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Recognizing the Consumer's Need For Unbiased Information in Common Vendor Service Audits

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Insurance Reviews

In the past seven years, an alarming 10% cumulative medical inflation rate has been realized.  That means for every $100 you were spending on health premiums in 2000 is now up over $196 in 2007. Have your margins increased this much?

The employer above saved $128,000 on 28 employees, while keeping the out-of-pocket risk the same to their employees as their old plan. The actual savings was an astonishing $4,571 per employee.  On average we’ve saved companies an impressive $1,000-$3,000 per employee without harming employees who have catastrophic or chronic conditions.  Can your service provider say that; I’m guessing the answer is no.  In fact the out-of-pocket maximums for most employees were actually less than their current plan.

Why haven’t you been informed of the alternatives? Simple. Most companies haven’t been exposed to the alternative plans which represent this significant savings because of the strong disincentive by the broker to educate their clients. With these plans the premiums are 30-45% less than their current traditional PPO plans. That means your current broker will lose 30-45% of his commission. When we're talking health care cost, those numbers represent a strong incentive to keep you uninformed of all your alternatives.  Since they won’t inform you, we will.

Generally we’re asking people to step away from outdated beliefs and step into a more rational, analytical and more antidotal role.  From that place we can have a significant impact on your business as a whole.  Our business has everything to do with the company and maintains that focus throughout project life cycles.  We know a company must constantly strive to drive down the cost of doing business in order to stay competitive in today’s flat markets.

With over 600 case studies in health insurance nearly 90% saved money and received a better benefit, with less out of pocket cost. As mentioned above we do this without harming employees who have catastrophic or chronic conditions while on average we saved $1,000-3000.00 per employee.  People say; “That can’t be done.” It’s not that it can’t be done; the fact is we’re doing it.  With insurance brokers we have uncovered hidden charges for third party administration that totaled 52 times the normal rate, and many other countless and need cost additions.  Statistics are manipulated in order to show a rising cost in health care.  The question is; is that increase reflective to YOUR true health care spends, or are you picking up someone else’s tab? 

2006 Numbers are in: These rate increases year after year are not sustainable by the average company and soon many will have to give up health care to their employees.  The numbers for 2007 are looking even worse.

+ 7.7%   Average increase in health care premiums

+ 8.8%   Medium to small employers

+10.5%  Under 24 covered persons. 

(NATIONAL COALITION ON HEALTH CARE NOV. 07)

"Cost savings for the corporation is generally not hard to find; and most of our clients we have shown a marked and measurable financial relief.  Frankly speaking what is hard is dislodging people with a vested interest in keeping things the same."

- Joel Terry

Service providers in most instances shield the end user from the real cost of doing business.  With health insurance premiums you may be paying for a six layer multi-tiered commissionable arrangement that may have you paying as much as 45% more for no real values add to the corporation.  The service providers while “selling” to the corporation never present or disclose other options or in many instances better options due to major financial disincentives.  If they know your willing to pay more, why would they consider offering you a substantially lower price point?  Cutting your cost by 45% means a resulting cut in their commissions by as much as 45%.

Why Top Level Involvement is Essential to Success:

With insurance, if we convince top management the Human Resources Department is in the business of HR and spends more of its time mitigating risk for the company then it does underwriting policies, we’ll make a lot of headway.  They’re trained generally on mitigating risk involved with Jack in building 2, third floor, row C, who has a propensity to use foul language or make disparaging remarks.  Keeping honesty in mind (and at the risk of damaging ego’s) we need to realize HR personnel are not subject matter experts in health care and address these matters once every year, not several times a week.  They administrate policies and health care procedures of the company and should not be in the position to dictate it.  Just as a CFO is not a tax code specialist, they rely on outside accounting firm for expert consultation.  Congress and underwriters can write the tax codes or insurance plans changes; but until they are put into effect, until applied, they hold no value to your business. The reminder here is this has little to do with the department heads and everything to do with the company.

HR in this case and other departments of common vendor need to take a lesson from the CEO/CFO, who retains outside industry expertise to look things over. The auditors become an independent eye, which is unbiased of outcome.  Understand limitations, and for the betterment of the company; internal audits should be preformed across all vendor services.  Our analytical and more antidotal role asks; why should insurance, energy, and telecommunications be different?  Why should these areas be out of scope when it comes to an independent level of scrutiny?  Not doing so statistics bare out can cost companies substantially more for services.

Money for Nothing?

Most if not all of the services you purchase have commissionable arrangements tied to them; so you may get the service you want but generally at an inflated price. Or you may be engrained in a multi-tiered commissionable arrangement, which you’re unaware of and has you needlessly paying more for nothing. 

Income the service provider’s salesperson earns is tied directly to how much you spend.  In this case isn’t the wolf watching the hen house?  Their focus is their commissions, their quotas, and underlying disclosure issues you may not be aware of; so their focus is generally on their bottom line and not yours.

 

If you would like a free cost analysis on your current health plan and the potential savings you could realize just call 877-768-6364 (877-SoundMind) or Contact us, and our representative will call you at the time you prescribe.  You may also fill out one of our forms below and fax it to 847-852-4449.

 

Forms

Large Group Plan
(fully-insured, non reform)
Large Group Plan
(self-insured)
Large Group Plan
(self-funded)
Small Group Plan

“ALL companies should periodically us an unbiased source to question their supply chain; not doing so can be costly to the company in a variety of ways.”

   
 
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Last modified: 08/12/08
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