Saint Mary s College

Transcription

1 Saint Mary s College Employee Benefits Advisory Committee (EBAC) March 2017 Meeting # 1 March 1, 2017

2 Agenda 1. Introductions and Welcome 2. Legislative/Political Report 3. Review Decisions/Carrier Feedback/Enrollment Trends 4. Tuition Exchange Program update 5. Update 6. Tentative 2017 Calendar Discussion 2

3 Introductions, Welcome and a few announcements 3

4 Legislative and Political Report - Disclaimer About GSI Benefits: We strive to be apolitical, our focus is on providing the college with the analysis to understand and implement what applies to your organization. So much of the ACA did not pertain, or only marginally applied to employers here in California. While it can be interesting to focus on the macro implications of Federal level policies, our partners are interested in what change means to their specific situation. We are not lawyers, nor do we offer legal advice. We do, however, seek to provide guidance and input into compliance and process implementation. 4

5 Nobody knew that health care could be so complicated, Trump told a group of Republican governors after meeting with them and insurers two groups whose cooperation could make or break the attempt to overturn the law some call Obamacare. 5

6 Legislative and Political Report Trumps appointee of HHS (Rep. Tom Price R, GA) has a 242 page ACA replacement bill that has been passed by the house numerous times The new head of CMS (Seema Verma) was the architect of Indiana s (Gov. Pence) Medicaid expansion, incorporating copays and HSA s. 6

7 An excerpt from President Trumps speech to a joint session of congress FEB 28, 2017: Here are the principles that should guide the Congress as we move to create a better healthcare system for all Americans: First, we should ensure that Americans with pre-existing conditions have access to coverage, and that we have a stable transition for Americans currently enrolled in the healthcare exchanges. Secondly, we should help Americans purchase their own coverage, through the use of tax credits and expanded Health Savings Accounts --- but it must be the plan they want, not the plan forced on them by the Government. Thirdly, we should give our great State Governors the resources and flexibility they need with Medicaid to make sure no one is left out. Fourthly, we should implement legal reforms that protect patients and doctors from unnecessary costs that drive up the price of insurance -- and work to bring down the artificially high price of drugs and bring them down immediately. Finally, the time has come to give Americans the freedom to purchase health insurance across State lines --- creating a truly competitive national marketplace that will bring cost way down and provide far better care 7

8 Legislative and Political Report Major items of the ACA likely to disappear: Individual Mandate / Tax penalty and with it many of the reporting requirements and headaches Minimum Plan requirements Cadillac Tax repeal How will the other stakeholders (carriers, hospitals, providers) react? Stay tuned 8

9 Legislative and Political Report Other Prospective Changes of interest: Enhancing HSA options Block Granting Medicaid Decreased subsidies in exchanges Privatizing Medicare Healthcare reform will remain a key issue going forward, but is one of many priorities on the Trump agenda Health INSURANCE is regulated at the state level, and California will certainly resist as much rollback of the ACA as they can. 9

10 The Healthy California Act, Senate Bill 562, co-authored by Sen. Toni Atkins, D-San Diego and Sen. Ricardo Lara, D-Bell Gardens, was submitted just before the deadline for new legislation. It doesn t yet offer many specifics other than the lawmakers intent: to create a so-called single-payer system that would pay for coverage for everyone. NOTE: A similar measure was voted NO in Colorado last your, and was abandoned due to cost in Vermont in

11 EBAC Meeting Schedule Fall /30/2016 9/13/2016 9/21/2016 9/27/2016 EBAC Meeting # 1 - initial plan results and renewal discussion, Town Hall planning, marketing strategy, communications plan EBAC #2 - make market, carrier & plan design decisions, show how plan designs have evolved over the past 10 years Community TOWN HALL EBAC #3 - carrier and plan decisions made, discuss financials and contribution scenarios 10/6/ /2/ /13/2016 EBAC #4 - finalize contributions/financials Benefits Festival - Theme: Chinese New Year EBAC #5 It s a brave new world 11

