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2013 Member Meeting

2013 Member Meeting. Presented by:. Welcome, Introductions & Announcements. About Today’s Webinar Presentation. All phone lines will be muted Questions can be submitted in writing during the webcast A Question & Answer session will be held at the end of the webinar

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2013 Member Meeting

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  1. 2013 Member Meeting

  2. Presented by:

  3. Welcome, Introductions & Announcements

  4. About Today’s Webinar Presentation • All phone lines will be muted • Questions can be submitted in writing during the webcast • A Question & Answer session will be held at the end of the webinar • A hard copy of the presentation provided via email for your reference THANK YOU FOR ATTENDING!

  5. Today’s Agenda • Doug Jensen: Welcome and Introductions • NAMIC Insurance Solutions Team • Service Tools and Administration • Financial Update & FSA Overview • Benefits Service Center • Gibson 2014 Strategies & Renewals • Ancillary Benefits • Medical Plan Changes • Pre-65 Retirees • Extend Health: Post-65 Retiree Exchange • Health Care Reform

  6. Today’s Agenda • Benefit Service/Administration • New benefit administration • Benelogic Control • Open Enrollment 2014 • Dates and expectations • 2014: Looking Forward • The Value of ICSO • Q & A

  7. ICSO H&W Named Fiduciaries • Doug Jensen, Chair (12/2014), Illinois FAIR Plan Association • Dane Austin(12/2014), New York Property Insurance • Anneliese Jivan (12/2016), California FAIR Plan • Ron Cassesso (12/2016), PIPSO • Jerry Warner (12/2015), New Jersey Insurance UW Association Serving Without Compensation or Expense Reimbursement Have a Personal Stake in the Success of the Program

  8. Key Partners ICSO H&W Named Fiduciaries • Provide Oversight NAMIC Insurance Solutions (NIS) • Benefit Administration and Finance Management Benelogic Control • Benefit System Connect Your Care • FSA Services Gibson • Insurance Broker/Consultant Extend Health • Post 65 Retiree Health Markets Insurance Agency (Insphere) • Pre-65 Retiree

  9. ICSO H&W Named FiduciariesDuties and Responsibilities • Ensure availability of desired benefits for plan participants and employers • Maintain responsibility for signing off on various programs, policies and procedures • Explore opportunities for improvements in programs and/or process • Assure financial integrity of program and compliance with various regulations 9

  10. ICSO Health & Welfare Participants 42 Participating Employers Total Number of Lives 1,464 625 Active Employee Lives 528 Dependent Lives 311 Retiree Lives Health Ins - 27 Employers

  11. Offering Quality Benefit Plan Accessibility and Stability in a Constantly Changing Environment

  12. 2013 ICSO H&W Impediments • Unknowns created by Healthcare Reform (ACA) • ADP weak link in administrative chain • ICSO H&W temporary cash flow challenges • High premiums paid for SBR medical coverage • High long-term cost of post-65 retiree medical coverage • Aetna decision to non-renew master medical plan covering • non-SBR actives and • pre-65 retirees • High cost of ancillary coverages • Challenges in simplifying processes of benefit handling and procurement for employers

  13. 2013 ICSO H&W Enhancements Many Enhancements Were Transparent and Some are Ongoing • Continued implementation of plan adjustments required by Healthcare Reform (ACA) • Effective 8/1/2013: Terminated benefit administration services of ADP • Administration services transferred to the NAMIC Insurance Solutions team • Benefit administration system moved to the Benelogic Control System, along with COBRA services • FSA management moved to Connect Your Care • Successful marketing of SBR medical programs for various employers • Improved pricing for ancillary coverages • Successful implementation of Extend Health for post-65 retiree coverage

  14. 2013 ICSO H&W Enhancements (cont’d) • Response to loss of Aetna Master Medical plan • No impact on Aetna SBR plans or non-Aetna plans • Extensive but unsuccessful market research for full replacement plan option • Identified private solution for pre-65’s, similar to the post-65 Extend Health • Health Markets Insurance Agency (formerly Insphere) introduced as pre-65 retiree solution • Options identified for the Aetna master group plans impacted • Updated Participation Agreement • Important for • Single 5500 filing • Clarify terms, conditions, expectations • Clear documentation of common agreement as an employer group and a Trust • Continued expansion of ICSO website • Updating of the ICSO Benefit Guide, Manual and Grid

  15. Service, Tools & Administration

  16. ICSO H&W Eligibility Grid • Great resource tool for eligibility requirements • Unable to address every circumstance • Summary Plan Description prevails • Updates in progress

  17. ICSO H&W Eligibility Grid • Continued updates being made to ensure it remains • Relative • Accurate • Most current copies found posted on the Benelogic website through your HR Portal • We encourage you to reference this if you are not already using this tool!

