Life Cycle of a Group Benefits Plan
Recommended Sequence (course 4 of 4): It is recommended that you take this course last, after taking The Group Insurance Landscape, Group Benefits Design and Administration, and Group Benefits Funding and Pricing.
Life Cycle of a Group Benefits Plan outlines the insurer’s role and responsibilities at all stages of a group benefits plan life cycle—prospecting, quoting/proposing, selling, implementing, servicing, amending/renewing and terminating a group insurance plan. The application of principles of ethical decision making throughout the life cycle of a group benefits plan is examined from the perspectives of all parties involved—plan sponsor, insurer, plan advisors and plan members.
Topics Covered
- Lesson 1: Prospecting a Group Benefits Plan
- Lesson 2: Quoting/Proposing and Selling a Group Benefits Plan
- Lesson 3: Implementing and Servicing a Group Benefits Plan
- Lesson 4: Amending/Renewing to Terminating a Group Benefits Plan
- Lesson 5: Ethical Decision Making
Course Outline
Lesson 1: Prospecting a Group Benefits Plan
- Group Benefits Account
- Life Cycle Stages
- Prospecting Defined
- Prospecting for New Clients
- Significance of Marketing to the Prospecting Phase
- Reasons for Marketing
- Approaches to Marketing
- Frequency of Marketing a Group Benefits Plan
- Key Steps in Marketing a Group Benefits Plan
- Request for Proposal (RFP)
- Purpose of the Cover Letter
- Letter of Appointment
Total pages in this lesson: 12 pages
Lesson 2: Quoting/Proposing and Selling a Group Benefits Plan
- Quoting/Proposing and Selling Defined
- Role of Insurers in Quoting/Proposing
- Factors That Influence Whether to Propose/Quote
- Reasons for Not Quoting
- Importance of Experience Information
- Typical Components of an Insurer's Proposal
- Additional Information Included in an Insurer's Proposal for Small Groups
- Additional Information Included in an Insurer's Proposal for Midsized and Large Groups
- Preparation of an Insurer's Proposal for a Small Group Compared to a Large Group
- Criteria Typically Used By Plan Sponsor to Analyze an Insurer's Proposal
- Analyzing the Service Factor in an Insurer's Proposal
- Quantitative Analysis of an Insurer's Proposal
- Role of Finalist Presentation in Selling
- Key Areas Addressed in a Finalist Presentation
- Questions Commonly Asked in a Finalist Presentation
- Factors That Influence a Prospective Client's (Plan Sponsor’s) Choice of Insurer
Total pages in this lesson: 16 pages
Lesson 3: Implementing and Servicing a Group Benefits Plan
- Implementation Defined
- Steps in the Implementation Stage
- Develop Master Application
- Communicate the Plan and Enroll Employees
- Prepare and Issue Group Documents
- Install and Administer
- Establish Ongoing Service Relationships
- Servicing Defined
- Responsibilities Involved in Servicing
- Titles Involved in Servicing
- Key Contacts in Group Benefits Services Arrangement
- Account Executive
- Group Service Representative
Total pages in this lesson: 13 pages
Lesson 4: Amending/Renewing to Terminating a Group Benefits Plan
- Amending Defined
- Lead Time Prior to the Effective Date of an Amendment
- Notice of Amendments
- Amendment Request
- Steps for Implementing an Amendment
- Renewing Defined
- Lead Time for Proposed Renewal Terms
- Renewal Documentation
- Plan Termination Defined
- Plan Termination by an Insurer
- Handling Plan Termination
- Change of Insurer
Total pages in this lesson: 12 pages
Lesson 5: Ethical Decision Making
- Business Ethics Defined
- Characteristics of Ethical Problems
- Questions to Address Ethical Situations
- Business Ethics Resources
- Human Rights Legislation
- Privacy Legislation
- Canadian Life and Health Insurance Association (CLHIA)
- CLHIA Consumer Code of Ethics
- Ethical Issues for a Plan Sponsor
- Ethical Issues for a Plan Member
- Ethical Issues for an Agent or Broker/Consultant
- Ethical Issues for an Account Executive
- Ethical Issues for a Group Service Representative
Total pages in this lesson: 13 pages
Course Applies To
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