Open Enrollment Information Meeting

1
Open Enrollment Information Meeting

• Plan Year
• Beginning
• August 1st

2
Todays Topics

• What is Open Enrollment
• When is Open Enrollment
• Premiums
• Medical Co-Pays
• Covering Children up to Age 26
• New Pharmacy Management Vendor
• Optional Life Insurance
• New Maximums
• Add up to 50,000 with no health history!

3
Helpful Reminders
4
To Re-enroll

• You may re-enroll in City retiree medical
  coverage during Open Enrollment if you have
• CONTINUOUS, COMPARABLE COVERAGE
• since the date you dropped the Citys coverage.
• Evidence of continuous, comparable coverage is
  required.

5

• Open Enrollment Communication

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41,000 Members
7
Improved Benefits Info Online

• employee.phoenix.gov/hr
• Benefits Employment Services
• Training Development Support Services
• eCHRIS Self-Service - Retirees

FORMS DOCUMENTS WEBSITE LINKS UPDATES
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In the Mail
9
OPEN ENROLLMENT

• Medical Dental

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Self Funding

• Provider networks are leased.
• Provider reimbursement levels are set
• City pays a monthly fee to process claims and
  provide other services.
• City is billed for the amount paid to each
  doctor, hospital, lab, etc.
• This is paid from the Health Care Benefits Trust

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215 Million

• The total projected cost for medical and pharmacy
  coverage in the 2011 12 Plan Year
• Employees Retirees
• 99.06 is spent directly on
• claims

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Request for Proposal (RFP) Process

• The City issued RFPs in late 2010 for
• Medical, Dental, Pharmacy Management
• The last time these RFPs were issued 2004
• Responses were received from
• 5 medical vendors
• 9 dental vendors
• 9 pharmacy management vendors
• Selection committees reviewed RFP responses and
  interviewed finalists.

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Request for Proposal (RFP) Process
Request for Proposal (RFP) Process

• Vendors were evaluated on
• Ability to meet current and future plan designs
• Customer service and support
• Cost
• OUTCOME
• Medical and Dental Plans No change

CIGNA Pharmacy Management replaces CVS/Caremark
on August 1st
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When Is Open Enrollment?

• Tuesday, May 31
• to
• Wednesday, June 29
• at 5 p.m. sharp

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Premiums

• Medical Premiums
• CIGNA 0
• BCBS HMO 0
• BCBS PPO ? 8.8

• Dental Premiums
• DHMO 0
• DPPO 0

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2011-12 Retiree Medical Premiums
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(No Transcript)
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2011 12 Retiree Dental Premiums
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• Medical Co-Pays

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Current Co-Pays
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Medical Co-Pay Changes
22
Prescription Co-Pays Do Not Change
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• Eligibility for Children
• up to Age 26

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Eligible Child

• The term child includes a biological child,
  adopted child, child placed for adoption,
  stepchild, qualified domestic partners child, or
  a child living with you for whom you have either
  permanent legal custody.
• Student status is not required.

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Coverage for Children to Age 26

• Medical Dental
• Beginning August 1, 2011 the maximum age for
  eligible children changes from age 23 to age 26.
• Eligibility for Coverage
• Cannot have access to other group coverage, for
  example, through their employer or their spouses
  employer.

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Coverage for Children to Age 26

• Children who were removed from City coverage at
  age 23 will NOT be automatically re-enrolled.
  The employee must take action during Open
  Enrollment.
• It is always the retirees responsibility to know
  when a child no longer qualifies for coverage.

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• CIGNA Pharmacy Management Replaces CVS/Caremark

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CIGNA Pharmacy Replaces CVS/Caremark

• Takes effect on August 1st
• For CIGNA and BlueCross/BlueShield plans.
• If you are impacted by this change you will
  receive information in the mail. Please open and
  read it.

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A Comparison

• CVS/Caremark

• CIGNA Pharmacy Mgmt.

• 60,000 pharmacies nationally
• Walgreens
• CVS
• Walmart
• Target
• Costco
• Safeway
• Frys
• Bashas

• 60,000 pharmacies nationally
• Walgreens
• CVS
• Walmart
• Target
• Costco
• Safeway
• Frys
• Bashas
• CIGNA Medical Group

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A Comparison

• CVS/Caremark

• CIGNA Pharmacy Mgmt.

• Customer Service
• 24/7
• Home Delivery
• 90 Day Fill at Retail
• Large chain stores
• 3 co-pays
• Onsite Representative
• Online support at mycigna.com

• Customer Service
• 24/7
• Mail Order
• 90 Day Fill at Retail
• Large chain stores
• 3 co-pays
• Onsite Representative
• Online support

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ID Cards

• Everyone will receive new medical ID cards.
• Everyone will receive new Pharmacy ID cards.
• You will receive new ID cards in the mail
• in late July.

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ID Cards

• Continue to use your CVS/Caremark pharmacy ID
  card through July 31st .
• Give your pharmacist your CIGNA Pharmacy
  Management ID card the first time you fill a
  prescription on or after August 1st .

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• eCHRIS Self-Service

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Im not sure what Im enrolled in.

• Go to eCHRIS Self-Service
• Log in
• Go to Benefits
• Click Current Benefits Summary

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I want to make a change.

• Use eCHRIS Self-Service
• Log in
• Go to Benefits
• Click Benefits Enrollment
• Make Change(s)
• SUBMIT
• Changes must be submitted by 500 p.m. on
  Wednesday, June 29th

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I want to make a change,
but I cant use eCHRIS.

• If you have a computer, but eCHRIS seems
  overwhelming, ask the HR Center or the Benefits
  Office for help.
• If you are unable to use eCHRIS and would like to
  make a change, contact the Benefits Office before
  5 p.m. on June 29th.

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eCHRIS Help

• HR Center
• [phone]
• Located on the 1st floor of the Personnel
  Building.
• Benefits Office
• [phone]
• Located on the 4th floor of the Personnel
  Building.
• Password Help
• Call [phone]

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I dont want to change anything.

• Do nothing, and your current benefits will
  continue August 1, 2011 July 31, 2012