RESOLUTION 17-010 RE FY2018 BENEFITS RENEWAL PRESENTATION.PDF
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Renewal/Marketing Analysis for Housing Authority of Maricopa County Jim McCauley Sales Executive Wells Fargo Insurance Services USA, Inc. 100 W Washington, 4th Floor Phoenix, AZ 85003 Phone: 602-528-3000 wellsfargo.com/wfis Wells Fargo Insurance Services Confidential. © 2013 Wells Fargo Insurance Services. All rights reserved. Table of contents Section 1 Medical 2 Dental 3 Vision 4 Basic Life and AD&D 5 Voluntary Life and AD&D 6 Short Term Disability 7 Employee Assistance Program (EAP) 8 Disclosures Medical Comparison July 1, 2017 UHC Census Current Renewal Medical - Plan 1 AJ4I/ID Plan type PPO Deductible $1,000/$2,000 Coinsurance 80% Out-of-pocket maximum $4,000/$8,000 Office visit copayments $25/$50 Emergency Room /Urgent Care $300/$75 Inpatient/ Outpatient hospital deductible/co-ins Prescription drug copayments $15/$35/$65/$100 Out of Network Benefits Deductible $2,000/$4,000 Coinsurance 50% Out-of-pocket maximum $6,000/$12,000 Monthly rates Employee 7 $601.96 $637.96 Employee + Spouse 4 $1,264.12 $1,339.72 Employee + Child(ren) 3 $1,203.92 $1,275.92 Employee + Family 3 $1,926.27 $2,041.47 Monthly premium $18,660.77 $19,776.77 Annual premium $223,929 $237,321 % Change over current 5.98% UHC Census Current Renewal Medical - Plan 2 AJ4W/ID Plan type PPO Deductible $2,000/$4,000 Coinsurance 80% Out-of-pocket maximum $6,000/$12,000 Office visit copayments $30/$60 Emergency Room /Urgent Care $300/$75 Inpatient/ Outpatient hospital deductible/co-ins Prescription drug copayments $15/$35/$65/$100 Out of Network Benefits Deductible $4,000/$8,000 Coinsurance 50% Out-of-pocket maximum $12,000/$24,000 Employee 6 $558.23 $591.83 Employee + Spouse 5 $1,172.28 $1,242.84 Employee + Child(ren) 4 $1,116.46 $1,183.66 Employee + Family 3 $1,786.34 $1,893.86 Monthly premium $19,035.64 $20,181.40 Annual premium $228,428 $242,177 % Change over current 6.02% Total monthly premium $37,696.41 $39,958.17 Total annual premium $452,357 $479,498 % Change over current 6.00% Rate Guarantee Notes: Rates above are based on the census data provided by Housing Authority of Maricopa County. Final rates are subject to actual enrollment, plan design(s) selected and underwriting approval. This exhibit is intended as a brief comparison of benefits and does not include all benefits, exclusions or limitations. Please refer to SPD or proposal for full details. Dental comparison July 1, 2017 Assurant SecureCare Dental TDA Delta Dental Census Current/Renewal Dental- Low Plan Plan type Base DHMO Plan 150¹ Summit Care Prepaid DHMO USA Plan D70 Plan Deductible None $10 office visit copay None None Coinsurance Preventive Copay per specific service Copay per specific service Copay per specific service Copay per specific service Basic Copay per specific service Copay per specific service Copay per specific service Copay per specific service Major Copay per specific service Copay per specific service Copay per specific service Copay per specific service Orthodontia Copay per specific service Copay per specific service Copay per specific service Copay per specific service Annual plan maximum None None None None Copay for first 24 months/25% disc Copay per specific service Based upon Fee Schedule Based upon Fee Schedule Lifetime orthodontia maximum after applies to Adults and Children applies to Adults and Children Waiting Period No No No Waiting Period No Waiting Period True Open Enrollment Yes Yes Yes Yes Out of Network Not Covered Not Covered Not Covered Not Covered Monthly rates Employee 12 $14.36 $14.36 $12.41 $17.15 $19.23 Employee & Spouse 3 $24.01 $24.01 $23.57 $34.29 $37.78 Employee + Child(ren) 4 $32.05 $32.05 $32.48 $37.96 $39.83 Employee & Family 1 $42.49 $42.49 $42.06 $54.93 $59.13 Monthly premium $415.04 $415.04 $391.61 $515.44 $562.55 Annual premium $4,980.48 $4,980.48 $4,699.32 $6,185.28 $6,750.60 % Change over current $0.00 -6% 24% 36% Assurant SecureCare Dental TDA Delta Dental Census Current/Renewal Dental - High Plan Plan type Buy Up PPO PPO Plan PPO Plan AH PPO Plan Premier Deductible Individual/Family $50/$150 $50/$150 $50/$150 $50/$150 Coinsurance Preventive Covered 100% Covered 100% Covered 100% Covered 100% Basic 80% Coinsurance after deductible 80% Coinsurance after 80% Coinsurance after 80% Coinsurance after deductible deductible deductible Major 50% Coinsurance after deductible 50% Coinsurance after 50% Coinsurance after 50% Coinsurance after deductible deductible deductible Orthodontia 50% (child only) 50% (child only) 50% (child only) 50% (child only) Annual plan maximum $1,500 $1,500 $1,500 $1,500 Lifetime orthodontia maximum $2,000 $2,000 ($1,000/12 months) $2,000 $2,000 Late Entrants -6 mo for basic/12mo Waiting Period major and ortho/New Enrollees- 12 12 months- For new 12 months-Major and Ortho None mo. Wait for major orthodontia services * True Open Enrollment No Yes Yes Yes Out of Network 100%/80%/50% 100%/80%/50% 100%/80%/50%/50% 100%/80%/50%/50% Out of Network Reimbursement 90th percentile 90th percentile 90th percentile MAC ² Monthly rates Employee 25 $37.46 $39.48 $33.63 $36.31 $36.61 Employee & Spouse 5 $75.67 $79.76 $63.89 $73.35 $76.90 Employee + Child(ren) 3 $100.42 $105.84 $89.54 $97.33 $92.71 Employee & Family 9 $138.64 $146.13 $115.99 $134.38 $140.97 Monthly premium $2,863.87 $3,018.49 $2,472.73 $2,775.91 $2,846.61 Annual premium $34,366.44 $36,221.88 $29,672.76 $33,310.92 $34,159.32 % Change over current 5.40% -13.66% -3.07% -0.60% Total monthly premium $3,278.91 $3,433.53 $2,864.34 $3,291.35 $3,409.16 Total annual premium $39,347 $41,202 $34,372 $39,496 $40,910 % Change over current 4.72% -12.64% 0.38% 3.97% Rate Guarantee 12 months 12 months 12 months 24 months Notes: Participation in the Dental plans is based on current dental elections. Rates above are based on the census data provided by Housing Authority of Maricopa County. Final rates are subject to actual enrollment, plan design(s) selected and underwriting approval. ¹Secure Care Dental's Network Plan 150 include the same Network as the PPO Plan. *For those individuals currently in treatment, the benefit would be reduced by the amount that has already paid out under the current plan. For example, if someone has used $1,000 of their ortho benefits, they will only have $1,000 left under SecureCare. ²Payment is based on the PPO dentist's allowable fee or the fee charges, whichever is less. This exhibit is intended as a brief comparison of benefits and does not include all benefits, exclusions or limitations. Please refer to SPD or proposal for full details. Vision comparison July 1, 2017 EyeMed Current/Renewal General plan information PPO Copay Examination / Materials $10 Benefit frequency Examination 12 months Lenses 12 months Frames 12 months Contacts 12 months Covered services Lenses Single vision lens 100% after $10 copay Bifocal lens 100% after $10 copay Trifocal lens 100% after $10 copay Lenticular 100% after $10 copay Frames $140 allowance/20% off remaining balance Contacts - in lieu of glasses Elective $155 allowance Fit & Follow up available once comprehensive is complete Out of Network services All services Various reimbursements Cost comparison Census Current Renewal Rating tier Employee 13 $7.66 $7.66 Employee + Spouse 11 $14.54 $14.54 Employee + Child(ren) 8 $15.29 $15.29 Employee + Family 14 $22.45 $22.45 Monthly premium 46 $696.14 $696.14 Annual premium $8,354 $8,354 $ Change over current $0 % Change over current 0.00% Rate guarantee Under rate guarantee until 07/01/2018 Notes: Rates above are based on the census data provided by Housing Authority of Maricopa County. Final rates are subject to actual enrollment, plan design(s) selected and underwriting approval. This exhibit is intended as a brief comparison of benefits and does not include all benefits, exclusions or limitations. Please refer to SPD or proposal for full details. Basic life and AD&D comparison July 1, 2017 Standard Current/Renewal General plan information Life and AD&D benefit amount Employee 1 x Salary to $150,000 Waiver of premium Included Accelerated benefit Included Portability Included Conversion Included Cost comparison Current Renewal Volume $2,158,173 $2,158,173 Life rate per $1,000 $0.32 $0.32 AD&D rate per $1,000 $0.035 $0.035 Total rate per $1,000 $0.36 $0.36 Total monthly premium $766.15 $766.15 Total annual premium $9,194 $9,194 $ Change over current $0 % Change over current 0.00% Rate guarantee Under rate guarantee until 07/01/2018 Notes: Rates above are based on the census data provided by Housing Authority of Maricopa County. Final rates are subject to actual enrollment, plan design(s) selected and underwriting approval. This exhibit is intended as a brief comparison of benefits and does not include all benefits, exclusions or limitations. Please refer to SPD or proposal for full details. Voluntary Life and AD&D comparison July 1, 2017 Life / AD&D benefits Standard Current/Renewal Life Employee Minimum 1x Annual Salary Maximum Lesser of 5x Annual Salary or $300,000 Guaranteed Issue $100,000 Spouse Minimum $10,000 Maximum $100,000 Guaranteed Issue $10,000 Child(ren) Minimum $2,000 Maximum $10,000 Guaranteed Issue $10,000 AD&D Employee Min -$25,000/ Max - Lesser 10x annual salary or $250K Spouse 50% Of Employee Amount Child(ren) 10% of employee amount not to exceed $25,000 Waiver of premium Included Portability/Conversion Included Suicide Excluded Voluntary life / AD&D premium Current/Renewal AD&D and Life Rate Same as expiring varies by age Rate guarantee Under rate guarantee until 07/01/2018 Notes: Rates above are based on the census data provided by Housing Authority of Maricopa County. Final rates are subject to actual enrollment, plan design(s) selected and underwriting approval. This exhibit is intended as a brief comparison of benefits and does not include all benefits, exclusions or limitations. Please refer to SPD or proposal for full details. Short term disability comparison July 1, 2017 Standard Current/Renewal General plan information Elimination period Accident 20 days Sickness 20 days Benefit percentage 60% Weekly benefit maximum $1,000 Maximum period of payment 180 days Rate per $10 of STD benefit Current Renewal <30 $0.800 $0.800 30-34 $0.858 $0.858 