chapter7

7. WHY PURPLE COW?31 REASONS to try PURPLE COW

Appendix:

1 ‘Large’ Size Fits All SME: If you are an SME, with 10-200

employees, you can join Purple Cow, be part of a group, and get treated just

like a Large company.

(Unlike most HMO plans) You can enjoy the same toys as the Big Boys

1Reason #1:

Purple Cow 2011Why Purple Cow?

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

2Reason #2:


3 Nationwide Networks: you can tap up to 3 nationwide networks (medical HMO,

dental HMO, optional APE) for no-cash-out.

(Unlike most HMO plans)

You have the power of 3 networks at your disposal

3Reason #3:


4 Modes of Payment: you can choose from annual, semi-annual, quarterly, or monthly modes of payment to suit your cash flow or

budget.


You can pay Annual (60%), S.A. (5%), Qtr. (30%) or Mo. (5%)

4Reason #4:


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.


You can try new combinations to see if they are ‘sulit’

5Reason #5:


Up to 6 Benefits in 1 Plan: you can get Life, Accident, Medical HMO, Dental HMO, opt. APE, and opt.

Reimb. for Rx medicines, dental & vision – all in 1 plan.

(Unlike all HMO plans) You can get up to 6 Benefits for the price of 1

6Reason #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

7Reason #7:


100% Congenital Conditions: you get 100% Congenital Conditions coverage, up to MBL, for mitral valve pro-lapse, rheumatic heart disease,

hernia, etc.

(Unlike most HMO plans) You are covered for medical conditions since birth

8Reason #8:


9Reason #9:


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

Reason #10:

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

10Purple Cow 2011Why Purple Cow?

Reason #11:

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


Life Insurance:your Life insurance benefit = 5x MBL.

Twist: if you don’t die, but you’re totally and permanently

disabled, TPDI = 5x MBL.

(Unlike all HMO plans)

12

You can get 1 year’s worth of income replacement

Reason #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

13Reason #13:


Reason #14:

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.

(Unlike all HMO plans)You can get up to 1 year’s worth of income replacement


Reason #15:

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


Reason #16:

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


Reason #17:

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


Reason #18:

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


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

19Reason #19:


Reason #20:

The Price is Right: Purple Cow rates are lowest where they matter the most: in the 2 lower

categories, where you enroll up to 90% of your staff.

(Unlike most HMO plans) You get the greater good for the greater number


Reason #21:

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


Reason #22:

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


Reason #23:

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


Reason #24:

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).

(Unlike some HMO plans) Sign up today and take advantage of the float tomorrow


Reason #25:

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


Reason #26:

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


Reason #27:

Group Renewal Rates: you get a group renewal rate increase

or decrease at the start of every year, so you can plan accordingly.


Renewals will become as smooth as clockwork


Reason #28:

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


Reason #29:

Everyone Wins: Your Company wins;

The Purple Cow wins; The SME Nation wins.


Everybody loves a Winner


Reason #30:


Non-Employees can Win, too: you can also cover Non-Employee

groups, as long as there is no adverse selection, and you have one payment

window.

(Unlike most HMO plans)You can get Employee Benefits for Non-Employees

Reason #31:

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


For more information, please contact:

Renowned author Seth Godin approved my use of the term PURPLE COW (2/4/09): “It’s fine with me, just please make it clear that I haven’t endorsed

your service.”

Disclaimer

chapter7

Economy & Finance

purple cow

1 years worth

dental hmo

hmo plans

medical hmo

3 nationwide networks

dont die

5x mbl