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WSCFF-Sponsored Insurance Programs. Educational Conference – April 23 rd , 2014. Greg DiMartino | John Wallen | Marcus Morrell | Karni Adamson | Becky Wallen 1501 Fourth Avenue | Suite 2400 | Seattle, WA 98101 Tel: (206)623-2430 or (800)488-8277| Fax: (206)682-8027
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WSCFF-Sponsored Insurance Programs Educational Conference – April 23rd, 2014 Greg DiMartino | John Wallen | Marcus Morrell | Karni Adamson | Becky Wallen 1501 Fourth Avenue | Suite 2400 | Seattle, WA 98101 Tel: (206)623-2430 or (800)488-8277| Fax: (206)682-8027 Proprietary & Confidential
WSCFF & DiMartino Associates • Benefits Consulting firm formed in 1990 by Greg DiMartino • In partnership with WSCFF since 1999 • Provides consulting and member service for multiple WSCFF-Sponsored Insurance Programs
Overview of WSCFF Programs • WSCFF Life & Disability Plans • WSCFF MERP • Northwest Fire Fighters Trust (NWFFT) • Regence Medical • Moda Dental (Delta Dental) • NWFFT Medicare Pool • NWFFT VEBA
WSCFF Life & Disability Plans • Program launched by WSCFF in 1978 • Western Life / Fortis: 1978-2002 • The Standard: 2002-2013 • Cigna: 2014- • Numerous plan amendments have been made to enhance benefits and to make the plan unique to fire fighter needs • Pre-Disability Earnings • Sick Leave Buy Back • Waiver of Premium • LEOFF Integration • Claims utilization has spiked over the last 2-3 years • Q3 2012 through 2013: $4.2M in Premium / $3.3M in Paid Claims / $1.2M IBNR • Standard was proposing a 45% overall increase
WSCFF Life & Disability Plans • Effective 1/1/2014, all WSCFF Life & Disability plans moved from The Standard to Cigna • Current contracts were taken over “as-is”, with the exception of a handful of very minor contractual changes • Cigna’s proposal came with a 5% increase to the package plans for both STD and LTD rates, with a rate pass for the Life/AD&D and Voluntary Life – guaranteed until 1/1/2016 • WSCFF is subsidizing more than half of the proposed increase so the direct impact to the member is only 2% for each coverage line • Plan 1 premiums increased about $0.77 - $1.40 pepm • Plan 2 premiums increased about $0.77 - $1.40 pepm • Custom plans may have seen a different increase depending on claims experience • Increases do not take into account any salary changes
WSCFF Voluntary Life • Voluntary Life insurance is available to any Local with a WSCFF Life & Disability plan • Members can purchase up to $500,000 of Life on themselves and up to $250,000 on their spouses (up to $5,000 on dependent children) • Guarantee Issue available during initial open enrollment and to new hires - $100,000 with no medical questions ($20,000 for spouse) • Rates are age-banded in 5 year increments
WSCFF Life & Disability Plans • All disabilities beginning 12/31/13 and prior will remain with Standard. Only disabilities occurring on and after 1/1/14 will be adjudicated by CIGNA • All coverage was automatically transferred to Cigna, including Voluntary Life – no new enrollment forms were needed • Your current beneficiary designations are still valid – don’t forget to update them as needed • New policy certificates will be sent to the Local contact as soon as they are available • Added Benefits: EAP, Will Prep & Estate Planning (online tool), Identity Theft and Health & Wellness discounts @ www.cigna.com/rewards (password: savings)
WSCFF Life & Disability Plans • Claim Filing – Cigna takes claims directly over the phone! Contact DiMartino Associates for information on how to file. • TIP: Always file early! • Administration of Program – DiMartino Associates is still your liaison with the insurance carrier • Claims: Becky Wallen or Karni Adamson • Billing/Eligibility: Shannon Brauner or Laura Ziebell • We are here to help in educating your membership and providing member service!
WSCFF MERP • Available to 7th District IAFF Locals • Reimburses you – for your lifetime – for: • Premiums for medical, dental, vision, long term care coverage for you and your family (spouse/domestic partner and IRS dependent children) • Other medical, dental and vision expenses (that aren’t covered by insurance) for prevention, diagnosis, and/or treatment of a medical situation for you and your dependents. (Defined by IRC 213(d).)
