© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 1

Welcome

Current Retiree Health Plan

Tufts University currently offers the following group-sponsored

plans: BCBS Medex Silver Medigap Plan

Fallon Senior Advantage Plan

Harvard Pilgrim Health Medicare Enhance Medigap Plan

Tufts Health Plan Medicare Complement Medigap Plan

Tufts Health Plan Medicare Preferred Advantage Plan

Trending Issues General costs of health insurance is escalating

Retirees experience challenges paying for their health insurance

Retirees are electing for more affordable plan options through the private insurance market,

waiving university group sponsored plans.

2 © 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only.

OneExchange

• Effective January 1, 2018, Tufts University will transition to

plans offered on the OneExchange platform.

• Retirees will have access to comparable plans which will

result in lower costs for a significant number of retirees.

• Based on the lower premium rates for plans through

OneExchange, the university will reduce its annual

contribution to retiree health for those receiving partial

subsidies.

As was outlined in the August 15, 2017 letter

Retiree Dental Benefit

• The Retiree Dental Plan will remain a group sponsored plan choice through Tufts University.

• We are transitioning our third party administrator from Crosby/Wage Works to EPBA.

• EPBA will send you a 2018 Open Enrollment communication during the month of October.

• Your current Dental insurance election will continue in 2018 unless you change it during the annual Open Enrollment Period--November 1 – 15

© 2016 Willis Towers Watson. All rights reserved.

September 2017

Helping You Prepare For Your Upcoming

Medicare Enrollment

OneExchange

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 6

Who We Are

Your Future Coverage

OneExchange – For Your Benefit

A Deeper Dive – Benefit Advisors, Private Exchange & Optimize Savings

Health Reimbursement for You

Next Steps

Questions and Answers

OneExchange Medicare Insurance Marketplace

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 7

Willis Towers Watson

over

100 years experience

First & Largest

private Medicare Exchange

Personalized options with plans from a nationwide network of carriers

More Choice, More Flexibility

– Better Value

Licensed Benefit Advisor

provides guidance &

ongoing advocacy

Over 1.7-million retirees served across

600+ employers

Our

13th annual enrollment season

Founded in 2004

No fees

for our

service

OneExchange Service Centers

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 8

Operating hours:

Monday – Friday, 8:00 a.m. until 9:00 p.m. Eastern Time

100% Domestic Workforce No Outsourcing!

Salt Lake City,

UT

Dallas, TX

Phoenix, AZ

Plans and Insurers

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 9

Medicare

Advantage

Medicare Supplement

(Medigap)

Prescription Drug

(Part D)

© 2016 Willis Towers Watson. All rights reserved.

Your Future Coverage

Your Future Coverage

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 11

How Medicare coverage works

Primary Coverage

Medicare A and B

Additional Coverage (your choice)

*Medicare Advantage with

Prescription Drug (MAPD) or

*Medigap + Prescription Drug

Your Medicare Options

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 12

Option 1: MAPD: Medicare Advantage + Part D Prescription Drug plan

* Note that Medicare Advantage plans are generally network based plans.

MAPD HMO PPO

MEDIGAP

PLAN

Your Medicare Options

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 13

Option 2: Medicare Supplement Insurance (Medigap) and

Part D Prescription Drug plan

Part D

Prescription

Drug Plan

Note: You may need to pay your first premium

when you enroll in coverage.

PART D

PLAN

MEDIGAP

PLAN

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 14

Medicare Supplement Insurance (Medigap) – Lettered Policies

Medicare Supplement Insurance (Medigap) Policies

Benefits A B C D F G K L M N

Medicare Part A coinsurance

and hospital costs (up to an

additional 365 days after

Medicare benefits are used)

