2016 Health Benefits Outlook. September 2015

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Rhoda Poole
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1 2016 Health Benefits Outlook September

2 Health Care Advisory Committee Bruce Arick (Finance/Administration) Anita Watts (HR) Randal Brown (HR) Jeanne VanTyle (Faculty) Todd Hopkins (Faculty) Gabriela Muniz (Faculty) Nandini Ramaswamy (Staff) Carrie Maffeo (Faculty) Sheri Alexander (Gregory & Appel) Chad Morris (Gregory & Appel) 2

3 2015 Wellness Initiatives Healthy Horizons Comprehensive Wellness Plan $100 incentive for annual confidential wellness consult $150 additional incentive for proactive management of primary health risk factors $250 total potential incentive 3

4 2015 Wellness Initiatives Healthy Horizons Focused Disease Management Confidential assistance in proactive management of asthma/copd, diabetes, and cardiovascular disease (CVD) Free access to routine lab tests, counseling, disease management, and education 4

5 2015 Wellness Initiatives Health & Recreation Complex (HRC) Employee Wellness Discount $250 annual membership versus $614, no minimum usage required. $3 versus $7 per visit Incentives $25/year for Physical Fitness Assessment $25/5 sessions of personal training 50% discount/session for Dietitian Services 5

6 2015 Overview-Healthy Horizons The purpose is to promote healthy living by providing a comprehensive and confidential wellness package to Butler faculty and staff and now expanding to your spouse or domestic partner. Participants in Physical Activity, Rewards, Financial Wellness & Stress Reduction Programs: 430 (January 1 September 14, 2015) Annual Wellness Consult Includes: Health Screening (cholesterol, blood pressure, blood glucose, weight assessment) Health Risk Assessment Personalized Action Plan with Health Goals Annual Wellness Consults: 275 Representing 315 Health Management Appointments: 910 Unique Individuals Includes: Blood pressure, cholesterol, medication, and weight management INR (warfarin) monitoring Health Coaching 6

7 2015 Overview - HRC Faculty/Staff 130, an increase of approximately 44% over 2014 Personal Training 338 YTD versus 255 in 2014 Dietitian Sessions Doubled in Spring 2015 versus Fall 2014 Physical Fitness Assessments 30 YTD versus approximately 5/year 7

benefit experts to assist you with health care and insurance-related issues.

8 2015 Overview-HealthAdvocate One, toll-free number supporting all health and benefit needs delivered by a dedicated, specialized team of clinical and benefit experts to assist you with health care and insurance-related issues Interactions (calls and s; displayed by topic below) -104 hours (Jan-Aug 15) 8

9 2015 Overview-Castlight Health The health care shopping and quality transparency tool that allows you to take charge of your health care. Registration rate: 45% Return usage: 26% Total searches: 4,332 Total unique visits to website: 603 Number of page views per user per session: 14 (Sept. 14 Aug. 15) 9

10 Health Care Reform 1/1/2016 Employer Reporting of Health Coverage Employers with 50 or more employees will be required to provide information to the IRS and employees about the health plan coverage they offer to their employees in Employers will be required to provide health care benefits to certain part-time employees that qualify under new Health Care Reform guidelines. 10

11 2016 Vendor Partners Returning Partners Medical/Vision Anthem Dental Delta Dental Health Savings Account HSA Authority by Towers Bank (Old National Bank) Life, STD, LTD, and EAP One America New Partners Flexible Spending AmeriFLEX under review 11

