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West Virginia Retiree Health Benefit Trust Fund and PEIA Finance - PowerPoint PPT Presentation

West Virginia Retiree Health Benefit Trust Fund and PEIA Finance Board Meeting Thursday, January 21, 2016, 1:00 p.m. Canaan Valley Room 1041, DEP Building, 601 57th Street, SE Charleston, WV 25304 Agenda Roll Call Call to Order Approval


  1. West Virginia Retiree Health Benefit Trust Fund and PEIA Finance Board Meeting Thursday, January 21, 2016, 1:00 p.m. Canaan Valley Room 1041, DEP Building, 601 57th Street, SE Charleston, WV 25304

  2. Agenda • Roll Call • Call to Order • Approval of Minutes • Financial Update • Public Comment • Vote on FY2017 Financial Plan • Director Update • Old Business • New Business • Schedule Next Meeting PEIA/RHBT Finance Board Meeting 2

  3. Roll Call Jason Pizatella, Chairman Members:  Brian Donat  James W. Dailey, II  Troy Giatras  Elaine Harris  William “Bill” Ihlenfeld  William “Bill” Milam  Michael T. Smith  Joshua Sword PEIA/RHBT Finance Board Meeting 3

  4. Approval of Minutes December 10, 2015 Jason Pizatella, Chairman PEIA/RHBT Finance Board Meeting 4

  5. Financial Update Ted Cheatham PEIA Director Jason Haught, CPA PEIA Chief Financial Officer Chris Borcik, CPA CCRC Actuaries PEIA/RHBT Finance Board Meeting 5

  6. 6 PEIA/RHBT Finance Board Meeting

  7. 7 PEIA/RHBT Finance Board Meeting

  8. New Funding: How does this affect employees? Active Employees 12% Rate Increase (80/20 Rule) Non-State Agencies 4% Rate Increase (Parity) Non-Medicare Retirees 12% Rate Increase (Parity) Medicare Retirees 12% Rate Increase (Parity) PEIA/RHBT Finance Board Meeting 8

  9. Health Promotion Benefit Changes (Except Medicare Retirees) • Face-2-Face diabetes program will become a two year program similar to weight management. After two successful years, members will graduate. • Healthy Tomorrows reminder • Have a primary care provider • Submit your biometric form completed by your doctor • Submission must be in before May 15, 2016, to avoid an additional $500 deductible for plan year FY 17 • Start working with your doctor to get your numbers in range for FY 18 • Considering a premium differential for FY 19 instead of the increased deductible PEIA/RHBT Finance Board Meeting 9

  10. Proposed Benefit Adjustments for Plan Management Non-State, State, Non-Medicare Retirees, Special Medicare • Increase Urgent Care copay to $50  Add Telehealth at $40 copay (Legislation Needed)  For CCP members, charge $40 copay for ANY non-CCP office visit  Remove Living Will Discount  Remove non-network out-of-state benefits PEIA/RHBT Finance Board Meeting 10

  11. Proposed Benefit Adjustments Non-State, State, Non-Medicare Retirees, Special Medicare  Add $500 emergency room copay for high risk behaviors: Accidents while driving motorcycle or UTV/ATV • without a helmet DUI/DWI or Drug -related accidents • Failure to wear seatbelt(s) •  New fee schedule for select items = $2,000,000 Plan savings PEIA/RHBT Finance Board Meeting 11

  12. Proposed Fee Schedule for Selected Items PEIA/RHBT Finance Board Meeting 12

  13. Proposed Rates Non-State Agency PEIA/RHBT Finance Board Meeting 13

  14. Proposed Premium Increase Active Employees PEIA/RHBT Finance Board Meeting 14

  15. 5 Year Plan State and Non-State PEIA/RHBT Finance Board Meeting 15

  16. Proposed Benefit Adjustments Non-Medicare Retiree • 12% Premium Increase • See Active Page PEIA/RHBT Finance Board Meeting 16

  17. Proposed Rates Non-Medicare Retirees PEIA/RHBT Finance Board Meeting 17

  18. Proposed Benefit Adjustments Medicare Retiree  12% Premium Increase  Remove Living Will Discount PEIA/RHBT Finance Board Meeting 18

  19. Proposed Rates Medicare Retiree PEIA/RHBT Finance Board Meeting 19

  20. 5 Year Plan Non-Medicare & Medicare Retiree PEIA/RHBT Finance Board Meeting 20

  21. Public Comment Jason Pizatella, Chairman PEIA/RHBT Finance Board Meeting 21

  22. Voting of the FY2017 Financial Plan Jason Pizatella, Chairman Members:  Brian Donat  James W. Dailey, II  Troy Giatras  Elaine Harris  William “Bill” Ihlenfeld  William “Bill” Milam  Michael T. Smith  Joshua Sword PEIA/RHBT Finance Board Meeting 22

  23. Director Update Ted Cheatham PEIA Director PEIA/RHBT Finance Board Meeting 23

  24. Old Business Jason Pizatella Chairman PEIA/RHBT Finance Board Meeting 24

  25. New Business Jason Pizatella Chairman PEIA/RHBT Finance Board Meeting 25

  26. Schedule Next Meeting April 21, 2016, 1:00 pm Jason Pizatella Chairman PEIA/RHBT Finance Board Meeting 26

  27. Adjourn Jason Pizatella Chairman PEIA/RHBT Finance Board Meeting 27

  28. If you want to request a copy of today’s meeting materials, please contact: Twila Neil (304) 957 ‐ 2620 twila.j.neil@wv.gov PEIA/RHBT Finance Board Meeting 28

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