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Rocky MountainRocky MountainAnnual Conference Annual Conference and and Extend Health forExtend Health forRetired ClergyRetired Clergy
TODAY’S AGENDATODAY’S AGENDA• Brief historical reviewBrief historical review
• Plan of action to keep you “whole” (no Plan of action to keep you “whole” (no harm) and allow retiree plan to survive.harm) and allow retiree plan to survive.
• Introduction to Extend HealthIntroduction to Extend Health
• Participant questions/concernsParticipant questions/concerns
• Review of Packet Supplemental materialReview of Packet Supplemental material
• Additional questions/concernsAdditional questions/concerns
• Invitation to ‘Log on”—EH & ConferenceInvitation to ‘Log on”—EH & Conference
Why Is Rocky Mountain Why Is Rocky Mountain Changing Plans?Changing Plans?
• Current retiree health planCurrent retiree health planis no longer sustainable at is no longer sustainable at 17% of the Conference 17% of the Conference BudgetBudget
• New Medicare Plan New Medicare Plan offering provides flexibilityoffering provides flexibilityin benefits and costin benefits and cost
• Self-Directed choice vs. Self-Directed choice vs. Sole ProviderSole Provider
Up-Front Issues to Lessen Up-Front Issues to Lessen AnxietyAnxiety• No Initial Pre-Existing Condition No Initial Pre-Existing Condition
ExclusionExclusion• Visit Website now to become Visit Website now to become
familiar with Extend Healthfamiliar with Extend Health• Question/Answer Blog on Question/Answer Blog on
Conference WebsiteConference Website
Funding InformationFunding Information
• Rocky Mountain Conference will Rocky Mountain Conference will fund a fund a Health Reimbursement Account Health Reimbursement Account (HRA) for eligible participants (HRA) for eligible participants
• Premiums will no longer be Premiums will no longer be deducted from pension checks or deducted from pension checks or paid to Conference office.paid to Conference office.
• Tax-advantaged account Tax-advantaged account used to reimburse you forused to reimburse you foreligible health care expenseseligible health care expenses
What Is an HRA?What Is an HRA?
Rocky Mountain Funding Rocky Mountain Funding InformationInformation
Companion Companion Plan--$480/monthPlan--$480/monthPre-2010 Retiree with Pre-2010 Retiree with MOREMORE than 20 years of Pre-82 than 20 years of Pre-82
service:service:
Savings/Income to you:Savings/Income to you: SingleSingle 2-Party2-Party
From Eliminating Current Health Flex PremiumFrom Eliminating Current Health Flex Premium $120$120$240$240
Monthly Subsidy from Conference to your HRAMonthly Subsidy from Conference to your HRA $150$150$300$300
TOTAL Savings/Income to you TOTAL Savings/Income to you $270$270$540$540
Rocky Mountain Funding Rocky Mountain Funding InformationInformation
Companion Companion Plan--$480/monthPlan--$480/monthPre-2010 Retiree with Pre-2010 Retiree with MOREMORE than 20 years of Pre-82 than 20 years of Pre-82
service:service:
Estimated Monthly Average Health Costs Estimated Monthly Average Health Costs SingleSingle 2-Party2-Party
Selected Health Plan Premium – High AvgSelected Health Plan Premium – High Avg $215$215 $430$430
Selected Dental Plan Premium – High AvgSelected Dental Plan Premium – High Avg $30 $30 $60 $60
Selected Vision Premium – High AvgSelected Vision Premium – High Avg $15$15 $30$30
TOTAL High Average Monthly PremiumsTOTAL High Average Monthly Premiums $260$260$520$520
Net Monthly Cash Savings/ IncomeNet Monthly Cash Savings/ Income $10$10 $20$20
Rocky Mountain Funding Rocky Mountain Funding InformationInformation
Companion Companion Plan--$480/monthPlan--$480/monthALL Retirees with ALL Retirees with
LESSLESS than 20 years of Pre-82 than 20 years of Pre-82 service:service:
Savings/Income to you:Savings/Income to you: SingleSingle 2-Party2-Party
From Eliminating Current Health Flex PremiumFrom Eliminating Current Health Flex Premium $240$240$480$480
Monthly Subsidy from Conference to your HRAMonthly Subsidy from Conference to your HRA $50$50$100$100
TOTAL Savings/Income to you TOTAL Savings/Income to you $290$290$580$580
Rocky Mountain Funding Rocky Mountain Funding InformationInformation
Companion Companion Plan--$480/monthPlan--$480/monthALL Retirees with ALL Retirees with
LESSLESS than 20 years of Pre-82 than 20 years of Pre-82 service:service:
Estimated Monthly Average Health Costs Estimated Monthly Average Health Costs SingleSingle 2-Party2-Party
Selected Health Plan Premium – High AvgSelected Health Plan Premium – High Avg $215$215 $430$430
Selected Dental Plan Premium – High AvgSelected Dental Plan Premium – High Avg $30 $30 $60 $60
Selected Vision Premium – High AvgSelected Vision Premium – High Avg $15$15 $30$30
TOTAL High Average Monthly PremiumsTOTAL High Average Monthly Premiums $260$260$520$520
Net Monthly Cash Savings/IncomeNet Monthly Cash Savings/Income $30$30 $60$60
Claims SubmissionClaims Submission
PremiumsPremiums• Reimbursed by filing a paper/on-line
claim• Reimbursed through Auto-
reimbursement process (after set-up)
Unreimbursed Medical Expenses• Reimbursed by filing an on-line
claim or a paper claim by mail or fax
Process OverviewProcess Overview
Conference Contributes Monthly SubsidyConference Contributes Monthly Subsidy
Clergy HRA
Extend Health
Extend Health—Who Are Extend Health—Who Are They?They?