  18. Benefit Manual & Administration Guide • ICSO H&W provides members with detailed procedural guides • Compilation of information and tools each member group will need for ongoing oversight and service • Updates in progress • Current copies posted through your HR portal www.icsohrp.benelogic.com

  19. NAMIC Insurance Solutions (NIS) Overview

  20. ICSO: A Full Service SolutionNIS, Gibson, Benelogic Roles Gibson NIS Benelogic Represent the NFs Customer Service Billing FSA Financial Administration Member/Employer Issue Resolution Record Keeping Cash Flow Management Financial Reporting Non-carrier Dispute Resolution Strategic Consulting H&W Vendor Management Carrier Issue Resolution Renewal Management New Business Technical Benefit Support Health Care Reform Online Enrollment Carrier Connections Salary Changes and Updates COBRA Management FSA Link (to Connect Your Care) Participating Employers Named Fiduciaries Plan Participants Your ICSO H&W Circle of Strength for Service

  21. NAMIC Insurance Solutions Team • Gregg Dykstra – COO and General Counsel. Areas of responsibility include NAMIC Insurance Services • David Middleton – ICSO H&W Plan Administrative Executive. Areas of responsibility include insurance services and financial management. • Gigi Houston – Employee Benefits Specialist, and Human Resources expert. Areas of responsibility include ICSO H&W benefit management and invoicing. • Andy Knoblauch – Sr Accountant. Areas of responsibility include financial management support for ICSO H&W members.

  22. NIS Contact Information • P. O. Box 687003601 Vincennes Road Indianapolis, IN 46268 Phone: (317) 875-5250 • NAMIC Insurance Solutions Gigi Houston, SPHR / ICSO H&W Benefit Specialist • email – icsoadmin@namic.org • call center phone: (855) 656-4276  David Middleton / ICSO H&W Plan Admin Executive • email - Dmiddleton@namic.org Andy Knoblauch – Senior Accountant • email – Aknoblauch@namic.org

  23. Site Administrator Website ICSO H&W Benefit Service Website: https://icsohrp.benelogic.com • Access benefits information and: • Census and Enrollment Data • Summary Plan Documents, Benefit Summaries and • Summary of Benefits and Coverage (SBCs) • Member Communications • ICSO H&W Benefit Manual & Administration Guide • ICSO H&W Eligibility Grid 23

  24. Site Administrator Tools www.icso-hw.org Basic information on Programs, Members, Named Fiduciaries, FAQ and contact information New services coming soon! Currently preparing the ICSO H&W website to allow ICSO site administrators secure access.  This will provide an easy and secure solution for file sharing with NAMIC Insurance Solutions. 

  25. Financial Review

  26. Statements of Net Assets Available for Benefits 2011/2012

  27. Statement of Changes in Net Assets Available for Benefits Year End 12/31/12

  28. Statement of Net Assets 9/30/13

  29. Statement of Changes in Net Assets Available for Benefits9/30/13

  30. ICSO: A Full Service SolutionNIS, Gibson, Benelogic Roles Gibson NIS Benelogic Represent the NFs Customer Service Billing FSA Financial Administration Member/Employer Issue Resolution Record Keeping Cash Flow Management Financial Reporting Non-carrier Dispute Resolution Strategic Consulting H&W Vendor Management Carrier Issue Resolution Renewal Management New Business Technical Benefit Support Health Care Reform Online Enrollment Carrier Connections Salary Changes and Updates COBRA Management FSA Link (to Connect Your Care) Participating Employers Named Fiduciaries Plan Participants Your ICSO H&W Circle of Strength for Service

  31. Gibson Team/Key ICSO Members • Tim Leman, CEO and Principal Lead consultant on Gibson Team for ICSO H&W tleman@gibsonins.com (574) 245-3512 • Jan Phifer, Employee Benefits Practice Responsible for all benefit plan management for the ICSO H&W, including all medical, ancillary and retiree medical programs. jphifer@gibsonins.com (574) 245-3503 • DeAnna Kinyon, Employee Benefits Practice Responsible for successful Extend Health roll-out in 2013, and is in the role of back-up service for the Gibson team. dkinyon@gibsonins.com (574) 245-3585

  32. Strategies • and • Renewals

  33. Aetna Master Medical Plan Termination Impacted by many changes in the administration of employee benefits, including the Affordable Care Act (ACA), effective 1/1/2014 the Aetna Master Health Plans for the ICSO Health and Welfare plans will be terminated.

