optum health financial overview

OptumHealth Financial Services – Carrier Neutral Solutions Dean KisselRegional Sales Director

Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 2

Our Organizational Structure

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Public and Senior Markets Group

Commercial Markets Group

Enterprise Services Group


Short History of OptumHealth

HSAs, HRAs, FSAs, payables, cards, OptumHealth Bank, stop loss, COBRA

Health and well-being services, care management, networks, Web services

Mental health services, substance abuse treatment EAP, work/life

Old Brand Portfolio


Our Services

Wellness Solutions

Health Portal

Decision support

Disease solutions

Complex medical conditions and specialty networks

Physical health

Behavioral Network

Behavioral disability solutions

Customizable online member portals

Employee Assistance Programs (EAP)

Medical/behavioral care coordination

Mental health and substance abuse

Psychotropic Rx management

WorkLife services

HSA accounts

FSA accounts

HRA accounts

Retiree accounts

COBRA administration

Transportation Administration

Consolidated and direct billing

Stop loss

Local care delivery

Collaborative technology

– Electronic Health Record (EHR)

– Health Information Exchange (HIE)

Connected care telehealth solutions


Who is OptumHealth Financial Services?

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Focuses exclusively on health care financial services and benefits administration

Is one of the nation’s largest providers of health savings accounts

Offers health care financial accounts for both active employees and current and future retirees

Provides personalized service through a knowledgeable, professional benefits administration team

Manages over 2.1 million consumer health care accounts

Has over more than $1.3 billion in HSA assets under management

Serves Over 27,000 private and public sector employers nationwide

Has earned a 96% retention rate, supporting you every day, every step of the way

Health Accounts and Benefits Administration – All In One Place


Our Unique Service Model

Our Service Model

Designated Implementation Managers start the transition

– Then, our seasoned Account Managers provide ongoing service to employers, brokers and consultants

– All calls and e-mails are responded to within 24 hours (one business day) maximum

– Assign a Senior Contact and Relationship Manager when appropriate


HSAs - OptumHealth Bank SM

More than $1.3 Billion in HSA assets*

Almost 700,000 HSAs

*As of Dec 1, 2009

OptumHealth Bank, Member FDIC

Some of HSA differentiators are:

– Web tools:– - employer and – - employee videos– - calculators– - all forms and marketing – materials – Three account options– Three enrollment methods


HSA Options

• Health eAccess HSA Generally designed for health care spenders who do not carry a large balance in their HSA Lower monthly maintenance fee, which is waived if you have a minimum balance of $500

• Health eSaver HSA Designed for health care spenders who carry higher balances in their HSA With the Health eSaver HSA, account holders earn interest on the funds in their HSA Interest rates are tiered and based on account balance This option offers free access to investments; there is a minimum investment balance

requirement of $2,000 and investments can be made in increments of $100

• Health eInvestor HSA Designed for account holders interested in maximizing long term savings potential of HSA The primary use of the Health eInvestor HSA is for investing purposes In regards to investments, this option has a lower minimum investment threshold of $500


HSA Comparison

Health eAccess Health eSaver Health eInvestor

Monthly Maintenance Fee

$1 for balances less than $500 (Fee waived if balance is over $500)

$3 for balances less than $5,000 (Fee waived if balance is over $5,000)

$3 for balances less than $5,000 (Fee waived if balance is over $5,000)

Balance Required to Obtain APY 1,2

Annual Percentage Yield (APY) 1,2 Annual Percentage Yield (APY) 1,2 Annual Percentage Yield (APY) 1,2

$0-$499.99 0.00% 0.10% 0.10%

$500-$999.99 0.00% 0.10% 0.10%

$1,000-$1,999.99 0.00% 1.00% 1.00%

$2,000-$4,999.99 0.00% 1.40% 1.40%

$5,000-$14,999.99 0.00% 1.95% 1.95%

$15,000+ 0.00% 2.50% 2.50%

Investment Threshold3 $2,000 $2,000 $500

Monthly Investment Fee3 $3 $0 $2.50

1. Interest rates are variable and subject to change at any time based on market conditions2. Annual Percentage Yields (APY) as of 5/29/09, subject to change at any time. Required balance to obtain APY does not include investment balances3. Investment Fee (where applicable) is only assessed after the establishment of an investment


