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Transition Update

Indiana Statewide Group Insurance Trust. Transition Update. Aaron Curtis & Dan Bond Capstone Benefit Advisors. Carrier Selection. Considerations: Provider Discounts Market Share Trust Experience & Capabilities Future Consolidation. Carrier Selection. Why Not NRECA?

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Transition Update

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  1. Indiana Statewide Group Insurance Trust Transition Update Aaron Curtis & Dan Bond Capstone Benefit Advisors

  2. Carrier Selection Considerations: • Provider Discounts • Market Share • Trust Experience & Capabilities • Future Consolidation

  3. 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

  4. Discovery Process: • Information Exchange • Questionnaire • Q & A

  5. Discovery Network Analysis: • Provider Disruption for Members • Provider Discounts

  6. 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

  7. Transition Transition to New Carrier Completed By: January 1, 2012

  8. 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

  9. Questions ??

  10. Health Care Reform: 1/1/2011 SBC Plans Will Be Non-Grandfathered

  11. 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

  12. Health Care Reform: 1/1/2011 Lifetime / Annual Limits • Lifetime/Annual Limits Eliminated • Applies to Essential Benefits • Notice Distribution Required

  13. 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

  14. 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

  15. Health Care Reform: 1/1/2011 External Review Process • Member Initiated • Claim Decision Review • Independent Organization • Not Associated with the Carrier

  16. 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

  17. 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

  18. CONTACTS Aaron Curtis, Capstone Benefits Group 317-328-7880, ext. 145 acurtis@capstonebenefits.com Dan Bond, Capstone Benefits Group 317-328-7880, ext. 147 dbond@capstonebenefits.com

  19. Questions ??

  20. THANK YOU!

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