NMPSIA

Benefits ProgramMarch 28, 2014

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Today’s TopicsNMPSIA OverviewFund BalancePremium ChangesPBM Request for Proposal Affordable Care Act Pending Rule Changes The Standard Special EnrollmentERISA Online Enrollment UpdateERISA End of Month Processing CutoffQuestions & Answers

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NMPSIA Today Benefits and Risk

Programs covering Mandatory: 88 Public

School Districts Mandatory: 95Charter

Schools Optional: 25 Other

Educational Entities

• 11 Staff Members

NMPSIA Board representation 2 classroom teachers from

NEA 1 classroom teacher from

AFT-NM 3 Governor appointees 1 Superintendents’

Association 1 School Business Officials 1 Educational Entities at

Large 1 School Boards Association 1 Public Education

Commission

Benefits EnrollmentBenefit Employees Covered

Basic Life 37,837

Additional Life 11,441

Long Term Disability 12,269

Medical 23,921

Dental 25,669

Vision 21,553

FY 15 Benefits Request

Benefits Fund BalanceDate Fund Balance

July 2012 $28.4 million (audited)

July 2013 $31.6 million (audited)

Percent Change +11.3%

Fund Balance Committed

• in FY15 is $4.5M

Increases October 1, 2014

Medical (all plans): 2.85% Applies to total premium (Er & Ee)

UCCI Dental: No ChangeDavis Vision: No ChangeThe Standard Life: No

ChangeThe Standard LTD: No Change

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Monthly EE IncreasesUnder $15,000 $25,000 or

over

Pres High Single $3.18 $5.09

Pres High Family $8.90 $14.24

Pres Low Single $2.67 $4.27

Pres Low Family $7.47 $11.96

BCBS High Single $3.93 $6.30

BCBS High Family $9.99 $15.97

BCBS Low Single $3.30 $5.28

BCBS Low Family $8.39 $13.42

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Raise vs. Premium Increase   

Salary $35,000

3 % Raise

$87 per month (before taxes)$57 per month (after taxes)

PBM Request for Proposals

IBAC PBM contract expires June 30, 2014

Request for Proposal (RFP) underway

Collectively, over $200 million in prescription drugs

New pages in Program Guide

Program Guide to be distributed late July

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ACA Reminders No Pre-ex starting July 1, 2014 “Small Large Employer” delay: July 1,

2016 for those with 50 – 99 FTE’s Substitutes, and other variable hour

employees offered medical only effective July 1, 2015 or July 1, 2016

Offer to 70% of 30 hour FTE in 2015, 95% in 2016

SBC’s & Exchange Notice distribution

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Pending Rule Changes Open Enrollment for Medical in the Fall

with a Jan. 1 Effective Date (no more late enrollment)

 A QE allows EE to enroll to medical (or enroll deps. within 31 days)

No more 61 days to provide missing supportive docs for deps.; Rule changing to 31 days

Coverage for deps. Effective the first of the month following date the missing supportive docs. are turned in

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The Standard Special Enrollment March 17 – April 21 Identify eligible employees never

enrolled to Basic Life Identify eligible employees never

offered full benefits Premium will appear on May bill Special enrollment does not apply to

substitutes or variable hour employees

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Online Enrollment Update Statewide rollout next

month

Enrollment options tailored to school offerings

Deductions reflect each school’s contribution schedule

Simpler Employee logon15

EOM Processing Cutoff Average last day receipts

are 135.

Two days before end of month is our suggested cutoff to appear on the bill

Urgent situations – contact your ERISA rep.

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In Closing . . .

Thanks!

Questions?

Comments?

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