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Presented to <Company Name>
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Agenda
The PlanSource Story
PlanSource BenefitsOne™
PlanSource OneMarket™
PlanSource OneSuiteHR
ACA Capabilities Summary
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PlanSource provides the industry's most flexible and extensible health exchange and benefits engagement platform in the cloud for shopping, enrollment, billing,
compliance and administration.
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PlanSource partners with leading insurance carriers, consultancies, brokers and government entities to provide exchange and non-exchange solutions to companies of all
sizes.
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PlanSource Quick Facts
Seven Locations and 325+ Employees
Orlando, FL(Headquarters)
Boulder, CO Charleston, SC Minneapolis, MN
Salt Lake City, UT
San Mateo, CA Spokane, WA
325+
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PlanSource Quick Facts
The PlanSource Community
3.5M+ Million Consumers
8,000+Employers
500+Carriers
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Intuitive benefits engagement platform used by employers, employees, brokers and carriers for shopping, enrollment, billing, and administration
Consumer-friendly benefits marketplace for public and private exchanges with products and services from leading insurers and other partners
Suite of partner apps that provides one integrated HCM platform for employers with everything from HR and payroll to talent and workforce management
PlanSource Product Suite
Defined Contribution
Personalized Plan Recommendations
EducationalContent
EmployeeShopping
EmployeeCommunications
Spanish Language Support
PlanSource Mobile App
Life Event Changes
Benefit Enrollment
Wellness Programs & Incentives
Consumer-Friendly Shopping and Enrollment
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CostCalculations
COBRAAdministration
CustomBranding
ACACompliance
EmployeeCommunications
Benefits Program Setup and Workflow
EligibilityManagement
ConfigurableReporting
Bill Creationand Reconciliation
OpenEnrollment
Sophisticated Benefits Admin and Compliance
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PlanSource Differentiators
Single, Flexible Platform
One platform for benefits shopping, enrollment and billing
Supports all types of benefits and funding scenarios
Configurable branding and messaging
Private exchange option available with OneMarket™
Option to upgrade to OneSuiteHR™ for integrated HR, payroll and benefits
Market Leadership
Industry-leading customer retention and implementation times
Dominant technology platform for the 100-5,000 employer segment
Utilized by top-tier carriers and brokers in all segments
Best-in-class, highly configurable eligibility rules engine
Established data exchange network with 11,000+ connections
PlanSource is an experienced market leader
• Best-in-class, highly configurable rules engine
• Established data exchange network with 12K+ connections
• Utilized by top-tier carriers and brokers in all segments
• Industry-leading retention and implementation times
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Intuitive employee benefits engagement platform
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How It Works
Medical
Dental
Vision
Life / Accident
FSA / HSA
COBRA
Data Exchange(Effective dates, coverage
amounts, changes in coverage)
Employee(Self-service decision support & enrollment)
Employer / HR(Admin access, billing &
Analytics)
Agency / Broker(Census data &
Analytics)
HRIS: Interface or
Data Upload
Payroll: Interface or Deduction Report
EDI file: ANSI 834 or carrier format
Initial Data Upload(Census data, dependents,
plans)
Payroll deductions report
(standard or custom)
Employer data filesHRIS / Payroll
Agency / Brokerdata files
TPA / Carrierdata files
New Hires, Terminations, Changes
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PlanSource Mobile App™Empowering consumers with quick and easy access to their benefits
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One consumer-friendly marketplace for public / private exchanges
OneMarket™ Participating CarriersConvergence of product and technology to create a unique benefits
marketplace
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What’s in it for Employers?
Control CostsExperience lower, more predictable costs due to employees “right-sizing” their coverage and by switching to defined contribution.
Provide Choice to EmployeesYour employees are not one-size-fits-all. Provide them with more options so that they can select just the right benefits for their families.
Simplify Benefits AdministrationReduce the burden on HR associated with benefits selection, annual enrollment and ongoing billing and administration.
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What’s in it for Employers?
Ensure ComplianceLower the risk of non-compliance by moving to standard, ACA-compliant plans and using technology to ensure compliance.
Empower EmployeesProvide a personalized, educational shopping experience that helps your employees to become smarter consumers of benefits.
Maintain employee loyaltySatisfaction increases when employees understand the value of their benefits and enjoy convenient shopping and flexible options.
