Health Care Update and Changes

1. Health Care Update and Changes Gayln L Bowers

2. AgendaHealth Care Plan Data Plan Changes Questions and Answers

3. Health Care Plan Review 2004-2005 PUC left Adventist Risk Management Health Care Plan and implemented the Pacific Union College Self Insured Group Health Care Plan. No employee contribution for the 2004-2005 plan year. PUC Group Health Care Plan is a bundled plan inclusive of medical, prescription, dental and vision.

4. Health Care Plan Review • Health and Wellness Program enhanced during the 2004-2005 plan year to encompass a greater preventative strategy.

5. Health Care Plan Review • Employee Contribution Implemented July 1, 2005 • Employee Only - $30.00 per month • Employee +One - $50.00 per month • Employee + 2 or more - $75.00 per month • Employee Contribution Changed July 1, 2009 • Employee Only - $50.00 per month • Employee +One - $80.00 per month • Employee + 2 or more - $110.00 per month

6. Group Health Plan Costs – 2011-2012

7. Group Health Plan Costs – 2011-2012 Premium Equivalencies per Month

8. Employees • ALL employees working 37.5+ hours per weeks are offered medical insurance. • We have 91 full-time faculty and 153 full-time staff. • TOTAL of 244 full-time employees • 100% of our full-time employees have picked up the college’s health care plan

9. Health Care Coverage 32 faculty members have the single plan 26 faculty members have the employee + one plan 33 faculty members have the employee + two or more plan 60 staff members have the single plan 44 staff members have the employee + one plan 49 staff members have the employee + two or more plan 100 % of full-time faculty members are on the College’s health care plan 100 % of full-time staff members are on the College’s health care plan

10. Part-time Employees 9 Faculty Members 39 Staff Members Employees working 20+ hours are eligible for a buy-in to the health care plan. Total of 48 part-time employees

11. Why Plan Changes? • Unlimited Lifetime Maximum Benefit • No Pre-existing Exclusions • Dependent Coverage up to age 26 • Affordable Care Act (ACA) Re-defines a full-time employee to at least 30 hours per week • ACA establishes two fees Qualified Health Plans will be required to pay • Patient-Centered Outcomes Research Institute (PCORI) Fee • Transitional Reinsurance Program Fee

12. Plan Changes

15. Base PPO Health Care Plan

16. Base PPO Health Care Plan

17. Base PPO Health Care Plan

18. Base PPO Health Care Plan

19. Traditional PPO Health Care Plan

20. Traditional PPO Health Care Plan

21. Traditional PPO Health Care Plan

22. Traditional PPO Health Care Plan

23. High Deductible Health Plan with Health Savings Account

24. High Deductible Health Plan with Health Savings Account

25. High Deductible Health Plan with Health Savings Account

26. Dental Plan

27. Vision Plan

28. Enrollment Form

29. Enrollment Form

30. Questions