WSCFF MERP • Began in 1999 with 1 Local • Now: 122 Participating Locals, > 6,000 members • 108 in Washington • 11 in Idaho • 2 in Alaska • 1 in Montana • Fund is over $50 Million, growing by approximately $650,000 each month • 250+ retirees currently accessing benefits
WSCFF MERP • WSCFF Benefit Trust Board of Trustees • The Board of Trustees is made up of 9 fire fighters all from separate participating locals on staggered terms • 6 are elected at WSCFF Annual Convention • Brian Hurley- Tumwater • Jeff Wainwright – Spokane Co. FD #8 • Rich Knight – SeaTac Fire Fighters • Craig Soucy – Renton Fire Fighters • Kenny Stuart – Seattle Fire Fighters • Brian Murphy – Anchorage Fire Fighters • 3 are appointed by the WSCFF • Kelly Fox • Greg Markley • Ricky Walsh
WSCFF MERP • Monthly Contribution: Minimum of $75/month; Local can increase over time in increments of $25 • 24 Locals have increased their monthly contribution amount • No maximum monthly contribution; highest is currently $300/month • 1 Active Service Unit (ASU) = $25 • ASU’s are accumulated throughout your career and multiplied by Unit Multiplier to determine your lifetime monthly benefit • Unit Multiplier (UM) = 0.39 • Actuarial Review occurs every 3 or so years
WSCFF MERP • Monthly Contribution: Minimum of $75/month; Local can increase over time in increments of $25 • 24 Locals have increased their monthly contribution amount • No maximum monthly contribution; highest is currently $300/month • 1 Active Service Unit (ASU) = $25 • ASU’s are accumulated throughout your career and multiplied by Unit Multiplier to determine your lifetime monthly benefit • Unit Multiplier (UM) = 0.39 • Actuarial Review occurs every 3 or so years
WSCFF MERP Fire Fighter #1 - $75 contribution for 10 years $75 = 3 ASU per month X 12 X 10 years = 360 ASU 360 X .39 = $140.40 monthly benefit Fire Fighter #2 - $100 contribution for 20 years $100 = 4 ASU per month X 12 X 20 years = 960 ASU 960 X .39 = $374.40 monthly benefit Fire Fighter #3 - $75 contribution for 7 years; Local votes to increase contribution to $100 and FF contributes this for 18 years; 25 total years of contributions 3 X 12 X 7 years = 252 ASU 4 X 12 X 18 years = 864 ASU 252 + 864 = 1,116 total ASU X .39 = $435.24 monthly benefit
Sponsored by WSCFF • Governance through board of 9 fire fighter Trustees • Currently offering 10 fully-insured medical plans, underwritten by Regence Blue Shield • 7 fully-insured dental plans, underwritten by Moda Health (a Delta Dental plan) • Retiree Medical & Dental plans available – must be attached to a participating Local
Medical Plans -Deductible and Out of Pocket Maximum are 2x for family
Medicare Pool • Medicare plans are available to any IAFF retired fire fighter, regardless of Active group participation • Also available to Eligible Member’s Medicare-entitled spouses • Direct bill from NWFFT via DRS deduction, ACH, etc. • Menu of MedAdvantage, Medigap and standalone Prescription Drug plans • Must be Medicare-eligible and enrolled in Part A and Part B • Contact DiMartino Associates for more information!
VEBA • *New product in 2014* – NWFFT is partnering with BPAS to bring you the only VEBA on the market with debit card technology! • Each employee gets 2 Benny Cards • What makes a VEBA different than an HRA? • Investment earnings via target or self-directed funds • Starting at $6.50 pepm + 35bp per year (vs. competing VEBA at $1.50 pepm and 125 bps) • Nightly trades with the NSCC (allows 48 hour claims turnaround) • Mobile applications for iPhone and Droid • Plan consulting services included • Best of all – no set up fees when you sign up through NWFFT!
Administrative Services • Consolidated Billing • Member Service – Dedicated NWFFT Team • Online Eligibility / Management – Coming Soon! • HRA/HSA/FSA Administration - $5.50 pepm, no annual or set-up costs!
Current Trust Participants Effective 1/1/2013 • WSCFF Staff • Woodinville Fire & Rescue • Grays Harbor Fire Fighters • King County #45 – Duvall • Fairbanks Fire Fighters • Spokane County FD #9 Effective 3/1/2013 • North County RFA • Bothell Fire Fighters Effective 9/1/2013 • Pullman Fire Fighters Effective 1/1/2014 • Local 726 H&W Trust • CPFR Fire Fighters & Mechanics • SPFR – Fire + Admin Staff • Central Pierce F&R – Admin Staff • Valley Regional Fire Authority • Stevens County FD #1 Effective 4/1/2014 • Tumwater Fire Fighters • Skamania County EMS Effective 5/1/2014 • Lake Stevens Fire
Questions? 1501 Fourth Avenue | Suite 2400 | Seattle, WA 98101 Tel: (206)623-2430 | Fax: (206)682-8027 Proprietary & Confidential