  34. Aetna Master Medical Plan Termination • Extensive market research was performed to seek out an alternative master medical plan • No carrier willing to do a full replacement • For many reasons, primarily the uncertainty of how the regulations under ACA will impact these plans going forward • The solution is in 2 parts • Part 1: Group medical – working independently with the employers whose active group medical is impacted

  35. Aetna Master Medical Plan Termination • Part 2: Pre-65 retirees – implemented a retiree HRA solution through Health Insurance Market Agency (formerly Insphere) • Guarantee issue coverage – no pre-existing condition limitations • Employer funds their portion of the PREMIUM ONLY through the HRA • Different from the post-65 retirees - pre-65 retirees cannot access these funds for any medical expense reimbursement • Annual fee for managing the HRA

  36. Ancillary Benefits The move to the new Ancillary Benefit Providers was a Success!! • Life, STD, LTD and Voluntary Life with Lincoln Financial Group • Benefits second to none! • Large guarantee issue and benefit maximums • Managed LTD option available with 90 day waiting period • AM Best Rating: A+ Superior • Dental with MetLife • Broad, national network • Plan design improvements over prior carrier • Reduced out of network costs • 2014 minimal increase of 6% • AM Best Rating: A+ Superior • Vision with VSP • No change in benefits • No increase for 2014 • AM Best Rating: A Excellent

  37. Post-65 Retirees – ExtendHealth and the HRAs • Roll-out of the ExtendHealth = A Success! • Worked as promised • Rave Reviews • Enrollment stats October 1st enrollment count • 195 eligible participants • 181 made elections • 8 chose not to participate • 6 unreachable (not contacted)

  38. Post-65 Retirees – ExtendHealth and the HRAs Of the 181 participants • 107 Unique Plans Selected • 17 different carriers • Top Plan Carriers: • AARP MS • Aetna • American Continental Insurance Company (An Aetna Co) • Humana • Anthem Blue Cross of California

  39. Post-65 Retirees – ExtendHealth and the HRAs Key points about the move to ExtendHealth • Only available to employers with 150+ retirees • Membership in the ICSO H&W qualifies access • Retirees use HRAs to purchase individual plans, • HRA funds can be available to pay for out-of-pocket expenses* • Individual counseling services • Substantially reduced financial and administrative burden on the employers • A “getting started” introduction for active or retired employees/spouses turning 65 is included in the “Turning 65 Checklist” on the ICSO website (www.icso-hw.org) *Unlike pre-65’s whose HRA dollars are for Premiums Only

  40. Flexible Spending Accounts

  41. FSA – Encourage Participation • Terrific benefit – underutilized • Communication with staff about benefits of FSA to encourage participation • Pre-Tax means tax savings to participants • More staff (non-highly compensated employee) participation increases chances of passing compliance testing • Additional information on ICSO website • ACA continues to limit the healthcare FSA to a maximum of $2,500 in 2014 • Participation can minimize employer testing issues

  42. FSAReminders • Employers must pass compliance testing • Two primary tests • Eligibility • Ratio Highly Compensated • Employers must remit funds within 90 day window • Employees can submit claims for current year through the 1st quarter of next year

  43. FSAEarly Testing can identify potential issues for 2014 • Reminders to participating employers including updates on eligibility and utilization rules • Manual review to identify potential issues • Begin 2014 testing earlier in first quarter

  44. ConnectYourCare FSA Services Several Service Enhancements Healthcare Payment (Debit) Card • Accounts easily accessed through healthcare payment card Online Account Access • Participant Portal provides real-time account balances, claims and reimbursement requests RapidRequestClaims Processing • State-of-the-art claims processing enables automated, paperless claims handling • Reduces processing time for speedy turnaround of reimbursements Customer Service • Customer Service representatives are available to assist via phone or email

  45. Health Care Reform (ACA)

  46. Continued Opportunities and Challenges for Employee Benefits • Next to payroll, medical benefits are the largest expense for most ICSO H&W employers • On behalf of ICSO H&W, Gibson continues to work with each employer group individually • To develop a best practices framework for plan design, cost control and wellness • Health benefit design strategies that will be key for the long term • Manage compliance with Healthcare Reform

  47. Additional challenges for 2014 Continued implementation of the Affordable Care Act • Small employers (up to 50 eligible employees) moving to Community Rating (age-rated structure for employees & dependents) – at first renewal on or after January 1, 2014 • Gibson team will continue to provide ongoing communication to the ICSO H&W members as the law and mandates become more clearly defined

  48. Health Care Reform Impact • Model Notices • Notification to employees of their right to seek coverage on the Exchanges • Continued monitoring of HCR developments for upcoming guidance on the notice requirement • Summary of Benefits and Coverage (SBC) • Document must be provided to all existing employees • during the Open Enrollment, • 60 days prior to a mid-year benefit plan change; • to new hires with their benefit enrollment packets • SBCs can be copied in B&W

  49. Health Care Reform Impact (cont’d) For plan years beginning on or after January 1, 2014: • Non-discrimination for fully-insured plans • The federal non-discrimination rules related to compensation will be applied to health insurance plans • Prohibit discrimination in favor of highly-compensated employees • Patient Centered Outcomes Research Institute fees (PCORI) • For fully insured medical plans – the insurance company is responsible for paying this fee • Excluded: HSAs, health FSAs, and stand-alone dental and vision coverage • This list not all inclusive

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