PAISBOA
HBT
Mid Year
Review
Meeting
Strategic
Directions
May 13th, 2015
Agenda
1. Dental RFP Results
2. Life/Disability RFP Results
3. Aetna RFP Update
4. Competitive Renewal
5. Self Insurance Review Updates
6. 6055/6056 Compliance
7. Online Open Enrollment Tools
1
Agenda
Dental
RFP Results
4
Vendors
were
allowed
to
quote
1. Dental RFP Results
on PAISBOA HBT Dental block:
2. Life/Disability RFP Results
- Aetna
3. Aetna RFP Results
4.
Self Insurance Review Updates
- UCCI
5. Form 6055/6056 Compliance
- Met Life
Reminder
6.
Online Open Enrollment Tools
- Assurant
2
Agenda
Dental
RFP Results
Each
Vendor
showed
a
1. Dental RFP Results
considerable savings off of the
2.
Life/Disability
RFP Results
existing
Delta Dental
Rates.
3. Aetna RFP Results
4.
Self Insurance
Review
Updates
- Delta
Dental had
last look
at the
quote
agreed to
decrease
5.
Formand
6055/6056
Compliance
their
rates by 5% off current and
Reminder
hold for 2 years.
6. Online Open Enrollment Tools
Rates will be adjusted at renewal.
3
Agenda
Life/Disability
RFP Results
7
Vendors
were
allowed
to
quote
1. Dental RFP Results
on PAISBOA HBT Life/Di block:
2. Life/Disability RFP Results
- Hartford
3.
Aetna
RFP
Results
- Aetna
4.
Self Life
Insurance Review Updates
- Met
5.
Form 6055/6056 Compliance
- Assurant
Reminder
- Guardian
6.
Online Open
Enrollment Tools
- Reliance
Standard
- Prudential
4
Agenda
Life/Disability
RFP Results
-1.4Dental
Vendors
declined
to
quote.
RFP Results
-2.3Life/Disability
Vendors showed
a
savings
off
RFP Results
of the existing Unum rates.
3. Aetna RFP Results
- Guardian is able to offer a 2%
4.
Self Insurance
Review
reduction
to the rates,
butUpdates
is also
enabling
a 1% reduction
to the
5.
Form 6055/6056
Compliance
upcoming
IBC renewal.
Reminder
6. Online Open Enrollment Tools
5
Agenda
Life/Disability
RFP Results
- Guardian has exceptional ratings
1. Dental
RFP
ResultsHBT will be
and
we feel
PAISBOA
well
served with this
2. Life/Disability
RFPvendor.
Results
3. Aetna RFP Results
4. Self Insurance Review Updates
5. Form 6055/6056 Compliance
Reminder
6. Online Open Enrollment Tools
6
Agenda
Life/Disability
RFP Results
-1.Guardian
will
match
all
existing
Dental RFP Results
contracts and provisions.
2. Life/Disability RFP Results
- Rates will hold for 3 years.
3. Aetna RFP Results
- This transition to Guardian would
4.begin
Self Insurance
Review Updates
June 1, 2015.
5. Form 6055/6056 Compliance
Reminder
6. Online Open Enrollment Tools
Rates will be adjusted at renewal.
7
Aetna –Agenda
Medical Update
1. Dental RFP Results
- Aetna is currently reviewing
2. claims
Life/Disability
RFP
Results
data and is expected to
a competitive
3. release
Aetna RFP
Results bid by mid
June.
4. Self Insurance Review Updates
- This quote will be compared to
5. Form 6055/6056 Compliance
the IBC renewal and a
Reminder
directional decision will come
6. from
Online
Open Enrollment Tools
there.
- Updates will be communicated.
8
Agenda
Competitive
Renewal
-1.Milliman,
an
independent
Dental RFP Results
Actuary firm, is being considered
2.toLife/Disability
RFP Results
conduct an analysis
of
HBT’s
claims data, to
3.PAISBOA
Aetna RFP
Results
determine to the most effective
4.funding
Self Insurance
Review
Updates
arrangement for the
5.Trust.
