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hCen ti v e

Technology Solutions to Simplify Healthcare

hCentive WebInsure Consumer
Sales Portal Product for Individual and Family Health Insurance

This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosedin whole or in part—for any purpose other than to evaluate hCentive products or services. This document
contains confidential and proprietary information specific to hCentive, Inc.
hC ent iv e

Technology Solutions to Simplify Healthcare

Table of Contents
Overview

3

Features

3

Technology

8

Contact Information

11

This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any
purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to
hCentive, Inc.
hC ent ive

Technology Solutions to Simplify Healthcare

Overview
hCentive's WebInsure Consumer is the perfect solution for insurers looking for a proactive approach
towards web based insurance solutions. WebInsure Consumer simplifies the implementation of the
complex health reforms and offers a cost-effective and highly tailored solution for insurers looking to
leverage retail-focussed opportunities arising in the industry.

Features
FUNCTIONAL MODULES
The system is divided into 3 portals directed at three different class of users:
Consumer Portal (C) – directed at end consumer buyers
Broker Portal (B)– directed at brokers selling to end buyers
Administration Portal (A)– directed at internal carrier team
Each portal then provides specific functionality as described below. The functionality described
is available today except when specifically mentioned:

This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any
purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to
3
hCentive, Inc.
hC ent ive

Technology Solutions to Simplify Healthcare

Feature

Details

Quoting and Rating

Landing Pages. Intake consumer information and use it
to provide a quote for all products the
customer is eligible for
Quote View. Dynamically modify viewed products in a
tabular format with options to sort and filter the product
list on a variety of customizable criteria including price,
deductible, co-pay, co-insurance or any other product
benefit or meta-data
Discounts. Provide discounts based on family size or
other attributes of the census information.
Save Quote. Consumer can save the quotes and revisit
them later.
Product Search. Ability for customer to find
products based on selected parameters (benefit /
coverage options, limits etc)

Cross-sell / Up-sell

Ability to recommend one or more products based on
incoming campaign or inferred demographic

Product Details

Product Page. Dynamically generated pages to show
high-level and detailed information about each product
sold
Product Benefits. Dynamically display list of benefits
available with the product
Product Comparison. Support product comparison
functionality that allows consumers to compare multiple products across multiple product attributes.
PDF Download. Ability to download the documents
attached to the product in PDF format

Online Application Presentation

eApp Creation. Present an electronic version of the
Premera application form as published for that market.
Intuitive online application with dynamic medical
questions with drill-down questions.
Support for state-specific applications
Pre-fill certain information if known about the
applicant (mostly valid for renewals)
Validate that the information submitted is complete
Validate information for format errors (e.g. phone
numbers, SSN etc)
Mask sensitive information

This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any 4
purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to
hCentive, Inc.
hC ent ive

Technology Solutions to Simplify Healthcare

Feature

Details

Online Application Save

eApp Save. Ability to gather and store all the data
elements in the application
eApp Restore. Save an unfinished eApp in a secure
environment and ability to continue it later (possible
after a few days)
eApp Download. Ability to download a finished or
unfinished application in a PDF format with all the filled
information preserved.

Online Application Submission

Assign a unique identifier to each application for tracking
Submit application to the backend underwriting system
Attach a time of submission with each application

Payment Processing

Ability to process payment from ACH, Credit Card and
Paypal.
Separate payment options for initial and ongoing
payments
Ability to change payment preferences

Electronic Signatures

Meet the requirements of electronic signature laws for
signature creation, storage and retrival

Application Status

Track the current status of application by end-consumer,
broker and CSR.
Ability to generate standard and customized messages
(accepted, declined, need more info etc)
Real-time status

Notifications

Notify application status and changes to consumers and
brokers including acceptance and rejection
Support periodic reminders to consumers on brokers for
renewals, application drop-off etc
Notify broker on specific events like opening of broker
proposal, start of eapp etc
Customize and configure the list of notification for each
broker
Support multiple channels including text messages and
email.

