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About Pareto• ~ 300 captive members
• Approximately $350m in FI equivalent
• Approximately $95m in stop loss premium
• Approximately 32,000 enrolled employees
• Approximately 70,000 enrolled lives
• 98% member retention
Additional Stats that Prove We're Cool...(at least we think we're cool)
• Added 100 new members last year– Expect to significantly exceed that this year
• 80%+ of members were fully insured transitions
• And for the consultants in the room... – 50% of members were new business to our
consultant partners
A Spec on a Flea on the A$@...
• Employer stop loss marketplace is approximately $12b to $13b
• Fully insured marketplace for the mid market (50 to 500 ee's) is approximately $600b to $700b...
Group Captive Value Proposition
1) Group captive is the shock absorber thatreduces the year-to-year volatility and risk ofbeing self-insured.
2) Allows employer to focus on reducing costof healthcare.
More Insurance
• No lasers– Ad infinitum– Covers claims/claimants after entering program
• Banded renewal rates– Largest stop loss increase was 25%
“Multi year stop loss policy with lower increases and much better protection and stability”
Pareto 2.0 Differentiators
• Pareto Rx Consortium– Members are averaging 10% to 20% savings
– Members can choose their formularies and plan designs
• MCCI– Member Cost Containment Index
• Springbuk– Data analytics and predictive modeling
CONFIDENTIAL
CONFIDENTIAL
2015 Summary ResultsCaptive:
Contrarian Entry Date: 1/1/2014
Employer Snapshot: Midwest Laboratories
12
MCCI
Construct
Experience
75
Stop Loss PremiumTotal Employees
72%
Undeveloped Captive Loss Ratio
Gross Experience Score
Modified Experience Score
0.84 0.92
$127,305
| |
Cypress
Administrator Specific Deductible
$25,000
General Section Score:
Overall MCCI Score Relative MCCI
0.85572.26
Hospital Section Score:
Primary Care Section Score:
Prescription Section Score:
Employer Section Score:
1.25
20.14
30
10.48
10.4