100% 100% 100% 100% 100% 100% 100% 100% 100% 100%

Medicare Part B coinsurance

or copayment 100% 100% 100% 100% 100% 100% 50% 75% 100% 100%

Blood (first 3 pints) 100% 100% 100% 100% 100% 100% 50% 75% 100% 100%

Part A hospice care

coinsurance or copayment 100% 100% 100% 100% 100% 100% 50% 75% 100% 100%

Skilled nursing facility care

coinsurance 100% 100% 100% 100% 50% 75% 100% 100%

Part A deductible 100% 100% 100% 100% 100% 50% 75% 50% 100%

Part B deductible 100% 100%

Part B excess charges 100% 100%

Foreign travel emergency

(up to plan limits) 80% 80% 80% 80% 80% 80%

Source: CMS Out-of-Pocket

limit in 2017

$5,120 $2,560

© 2017 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 15

Medigap in Massachusetts

Core Supplement 1

Part A: Coinsurance and hospital costs (up to an additional 365 days

after Medicare benefits are used) 100% 100%

Part B Coinsurance or copayment 100% 100%

Blood (first three pints) 100% 100%

Part A Hospice care coinsurance and copayment 100% 100%

Skilled nursing facility coinsurance 100%

Part A deductible 100%

Part B deductible 100%

Part B excess charges 100%

Foreign travel emergency (up to plan limits) 100%

Medigap Benefits Medigap Plans

Part D Plans – 5 Tiers of Co-Pays

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 16

A prescription drug plan will typically

break the formulary into “tiers.”

The tiers correspond to the copayment or

coinsurance the beneficiary will pay.

Cost-sharing increases with the tier

number.

Tier 1 is the least expensive, tier 4 or 5 is

the most expensive.

Tier descriptions:

Tier 1 preferred generic

Tier 2 non-preferred generic

Tier 3 preferred brand

Tier 4 non-preferred brand

Tier 5 specialty drugs or

injectable medicine

Medicare Prescription Drug Coverage 2018

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 17

Catastrophic Coverage

Coverage Gap

Initial

Coverage Deductible

You Pay Full Retail

Until Deductible is Met

2018 - $0 to $405

You pay copays for

your plan coverage

for the first $3,750

in actual costs of

Medications

You pay 35% of Brand Name

and 44% of Generics until

your out of pocket costs

reach $5,000; Pharmaceutical

contributions will count

towards the $5,000 TrOOP

You Pay $3.35 for

Generics and $8.35 for

Brand Name or 5% -

whichever is greater

Only 25% reach

Donut Hole

Only 4% reach

Catastrophic

© 2016 Willis Towers Watson. All rights reserved.

A Deeper Dive Into Our Process

The OneExchange Process

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 19

Consultative

Process

Simplified

Selection

Effortless

Enrollment

Ongoing

Advocacy

Education

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 20

Getting Started Guide:

Prepare for your enrollment

Pre-existing conditions will not

limit your plan selection*

Make an appointment to enroll

Call Toll Free

1-844-353-0772

Or go online to create an account, review

your plan options and schedule an appt.

medicare.oneexchange.com/tuftsuniversity

Education

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 21

Enrollment Guide:

Understand your options

Review Medicare basics

What to expect during your

enrollment call

FAQs

Appointment confirmation

Make an appointment to enroll

Call Toll Free

1-844-353-0772

Or go online, create a profile, review your

plan options and schedule an appt.

medicare.oneexchange.com/tuftsuniversity

Licensed Benefit Advisors

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 22

Licensed / Certified / Appointed

OneExchange University™

Average age 43

Objective & unbiased

100% domestic workforce

Licensed Benefit Advisors are available:

Monday – Friday, 8:00 AM. until 9:00 PM Eastern Time

Decision Support Tools

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 23

Prescription Profiler

medicare.oneexchange.com/tuftsuniversity 24/7 access to your information

Load in your prescriptions

Shorten your time on the phone with us!

Decision Support Tools

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 24

Help Me Choose

comparison tool

Enrollment Process

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 25

Two Step Process:

1. Licensed Benefit Advisors

Benefit Advisors can discuss

coverage options with anyone

2. Application Data Processors

Telephonic enrollment

100% of calls are recorded

Enrollment Process

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 26

• Review the plan(s) that you

selected

• The selection confirmation

letter will be sent shortly after

you enroll.

• This letter confirms that your

applications have been

submitted.

