Humana 2013 Annual Report Download - page 20

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Our administrative services only, or ASO, products are offered to employers who self-insure their employee
health plans. We receive fees to provide administrative services which generally include the processing of
claims, offering access to our provider networks and clinical programs, and responding to customer service
inquiries from members of self-funded employers. These products may include all of the same benefit and
product design characteristics of our fully-insured HMO, PPO, or POS products described previously. Under
ASO contracts, self-funded employers generally retain the risk of financing substantially all of the cost of health
benefits. However, more than half of our ASO customers purchase stop loss insurance coverage from us to cover
catastrophic claims or to limit aggregate annual costs.
As with individual commercial policies, employers can customize their offerings with optional benefits such
as dental, vision, life, and a portfolio of voluntary benefit products.
Group Medicare Advantage and Medicare stand-alone PDP
We offer products that enable employers that provide post-retirement health care benefits to replace
Medicare wrap or Medicare supplement products with Medicare Advantage or stand-alone PDPs from Humana.
These products offer the same types of benefits and services available to members in our individual Medicare
plans discussed previously and can be tailored to closely match an employer’s post-retirement benefit structure.
Wellness
We offer wellness solutions including our Humana Vitality®wellness and loyalty rewards program, health
coaching, and fitness programs.
We provide employee assistance programs and coaching services primarily to our employer group
customers. Services include a comprehensive turn-key coaching program, an enhancement to a medically based
coaching protocol and a platform that makes coaching programs more efficient.
HumanaVitality, LLC, a joint venture with Discovery Holdings Ltd., provides our members with access to a
science-based, actuarially driven wellness and loyalty program that features a wide range of well-being tools and
rewards that are customized to an individual’s needs and wants. A key element of the program includes a
sophisticated health-behavior-change model supported by an actuarially sound incentive program.
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