Plan Year 2020 Plan Design Discussion Items

1. Plan Year 2020 Plan Design Discussion Items • Direct Bill – Early Retiree Plans (Non Medicare) • Retiree and Spousal Rate discussion • Coinsurance amount on Plan C

2. Direct Bill – Non Medicare Plan Offerings • Discussions with Aetna and BCBS on possibility of providing fully funded plans • Review the current SEHP plan designs and rates

3. Enrollment by Coverage Tier

4. Direct Bill – Non Medicare Plan Offerings • BCBS provided some plan options for fully funded plans • Aetna indicated they did not have anything to offer in this space • Looked at the current SEHP plan designs and rates

5. Plan A Network Non Network *Note: Discount tier & non covered items or services do not count toward Deductible or OOP Max

6. Plan C Network Non Network *Note: Discount tier & non covered items or services do not count toward Deductible or OOP Max

7. Plan J Non Network Network *Note: Discount tier & non covered items or services do not count toward Deductible or OOP Max

8. Plan N Network Non Network *Note: Discount tier & non covered items or services do not count toward Deductible or OOP Max

9. Plan Q Non Network Network *Note: Discount tier & non covered items or services do not count toward Deductible or OOP Max

10. HI94A Non Network Network *Note: Mail Order (2.5 times Copay)

11. HI92A Non Network Network *Note: Mail Order (2.5 times Copay)

12. CMQ7A Network Non Network *Note: Mail Order (2.5 times Copay)

13. Retiree Plan Cost Compare for Fully Insured Offerings for PY 2020 • Review Rates for Current SEHP Plans • Review Rates for BCBS Plan Offerings • Review Rate Differences between the BCBS Plans and the SEHP • Review Adjusted Rates for the Current SEHP Plans

14. SEHP Projected Retiree Plan Cost for PY 2020

15. BCBS – Projected Monthly Cost Includes Medical and Prescription Drug Coverage

16. Projected Cost Compare Between SEHP & BCBS HI94A

17. Projected Cost Compare Between SEHP & BCBS HI92A

18. Projected Cost Compare Between SEHP & BCBS CMQ7A

19. Compare Between Current DB Rates and Projected Adjusted Rates for PY 2020

20. Projected Enrollment Impact with New PY 2020 Rates • It is projected there will be between 250 - 300 new retiree’s elect coverage SEHP coverage in PY 2020

21. Number of Retirements Per Year and Continued SEHP Benefits

23. Review Active Population Rates and Plan Design Changes for PY 2020 • Review Enrollment 2015 -2019 • Review Contribution Rate Models • Review Adjusted Contribution Rates for the two spousal tiers • Plan Design Changes

25. PY 2020 Contribution Options

26. Modeling for the two Spousal Tiers Contribution Rates

27. Coinsurance amount on Plan C • Move the Coinsurance from 80% - 20% to 90% -10%

28. Review 10 Year Projection Sheet Models