Whenever possible we work with our client HMO’s to handle the billing and premium collection. Our clients have found this to be more appealing to employers as they receive one bill, remit premium to one location, and pay with one check for all their employee benefits. If this is not possible, OLB is equipped to handle billing and premium collection. We in turn remit to you your percentage of the premium along with any commissions for your licensed agents.
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What if our members have a question about their ancillary benefit policy or coverage?
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OLB has dedicated a toll-free number specifically for members with questions regarding their ancillary benefits. The caller will be prompted to select a number corresponding with the ancillary benefit about which he or she has a question. They will then be routed to the correct carrier handling that particular ancillary benefit. For example, if the member has a question regarding dental benefits, he or she will be prompted to select number 2 and will then be routed to our dental carrier's member services department.
Yes, members will receive ID cards for dental benefits only. On their ID card it will indicate the member services number of your Health Plan, where they will be prompted to select the appropriate number for their dental benefits.
Although we have established total compensation levels for both the agent and the HMO, we pay the HMO and it in turn pays the agent in the HMO's normal commission run. In this way, the HMO may determine how much of the total compensation to pay to the agent and how much to keep for its share.
The standard percentage of premium for the HMO is 5% of the gross premium for most products if you are handling the billing and 3.5% of the gross premium if OLB handles the billing.
OLB provides initial training to your staff and field reps on the features and underwriting guidelines of our products as well as ongoing support. We provide customized marketing brochures and all enrollment forms.
No. In fact we recommend you select only Group Term Life and Dental to start with until your systems are in place. Group Term Life is the only product that must be marketed by all HMO’s.
We require 2 types of reports, marketing reports showing basic marketing information and financial reports showing all the basic financial information as required by our carriers.
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How long before we can begin marketing ancillary benefits?
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This depends on you and your staff, we will be
diligent in our efforts to bring the Ultimate Business Package program
to your members as quickly as possible, however, the minimum is about
3 months after signing the agreement.
The first step is to complete the HMO questionnaire; this allows us to look at your block of existing business and set rates and underwriting guidelines accordingly.
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Will our member service representatives have to learn ancillary benefits?
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No. Because OLB has dedicated a special toll-free number that will handle all ancillary member service issues, we only ask that your phone system be equipped to handle transferring calls from your main prompt to our toll-free number. At that time, they will be asked to select the appropriate number for the product as to which they have a question. The member will then be transferred to the proper affiliate for that particular ancillary benefit.
For small group, we will provide your underwriting department with rates and work with you to modify your existing quote/proposal software to include the selected ancillary benefits.
For large group, fax your prospects to OLB with the following information:
- Business name, address, zip code.
- Type of business, including SIC code.
- Age, sex, marital status.
- Salaries of all employees (for any disability quotes).
- Job title for each employee.
- Life schedule requested.
- Type of base plan.
- Employer’s current insurance carrier.
- Current Rates.
- Claims experience of the group (For large groups, over 51 lives).
We will process the proposal as soon as possible, so we can return them to you within 48 hours.
OLB will work with you to develop workflow patterns for processing quotes and sold cases, we will work with your
Information Technology personnel on exactly what information is needed to process new groups as well as assist in the development of reports. Our product champions will train your internal account representatives so that they, in turn, can train your agents.
If you have any problems, whether with the reports that are being required or simply you need additional Employer Applications, you only need to make one call to OLB. We will either solve any problem you may have or, if we cannot solve the problem, we will direct you to someone who can.
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Who handles claims for the ancillary benefits?
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Our carriers handle all claims that may arise, insulating your Health Plan from situations that could be associated with claims. If your Health Plan receives a call regarding the status of a claim, the member can be referred to OLB’s toll-free number, where they will be transferred to the appropriate carrier handling the claim.
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Can we do the quoting in our underwriting department?
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We prefer you quote all groups under 50 lives at the same time you quote your normal health product through the same proposal software you currently use.
We have no minimum premium requirements or start up fees.
Yes, we do have minimum production requirements that are placed on us by our carriers and in turn are transferred to you. With our system of “bolt on quoting” and negative enrollment, the production requirements are typically not an issue.
Yes, most insurance carriers have an excluded industry list. Through the HMO questionnaire, the underwriters will review your existing block of business and attempt to compensate for any ineligible industries in the base rate development.
Yes, although these rates are not final, we can provide you with a sample.
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Who produces the policies and certificates?
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OLB will distribute policies and certificates for
all ancillary benefits. Along with the policy the Policyholder will
also be given an Administration Kit containing valuable information
needed to administer the plan.
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How much income can we expect from this program?
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Each HMO is different and the amount of income generated is based on a number of factors.
- What products will you market
- How large is your existing block of commercial business
- What is your mix of Large group and Small group
- What are your organizations marketing objective over the next 3 years
- What services do you plan to perform, and a variety of other factors that must be considered.
In our TOOLS section of this website you can use our income projector to give you a basic idea of your potential income production.
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What size groups are eligible for this program?
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This program was designed to cover groups of 5 employees up to 50 employees. OLB will provide coverage on groups over 50 employees, however those groups will be quoted on a facultative basis.
160 International Parkway, suite 180
Heathrow, Fl 32746