HSA Highlights

• When an employee first enrolls with OptumHealth Bank, they will automatically be enrolled in the Health eSaver HSA

• 90 days after enrolling in an HSA, we will send the account holder a letter that explains the other HSA options available to them

• Once the HSA is open, account holders have the option of changing their HSA option by contacting Customer Service Account holders can change their account option at any time and as many times as they want

without incurring additional fees

• Account holders have access to their HSA funds via MasterCard Debit Card, Online Bill Payment or Checks

• OptumHealth Bank can customize HSA options by changing default or offering any combination of HSA options

• The Employer and Broker Support Team (BEST) is a dedicated resource for Employers and Brokers during HSA Implementation

• Effective June 1, 2009, OptumHealth Bank changed the following fees: Eliminated the Account Closure Fee Eliminated the Below Minimum Balance Fee Eliminated the Online Enrollment Fee (Paper Enrollment $25)


Flexible Spending Accounts (FSA)

– Reimburse eligible participant expenses via check, automatic direct deposit, debit card, and claims rollover

– Online claims submission with easy-to-use interactive claim form

– E-mail notifications when claim is received and paid

– Flexible enrollment options

Some of our FSA differentiators include:

100% of the claims are adjudicated


Health Reimbursement Arrangements (HRA)

– Easy-to-use employer and participant Web site

– HRA can be “notional” or funded– HRA can reimburse specific

expenses or all 213(d)– Special plan designs can be

administered – We will coordinate HRA with FSA– Special pricing for HRA with FSA (only $1 PPPM for second

account)

An independent SAS 70 Level II audit confirmed that OHFS has

a 99.95% claim accuracy.


Funded Health Reimbursement Accounts (FHRAs)

– Eliminate health benefit liabilities– Use together with a VEBA or

Section 115 trust

Fund future medical expenses for retirees

Addresses GASB 45 mandates for public

employers


Health Incentive Accounts (HIA)

– Creative ideas to engage employees

– Share our experience– Utilize our HRA experience and

platform

Wellness + Incentives to engage employees


COBRA/HIPAA Administration (COBRA)

– Compliant plan administration– Meticulous documentation– Strict adherence to the law’s

eligibility requirements– In-house Compliance Department – ARRA Administration– Annual Standard Fees for

COBRA Services

Our SAS 70 Level II Certification assures high compliance standards


Ongoing COBRA Administration Services

– We handle the tough situations– Employer terminates with carriers– Employer sends file to OHFS– OHFS sends QE Package – Receive premiums/track timelines– Carrier eligibility updates – Special separation agreements– ARRA Involuntary Terminations– Remit premiums – Provide employer with detailed monthly

reports– Open enrollment options


Consolidated Billing

– The complicated and time consuming task of maintaining group health and welfare eligibility databases

– Disbursing payments to carriers

– Carrier reconciliation of enrollments, terminations and life event changes

– Leverage our experience

– Extension of your clients’ HR/Benefits team


Retiree Billing/Direct Billing Administration

– Experienced Team with disciplined process

– Flexibility, based on client’s direction

– Mail coupons, collect premium payments, submit monthly report to employer, report changes to carrier(s) and employer


Pre-Tax Transportation Administration

Wired Commute --Employees can order passes and/or pay for parking on-line

Card Method

Reimbursement Option


Our commitment to You is to be the best partner at a competitive price. We pledge to:

– Make it simple

– Provide superior “high-touch” service

– Create and demonstrate value for you & your clients– One-stop shop - “All in One Place”

Why OptumHealth Financial Services?

OptumHealth Financial Services boasts a 96% client retention rate

optum health financial overview

Documents

health esaver hsa

health einvestor hsa

health care financial

cobra health

health care financial

health care spenders

consumer health care

hsa options health eaccess