Form 6055/6056 Compliance
Reminder
6. Online Open Enrollment Tools
9
Agenda
Competitive
Renewal
-1.Using
Milliman
will
also
allow
Dental RFP Results
PAISBOA HBT to generate a
2.renewal,
Life/Disability
Results
basedRFP
on claims
data,
compare
3.toAetna
RFPagainst
Resultswhat IBC
Underwriting develops.
4. Self Insurance Review Updates
5. Form 6055/6056 Compliance
Reminder
6. Online Open Enrollment Tools
10
Agenda
Competitive
Renewal
Dental RFP
Results
-1.PAISBOA
HBT
reviewing RFP Results
2.isLife/Disability
every option to
3.keep
Aetna
RFP
the
IBCResults
as
4.renewal
Self Insurance
Review Updates
competitive as
5. Form 6055/6056 Compliance
possible.
Reminder
6. Online Open Enrollment Tools
11
Agenda
ReminderPlan Elimination
Dental RFP
Results
-1.PAISBOA
HBT
will be removing
plans from itsRFP
menu
this Fall:
2.3Life/Disability
Results
Personal
Choice
C2
F2
O2
3. Aetna RFP Results
- Personal Choice C4 F5 O2
4. Self Insurance Review Updates
- $5/$10/$25 Rx
5. Form 6055/6056 Compliance
- PAISBOA
ReminderHBT will be offering
an additional Rx option:
6. Online Open Enrollment Tools
- $20/$75/$100
12
AgendaReview
Self Insurance
-1.Self
Insurance
has
been
widely
Dental RFP Results
discussed the past 3 years,
2.accelerated
Life/Disability
Results
by RFP
the ACA
taxes
fees.
3.and
Aetna
RFP Results
-4.PAISBOA
HBT has
taken
time to
Self Insurance
Review
Updates
deliberate the risk and
5.mechanics
Form 6055/6056
Compliance
involved in
Reminder
transitioning over to Self
6.Insurance.
Online Open Enrollment Tools
13
AgendaReview
Self Insurance
1. Dental RFP Results
2. Life/Disability RFP Results
3. Aetna RFP Results
4. Self Insurance Review Updates
5. Form 6055/6056 Compliance
Reminder
6. Online Open Enrollment Tools
14
Agenda
1. Dental RFP Results
2. Life/Disability RFP Results
3. Aetna RFP Results
4. Self Insurance Review Updates
5. Form 6055/6056 Compliance
Reminder
6. Online Open Enrollment Tools
15
AgendaReview
Self Insurance
-1.Any
considerations
surrounding
Dental RFP Results
a change in funding will be
2.communicated
Life/Disability RFP
Results
well in
advance
Board
consideration
and
3.for
Aetna
RFP
Results
approval.
4. Self Insurance Review Updates
- Legal review is being conducted
5.toForm
6055/6056
Compliance
determine if Pennsylvania will
Reminder
allow for a Self Insured MEWA
6.structure.
Online Open Enrollment Tools
16
ACAAgenda
Compliance
1. Dental RFP Results
2. Life/Disability RFP Results
3. Aetna RFP Results
4. Self Insurance Review Updates
5. Form 6055/6056 Compliance
Reminder
6. Online Open Enrollment Tools
17
ACAAgenda
Compliance
Forms
1094
C & 1095 C
1. Dental
RFP
Results
2. Life/Disability RFP Results
3. Aetna RFP Results
4. Self Insurance Review Updates
5. Form 6055/6056 Compliance
Reminder
6. Online Open Enrollment Tools
18
Forms Agenda
1094 C & 1095 C
- All ALE’s (50+) must supply data
1. Dental RFP Results
to IRS and Employees Jan,2016.
2. Life/Disability RFP Results
- Failure to comply results in fines.
