans)
You can go to SM/ Market2/ Festival/ Robinson’s/ Shangrila/ ATC
17. Purple Cow 2011
Why Purple Cow?
16
#16:
Optional Annual Physical Exam:
you can customize your APE and request
a designated or mobile clinic from GRA;
or you can get a Basic 5 APE nationwide.
(Unlike most HMO plans)
You can decide if you want an APE, and if so, what kind
18. Purple Cow 2011
Why Purple Cow?
17
#17:
Optional Reimbursement Plan:
you can get reimbursed up to an
aggregate limit of 1/10th your MBL for
Prescribed Medicines, Dental & Vision.
(Unlike all HMO plans)
You can get the best perks of medical insurance as well
19. Purple Cow 2011
Why Purple Cow?
18
#18:
Same Benefits for Dependents:
Dependents can get the same benefits,
terms and conditions as Employees
(as well as the same costs in 2011).
(Unlike most, if not all HMO plans)
Your Dependents are treated like Employees
20. Purple Cow 2011
Why Purple Cow?
19
#19:
The Price is Right:
Purple Cow rates are lowest where they
matter the most: in the 2 lowest categories,
where you enroll up to 99% of your staff.
(Unlike most HMO plans)
You get the greater good for the greater number
21. Purple Cow 2011
Why Purple Cow?
20
#20:
The Design is Right:
Purple Cow provides medical necessity,
not luxury. Savings from excess R&B/MBL
are reallocated to benefits of greater use.
(Unlike most HMO plans)
R&B/MBL combinations are good up to 99% of the time
22. Purple Cow 2011
Why Purple Cow?
21
#21:
The Perfect Insurer:
you get the biggest name in group life and
medical, and the only insurance company in
the PH today that offers an HMO-type plan.
(Unlike all insurance companies)
You can get the best of both worlds from ALGA
23. Purple Cow 2011
Why Purple Cow?
22
#22:
The Perfect Broker:
you get to retain the services of the
#1 Filipino, family-owned, full-line
insurance brokerage in the PH today.
(Unlike most brokers)
You can outsource EB and other insurance lines to GRA
24. Purple Cow 2011
Why Purple Cow?
23
#23:
Buy Now, Pay Later:
you can sign up today, get covered right
away, and pay later when GRA bills you
(during your EB orientation, at the
earliest).
Sign up today and take advantageplans) float tomorrow
(Unlike some HMO of the
25. Purple Cow 2011
Why Purple Cow?
24
#24:
Easy Sign Up:
1) Email the completed Masterlist;
2) Fax the signed Endorsement;
3) Fax the signed Letter of Guarantee.
(Unlike some HMO plans)
You can download all 3 forms from our website
26. Purple Cow 2011
Why Purple Cow?
25
#25:
Utilization Reports:
you get a detailed, user-friendly report
that gives you insights into your own
group’s utilization patterns, once a year.
(Unlike some HMO plans)
You will learn even more about your own company
27. Purple Cow 2011
Why Purple Cow?
26
#26:
Group Renewal Rates:
you get a group renewal rate increase
or decrease at the start of every year,
so you can plan accordingly.
(Unlike most HMO plans)
Renewals will become as smooth as clockwork
28. Purple Cow 2011
Why Purple Cow?
27
#27:
Group Experience Refund:
you get to share in the excess, if any, of
the group’s favorable utilization experience:
((premiums x 60%) – (YTD + IBNR claims)) x 50% = Exp. Refund
(Unlike most HMO plans)
Good experience refund formulas keep Suppliers honest
29. Purple Cow 2011
Why Purple Cow?
28
#28:
Everyone Wins:
Your Company wins;
Purple Cow’s clients win;
The SME Nation wins.
(Unlike most HMO plans)
Everybody loves a Winner
30. Purple Cow 2011
Why Purple Cow?
29
#29:
Non-Employees can Win, too:
you can even cover agents, associations,
and multi-purpose cooperatives, as long as
certain selection & payment criteria are
met.
You can get Employee Benefits plans)
(Unlike most HMO for Non-Employees
31. Purple Cow 2011
Why Purple Cow?
30
#30:
Virgins can Win Even More:
you get a 1st year Virgin promo rate
if your company has never had
group insurance or HMO before.
(Unlike all HMO plans)
You can renew at the prevailing Non-Virgin rates in 2012
32. Purple Cow 2011
Why Purple Cow?
31
#31:
Large Companies can do a TPA:
if you become a Large Company, you can
self-insure as a stand-alone account, using
the same Purple Cow schedule of benefits.
(Unlike all TPA plans)
You can switch from insured to self-insured plans easily
33. For more information, please visit www.purplecow.ph,
…or contact Tom Gotuaco via email or mobile phone.
