Businessweek

lliance agreement. Individual Commercial Coverage The company’s individual health plans, marketed under the HumanaOne brand, include offerings designed to promote wellness and engage consumers. HumanaOne plans are designed specifically for self-employed entrepreneurs, small-business employees, part-time workers, students, and early retirees and include a spectrum of major medical benefits with multiple in-network coinsurance levels and annual deductible choices, as well as HumanaVitality, its wellness and loyalty rewards program. The company’s HumanaOne plans primarily are offered as PPO plans in select markets where it can generally underwrite risk and utilize its existing networks and distribution channels. This individual product includes provisions mandated by law to guarantee renewal of coverage for as long as the individual chooses. The HumanaOne plans can be further customized with optional benefits, such as dental, vision, life, and a portfolio of financial protection products. Employer Group Segment Products This segment consists of products sold to employer groups, including medical and supplemental benefit plans. Employer Group Commercial Coverage: The company’s commercial products sold to employer groups include a range of major medical benefits with multiple in-network coinsurance levels and annual deductible choices that employers of all sizes can offer to their employees on either a fully-insured, through HMO, PPO, or POS plans, or self-funded basis. The company’s plans integrate clinical programs, plan designs, communication tools, and spending accounts. The company participates in the Federal Employee Health Benefits Program, or FEHBP, primarily with its HMO offering in certain markets. FEHBP is the government’s health insurance program for Federal employees, retirees, former employees, family members, and spouses. As with its individual commercial products, the employer group offerings include HumanaVitality, its wellness and loyalty reward program. The company’s administrative services only (ASO), products are offered to employers who self-insure their employee health plans. The company receives fees to provide administrative services, which generally include the processing of claims, offering access to its 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 its fully-insured HMO, PPO, or POS products described previously. Group Medicare Advantage and Medicare stand-alone PDP: The company offers 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 its individual Medicare plans discussed previously and can be tailored to closely match an employer’s post-retirement benefit structure. Health and Well-Being Services Segment Products This segment consists of businesses that promote health and well-being. These services are sold primarily to other Humana businesses, as well as external health plan members, external health plans, and other employers or individuals. Pharmacy solutions: Humana Pharmacy Solutions (HPS) manages traditional prescription drug coverage for both individuals and employer groups in addition to providing a range of pharmacy solutions. HPS also operates prescription mail order services for brand, generic, and specialty drugs and diabetic supplies through RightSourceRx, as well as research services. Provider services: The company’s subsidiary, Concentra Inc. delivers primary care, occupational medicine, urgent care, physical therapy, and wellness services to employees and the general public through its operation of medical centers and worksite medical facilities. The company’s CAC Medical Centers (CAC) in South Florida operate full-service, multi-specialty medical centers staffed by primary care providers and medical specialists practicing cardiology, endocrinology, ger