35-39 $0.524 $0.524 40-44 $0.369 $0.369 45-49 $0.398 $0.398 50-54 $0.434 $0.434 55-59 $0.570 $0.570 60+ $0.714 $0.714 Rate guarantee Under rate guarantee until 07/01/2018 Notes: Rates above are based on the census data provided by Housing Authority of Maricopa County. Final rates are subject to actual enrollment, plan design(s) selected and underwriting approval. This exhibit is intended as a brief comparison of benefits and does not include all benefits, exclusions or limitations. Please refer to SPD or proposal for full details. Employee Assistance Program (EAP) comparison July 1, 2017 MHN Current/Renewal General plan information Counseling 5 Sessions per individual, per incident Health management programs (smoking Included cessation, etc.) Wellness Coaching Included Legal resource and referral service Includes Consult & 25% Discount Financial counseling service 1 Telephonic session per topic Child care referral service Included Elder care referral service Included Onsite employer services 8 hours training Cost comparison Census Current/Renewal Rate Per Employee Per Month $1.99 $1.99 46 Total monthly premium $91.54 $91.54 Total annual premium $1,098 $1,098 $ Change over current $0.00 Notes: Rates above are based on the census data provided by Housing Authority of Maricopa County. Final rates are subject to actual enrollment, plan design(s) selected and underwriting approval. This exhibit is intended as a brief comparison of benefits and does not include all benefits, exclusions or limitations. Please refer to SPD or proposal for full details. Value added services menu Service Service Description Cost Cybersure/Cyberwave Benefits and legislative update and library portal for Benefit professionals Included at no additional fee PlanSource/Instant Benefits Website for employees and HR to access Plan Summaries and forms. Included at no additional fee Benefit Highlight Brochure Employee Benefits communication piece Included at no additional fee LifeMart Discount Program Lifestyle Discounts Included at no additional fee Legislative Updates Health Care Reform, Benefits and HR related legislative updates Included at no additional fee Compliance Keeping you up to date with the latest employer requirements Included at no additional fee Health, Legislative, Compliance and Industry Trends news for employers and Newsletters Included at no additional fee employees Ford Harrison Offers a free legal helpline to WFI clients Included at no additional fee Seminars and Webcasts Benefits and Health Care Reform related legislation and trends Included at no additional fee Disclosures Products and services are offered through Wells Fargo Insurance Services USA, Inc. (Wells Fargo Insurance), non-bank insurance agency affiliate of Wells Fargo & Company. Products and services are underwritten by unaffiliated insurance companies, except crop and flood insurance which may be underwritten by their affiliate, Rural Community Insurance Company. Some services may require additional fees and may be offered directly through third party providers. Banking and insurance decisions are made independently and do not influence each other. The coverage and rates presented in this proposal are a simplified outline of the proposed insurance policies. The actual policies issued by the insurance company govern the coverage provided, and should be read for coverage terms, limitations, definitions and conditions pertaining to your specific insurance program. Some services may be provided by third parties. Wells Fargo Insurance intends to assist its customers in identifying third parties that will meet the customers' needs, but Wells Fargo Insurance has not reviewed these third parties for data security practices, financial stability, or the other factors you should consider as you choose a vendor to meet your needs. As with any company you choose to do business with, it is important that you conduct due diligence. Wells Fargo Insurance may receive compensation in connection with a client's engagement of certain third-party service providers. Transparency and disclosure Insurance is a highly regulated, competitive industry that fuels the US economy and protects individuals and commercial entities from losses. There is nothing more important to our industry and to Wells Fargo Insurance than maintaining the trust of our customers and conducting business with the utmost integrity. We believe that our leadership role on disclosure should tie directly to our core values. Among these we state that we: ■ Value and reward open, honest, two-way communication ■ Do what is right for the customer ■ Talk and act with the customer in mind ■ Exceed our customers’ expectations Wells Fargo Insurance is proactively providing customers with complete transparency on standard and contingent commission income. We receive compensation from the insurance companies we represent when placing your insurance. Our compensation is usually a percentage of the premium you pay for your insurance policy or bond (a “commission”), which is paid to us by the insurance companies for placing and servicing your insurance or bonds with them. We also may