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Historic Renewal
Medical Continued
May 1, 2014 Renewal -
Renewal calculation called for a 26.5% increase. The Initial BCBSKC renewal increase was 23%
and was negotiated to 20.3% (17.8% experience-based increase- remaining attributed to ACA).
Medical plan was marketed
•
Aetna was most competitive – Alternative funding considered/hybrid funding
Final Renewal Decision – Remained with BCBSKC with benefit changes and an overall increase of
12.8% (Base 12.6%, Buy up 13.1%)
•
Elimination of Max Refund Contract resulting in 1% savings
•
Reduction in commissions to 1.01%
•
Changes to Both Plans
•
Change in ER Copay to $150 from$75
•
Change in Rx Copays to $15/$30/$55 (3x mail order) from $10/$30/$50 (3x mail
order)
•
Changes to Base Plan only
•
Deductible increase to $1,250/$2,500 from$1,000/$2,000
.
•
OOP Max to $3,600/$7,000 (2x OON) from $3,000/$6,000 (2x OON)
.
•
Office Visit Copay to $35 from $30 (including Urgent Care)
•
Changes Buy Up Plan only
•
Deductible increase to $625/$1,250 from$500/$1,000
.
•
OOP Max increase to $2,000/$4,000 (2x OON) from $1,500 /$3,000 (2x OON)
.
•
Office Visit Copay to $30 from $25 (including Urgent Care)
•
ACA compliance change, medical copays count towards OOP maximums
May 1, 2015 Renewal-
The Initial BCBSKC renewal increase was 2.63% (1.71% Experience rated, .92% ACA) and was
negotiated to a rate pass.
Final Renewal Decision – Remained with BCBSKC with benefit changes and rate pass on both
medical plans.
•
ACA compliance change, all copays count towards OOP maximums Increase in Wellness Funds
to $25,000.
•
Max Refund added back in at no additional cost (worth 2%)
May 1, 2016 Renewal –
Initial BCBSKC renewal through November 2015 was 9.6%
.
Loss Ratio 74%with $648,328 in
ongoing large claim diagnosis
•
Negotiated renewal increase to 5.9% with no plan design changes
•
Consumer driven plan option.
•
High Deductible PPO Option.
•
High Deductible PPO Option with Employer Fund HRA Option
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