3. Aetna RFP Results
4. Self Insurance Review Updates
5. Form 6055/6056 Compliance
- Businessolver is able to track
Reminder
employee hours.
6. Online Open Enrollment Tools
- Businessovler is able to report
1094C and 1095C data to IRS.
19
ACAAgenda
Compliance
1. Dental RFP Results
2. Life/Disability RFP Results
3. Aetna RFP Results
4. Self Insurance Review Updates
5. Form 6055/6056 Compliance
Reminder
6. Online Open Enrollment Tools
20
ACAAgenda
Compliance
1. Dental RFP Results
2. Life/Disability RFP Results
3. Aetna RFP Results
4. Self Insurance
There are 9 Review Updates
possible
6055/6056
codes
just
for line 14
5. Form
Reminder
Compliance
6. Online Open Enrollment Tools
21
Forms Agenda
1094 C & 1095 C
-1.IfDental
you would
like
to
utilize
the
RFP Results
ACA compliance tools provided
2.by
Life/Disability
RFP
Results
Businessolver,
please
contact
ADC
Account
Executive.
3.your
Aetna
RFP
Results
4. Self Insurance Review Updates
5. Form 6055/6056 Compliance
- AReminder
discovery call will be held and
forwards
will be
6.move
Online
Open Enrollment
Tools
established.
22
AgendaTimeline
Open Enrollment
-1.InDental
order RFP
to capture
changes
and
Results
make the November Invoice,
2.PAISBOA
Life/Disability
Results
HBT RFP
will need
to follow
timeline
3.the
Aetna
RFPbelow:
Results
1.
Renewal
Meeting
– 8.5.15
4. Self
Insurance
Review
Updates
2.
Employer
Election
– 9.7.15
5. Form
6055/6056
Compliance
3. Reminder
Employee Election – 10.5.15
6. Online
OpenInvoice
Enrollment
Tools
4.
November
– 10.16.15
23
Agenda
Online
Enrollment
-1.To
assist
with
this
year’s
Open
Dental RFP Results
Enrollment process, we will
2.encourage
Life/Disability
RFP Results
employees
to make
online.
3.elections
Aetna RFP
Results
-4.Any
member
who
SelfPAISBOA
InsuranceHBT
Review
Updates
would like to build out their
5.online
Form platform,
6055/6056
Compliance
ADC can assist
Reminder
with that development.
6. Online Open Enrollment Tools
24
Agenda
Online
Enrollment
-1. 2Dental
Platform
Designs:
RFP Results
- All In
2. Life/Disability RFP Results
3. Aetna RFP Results
All
will have a login
4.Employees
Self Insurance
Review Updates
webpage
to go to and register for
- Light
Open
Enrollment
elections. Compliance
5.
Form
6055/6056
The Reminder
page will identify them by
their SSN#.
6. Online Open Enrollment Tools
25
Agenda
Online
Enrollment
-1. 2Dental
Platform
Designs:
RFP Results
- All In
2. Life/Disability RFP Results
3. Aetna RFP Results
4. Self Insurance Review Updates
- Light
Upon registering, Employees will
5. Form 6055/6056
Compliance
have to sign an E-Signature.
Reminder
6. Online Open Enrollment Tools
26
Agenda
Online
Enrollment
-1.2Dental
Platform
Designs:
RFP Results
- All In
2. Life/Disability RFP Results
3. Aetna RFP Results
4. Self Insurance Review Updates
Light
Employees-will
then have to
create a username
and 6055/6056
password.
5. Form
Compliance
Reminder
6. Online Open Enrollment Tools
27
Agenda
Online
Enrollment
JOHN MANION
-1.2Dental
Platform
Designs:
RFP Results
- All In
2. Life/Disability RFP Results
3. Aetna RFP Results
4. Self Insurance Review Updates
- Light
5. Form 6055/6056 Compliance
Employees will be
Reminder
taken to main page
6.
to begin benefit
Online elections.