Selection Confirmation Letter

Personal Guidance

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 27

Navigation

Enrollment

Prescription

changes

Affordability concerns

Reimbursement issues

Late enrollment

HRA

Annual plan review

The plans you select continue on year

to year. No need to re-enroll in the fall

unless you want to make a plan change.

An Ongoing Advocate

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 28

Health Reimbursement Arrangement (HRA)

Health Reimbursement Arrangement

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 29

Your HRA funding will

be

available

January 1st, 2018

Unused funds DO roll

over

If you are eligible, Tufts University will make an

annual contribution

to a Health Reimbursement Arrangement (HRA)

You may use HRA funding to reimburse

yourself for eligible medical, prescription

drug, dental, vision, Long Term Care & Medicare

Part B premiums, as well as eligible out-of-pocket

medical expenses

Tax-free account used to reimburse you

for eligible health care expenses — you pay first

and then get reimbursed

Qualify for your Health Reimbursement Arrangement

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 30

Enroll in a medical plan through OneExchange before your enrollment

period ends on December 29th, 2017 to have access to your HRA.

Must remain enrolled through OneExchange each year to continue to

have access to your HRA or forfeit the rights to your HRA.

We recommend you schedule a call to enroll.

You can also go online to investigate your options.

Health Reimbursement Arrangement

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 31

You may be reimbursed up to the amount

available in your HRA!

Health Reimbursement Arrangement

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 32

Options for Reimbursement

$ $

Option 1

Automatic

Reimbursement

Participant

OneExchange Insurance

Carrier

Participant

OneExchange Insurance

Carrier

Option 2

Manual

Reimbursement

Up to the

amount

available in

your HRA

© 2017 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 33

Local Examples – Middlesex County

Plans for Middlesex County

© 2017 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 34

Plan Type Number of

Plans Offered

2017

Monthly Premium

Insurers

(subject to change)

Medicare Advantage 12 $0 - $159

Fallon, Tufts

Health Plan, Harvard

Pilgrim, United

Healthcare, AARP/United

Healthcare

Medicare Supplement

Insurance (Medigap) 6 $112 - $260

Humana, AARP/United

Healthcare,

Harvard Pilgrim

Part D 15 $17 - $95

AARP/United

Healthcare, Aetna,

SilverScript, Express

Scripts, Coventry,

WellCare, Humana

2018 plan information will be available mid-October

Medicare Advantage Plan

© 2017 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 35

Benefit Cost 2017

Premium $0

Network HMO

Deductible $0

Doctor Copay $15

Specialist Copay $40

Hospital Days 1 - 4 $395 per day

Emergency Room $75

Rx – Deductible

Retail Co-Pay Tiers

$210 (excludes Tiers 1 and 2)

$3 / $11 / $45 / $95 / 28% 30 days

Preferred

Mail Order Co-Pay Tiers $0 / $0 / $125 / $275 / 28% 90 days

2018 plan information will be available in mid-October

MA Supplement 1 + Prescription Drug Plan

© 2017 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 36

Based on a 75 year old male

Benefit Cost 2017

Premium $244.30 ($212 Medical + $32.30 PDP)

Network Not Applicable

Deductible $0

Doctor Copay $0

Specialist Copay $0

Hospital $0

Emergency Room $0

Rx – Deductible

Retail Co-Pay Tiers

$0

$3 / $13 / $42 / 44% / 33% 30 days

Preferred

Mail Order Co-Pay Tiers $7.50 / $32.50 / $105 / 44% 90 days

2018 plan information will be available in mid-October

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 37

Next Steps

What You Need To Do: Action Required!

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 38

Find your Medicare Card!

Contact OneExchange

1-844-353-0772

Call now to complete your profile

and schedule an enrollment

appointment

You will need your Medicare card,

prescription list, and doctor and

hospital information

Schedule your enrollment call

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 39

Call Now, We Are Ready!

1-844-353-0772

Or go online and create a profile, review your

plan options and schedule an appt. today!

medicare.oneexchange.com/tuftsuniversity

Thank you!

© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only. 40

Questions and Answers

? !