the ohio health insurance exchange exchange presentation audio/visual

The Ohio Health Insurance Exchange

Exchange Presentation

Audio/Visual

Built to meet our brokers needs

Designed to fulfill consumer expectations

A Private Insurance Exchange for Employers, Employees and Individuals

Location, Location, Location

Branding

Navigation

Next Steps

Next Steps

Platforms

Get A Quote

Broker Tools

Broker Tools

OHIEX provides an alternate marketplace from the state and/or federal insurance exchanges where an employee previously covered by an employer sponsored health plan (prior to 2014) may purchase health coverage.

•Employer Portal•Define DCHPs•Customize employee benefit portfolio•Track employee plan selections

•Employee Portal•Search and compare health plans•Enroll in a health plan•Track spending

Company Profile

Employer or HR Generalist creates account:

Asked to complete a company account profile

• Creates an administrative portal for company

• Captures pertinent tax and filing information

• Upload logo for personalized look and feel

Security

Top-Level Security. Only accessible by approved personnel

• Password protected

• Data is encrypted and stored on secure servers

• We maintain strict HIPAA compliance and security protocols to protect PHI

Tiered Employee Profiles

Employer defines contribution:

• Can be tiered based on employee type

• Contribution regulations still TBD

• Each tier can receive different contributions

•Full-Time

•Part-Time

•Executive Team

Enter Employee Info

Employer adds employee information:

• Information persists to quoting forms and applications

• Employee classification is kept confidential

• Email automatically sent to the employee

• Add employees individually or in bulk

Account Set Up Confirmation

Process verifies accuracy:

• Confirm account set-up

• Log-in prompt upon verification

• Easy to follow process

• Once verified, emails are sent to the employees

Employee Enrollment

Employees start the enrollment process:

• Secure named user access• Open marketplace• May be posted to the company intranet• Includes details on product and availability• Resource tools• Call Center support available

Process is laid out to employee:

• Indication of subsidy eligibility• Info on public exchanges• Process flow provided to consumer

•Run quotes and view coverage•Compare plans•Enroll in plan

Subsidy Eligibility

Easy to use subsidy calculator:

• Includes HCR FAQ’s• Requires minimally invasive information• Based on income and people in household• Ability to skip this step is included

Subsidy Eligibility

If consumer is eligible for subsidy:

• Consumer will be directed to public exchange:

•Exact subsidy eligibility determined

•Subsidy info transfers to OHIEX

•OHIEX shows adjusted premiums

•OHIEX platform includes QHP’s

• Consumer will then select plan from OHIEX

• Enrollment will happen on the Public exchange

•OHIEX then recommends ancillaries

Plan Selection Assistance

Employees completes a brief survey:

• Narrows plan options based on responses

•Determines best fit for consumer

•Creates easy interface for plan selection

Plan Selection Tools

Employees selects best option

• Full cost breakdown and plan information

• Side by side plan compare feature

• Options for major medical and ancillary

• Access to product brochures and networks

• Information separated by product type

• Click ‘Select’ to enroll

Reporting

Individual Option

Individual Option

Individual Option

Individual Option

Individual Option

Summary

We’re building a site that really brings home the reality that is the future of healthcare. OHIEX is a destination for consumers to compare and select their health and ancillary insurance coverage's with the highest possible level of service.

Our consumers can turn to their broker at any time for guidance – in fact the broker can walk their client through the entire process, in person or from a remote location.

Alternately, the consumer has access to information about all the available products, enabling them to make independent, informed decisions if they so choose.

Summary