© IHC Group 2016
Balance
Critical Illness & Accident Plans
Brought to you by:
Anthem and The IHC Group
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
The Partnership


Anthem and The IHC Group have partnered together to offer critical illness
and accident plans for your clients, designed to help consumers cover
everyday expenses, such as mortgage payments and daycare. This is
accomplished by building four membership levels:

Balance 1

Balance 2

Balance 3

Balance 4
Partners: Producers, Anthem, Designated Agent Company and The IHC Group

Designated Agent Company is a General Agency owned by Anthem
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
The IHC Group Corporate Overview

Madison National Life Insurance Company, Inc. (MNL) is the underwriting
carrier for Balance, rated A- by A.M. Best

Ebix Health Administration Exchange, a member of The IHC Group,
administers Balance

New York Stock Exchange traded company (NYSE:IHC)
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
Communicating For America

Association membership in Communicating For America (CA) is
required

CA is a national 501(c) non-profit corporation

Members across all 50 states

Separate board of directors not affiliated with The IHC Group, or SSL.
National headquarters in Fergus Falls, Minn.

Since 1972, more than 100,000 consumers have trusted CA to help
them find gap plans to stretch their healthcare dollar.

Continues to advocate on behalf of its members with insurance
companies, regulators and lawmakers.

Cost of the association is included in the monthly retail rate
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
Balance

Guarantee issue product that complements your clients medical plan

Provides a package of insurance coverage, services and discounts, including:
 Critical Illness


Medical Expenses due to Accidents

Hospital Confinement due to Accidents

Disability Income due to Accidents

Doctor on Demand

Association based non-insurance services such as emergency road-side
reimbursement and legislative hotline
Insurance benefit payments go directly to your client unless assignment to a
medical provider is requested
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
Consumer Perspective

No coordination of benefits with the members health plan

Critical illness and accident plans assist in funding out-of-pocket costs or daily
living expenses

Payments may be assigned to providers or paid directly to insured

Critical illness and Accident Medical Expense benefits can provide income in
excess of plan out-of-pocket to help defray the impact of significant illnesses
on family budgets
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
The Broker Perspective



Single product source

No need to deal with multiple underwriters or administrators for ancillary
plans

Outstanding customer service for all bundled Balance products at one
location
Lower cost

Bundling ancillary products lessens the impact of selection

Lower administrative cost due to multiple products on single bill
Product ease
Co-branding arrangement with Anthem limits client confusion
 Online policy fulfillment

For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
State Availability Map
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
Accident
Benefit Levels
Balance 1
Balance 2
Balance 3
Balance 4
Critical illness
$2,500
$5,000
$7,500
$10,000
Accident medical
$2,500
$5,000
$7,500
$10,000
Accident hospital
confinement
$150
$150
$150
$150
per day
per day
per day
per day
Accident disability
income
$1,000
$1,000
$1,000
$1,000
per month
per month
per month
per month
Individual monthly cost
$34.95
$44.95
$54.95
$64.95
Family monthly cost
$51.95
$69.95
$89.95
$109.95
Exclusions and limitations apply
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
Accident
Medical Expense
Balance 1
Accident medical
insurance
Balance 4
$5,000
$7,500
$10,000
$100
$250
$500
$500
Coverage eligibility


Balance 3
$2,500
Deductible per
accident

Balance 2
A family membership covers the primary member, spouse and all dependents up to age 26
Coverage duration

After the deductible, benefits are payable for medical expenses incurred as a result of each
covered accident

Pays medical expenses resulting from a covered accident

The benefit payment is up to the amount of the medical expense
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
Accident Medical Expense
Example - Balance 2


Deductible $250

Customer submits bill for full
claim amount after network
discounts (if in-network)


Insured receives an EOB from their
medical insurance company
$5,000 AME
IHC reimburses up to cost of
discounted medical expenses or
plan maximum whichever is less
Total claim expense/cost $6,000
Insured sends a completed accident
medical claim form and any
additional requirements to IHC
IHC reviews, and if approved, sends
a check for $4,750 to the
client unless payment is assigned to
the provider
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
Accident
Hospital Confinement
Balance 1
Accident hospital
confinement

Balance 3
Balance 4
$150
Per day
Coverage eligibility


Balance 2
A family membership covers the primary member, spouse and all dependents up to age 26
Coverage duration

Benefits are available for up to 30 days when hospital confined due to a covered injury
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
Accident
Disability Income
Balance 1
Accident Disability Income
Insurance

Balance 3
Balance 4
$1,000
per month
Coverage eligibility


Balance 2
This benefit is available only to the primary insured
Coverage duration

Pays a monthly benefit up to 12 months for disability due to a covered accident

After a 90 day elimination period
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
Critical Illness
Benefit Levels
Balance 1
Critical Illness
Coverage
$2,500
Balance 2
$5,000
Balance 3
$7,500
Balance 4
$10,000
Pays a lump sum benefit upon diagnosis of:
Heart attack


Kidney failure


Paralysis
Loss of sight, speech or
hearing

Stroke

Major organ transplant

Coma

Life-threatening cancer

Coronary bypass

Severe burn*
*Amount payable is a percentage
of the benefit based on the area
burned
The amount payable will be reduced by 50 percent if the covered person is age 65 or older on the
date the benefit becomes payable.
Covered illnesses may vary by state
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
Critical Illness
Continued

