PAISBOA Health Benefits Trust Annual Healthcare Renewal Meeting

PAISBOA Health Benefits Trust Annual Healthcare Renewal Meeting August 2 nd, 2017 1

Agenda 1. PAISBOA State of the Union & Updates – – Martha Scache, Board Chair, PAISBOA HBT Bob Mueller, Executive Director, PAIBSOA HBT 2. Aetna Overview – Tim Neary, Senior Account Executive, Aetna 3. CVS, Dental, Vision & Health Risk Committee Review – John Manion, Armstrong, Doyle & Carroll, Inc. 4. Renewal Review – Bob Mueller, Executive Director, PAIBSOA HBT 5. Online Open Enrollment Review – John Manion, Armstrong, Doyle & Carroll, Inc. 2

PAISBOA HBT Trustees • Martha Scache – Abington Friends School • Carol Lerner – The Philadelphia School • Joan Barone – Waldron Mercy Academy • Heather Gelting – The Hill School • Michele Todd – The Haverford School • Cindy Nichols – Episcopal Academy • Christine Schaefer – University of the Arts • Alan Joffe – Perelman Jewish Day School • Tom Taft – Germantown Academy • Kristin Heasley – La Salle University • Michael James – University of the Sciences • Don Cates – Salus University 3

Aetna Review • Effective 11/1/2017, you will have access to Aetna’s network and programs – Aetna Select (HMO replacement) Managed Choice (POS Replacement) & Choice POS II network (PPO replacement) – Best in Class Member tools and resources • We’re here to answer your questions 3

Aetna Review • Established in 1853 • 1. 4 m members in Pennsylvania • 23. 2 m members nationwide • Local Member Services in Allentown, PA • Extensive network both locally and nationally • 28, 000 providers locally • 65 Hospitals in Southeastern PA alone • 97. 9% match to providers utilized by HBT members • 1. 9 m providers nationally • National Hospital network 3

Aetna Review • The Aetna plans were built to match the existing IBC plans as closely as possible. • The names of the plans have changed, but the coverage levels should be almost identical. 3

Aetna Review 1. PC HD 1 -HC 1 1. HBT HD 1500/3000 2. PC HD 3 -HC 1 2. HBT HD 2500/5000 3. PC 20/30/70 3. HBT Choice 20/30 4. DPOS C 3 F 3 O 2 4. HBT Choice 20/40 5. KPOS 15 S 5. HBT Mgd. Choice 15/25 6. HMO Cust. 515 6. HBT Select 25/35 7. HMO C 3 F 3 7. HBT Select 20/40 8. HMO C 4 F 5 8. HBT Select 30/50 3

Aetna Review HMO C 3 F 3 HBT Aetna Select 20/40 Local National Deductible No No Referrals Yes PCP Copay $20 Specialist Copay $40 $150 per day, 5 day max X-Ray $40 Complex Radiology (MRI) $80 PT, OT, Speech $40, 30 visits per year Spinal Manipulation $40, 20 visits per year 50% Network Inpatient Hospital Copay Durable Medical Equipment 3

Aetna Concierge Superior service Differentiated Results driven Offers a consultative approach Teaches how to use Aetna tools Higher member engagement Guides members to the right connection at the right time First impression treatment Inter-program referrals data available Aetna Navigator-based web chat – outbound text messaging Higher utilization on member tools available Make the most of a teachable moment Knows third-party vendor offerings and educates on basic information (warm transfers) Clinical alerts available Targeted outreach for members that may contact us multiple times Wellness education Assists members with appointment scheduling

Aetna Navigator Secure, easy-to-use member website lets you: • Review your claims • Find a doctor • Look up health information • Get an ID card • Research costs of care TIP Your personalized health information is available to you 24/7 It’s easy to print your ID card from your secure member website. 10

Aetna Mobile • Find a doctor or urgent care center • Research claims • Get an ID card

Aetna ID Card • All members will have 2 cards, Medical and Rx • Family ID card that shows up to five family members • ID cards available on Aetna Navigator® 12

Aetna PAISBOA Site • Aetna built a Provider Web site specific for PAISBOA HBT members: https: //www. aetnaresource. com/18381/paisboa-health-benefit-trust 13

Aetna PAISBOA Site • Members will need to locate their PCP ID #’s 14

Rx Coverage • The Rx coverage with CVS will remain in place • Nationally, Rx Trend is increasing at a faster pace than medical • This is mainly attributable to the inflation in Specialty Medications 3

Specialty Rx • Specialty Medications represent less than 1. 1% of all scripts for PAISBOA HBT • But they constitute over 43% of our Rx Gross Cost 3

Specialty Rx 17

Specialty Rx • The Specialty Trend is not expected to end, but we can put provisions on the plan to control costs CVS Caremark 3

Mandatory Mail • A Mandatory Mail order program will begin in November for anyone taking long term Maintenance Meds • 3 month supply for 2 copays from either Mail or CVS direct • 2 grace fills will be allowed (Nov/Dec), but then via CVS 3

Mandatory Mail Affected members will be notified via mailing and will be given the option to procure their maintenance meds via mail or at a CVS site. 3

Delta Dental PAISBOA HBT will continue to offer Delta Dental Basic and Enhanced plans to members. The renewal for 2017 is 0. 0% Rates and plans are in Renewal packets. 3

Vision - Eye. Med PAISBOA HBT will be offering $100 biannual Vision plan to all members as part of their benefits. The vendor is Eye. Med and info about the plan will be in the Open Enrollment materials. 3

Doctors on Demand PAISBOA HBT members have access to telemedicine site allowing for efficient access to medical care. More info will be provided directly to members. 3

Naturally Slim PAISBOA HBT members have access to Metabolic Syndrome Reversal program More info will be provided directly to members 3

Aetna Wellness • Aetna is offering on-site biometric screenings for all participants of the plans, effective 11/1 • We would like to take full advantage of this opportunity • Talk to HBT/ADC about scheduling 3

Aetna Wellness • Aetna is offering PAISBOA HBT members $50 for completing the online Health Risk Assessment on Aetna Navigator, effective 11/1 • A information campaign will inform members of this program in the Fall 3

Renewal Review 3

Member Communications • All members will be getting receiving an Open Enrollment benefits review book • This guide will review the medical, Rx, Vision and ancillary benefits • It will also review the online Open Enrollment

Online Open Enrollment • All Schools will be required to have their employees go online to make benefit elections • This process is efficient and paperless and will allow schools to meet the Open Enrollment deadlines

Online Open Enrollment Employee will be provided a link that will take you to the Benefitsolver Login page. Click on the Register Link to begin the process. 30

Online Open Enrollment You will then need to create a user name and password and will receive a confirmation when this step is complete. 31

Online Open Enrollment You are now on the Open Enrollment Election Portal. Click “START HERE” to elect benefits for the coming plan year. 32

Online Open Enrollment Make Benefit Elections 33

Online Open Enrollment Review and Approve 34

Action Items • All Schools will need to elect its plan designs th by August 25 • Employee benefits elections will be due by th September 29 • Open Enrollment meetings must be requested asap! 35

Thank you! 36