WELCOME ACA Stats Nationwide and MTSpecific ACA Nationwide

WELCOME

ACA Stats: Nationwide and MTSpecific

ACA Nationwide Stats 3 • Since OE 1, 17. 6 million previously uninsured have gained coverage • Nationwide uninsured rate down to 11. 4% (end of 1 st quarter 2015) • 10. 5 million eligible for Marketplace coverage, but remain uninsured

Type of Coverage – Nationwide (18 -64 yrs olds) 4 Q 4 2013 Q 1 2015 Current/former employer 44. 2 43. 3 Plan paid for by self or family member 17. 6 21. 1 Medicaid 6. 9 9. 0 Medicare 6. 1 7. 3 Military/Veteran’s 4. 6 4. 7 A union 2. 5 2. 6 (Something else) 3. 5 4. 2 No insurance 20. 8 14. 5

ACA OE 2 – Montana Stats 5 In Montana – after 2014 -15 Open Enrollment: • Montana had 2 nd highest rate of Marketplace re -enrollments – 59%. • 54, 300 Montanans enrolled in plans during OE 2. (36, 600 enrolled in OE 1) • 41% new to Marketplace • 85% of Montana Marketplace enrollees receive APTCs. (87% nationwide) • 52% receiving cost-sharing subsidies. • MT uninsured rate in 2013: 20. 7% • MT uninsured rate in first half of 2015: 14. 4%

% Increase in QHP Sign-ups from OE 1 to OE 2 6

Member-Centric Organization

8 Current MHC Member Stats • • 44, 000 total paid members (MT & ID) MT members = 21, 750 ID members = 22, 250 Approximately 130 groups • 2550 members enrolled in group plans 84% of MHC members enrolled via Marketplace MHC captured 45% of Marketplace enrollees Large percentage of members in their 30 s

9 Organizational Changes Members are our #1 Priority v Newly created position of Customer Service Director: hired end of September § 6 dedicated FTE: including member service specialists and internal sales agents § Focus on Customer Service Satisfaction § Best Practices § System Integration and Process Improvement § Comprehensive training v v Working congruently with Third Party Administrator MHC dedicated Customer Service Staff Dedicated Quality & Member Services Support Staff v Focus on Quality Initiatives, Enrollment, Member Issues

10 Customer Service Standards “You will never get a second chance to make a first impression. ” Service Level/Response Time § 80% of calls answered in 30 seconds or less § Abandonment rate-less than or equal to 4% § Warm transfers for members to TPA First Contact Resolution Contact Quality § Providing customers with correct and relevant information § Accuracy in data entry and call coding for all calls

MHC Changes 11 • No Platinum Product • Higher Rates • • Utilization Administrative Rate 12% With APTC’s minimal Increase No APTC’s significant increase • Silver and Bronze still the least expensive in the market

MHC Network 12 • Coventry National Network • Two Networks in the State • • Access Care Connected Care • Two Hospitals and associated physicians • Significantly Larger in State Network • Out-of-Network Providers

HELP Flight is In-Network! 13 § Help Flight – In network § Air medical transport – fixed wing and helicopter § St Vincent’s Hospital § Statewide availability § Operates 24 x 7 / 365 § 1 -800 -Jet-Help (1 -800 -538 -4357) § Affordable

2016 Products

2016 Products Connected Care 15 Plan Deductible Coins OOP Max Gold $750 $1500 30% $4850 $9700 Gold Plus $2350 $4700 0% $2350 $4700 Silver $2150 $4300 40% $6350 $12, 700 Silver Plus $4150 $8200 0% $4100 $8200 Bronze $4200 $8400 50% $6850 $13, 700 Bronze Plus $4200 $8400 50% $6450 $12, 900 HDHP HSA-Qual.

2016 Products Access Care 16 Plan Deductible Coins OOP Max Gold $750 $1500 30% $4500 $9000 Silver $2150 $4300 40% $6350 $12, 700 Bronze $5000 $10, 000 60% $6850 $13, 700 Bronze Plus $5000 $10, 000 60% $6450 $12, 900