Background - Overview

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2 Background - Overview Lasik most frequently performed elective surgery in America 60 million Lasik candidates in the United States Over 7 million treated on a cumulative basis since 1996 Approximately 1.4 million Lasik procedures in 2007 Lasik attracts younger, healthier population Typically under 55 Typically more active, healthier lifestyles Plans and organizations looking for new add on benefits Differentiating Meaningful benefit Strong member value Employees want to lessen out-of-pocket expense for Lasik Little question as to medical outcome from quality providers Need help to fit in household budget 2

3 How It Works - Covered Procedures Covered refractives surgical procedures Lasik Including Custom Wavefront and IntraLase initiated Lasik Lasek PRK A slight variation of Lasik Like Lasik but removes surface layer of cornea to expose treatment area without making a flap Procedure must be completed by a doctor licensed under state law to perform refractive surgery Most often MD Very rare instances, an optometrist 3

4 How It Works - The Benefit & Pricing Insured levels available up to $600 to each employee and covered dependent on covered refractive surgical procedures; other benefit levels available upon request Rates beginning at $0.50/employee/month Offered on non voluntary basis to all employees or 100% of the population selecting an ancillary host benefit to which insured Lasik product is attached 4

5 How It Works - The Insurer Standard Security Life Insurance Company of New York (SSL) Wholly owned subsidiary of Independence Holding Company, NYSE listed company (symbol IHC); IHC has more than $1 billion in assets, as of January Rated A- (Excellent) by A.M. Best Licensed in all 50 states Founded in 1958 Lines include life, health, disability and other ancillary products 5

6 How It Works - The Marketing Partner The Insured Lasik Group Kevin Hassey, principal Over 15 years experience in vision industry Passion for developing and serving industry with innovative products Committed to working with clients to ensure smooth integration of insured Lasik product 6

7 How It Works - Typical Products Insured Lasik Might Be Packaged With Vision Pharmacy Dental Health 7

8 How It Works - Supreme Lasik Network Employees have freedom of choice but have access to a national panel of Lasik surgeons through the Supreme Lasik Network which provides additional savings on top of the insured benefit Receive additional savings of 15% off Standard fees by utilizing a Supreme Lasik Network provider Over 550 Provider Locations available Over 12 years experience in laser vision correction Over 85% of the U.S. population has access to a Supreme Lasik Network provider within 100 miles 8

9 How It Works - Sample Savings Insured Lasik, combined with Supreme Lasik Network provider savings, will typically create over $800 in member savings Supreme Lasik Network Non Supreme Lasik Network Price prior to discount at $1780/eye* $3560 $4100 SLN 15% Savings $534 $0 Member price $3026 $4100 Insured benefit/$300 $300 $300 Net cost $2726 $3800 Savings $834 $300 *Based on Supreme Lasik Network Survey and Market Scope, LLC, February

10 How It Works - Benefit Communication Communicated in whatever medium the host benefit is communicated If no card, then wherever insured Lasik information is outlined in host benefit material, simply note that insured Lasik provided through SSL If there is a card but card refers member to get vision information elsewhere, then wherever vision information/insured Lasik outlined, simply note that insured Lasik provided through SSL If insured Lasik information is on a card, card should note that benefit provided through SSL 10

11 How It Works - Group Master Policy and Certificate of Insurance provided at group/employer level; group makes certificate available to employees Claim form added to group s web site Group sends membership file and premium on mutually agreeable frequency to TPA 11

12 How It Works - Member Usage Member calls number in member materials Member most often goes to Supreme Lasik Network location, has surgery, gets 15% point of sale discount; at Supreme Lasik Network location, member assigns insurance benefit to provider; patient files no claim; provider files on behalf of member to receive payment If member uses non Supreme Lasik Network location, employee gets surgery and sends copy of receipt and claim form (from group s web site or Supreme Lasik web site) to identified TPA for funded benefit reimbursement (see exhibits for example of receipt and claim form) 12

13 How It Works - Broker Commission A 10% commission is included in rates Organizations purchasing benefit to determine if this is to be provided as a pass through to brokers or whether they themselves effectively represent the brokerage channel and should receive some or all of this revenue stream Sample commission funds based on varying group sizes and $300 insured benefit Group size Monthly pmpm Annual Total Premium Annual Commission 5, $30,600 $3,060 25, $153,000 $15,300 1,000, $6,120,000 $612,000 13

14 Why It s A Win For All Employees Reduce or totally eliminate the need for glasses or contact lenses Insured benefit applied on day of surgery if surgery at network provider; no claim form $300 benefit toward the cost of Lasik surgery Insured benefit can be combined with additional 15% discount provided if surgery at network provider Employers Enhances the value of your benefit plans; can be used to offset rate increases or benefit reductions Provides affordability for a life-changing event. Offers employees a meaningful benefit. Employee communication materials (i.e., buckslips, etc) provided free of charge Ability to nominate additional providers to network 14

15 Q & A My base vision/pharmacy/dental is underwritten by another carrier/healthplan. How will it work to add this benefit? Per document, wherever details of insured Lasik are communicated, simply indicate that benefit underwritten by SSL What will term of benefit be? Length consistent with length of benefit that insured Lasik is attached to but no longer than 2 years unless otherwise agreed to How will it work if half of my population adds the insured Lasik product and the other half remains discount only? The discount only materials would not change; when communicating insured benefit to those getting it, a different number would be provided so that when these members called, members would be recognized as having insured Lasik 15

16 Next Steps Review how insured lasik can fit in your benefit plans and business goals. 16

17 Exhibits 17

18 18

19 Laser Vision Correction Member Reimbursement Claim Form Submit Completed Claim Form and Receipt for services to: (Company Name Here) (Street Address) (City ST ZIP) The section below to be completed by patient: (Please Print Clearly) Member/Employee Information: Member First Name M.I. Member Last Name Member s Identification # Member DOB Mailing Address: Street Address City State Zip Work Phone: Home Phone: Patient Information: Patient Name: First Name M.I. Last Name Relationship: Member Spouse/Domestic Partner Child (if child, include DOB: ) Plan Information: Plan Name: Member/Employee Certification: I certify that the information on this form is correct and authorize Provider to release any appropriate information necessary for processing of this claim. Employee or authorized person s signature Date 19

20 Section below to be completed by Provider: Practice Name: Federal Tax ID#: Address: State Street Address Zip City Treating Surgeon: Type of Service OD, OS or OU (right eye, left eye or both eyes) Date of Service (MM/DD/YY) Amount Paid Lasik (CPT code: 65760) PRK or LASEK (CPT code: 66999) Signature of Treating Surgeon Date 20

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