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Benefit Choices in a Changing Environment

Benefit Choices in a Changing Environment. Pat Haines SVP, Benefits. Topical Overview. 2013: A Year of Difficult Choices The World in Which We Live: The Context for Making Choices The Choices Facing Each of Us. 2013: A Year of Difficult Choices. Retirement Plan Modify Apportionment Policy

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Benefit Choices in a Changing Environment

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  1. Benefit Choices in a Changing Environment Pat Haines SVP, Benefits

  2. Topical Overview • 2013: A Year of Difficult Choices • The World in Which We Live: The Context for Making Choices • The Choices Facing Each of Us

  3. 2013: A Year of Difficult Choices • Retirement Plan • Modify Apportionment Policy • Disability Plan • Increase Benefit • Medical Plan • Increase Dues • Change Pharmacy Benefit Management (PBM) partner • Increase Rx Copay for Generic Drugs • Design Health Accountability Program

  4. Choices: Rationale and Impact • Retirement Plan • Rationale • Maintain plan solvency • Provide generational equity • Protect benefits against inflation • Impact • 1% apportionment = $57.7 mil

  5. Choices: Rationale and Impact • Disability Plan • Rationale • Protect benefits against inflation • Impact • The increase in liability = $714,000

  6. Choices: Rationale and Impact • Medical Plan • Rationale • Provide some limited flexibility • Provide quality coverage • Continue support of Community Nature • Ensure financial solvency

  7. Choices: Rationale and Impact • Medical Plan • Impact (2014) • Cost Savings • New pharmacy benefit partner = $2.9 mil • Dues action (21% → 23%) = $13.6 mil • Rx copay change ($8 → $10) = $400,000 • Call to Health = improved member health

  8. Medical Plan: Other Factors Affecting Costs • Declining enrollment • Aging population • Healthcare Reform • Inherent volatility

  9. Medical Plan Before and After: Forecasts $ in 1000s

  10. Medical Plan Before and After: Forecasts $ in 1000s

  11. Medical Plan Before and After: Forecasts $ in 1000s

  12. Choices by Other Large Employer Plans • Exchanges: Public and Private • Partner Coverage: no subsidy; surcharge; none • High Deductible Health Plans • High Performing, More Restricted Networks • Health Accountability and Responsibility: more carrots and sticks • Reference-Based Pricing

  13. Exchanges: Expanded Choices for Individuals and Employers • Online store or marketplace • Public (government) or Private (industry) • Single or multi-carrier • Health only or other coverage options • Decision support

  14. Public Exchanges: Who Might Benefit • Members in transition • Seminary students • Early retirees • Part-time church workers (< 20 hours) • Non-mandated emerging ministries

  15. Choices That YOU Have • 2015 Dues Model • Mid councils: Terms of Call • Employing organizations:Share or not; pre-tax or post-tax • Members: enroll or not

  16. Choices That YOU Have • Be a responsible consumer • Understand your benefits • Seek care at the right time and at the right place • Look for value (cost and quality)

  17. Choices That YOU Have • Answer the Call to Health • Preventive care • Telephonic coaching • Health assessment • Know your numbers • Vision exam • Tobacco cessation • CREDO • myactivehealth.com/pcusa

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