Coverage eligibility

A family membership covers the primary insured and spouse only

Dependent children are not covered for Critical Illness Coverage

Subject to a 12 month pre-existing condition limitation (based on date of first diagnosis)

Benefit varies by type of illness and other terms; benefit reduces by 50% when the
insured attains age 65


Coverage terminates at age 70
Coverage duration

30 Day Waiting Period / 90 Days for Life Threatening Cancer diagnosis

Critical illnesses diagnosed in the first 30 days of coverage will have the lesser of a $500
benefit or 10 percent of the amount that it would have paid for the condition if first
diagnosed more than 30 days after the insured person’s effective date.
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
Critical Illness
Example
1.
Member suffers from a stroke
2.
Member completes a claim form
and sends all requirements to Ebix
Health Administration Exchange
3.
Ebix Health Administration
Exchange Reviews
4.
Ebix Health Administration
Exchange(on behalf of MNL) sends
check for a lump sum to the
insured member
Request and complete claim form
for Balance
Ebix Health Administration Exchange
Reviews
Check sent to customer if claim is
approved
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
Getting Started


You must be contracted with The IHC Group
and Anthem in order to sell Balance

Contracting is available from your
Anthem representative or at the Anthem
Coverage Resource Center
www.healthedeals.com/ccc-ic

Click “Get set up to sell”
You must have an active Health license in
each state that you do business and be
appointed by the carrier
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
Your Personalized Link

Once contracted, you will receive a welcome email which will provide you
with a unique link to quote and enroll your clients.

Bookmark your link for easy continued access

This personalized link will ensure that you receive credit for your
sales; do not share with other agents to sell from.

Publish and access your link with the “Link Creation Tool” at any time

Post your link on your website

Place a banner in your email signature

Email to a client so they can self-enroll
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
Quoting and Enrollment

www.myihcgroup.com

Enroll and assist customers online

Email proposals with application links for clients to self enroll

Only allows you to quote plans that are available in your state

View brochures

View product information

Access your activity reports

Case status

View policy information

Download policy information
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
Compensation

Standard writing agent compensation is 26%*

*Enrollment and monthly admin fee not included
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
Important Information
THIS PLAN IS NOT CONSIDERED TO BE MINIMAL ESSENTIAL COVERAGE AS DEFINED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA). ENROLLING IN
AND MAINTAINING THIS PLAN WILL NOT EXEMPT YOU FROM THE SHARED RESPONSIBILITY PAYMENT (TAX) THAT MAY APPLY IF YOU DO NOT HAVE PLAN WITH ACACOMPLIANT COVERAGE.
Communicating for America, Inc. (CA) is a national non-profit advocacy organization that supports affordable healthcare for all Americans. Since 1972, more than
100,000 consumers have trusted CA to help them find affordable health insurance and GAP plans to stretch their healthcare dollar while advocating on their
behalf with insurance companies, regulators and lawmakers.
About Madison National Life Insurance Company, Inc.
Madison National Life Insurance Company, Inc. (Madison National Life), domiciled in Wisconsin is licensed to sell insurance products in 49 states, the District of
Columbia, Guam, American Samoa and the U.S. Virgin Islands. Its core products and services are health insurance, group life and disability income, employer stoploss, specialized individual life and annuity products to military and government personnel. It is rated A- (Excellent) for financial strength by A.M. Best Company,
a widely recognized rating agency that rates insurance companies on their relative financial strength and ability to meet policyholder obligations (an A++ rating
from A.M. Best is its highest rating).
Ebix Health Administration Exchange
Ebix Health Administration Exchange is a full service administrative services company that operates in 50 jurisdictions in the individual and employer markets, and
provides state of the art and highly efficient open health insurance exchanges through its affiliation with Ebix Incorporated, and, through an affiliate, is the
provider of pet insurance solutions that provide pet parents, specialty pet hospitals and universities and general veterinary practices with the only open exchange
in the country for all interested constituencies.
About The IHC Group
The IHC Group is an organization of insurance carriers and marketing and administrative affiliates that has been providing life, health, disability, medical stop-loss
and specialty insurance solutions to groups and individuals for over 30 years. Members of The IHC Group include Independence Holding Company (NYSE:IHC),
American Independence Corp. (NASDAQ: AMIC), Standard Security Life Insurance Company of New York, Madison National Life Insurance Company, Inc. and
Independence American Insurance Company. Each insurance carrier in The IHC Group has a financial strength rating of A- (Excellent) from A.M. Best Company,
Inc., a widely recognized rating agency that rates insurance companies on their relative financial strength and ability to meet policyholder obligations. (An A++
rating from A.M. Best is its highest rating.) Collectively, the companies in The IHC Group provide insurance coverage to more than one million individuals and
groups. For more information about The IHC Group, visit www.ihcgroup.com.
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216
© IHC Group 2016
Thank you

Questions? Please reach out to your Anthem representative, call 855-632-9003
or email start@ihcgroup.com
For training purposes only. Not for public distribution or solicitation.
PPT Anthem Balance 0216