receive fees agreed to in writing from our customers. Intermediaries, such as wholesale brokers, may sometimes be used to access certain insurance companies. Such intermediaries will allocate a portion of the compensation from the insurance companies to us and may, in some cases, be an affiliated company. We receive payments from insurance companies to defray the cost of services provided for them, including advertising, training, certain employee compensation, and other expenses. Consistent with longstanding industry practice, we may earn interest on premiums received from you and forwarded to the insurance companies through our bank accounts. We may also earn interest when the insurance company issues you a refund and that refund is processed through our bank accounts. We retain the interest earnings on our bank accounts. Some of the insurance companies we represent may pay us additional commissions, sometimes referred to as contingent or bonus commissions, which may be based on the total volume of business we sell for them, and/or the growth rate of that business, retention rate, claims loss ratio, or other factors considering our entire book of business with an insurance company for a designated period of time. The amount of premium you pay for a policy may change over the term of the policy. For example, your endorsement requests will affect the premium. Should the premium for any of your policies change, the amount of compensation paid to us by the insurance company would change accordingly. Market security guidelines Wells Fargo Insurance Services USA, Inc. is not a guarantor of the solvency of carriers with which its brokers place business. However, Wells Fargo Insurance Services USA, Inc.’s objective is to place client risks with insurers and reinsurers that are financially sound. We only authorize carriers that we believe, at the time of placement, have the financial ability to fulfill their claim payment obligations to our clients. Wells Fargo Insurance Services USA, Inc. has appointed a group of experienced insurance professionals to serve on a Market Security Committee. This Committee is responsible for establishing and utilizing guidelines for the selection of insurers and supporting employees in their efforts to utilize financially sound insurers. In assessing the financial strength of insurers, the Committee relies upon the opinions and assessments of recognized rating agencies and other carrier review companies. Market security disclaimer Wells Fargo Insurance’s objective is to place client risks with insurers and reinsurers that are financially sound. In assessing the financial strength of insurers, Wells Fargo Insurance relies upon the statutory financial statements as well as the opinions and assessments of recognized rating agencies and other carrier review companies. Wells Fargo Insurance authorized insurers that it believes, at the time of placement, have the financial ability to fulfill their claim payment obligations to our clients. Wells Fargo Insurance is not a guarantor of the solvency of insurers with which its brokers place business. However, our goal is to use reasonable measures to do business with financially healthy insurers. Our recommendations are based on financial and other relevant information that is available at the time of placement. If clients elect to place their business through a state health insurance exchange, please note that these exchanges may require their list of available insurers to include insurers not included on Wells Fargo Insurance's authorized list. In such cases, Wells Fargo Insurance will recommend a carrier that has been authorized based on our aforementioned assessment process, although the Client has the ultimate decision on insurer choice. Third Party Disclaimer Wells Fargo Insurance will assist Clients with understanding Private and Public Health Care Exchange Options Companies that operate Private Exchanges present themselves as being capable of providing the services Clients are seeking; however, it is important to understand that Wells Fargo Insurance is not a party to the contract Clients enter into with any health care exchange company, and any referral by Wells Fargo Insurance does not warrant the sufficiency of that company's data security practices or the adequacy of its capabilities, nor does it guarantee the company's financial stability or ensure the appropriate management of its third party service providers. As such, it is important that Clients conduct their own due diligence and consider all relevant factors associated with their particular needs/requirements. Public Exchanges are operated by the Federal and/or State Governments that have contracted with third parties to perform some services. Wells Fargo does not warrant the sufficiency of any Public Exchange's data security practices or the adequacy of its capabilities, nor does it guarantee the appropriate management of the third party service providers engaged by any Public Exchange. It is important that Clients conduct their own due diligence and consider all relevant factors associated with their particular needs/requirements.