12 Review Decisions and Open Enrollment Results Carriers and Plans: Retained Kaiser, terminated UHC. Added Health Net, Delta Dental, VSP Contributions: Scenario TWO D Modified 90/70 ; no change in DEN/VIS Target 3%... Further modified by management to soften the change, net result is a projected cost increase to the college of 3.3%. Based on actual enrollment results the cost change to the college is 3.1%. 12

13 Carrier Feedback: Initial feedback regarding Health Net has been positive regarding their service level and responsiveness. Positive feedback on RX process ALL former UHC providers were in Health Net 13

14 Hearing Aide Benefit: An un-anticipated benefit discrepancy between UHC and Health Net was identified, the UHC plan had a benefit for hearing aides that is not available from Health Net. Actual number of impacted participants appears low (~3) Alternative solutions would require costly manual workarounds Decision was made not to make an accommodation at this time. 14

15 Results: TOTAL GROUP Number Percent Kaiser EE only % Kaiser EE + Spouse % Kasier EE + Child(ren) % Kaiser EE + Family % Kaiser EE + Domestic Partner % TOTAL % UHC Health Net HMO EE Only % HMO EE + Spouse % HMO EE + Child(ren) % HMO EE + Family % TOTAL % UHC Health Net PPO EE Only % PPO EE + Spouse % PPO EE + Child(ren) % PPO EE + Family % TOTAL % Grand TOTAL % 15

16 Results: TOTAL Group BASED ON 2017 (FEB Census) Male/Female Average Age % > 50 % w/ DEPS Ave. years of Service Faculty % / 54% % 49% 16 Staff % / 59% % 45% 9.6 Combined % / 57% % 47% 12.1 KAISER Enrolled Population Faculty % / 53% % 53% 14.4 Staff % / 57% % 47% 9.4 Combined % / 54% % 49% 11.4 Health Net Enrolled Population Faculty 94 45% / 55% % 43% 18.5 Staff % / 64% % 42% 10.2 Combined % / 60% % 42%

17 Tuition Exchange Update Internal Applications Year Faculty Staff Total

18 Tuition Exchange Update New Applicant Summary Academic Year Exports SMC Imports Applicants Awarded 4 TBD Mid March Accepted TBD TBD May 1st Schools (# of semesters remaining/annual tuition) TBD TBD 18

19 Tuition Exchange Update Current Awards Academic Year Exports SMC Imports Current 6 3 Schools (# of semesters remaining/annual tuition) University of Pacific (1/$38K) University of Seattle (5/unknown) Concordia University - CA (5/$32K) Stevens Institute of Tech (7/$24K) Becknell University, PA (1/$36K) USC (7/$41K) University of San Francisco Westminster College UT Concordia University Portland, OR 19

20 >Wellness Event at the JARC in conjunction with the Campus Recreation, promoting both Wellness and the JARC > Forming a Wellness working group to plan and coordinate future activities 20

21 EBAC Meeting Schedule 2017 Plan Year (tentative) 3/1/2017 EBAC Meeting Late April May/June Mid August EBAC Meeting Topics TBD EBAC Meeting Topics TBD Initial renewals due in from carriers Late August September Early October EBAC Meeting - Initial Renewal Discussion EBAC Meeting Renewal Review / Budget / Contributions (May be 2 meetings as appropriate) EBAC Meeting Finalize Renewals and Contributions 21

22 EBAC Meeting Schedule 2017 Plan Year (tentative) 10/16 to 11/3 Open Enrollment Perion 10/18 Benefits Festival Late NOV EBAC Meeting (as necessary) 12/1 Push data to carriers for the new year 12/22 Estimated delivery date of ID Cards January 1 New plan year starts 22

23 Additional Items and Next Steps What topics and ideas should the EBAC be considering in 2017? >EdD Proposal >Tuition Exchange update >Childcare on Campus > Leveraging technology 23