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What’s in it for Employees?
ChoiceEmployees have more choice and access to plans that are more likely to fit the needs of their families.
FlexibilityWith defined contribution, employees have more options for how to allocate the funds across multiple group and voluntary benefits.
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SatisfactionSatisfaction increases when employees understand the value of their benefits and enjoy convenient shopping and flexible options.
KnowledgeEmployees have a greater understanding of their benefits because they shop and compare multiple options on their own.
One integrated suite of HCM apps for everything from HR and payroll to talent and workforce management
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OneSuiteHR®
Integrated HCM ecosystem with benefits as the foundation
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One integrated platform for HR, payroll and benefitsPlanSource OneSuiteHR®
401K Administration
Applicant tracking
COBRA Administration
EAP Services
FSA Administration
Onboarding services
Pay Card integration
Tax and payment services
Time and Attendance
Manage the complete employee lifecycle on a single SaaS platform
Enter employee information one time – hires, terms and other employee changes are synced throughout OneSuiteHR®
Provide easy-to-use, intuitive employee self-service to your employees for all their HR needs
Take advantage of automated upgrades
Use more than 200 standard report templates for HR, payroll, workers’ compensation and benefits
Leverage API technology to interface to existing systems within your operations
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ACA CAPABILITIES SUMMARY
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PlanSource ACA Capabilities
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What to Report to the IRSForm 1095-C Overview
PlanSource will populate all parts of Form 1095-C and present it electronically to employees who can opt out of receiving a paper version (employers have access to a master PDF document to print and mail to employees).
Form 1095-C: Employer-Provided Health Insurance Offer and Coverage
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What to Report to the IRSFor 1094-C Overview
PlanSource will populate all parts of Form 1094-C and transmit to the IRS (along with the 1095-C Forms) on behalf of the organization.
Form 1094-C: Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns
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What Are the Penalties for Non-Compliance?
$250 perreturn or statement
$3.0M is the maximum penalty
in a calendar year
Note: If a failure is caused by intentional disregard, the new $250 penalty noted above is doubled to $500 for each failure, and there is no maximum for the calendar year.
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How do you get the data that needs to be measured?Payroll provides the hours actually worked
Payroll System Import
• Secure FTP File
• Spreadsheet upload
• Manual entry
You can import payroll data on any frequency (weekly, bi-weekly, etc.).
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ACA Full-Time Status DeterminationEmployers must be able to identify their FTEs in advance of coverage
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CUSTOMER SUPPORT
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Basic Navigation – Assist EmployeesTo avoid little issues from snowballing into big issues that prevent employees from enrolling in benefits and facing life’s events, PlanSource provides help for employees with “how do I” questions, login assistance and life event changes.
Advanced Enrollment – Guide and Enroll EmployeesBenefits can be complex with a myriad of confusing choices and options. With licensed agents on staff, PlanSource can guide employees to the right decisions for their families, whether employees complete online or phone-based enrollment.
Consumer Support OptionsAdditional Fees Apply
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Consumer Support OptionsAdditional Fees Apply
Basic Advanced
English and Spanish-speaking agents
Password and login assistance
“How do I” and benefits coverage questions
Life event processing assistance
Licensed Agents
Plan education and pricing
Coverage verification
New hire enrollment
Phone-based enrollment
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Basic – HR AssistWhile the system is easy to use and configure, PlanSource is here to share best practices and answer configuration and reporting questions. And with the Carrier Connect service, we’ll do what it takes to get the data to the carriers while the automated process is being built.
Advanced – HR Outsourcing Time is precious for HR professionals and sometimes, when in-house HR staff are not available, a team is needed to run the benefits engine. Whether it’s verifying depending eligibility, answering employee inquiries, or providing assistance with claims, PlanSource will get the job done.
HR Support OptionsPlanSource Service Center
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Additional Fees Apply for Advanced Only
Basic Advanced
“How do I” and benefits configuration questions
Life event, new hire, and OE processing assistance
Carrier Connect data processing service
Reporting assistance
Claims assistance and triage
Dependent verification and management
EOI tracking and management
Dedicated inbox for employee inquiries
Proactive notifications
Life event verification
New hire processing and communications
QMSCO management
Configuration and product inquiries
HR Support Options
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Presented to <Company Name>
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