• Individual Medicare Supplement Individual Medicare Supplement ‘Connector Model’‘Connector Model’ ExchangeExchange
• Partner with 70+ health plan carriers Partner with 70+ health plan carriers
• Objective and trusted U.S.-based Objective and trusted U.S.-based licensed benefit advisors (LBAs)licensed benefit advisors (LBAs)
• Objectively help each participant make Objectively help each participant make informed and confident decisioninformed and confident decision
Why Extend Health?Why Extend Health?
• Experienced in helping peopleExperienced in helping peoplejust like you just like you
• Enrolled almost 400,000 participantsEnrolled almost 400,000 participants
• Their services are provided Their services are provided at at no cost no cost to youto you
Type of Plans OfferedType of Plans Offered
• Medicare Advantage*Medicare Advantage*
• Medicare SupplementMedicare Supplement(Medigap)(Medigap)
• Medicare Part D Medicare Part D (Prescription)(Prescription)
• DentalDental
• VisionVision
**Rx often includedRx often included
Plans Offered (Not Plans Offered (Not Inclusive*)Inclusive*)• Blue Cross and Blue Shield (Anthem)Blue Cross and Blue Shield (Anthem)• HumanaHumana• AetnaAetna• AARP (Secure Horizons and AARP (Secure Horizons and
UnitedHealthcare)UnitedHealthcare)• Delta DentalDelta Dental• VSP (Vision)VSP (Vision)**Plans can be added and deletedPlans can be added and deleted
Type of Services OfferedType of Services Offered
• EducationEducation■ Guides and decision toolsGuides and decision tools
• Objective Evaluation of Needs Objective Evaluation of Needs
• Enrollment—Initial and OngoingEnrollment—Initial and Ongoing
• Lifetime Post-Enrollment Customer Lifetime Post-Enrollment Customer ServiceService
• HRA (Health Reimbursement HRA (Health Reimbursement Account)Account)
Licensed Benefit AdvisorLicensed Benefit Advisor
• 100% domestic workforce100% domestic workforce• Objective advocacyObjective advocacy• Neutral compensationNeutral compensation• Extend UniversityExtend University• Licensed, certified, appointedLicensed, certified, appointed
Evaluate and EnrollEvaluate and Enroll
Hours of OperationMonday – Friday8:00 a.m. – 8:00 p.m., Central time
How you can obtain How you can obtain general information NOWgeneral information NOW• Web site for Extend Web site for Extend HealthHealth is: is:
www.extendhealth.com/gbophb..• When you access the site:When you access the site:
• Click on “Shop and Compare”Click on “Shop and Compare”
• Enter the zip code you want to look upEnter the zip code you want to look up
• Click ‘Go’Click ‘Go’
• Complete Box 1 and 2—Click “Go”Complete Box 1 and 2—Click “Go”
• Answer 3 questions—Click “Go”Answer 3 questions—Click “Go”
• Click on the Medigap, Prescription Drug or Medicare Click on the Medigap, Prescription Drug or Medicare Advantage tabs to see what plans are available.Advantage tabs to see what plans are available.
• You can also click the tabs in the upper left hand corner You can also click the tabs in the upper left hand corner to look at Dental and Vision plans.to look at Dental and Vision plans.
• Speak to an Expert 1-866-322-2824Speak to an Expert 1-866-322-2824
Enrollment Data Review (as of January 1, Enrollment Data Review (as of January 1, 2012)2012)
Measure Combined
Eligible Participants 620
Enrollments 577
Conversion 93%
Number of unique carriers 51 (20/31) Top 5: Top 5: Humana, AARP MS, BCBS, Aetna, Coventry*
Number of unique plan types 217 (80/137)
% enrolled: MA/MS 8%/92%
Average premium: MA $36.14
Average MS/Part D Premium $211.21($179.22/$31.99)