University of Alaska Healthcare Reform

1. University of Alaska Healthcare Reform

2. Healthcare Reform 2012 2013

3. Healthcare Reform 2014 2018 The “Efficient Frontier” Optimizing Plan Design and Contribution Strategies by modeling over 800 alternative plan design and contribution strategies to assist in finding an optimal strategy that minimizes cost to the employer – mostly by taking advantage of Exchange subsidies - and maximizes value for employees.

4. Pay or Play – Average Additional Costs (Losers) or Savings (Winners) under the Pay option

5. University of Alaska Health Reform Projections 2014

6. Illustrated 2014 Exchange Plan Design UA Plans – 76%

7. Healthcare Reform Options • Cost Before Reform - 2014 • Estimated Employees in Plan of 3,942 • Estimated University cost of $60,557,000 • Estimated Employee cost of $37,930,000 • Option 1 – Play and offer qualifying coverage • Estimated Employees in Plan of 4,155 • Estimated University Cost of $65,214,000 • Estimated Employee Cost of $40,902,000 • Option 2 – Pay $2,000 per employee (+30 hours) Penalty • Estimated Employees in Exchange 4,794 • Estimated University Cost of $10,871,000 • Estimated Employee Cost of $68,784,000 • Option 3 – Non-Qualifying Plan • Estimated Employees in Exchange of 119 and 4,083 in the plan (4,202) • Estimated University Cost of $63,795,000 • Estimated Employee Cost of $39,112,000