Open Enrollment
Tools
28
Agenda
Online
Enrollment
JOHN MANION
-1.2Dental
Platform
Designs:
RFP Results
- All In
2. Life/Disability RFP Results
3. Aetna RFP Results
4. Self Insurance Review Updates
- Light
This entire page is
5. Form configurable:
6055/6056 Compliance
Reminder
6.
- School Logo
- Tutorial Video
Online
Open
Enrollment
- Layout Manager
- News and Tips
Tools
29
Agenda
Online
Enrollment
JOHN MANION
-1.2Dental
Platform
Designs:
RFP Results
- All In
JOHN
2. Life/Disability RFP Results
3. Aetna RFP Results
MANION
4. Self Insurance Review Updates
123-45-6789
- Light
12-25-1945
5. Form 6055/6056 Compliance
Employees will be
Reminder
asked to confirm
MALE
WHITE HOUSE
6. Online Open
address and other
Enrollment
Tools
info.
WASHINGTON
30
Agenda
Online
Enrollment
JOHN MANION
-1.2Dental
Platform
Designs:
RFP Results
- All In
2. Life/Disability RFP Results
3. Aetna RFP Results
4. Self Insurance Review Updates
- Light
5. Form 6055/6056 Compliance
Employees can add
Reminder
or remove
6. Online Open
dependents at
Enrollment
Tools
Open Enrollment.
31
Agenda
Online
Enrollment
-1.2Dental
Platform
Designs:
RFP Results
- All In
2. Life/Disability RFP Results
3. Aetna RFP Results
Schools
can load
4. Self Insurance Review
Updates
- Light
5. Form 6055/6056
Reminder
plans and cost
information for
Compliance
employees to
make their
election.
6. Online Open Enrollment Tools
32
Agenda
Online
Enrollment
JOHN MANION
-1.2Dental
Platform
Designs:
RFP Results
- All In
2. Life/Disability RFP Results
JOHN MANION
3. Aetna RFP Results
4. Self Insurance Review Updates
- Light
5. Form 6055/6056 Compliance
Employees can
Reminder
change their PCP
6. Online Open
elections if they are
Enrollment
in HMO/POSTools
33
Agenda
Online
Enrollment
-1.2Dental
Platform
Designs:
RFP Results
- All In
2. Life/Disability RFP Results
3. Aetna RFP Results
4. Self Insurance Review Updates
- Light
5. Form
6055/6056
Compliance
Employees
will be
asked to confirm
Reminder
their elections.
6. Online Open Enrollment Tools
34
Agenda
Online
Enrollment
JOHN MANION
-1.2Dental
Platform
Designs:
RFP Results
- All In
2. Life/Disability RFP Results
3. Aetna RFP Results
4. Self Insurance Review Updates
- Light
All transactions
are recorded
5. Form
6055/6056
Compliance
and time stamped on
Reminder
Businessolver
6. Online Open Enrollment Tools
35
Agenda
Online
Enrollment
-1.PAISBOA
HBT
Schools
that
are
Dental RFP Results
interested in this build out should
2.speak
Life/Disability
RFPrep.
Results
to their ADC
Aetna
RFP Results
-3.Plan
Elections
and Cost info
be needed.
4.would
Self Insurance
Review Updates
-5.Elections
can still be
made via
Form 6055/6056
Compliance
paper
apps and processed by
Reminder
ADC offices.
6. Online Open Enrollment Tools
36
Agenda
Quick
Recap
-1.PAISBOA
HBT is
Dental RFP Results
forward
in
2.moving
Life/Disability
RFP Results
directions
to
3.positive
Aetna RFP
Results
keep
health
care
costs
4. Self Insurance Review Updates
down
and
provide
a
5. Form 6055/6056 Compliance
stable
environment for
Reminder
membership.
6.its
Online
Open Enrollment Tools
37
Thank you!