Broker Quoting

See complex quotes quickly
Filter and sort through the quotes
Create a proposal from the quotes displayed and send it
to a consumer
Rate-up or Rate-down a quote

This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any 5
purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to
hCentive, Inc.
hCentive

Technology Solutions to Simplify Healthcare

Feature

Details

Broker CRM

Add and manage list of clients of the broker
Attach a client to a lead source
Store client information for reuse
Send emails to the client
Send proposals to the client
Track client status
Collaborate with clients to help them submit the
application

Broker Proposal Management

Ability for brokers to send out a proposal to their
customers
Ability to track the status of the proposal
Auto-attach specific documents to the proposal
Get notifications on when proposals are opened, viewed
and applications started
View applications submitted against the proposal

Account Management

Login and Logout
Profile Management
Change Password

Policy Renewals

Renew a policy on a yearly basis
Send notification for renewals

Policy Updates

Ability for the end consumer to update policy due to
changes in life status
Adding another member to the policy
Removing a member from the policy
Change Address
Change benefits

Policy Documents

Download policy documents from the portal including
card

Bill Presentation

Integration with Billing system to showcase the latest bill
to the end user
Collect premiums on the amount shown in the bill
Ability to reach out to support or report any errors in
the bill
Change payment preference including mode of payment,
frequency and address.

This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any 6
purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to
hCentive, Inc.
hCentive

Technology Solutions to Simplify Healthcare

Feature

Details

Customer Support

Live Chat. Ability for customers to talk to chat
representative
Click-to-call. Ability for the customers to call a customer
representative from the browser
Call-back. Ability for the customers to ask for call back
on a provided number.
Tracking. CSRs can view the page URL the customers
are on.

Plan and Benefit Updates

Ability for business users to update benefit information
of plan
Ability to update rating information and other plan
documents
Preview changes made
Assign an “effective date” for each update

User Management

Add and manage administrative users and assign roles
and permissions to them
Add and manage brokers and assign geography and
hierarchy to them
Add and manage CSR representatives.

CSR UI

CSR can go and enter a new application (useful for
processing application on phone)
Shift management for CSR

Web Analytics

Send information to web marketing and generic
marketing tools
Link web activity with specific campaigns

Campaign Management Support

Create trackable links for specific campaigns.
Post links to social media websits
Create banners and links for google ads and other such
initiatives

Reporting

Reports on system usage including users, application,
submissions, rejections and status updates
Reports on broker logins and activity
Reports on changes done by administrative users
Alerts on spikes or decrease in volumes

This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any 7
purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to
hCentive, Inc.
hCentive

Technology Solutions to Simplify Healthcare

BROWSER COMPATIBILITY

Internet Explorer
(version 7.0 +)

Firefox
Chrome
(version 3.5 +) (version 10+)

Apple Safari
(version 4.0+)

Windows XP

Supported

Supported

Supported

Supported

Windows Vista

Supported

Supported

Supported

Supported

Windows 7

Supported

Supported

Supported

Supported

Mac OSX 10.5 (“Leopard”)

Supported

Supported

Supported

Mac OSX 10.6 (“Snow Leopard”)

Supported

Supported

Supported

Mac OSX 10.7 (“Lion”)

Supported

Supported

Supported

INTEGRATION ENDPOINTS
hCentive will provide integration with following systems of Premera:
Underwriting System: Application Submission and Status Updates
Broker Management System: Broker Management
Archiving: Long term storage of submitted apps and other data
Billing: Bill Presentation and Update of payments

Technology
ARCHITECTURE

This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any
hCentive, Inc.

