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CIGNA Domestic Medical Continued
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III. Renewal Considerations
1 .
Healthcare Reform Impact, In particular:
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2 .
Pharmacy changes are significant and should be considered in analysis.
3 .
Tier Change Consideration, Currently:
Management:
4 Tier
Non-Management:
3 Tier
IV. Verscend Implementation Update
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Next steps of implementation include:
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B.
Dental
Any applicable wellness data needs to be collected. Note this can occur simultaneously to above steps.
Verscend provides CBIZ with initial data validation reports and CBIZ validates them for issues (1 week).
If validated, Verscend performs additional data scrubbing of Cigna data (2-4 weeks).
Verscend provides final data summary report for CBIZ validation (1 week).
If validated, Verscend prepares the "beta" application for Vectrus's data. CBIZ performs final testing &
approval (1 week).
CBIZ utilizes Verscend data analytics platform and can share insights with Vectrus.
After extended contracting (NDAs, etc), Cigna delivered the first domestic medical/pharmacy data package as of
5/5/17.
Note that delays are primarily due to the increased difficulty in acquiring fully insured claim data (self-
funded claim data is much easier).
The Employer Mandate would generally be repealed.
Ten Essential Health Benefits might not all be required for certain types of insurance.
Cadillac tax is moved to 2020.
American Health Care Act (AHCA) bill (not law) and related changes to be determined (WIP):
Health Insurance Tax (generally ~3% or more) moratorium ends starting in 2018.
Vectrus moved domestic dental to Cigna as of 1.1.17 and no significant claim experience is available. This will be
monitored in the coming months. Rates are guaranteed for three years starting 1.1.17.
Dependents up to age 26 can still be covered.
Coverage can still not be denied for those with pre-existing conditions in some states.
The Individual Mandate would be replaced with a 30% increase in premiums for those that
have a coverage gap of more than 63 continuous days.
Many components still being edited as this bill gets closer to potentially becoming a law.
Tax Credits on the individual market would only be based on age and generally would be less
than what they were under the ACA.
Several miscellaneous ACA taxes would be repealed.
Verscend performs initial data scrubbing of Cigna data (2-4 weeks).
CBIZ and Verscend provide configuration data and eligibility code cross walks (e.g. contract benefit group
code crosswalks, etc) (2-3 weeks).