Zane Benefits

JosephDeacon

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Thoughts on this idea? I think they are jumping the gun since carriers can still decline, but I do see a potential for this to take off.


The Online Alternative to Group Health Benefits
Offer Lower Priced Health Benefits with Zane Benefits’ Online Defined Contribution Platform

April 27, 2011

Zane Benefits, Inc. provides an online alternative to group health benefits that saves employers up to 50% annually. With Zane Benefits’ online platform, employers make available a tax-free monthly allowance that employees use to purchase their own individual policy directly from a carrier or independent licensed health insurance agent.

As group health insurance costs continue to rise, employers are looking for ways to offer health benefits at a lower price. Zane Benefits’ online alternative, often referred to as a defined contribution health plan, allows an employer to name its price. Rather than paying the costs to provide a specific group health plan (a "defined benefit"), employers instead fix their costs by establishing a monthly dollar amount (a “defined contributionâ€) that employees choose how to spend.

Professor Paul Zane Pilzer, author of The New Health Insurance Solution, expects health care reform to accelerate the switch to defined contribution health plans. “What most business people don't realize is that the 2010 federal health care reform has standardized most health benefit plans—all U.S. individual policies now have no lifetime limits on coverage, pay 100% of the cost of preventative care, cover adult children up to age 27, and now guarantee coverage to dependents under age 18 with no extra charges for pre-existing conditions.â€

The premium rates for individual plans are regulated differently in most states, and, unlike group plans, private carriers are allowed to reject high-risk employees with pre-existing medical conditions. However, new regulations require states to provide guaranteed coverage for employees with medical conditions that were formerly covered by a terminated group plan. Additionally, a new temporary federal risk pool, PCIP, has been created for the individuals who do not qualify for individual plans in their state.

Businesses typically buy group health benefits on an annual cycle and spend tremendous amounts of time each year evaluating the features of the various plans offered—time that should be spent on improving products or servicing customers. According to Pilzer, “this annual use of senior management time is eliminated for the thousands of businesses each year that switch to Zane Benefits’ online solution.â€

“As health care reform phases in, almost every employer should simply drop its group plan and allow employees to use pre-tax funds to buy their own, lower-priced individual policies. This is especially true in the small employer group marketâ€, says Pilzer, “where several insurance companies have strategically chosen to exit the small group market and increase sales in the individual market.â€

About Zane Benefits, Inc.

Zane Benefits, Inc, a software company founded by Pilzer, helps insurance brokers, employers and employees take advantage of the new rules. Zane Benefits does not sell insurance. Using Zane’s platform, insurance agents offer their clients a defined contribution health plan with multiple individual health insurance choices.

Employers can learn more at HRA and POP - Health Reimbursement Account Benefits.

The Zane Benefits affiliate program provides a unique solution to the biggest challenge facing most insurance agents – policy cancellations. The Zane Affiliate Program gives agents the ability to retain clients who are cancelling group health insurance policies due to high cost or low participation.

Agents can learn more at Sales Tools for Insurance Agents | Zane Benefits.

Read more about Zane Benefits in the News:
 
This "idea" has been around since the mid 90's.

Zane = Benelect

In CA, there is a product problem with this "idea". Anthem BC only offers one group plan that would allow this HRA structure, and it's an EPO of all things.
 
As said earlier, this idea has been around for quite awhile. What I disagree with though his the assertion that you need to cancel your group plan. Everything they say you should do, you can do with a group plan.

Employers will have different viewpoints and for some, the Zane approach will have appeal. This approach simply states that the employer gives up, and lets the employees go to private market and get what they want. Sounds just like 2014.
 
Health Partners America has been touting this strategy also but with more emphasis on smaller groups who don't necessarily have a group plan.

Professor Paul Zane Pilzer, author of...
all U.S. individual policies now... cover adult children up to age 27, and now guarantee coverage to dependents under age 18 with no extra charges for pre-existing conditions.
Wow, if he's going to be pushing this stuff, he should at least get the facts straight.
 
Health Partners America has been touting this strategy also but with more emphasis on smaller groups who don't necessarily have a group plan.

Wow, if he's going to be pushing this stuff, he should at least get the facts straight.

Really - had C1 offer a kid coverage yesterday GI - it was $795.31 a month, just a LITTLE higher than base rate.:twitchy:
 
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