8
hCentive

Technology Solutions to Simplify Healthcare

Our solution is based on best design principles, keeping in mind the scalability,
extensibility and interoperability of the application. Following are some of the key
design principles used in our product:
Service Oriented
Event Driven
Loosely Coupled
Able to support assembly and integration
Able to leverage existing applications and infrastructure

TECHNOLOGY STACK
Component

Software Used

Operating System

Linux (Ubuntu, Amazon Linux)

JDK

Sun JDK 1.6

Application Server

Tomcat 6.0.29

Database

MySql 5.1.41

DI/AOP

Spring Framework

ORM

Hibernate

Caching

EhCache

Rules Engine

Drools

Web Framework

Struts2, SpringMVC

Messaging Services
Security

Spring Security

Scheduler

Quartz

SCM

Subversion

Build

Maven

Development IDE

Eclipse

Reporting

Crystal Reports or COGNOS

This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any 9
purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to
hCentive, Inc.
hCentive

Technology Solutions to Simplify Healthcare

HOSTING
The system will be hosted on Amazon Web Service (AWS) infrastructure. The system will
be completely isolated from any other system managed by hCentive, Inc. and will not
share any resources (except the outer firewall and load balancer) residing in its own
Virtual Private Cloud (VPC) with its own access policies.
These resources will include application servers, database servers, load balancers,
monitoring servers, queuing services, mailing services and storage volumes.
Database servers will be replicated across multiple availability zones. Disk volumes of
these database servers are encrypted to secure data in storage. To secure data
over-the-wire, SSL Tunnels are established between application & database servers.
Our uptime commitment is 99.9%, with minimal scheduled maintenance. Our hosting
includes management of all upgrades, hardware, and third-party software on your
behalf, as well as 24/7 monitoring of the application.

Your Site
172.168.7.31

172.168.8.62

Load Balancer-1

Load Balancer-2

App Server-1

Amazon EC2

EBS
VoI

App Server-2

Master
DB

replication

Master
DB

EBS
VoI

Rolling Snapshots
10 min intervals

Daily Snapshots
1/day
Amazon S3

This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any 10
purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to
hCentive, Inc.
hCentive

Technology Solutions to Simplify Healthcare

Contact Information
Corporate Headquarters

Contact Us

hCentive, Inc.

Phone:

800-984-7952

Sales:

sales@hcentive.com

Support:

media@hcentive.com

Partnerships:

partnerships@hcentive.com

12355 Sunrise Valley Drive,
Suite 630, Reston, Virginia 20191

-----------------End of White Paper-----------------

This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any
11
purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to
hCentive, Inc.

