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2014 Renewal Bulletin

2014 Renewal Bulletin. Andrew Roos and Janet Doyle August 30 th , 2013. GRANDFATHERED PLANS CO-OP CDHP PLANS CANNOT BE GRANDFATHERED SUMMARY BENEFITS OF COVERAGE ACA ASSESSMENTS PATIENT CENTERED OUTCOMES RESEARCH FEE $2 / MEMBER “TEMPORARY” REINSURANCE FEE $63 / MEMBER.

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2014 Renewal Bulletin

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  1. 2014 Renewal Bulletin Andrew Roos and Janet Doyle August 30th, 2013

  2. GRANDFATHERED PLANSCO-OP CDHP PLANS CANNOT BE GRANDFATHEREDSUMMARY BENEFITS OF COVERAGEACA ASSESSMENTSPATIENT CENTERED OUTCOMES RESEARCH FEE $2 / MEMBER “TEMPORARY” REINSURANCE FEE $63 / MEMBER

  3. ACA Employer Notice Employee Coverage OptionsModel COBRA Election Notice

  4. Preventive Health BenefitsCoverage for Polyp and tumor removal during routine colonoscopyOver-the-counter contraception (w/ Rx)smoking cessation drugs (w/ Rx)

  5. 90 Day waiting period requirementSpecial EnrollmentNo more late adds list of triggering eventsBehavior HealthEarly Intensive Behavioral Intervention (EIBI)

  6. Sunsetting of FluStopCreditable Coverage disclosure for Rx benefitsSmall Group ChangesIRS-SSA-CMS Data match

  7. BLUE CROSS UPDATEAccountable Care Organizations (ACO)Blueprint - AllinaBlueConnect – SANFORDMinimum Value Plans$6,350 deductible w/ open Rx Formulary$6,000 Deductible w/ Closed GenRx Formulary

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