126-127 / 138
ABC Company
Medical ASO Options
LOGO HERE
Prepared by:
CBIZ Employee Benefits & Insurance Services
Fee Summary
page 3 of 3
7/18/2017
Average PEPM, Year 1
Year 1 - Annual ASO Fees
Year 2 - Annual ASO Fees
Year 3 - Annual ASO Fees
Total over 3 years
Rate Guarantee
Wellness/Communication Fund
Year 1
Year 2
Year 3
Total over 3 years
Total Yrs ASO less Incentives
Year 1 Spend with add'l services
Compared to Base ASO Fees
Compared to ASO Fee + Wellness
Average GEO Access
Percentage of Savings Fee
on non-contracted services, facilities &
providers
Guarantees
Discount Guarantee
Trend Guarantee
Service Performance Guarantee
Implementation Guarantee
Other
Fee for processing
Run Off Claims
$27.84
-$7.36
$5,522,397.12
-$1,459,312.20
$5,522,397.12
$5,522,397.12
$16,567,191.36
Admin & Fund Purch Only
(Core Offering)
Purchase Clincial Services
(Premium Solutions)
$300,000.00
$500,000.00
$300,000.00
$500,000.00
$300,000.00
$500,000.00
$900,000.00
$1,500,000.00
$15,667,191.36
$15,067,191.36
Optional Service per year:
$892,674.00
1st yr spend w/noted clinical
services:
$6,415,071.12
Compared to Base ASO Fees
-$566,638.20
Compare to ASO + Health Fit
-$1,638,691.20
98.92%
The fee for the Network Savings Program is equal to 29% of net savings
Cigna - Mature Fees
2017
Flat 3 years
No Charge for processing Run out Claims
Option of a discount guarantee with the core offering OR the trend
guarantee (2.3%) with the premium solutions, both inclusive of up to
$10 PEPM Payout OR Total Cost Guarantee with $2,000,00 at risk and
guaranteeing ABC a total medical cost of $669 PEPM
Up to 25% of Fees at risk for Service
Up to 10% of fees at risk for implementation metrics