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hCentive Webinsure Consumer

  • 1. hCen ti v e Technology Solutions to Simplify Healthcare hCentive WebInsure Consumer Sales Portal Product for Individual and Family Health Insurance This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosedin whole or in part—for any purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to hCentive, Inc.
  • 2. hC ent iv e Technology Solutions to Simplify Healthcare Table of Contents Overview 3 Features 3 Technology 8 Contact Information 11 This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to hCentive, Inc.
  • 3. hC ent ive Technology Solutions to Simplify Healthcare Overview hCentive's WebInsure Consumer is the perfect solution for insurers looking for a proactive approach towards web based insurance solutions. WebInsure Consumer simplifies the implementation of the complex health reforms and offers a cost-effective and highly tailored solution for insurers looking to leverage retail-focussed opportunities arising in the industry. Features FUNCTIONAL MODULES The system is divided into 3 portals directed at three different class of users: Consumer Portal (C) – directed at end consumer buyers Broker Portal (B)– directed at brokers selling to end buyers Administration Portal (A)– directed at internal carrier team Each portal then provides specific functionality as described below. The functionality described is available today except when specifically mentioned: This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to 3 hCentive, Inc.
  • 4. hC ent ive Technology Solutions to Simplify Healthcare Feature Details Quoting and Rating Landing Pages. Intake consumer information and use it to provide a quote for all products the customer is eligible for Quote View. Dynamically modify viewed products in a tabular format with options to sort and filter the product list on a variety of customizable criteria including price, deductible, co-pay, co-insurance or any other product benefit or meta-data Discounts. Provide discounts based on family size or other attributes of the census information. Save Quote. Consumer can save the quotes and revisit them later. Product Search. Ability for customer to find products based on selected parameters (benefit / coverage options, limits etc) Cross-sell / Up-sell Ability to recommend one or more products based on incoming campaign or inferred demographic Product Details Product Page. Dynamically generated pages to show high-level and detailed information about each product sold Product Benefits. Dynamically display list of benefits available with the product Product Comparison. Support product comparison functionality that allows consumers to compare multiple products across multiple product attributes. PDF Download. Ability to download the documents attached to the product in PDF format Online Application Presentation eApp Creation. Present an electronic version of the Premera application form as published for that market. Intuitive online application with dynamic medical questions with drill-down questions. Support for state-specific applications Pre-fill certain information if known about the applicant (mostly valid for renewals) Validate that the information submitted is complete Validate information for format errors (e.g. phone numbers, SSN etc) Mask sensitive information This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any 4 purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to hCentive, Inc.
  • 5. hC ent ive Technology Solutions to Simplify Healthcare Feature Details Online Application Save eApp Save. Ability to gather and store all the data elements in the application eApp Restore. Save an unfinished eApp in a secure environment and ability to continue it later (possible after a few days) eApp Download. Ability to download a finished or unfinished application in a PDF format with all the filled information preserved. Online Application Submission Assign a unique identifier to each application for tracking Submit application to the backend underwriting system Attach a time of submission with each application Payment Processing Ability to process payment from ACH, Credit Card and Paypal. Separate payment options for initial and ongoing payments Ability to change payment preferences Electronic Signatures Meet the requirements of electronic signature laws for signature creation, storage and retrival Application Status Track the current status of application by end-consumer, broker and CSR. Ability to generate standard and customized messages (accepted, declined, need more info etc) Real-time status Notifications Notify application status and changes to consumers and brokers including acceptance and rejection Support periodic reminders to consumers on brokers for renewals, application drop-off etc Notify broker on specific events like opening of broker proposal, start of eapp etc Customize and configure the list of notification for each broker Support multiple channels including text messages and email. Broker Quoting See complex quotes quickly Filter and sort through the quotes Create a proposal from the quotes displayed and send it to a consumer Rate-up or Rate-down a quote This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any 5 purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to hCentive, Inc.
  • 6. hCentive Technology Solutions to Simplify Healthcare Feature Details Broker CRM Add and manage list of clients of the broker Attach a client to a lead source Store client information for reuse Send emails to the client Send proposals to the client Track client status Collaborate with clients to help them submit the application Broker Proposal Management Ability for brokers to send out a proposal to their customers Ability to track the status of the proposal Auto-attach specific documents to the proposal Get notifications on when proposals are opened, viewed and applications started View applications submitted against the proposal Account Management Login and Logout Profile Management Change Password Policy Renewals Renew a policy on a yearly basis Send notification for renewals Policy Updates Ability for the end consumer to update policy due to changes in life status Adding another member to the policy Removing a member from the policy Change Address Change benefits Policy Documents Download policy documents from the portal including card Bill Presentation Integration with Billing system to showcase the latest bill to the end user Collect premiums on the amount shown in the bill Ability to reach out to support or report any errors in the bill Change payment preference including mode of payment, frequency and address. This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any 6 purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to hCentive, Inc.
