transition update indiana statewide group insurance trust aaron curtis & dan bond capstone...
TRANSCRIPT
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Transition Update
Indiana StatewideGroup Insurance Trust
Aaron Curtis & Dan Bond
Capstone Benefit Advisors
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Carrier Selection
Considerations:
• Provider Discounts
• Market Share
• Trust Experience & Capabilities
• Future Consolidation
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Carrier Selection
Why Not NRECA?
• No Separate Plan for Indiana Co-ops
• SBC Offered Lower Rates in Recent Years
• Only Rental Provider Networks in Indiana
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Discovery
Process:
• Information Exchange
• Questionnaire
• Q & A
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Discovery
Network Analysis:
• Provider Disruption for Members
• Provider Discounts
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Trustee Decision
• Report/Analysis from Capstone
• Final Interview With Trustees
• Carrier Selection Goal: No Later Than April 30, 2011
• Final Rate Determination Goal: No Later Than September 30, 2011
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Transition
Transition to New Carrier Completed By:
January 1, 2012
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What To Expect
• Business as Usual
• Same Principal Contacts
• Continue Using Benefit Solver
• Look for Updates as Progress is Made
Sign-Up for SBC Newsfeed
www.isabenefitsblog.com
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Questions ??
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Health Care Reform: 1/1/2011
SBC Plans Will Be
Non-Grandfathered
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Health Care Reform: 1/1/2011
Dependent Coverage to Age 26
• Other Eligibility Criteria Does Not Apply– Marital Status, Student Status, Dependency,
Residency, Other Coverage
• Tax Exempt To Age 27
• Notice Distribution Required
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Health Care Reform: 1/1/2011
Lifetime / Annual Limits
• Lifetime/Annual Limits Eliminated
• Applies to Essential Benefits
• Notice Distribution Required
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Health Care Reform: 1/1/2011
No Pre-Ex for Under Age 19
• Pre-Existing Condition Exclusions Currently Only Apply to Late Enrollees
– This is Now Eliminated for Anyone Who Has Not Reached Age 19
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Health Care Reform: 1/1/2011
Preventive Care Services
• No Cost Sharing for Many Preventive Care Services and Immunizations
• For a Complete List, Go To:
www.HealthCare.gov/center/regulations/prevention.html
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Health Care Reform: 1/1/2011
External Review Process
• Member Initiated
• Claim Decision Review
• Independent Organization
– Not Associated with the Carrier
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Health Care Reform: 1/1/2011
Nondiscrimination–Problem Areas
• Different Benefits for Exec/Exempt Employees
• Shorter Waiting Periods for Exec/Exempt Employees
• Larger Contributions for Exec/Exempt Employees
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Health Care Reform: 1/1/2011
FSA Limitation
• No Longer Cover OTC Drugs
• Requires Prescription
• Insulin is an Exception
• Master Cafeteria Plan has been Updated
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CONTACTS
Aaron Curtis, Capstone Benefits Group
317-328-7880, ext. 145
Dan Bond, Capstone Benefits Group
317-328-7880, ext. 147
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Questions ??
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THANK YOU!