12 Health Plan Participation Core Buy-Up Plus CDHP Total (as of July 31, 2015) 12

13 Health Plan Performance ($ in 000 s) YTD 2015* Participants Annual Plan Surplus/(Deficit) ($537) $724 $795 ($221) ($429) $49 $1,135 Cumulative Surplus/(Deficit) $187 $982 $761 $332 $381 $1,516 % of Total Plan Costs 3% 12% 8% 3% 4% 28% Total Plan Costs $7,096 $6,763 $7,996 $8,989 $9,681 $10,019 $5,479 Total Funding $6,559 $7,487 $8,791 $8,768 $9,252 $10,068 $6,614 Butler Contribution $4,985 $5,690 $6,691 $6,735 $7,116 $7,811 $5,202 Participant Contributions $1,574 $1,797 $2,101 $2,034 $2,136 $2,257 $1,412 Butler Contribution % 76% 76% 76% 77% 77% 78% 79% Participant Contribution % 24% 24% 24% 23% 22% 22% 21% *Through 7/31/

14 2016 Health Plan Rate Outlook Projected Premium Increases for 2016 Plan Year: 0 5% 14

15 2016 Health Plan Changes Consolidate Buy-Up & Plus PPO Plans Eliminate Buy-Up; Maintain Plus Decrease CDHP Family Out-of-Pocket Maximum from $8,000 to $6,850 to meet Health Care Reform requirement. Same-Sex Domestic Partner Access Same-sex Domestic Partner Participants currently enrolled in the health plans will continue to be covered as unmarried domestic partners after January 1, Effective January 1, 2016 Butler s health plans will be available to employees, spouses, and qualified dependents. 15

16 Plan Benchmarks PPO Plans Core Buy-Up Plus Butler Avg. CUPA Benchmark CDHP CUPA Benchmark Single Family Single Family Single Family Single Family Single Family Single Family Single Family Deductibles $ 1,250 $ 3,125 $ 1,000 $ 2,500 $ 750 $ 1,875 $ 1,000 $ 2,500 $ 500 $ 1,000 $ 2,000 $ 4,000 $ 1,800 $ 3,750 OOP Maximums $ 3,750 $ 7,500 $ 3,000 $ 6,000 $ 2,250 $ 4,500 $ 3,000 $ 6,000 $ 2,800 $ 6,000 $ 4,000 $ 8,000 $ 3,500 $ 7,000 Coinsurance 25% 25% 20% 20% 20% 20% 22% 22% 20% 20% 20% 20% 10% 10% Office Visit $ 30 $ 30 $ 20 $ 20 $ 20 $ 20 $ 23 $ 23 $ 25 $ 25 Specialist Visit $ 50 $ 50 $ 40 $ 40 $ 40 $ 40 $ 43 $ 43 $ 30 $ 30 Emergency Room $ 175 $ 175 $ 175 $ 175 $ 175 $ 175 $ 175 $ 175 $ 100 $ 100 Employer HSA Contr. $ 750 $ 1,500 $ 700 $ 1,200 Total Monthly Cost $ 571 $ 1,407 $ 643 $ 1,586 $ 734 $ 1,810 $ 649 $ 1,601 $ 600 $ 1,587 $ 499 $ 1,301 $ 477 $ 1,329 Monthly EE Contr. % 6.5% 29.6% 13.2% 35.2% 17.8% 38.6% 12.9% 34.9% 19% 30% 6.0% 24.7% 13% 24% Monthly EE Contr. $ $ 37 $ 416 $ 85 $ 559 $ 131 $ 698 $ 84 $ 558 $ 114 $ 476 $ 30 $ 335 $ 62 $ 319 CUPA = College and University Professional Association Butler Plan Date for

17 Future Dates Health Care Forums October 21, 3:00 p.m. in JH-141 Other Dates/Times/Locations for mid- October will be added and communicated Additional information will be available at Benefits Open Enrollment Late October/Early November 17

18 Questions? 18

ENROLLMENT. Your Benefits Your Choice! Open Enrollment Meetings. Active Employees. Working Spouse Rule

ENROLLMENT. Your Benefits Your Choice! Open Enrollment Meetings. Active Employees. Working Spouse Rule Your Benefits Your Choice! Active Employees It is once again time to make some important decisions regarding your insurance needs. is holding open enrollment from November 1 to November 20, 2015. We encourage