  • 7. hCentive Technology Solutions to Simplify Healthcare Feature Details Customer Support Live Chat. Ability for customers to talk to chat representative Click-to-call. Ability for the customers to call a customer representative from the browser Call-back. Ability for the customers to ask for call back on a provided number. Tracking. CSRs can view the page URL the customers are on. Plan and Benefit Updates Ability for business users to update benefit information of plan Ability to update rating information and other plan documents Preview changes made Assign an “effective date” for each update User Management Add and manage administrative users and assign roles and permissions to them Add and manage brokers and assign geography and hierarchy to them Add and manage CSR representatives. CSR UI CSR can go and enter a new application (useful for processing application on phone) Shift management for CSR Web Analytics Send information to web marketing and generic marketing tools Link web activity with specific campaigns Campaign Management Support Create trackable links for specific campaigns. Post links to social media websits Create banners and links for google ads and other such initiatives Reporting Reports on system usage including users, application, submissions, rejections and status updates Reports on broker logins and activity Reports on changes done by administrative users Alerts on spikes or decrease in volumes This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any 7 purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to hCentive, Inc.
  • 8. hCentive Technology Solutions to Simplify Healthcare BROWSER COMPATIBILITY Internet Explorer (version 7.0 +) Firefox Chrome (version 3.5 +) (version 10+) Apple Safari (version 4.0+) Windows XP Supported Supported Supported Supported Windows Vista Supported Supported Supported Supported Windows 7 Supported Supported Supported Supported Mac OSX 10.5 (“Leopard”) Supported Supported Supported Mac OSX 10.6 (“Snow Leopard”) Supported Supported Supported Mac OSX 10.7 (“Lion”) Supported Supported Supported INTEGRATION ENDPOINTS hCentive will provide integration with following systems of Premera: Underwriting System: Application Submission and Status Updates Broker Management System: Broker Management Archiving: Long term storage of submitted apps and other data Billing: Bill Presentation and Update of payments Technology ARCHITECTURE This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any hCentive, Inc. 8
  • 9. hCentive Technology Solutions to Simplify Healthcare Our solution is based on best design principles, keeping in mind the scalability, extensibility and interoperability of the application. Following are some of the key design principles used in our product: Service Oriented Event Driven Loosely Coupled Able to support assembly and integration Able to leverage existing applications and infrastructure TECHNOLOGY STACK Component Software Used Operating System Linux (Ubuntu, Amazon Linux) JDK Sun JDK 1.6 Application Server Tomcat 6.0.29 Database MySql 5.1.41 DI/AOP Spring Framework ORM Hibernate Caching EhCache Rules Engine Drools Web Framework Struts2, SpringMVC Messaging Services Security Spring Security Scheduler Quartz SCM Subversion Build Maven Development IDE Eclipse Reporting Crystal Reports or COGNOS This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any 9 purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to hCentive, Inc.
  • 10. hCentive Technology Solutions to Simplify Healthcare HOSTING The system will be hosted on Amazon Web Service (AWS) infrastructure. The system will be completely isolated from any other system managed by hCentive, Inc. and will not share any resources (except the outer firewall and load balancer) residing in its own Virtual Private Cloud (VPC) with its own access policies. These resources will include application servers, database servers, load balancers, monitoring servers, queuing services, mailing services and storage volumes. Database servers will be replicated across multiple availability zones. Disk volumes of these database servers are encrypted to secure data in storage. To secure data over-the-wire, SSL Tunnels are established between application & database servers. Our uptime commitment is 99.9%, with minimal scheduled maintenance. Our hosting includes management of all upgrades, hardware, and third-party software on your behalf, as well as 24/7 monitoring of the application. Your Site 172.168.7.31 172.168.8.62 Load Balancer-1 Load Balancer-2 App Server-1 Amazon EC2 EBS VoI App Server-2 Master DB replication Master DB EBS VoI Rolling Snapshots 10 min intervals Daily Snapshots 1/day Amazon S3 This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any 10 purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to hCentive, Inc.
  • 11. hCentive Technology Solutions to Simplify Healthcare Contact Information Corporate Headquarters Contact Us hCentive, Inc. Phone: 800-984-7952 Sales: sales@hcentive.com Support: media@hcentive.com Partnerships: partnerships@hcentive.com 12355 Sunrise Valley Drive, Suite 630, Reston, Virginia 20191 -----------------End of White Paper----------------- This document is copyrighted property of hCentive, Inc. It should not be duplicated, used, or disclosed—in whole or in part—for any 11 purpose other than to evaluate hCentive products or services. This document contains confidential and proprietary information specific to hCentive, Inc.