CPChem Benefits Presentation
2018 Open Enrollment Overview
October 2017
CPChem Benefits Presentation 2018 Open Enrollment Overview October - - PowerPoint PPT Presentation
CPChem Benefits Presentation 2018 Open Enrollment Overview October 2017 Table of Contents 2018 Open Enrollment Overview Background What Got Us Here Changes for 2018 Open Enrollment Communications Schedule 2 2018 Open
October 2017
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– Contributing factors warranting the increase:
2018
2016
– For 2016, 34% of HCC were spouses
rooms – 2,947 visits to the ER with a total spend of $7,609,560 in 2016 – 42% non-urgent
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Extending coverage to employee’s spouses cost the CPChem Plan about $9,000 a year per
We want to focus our health plan subsidy dollars on our employees.
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– Spouses who work for CPChem are not subject to the surcharge – call the Benefits Center to have the surcharge removed – Spouses who are self employed or otherwise not eligible for company provided medical coverage are not subject to the surcharge – You must make an active election to have the surcharge removed otherwise the surcharge will be applied
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CPChem is committed to providing quality health benefits to our employees at reasonable
coverage with another employer is a way to reduce plan costs.
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CPChem is committed to providing quality health benefits to our employees at reasonable
coverage with another employer is a way to reduce plan costs.
2018 Monthly Rates 2017 Monthly Rates Change EE CPChem Total EE CPChem Total $ per paycheck
Select EPO Plan
Employee Only $193.92 $678.88 $872.80 $169.72 $594.18 $763.90 $12.10 Employee + Spouse $467.64 $1,499.40 $1,967.04 $382.51 $1,339.10 $1,721.61 $42.57 Employee + Child(ren) $402.55 $1,290.69 $1,693.24 $329.27 $1,152.70 $1,481.97 $36.64 Employee + Family $560.25 $1,796.32 $2,356.57 $458.26 $1,604.29 $2,062.55 $51.00
Choice PPO Plan
Employee Only $80.45 $678.88 $759.33 $70.41 $594.18 $664.59 $5.02 Employee + Spouse $211.92 $1,499.40 $1,711.32 $158.70 $1,339.10 $1,497.80 $26.61 Employee + Child(ren) $182.42 $1,290.69 $1,473.11 $136.61 $1,152.70 $1,289.31 $22.91 Employee + Family $253.88 $1,796.32 $2,050.20 $190.12 $1,604.29 $1,794.41 $31.88
Value CDH Plan
Employee Only $0.00 $678.88 $678.88 $0.00 $594.18 $594.18 $0.00 Employee + Spouse $30.60 $1,499.40 $1,530.00 $0.00 $1,339.10 $1,339.10 $15.30 Employee + Child(ren) $26.34 $1,290.69 $1,317.03 $0.00 $1,152.70 $1,152.70 $13.17 Employee + Family $36.66 $1,796.32 $1,832.98 $0.00 $1,604.29 $1,604.29 $18.33
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CPChem provides quality health plans. The 2018 EE premiums are below the 2016 benchmark numbers for 2 of our 3 health plans. Even when you include the spousal surcharge we are still below the 2016 benchmark for 2 of our 3 plans. Plan/Tier CPChem Rates 2018 Mercer 2016 Chemical 500+ Mercer 2016 National 500+ EPO EE - Only $193.92 $133.00 $139.00 Family $560.25 $422.00 $487.00 PPO EE - Only $80.45 $150.00 $132.00 Family $253.88 $429.00 $467.00 CDH EE - Only $0.00 $55.00 $84.00 Family $36.66 $186.00 $321.00
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2017 2018 In-Network/Out-of-Network In-Network Out-of-Network Deductible EE Only $1,500.00 $1,500.00 $2,250.00 EE + Spouse $3,000.00 $3,000.00 $4,500.00 EE + Child(ren) $3,000.00 $3,000.00 $4,500.00 EE + Family $3,000.00 $3,000.00 $4,500.00 Out-of-pocket maximum EE Only $4,500.00 $4,500.00 $6,750.00 EE + Spouse $9,000.00 $9,000.00 $13,500.00 EE + Child(ren) $9,000.00 $9,000.00 $13,500.00 EE + Family $9,000.00 $9,000.00 $13,500.00 Similar to the structure of the PPO plan to maintain the flexibility to go out of network when necessary, and to encourage in-network utilization.
– Generic preventive co-pay structure unchanged – For brand preventive drugs, CDH Plan will follow the EPO/PPO plan - preventive drugs are not subject to the CDH’s medical deductible
– Increase minimum and maximum for retail non-preferred drugs from $45/$150 to $50/$200 – Increase mail order copay for non-preferred drugs from $120 to $125
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CPChem provides a quality drug plan. These changes are designed to drive better consumerism saving the employees and the plan money.
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2017 2018 EE Only $3,400 $3,450 EE + all other dependent $6,750 $6,900 2017 2018 Health Care FSA $2,550 $2,600 Dependent Care $5,000 $5,000
could incorporate them in the Open Enrollment requirements.
network utilization
– Physical - $50 (CPChem to coordinate on-site physicals where feasible) – Biometric Screening – must participate in an on-site biometric screening or at a Quest lab - $25 – Nicotine free – this is part of the biometric screening - $15
earn the incentive
– Dental Exam/Teeth cleaning - $10
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– preventable conditions are not identified and managed appropriately – on-going conditions are not monitored or managed for the best result
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CPChem encourages employees to take an active role in their own health. By offering an incentive for preventive care activities we hope employees will take action to improve or maintain their health. Taking better care of yourself and dealing effectively with on-going conditions can have a tremendous impact on your health and quality of life and on the medical claims.
network facilities, even if the out-of-network facility unethically waives copays
maximum for the year, it still costs more for CPChem even if it doesn’t cost you anything
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