1 / 8

Report to the Colorado Health Benefit Exchange Board: SHOP and the Small Employer Work Group (SEWG ) November 14, 201

Report to the Colorado Health Benefit Exchange Board: SHOP and the Small Employer Work Group (SEWG ) November 14, 2011. November 4 Study Session Format:. COHBE Business Concept “Refresh” Introduce SEWG Discussion #1: “High Level Market” Discussion #2: “SHOP in Colorado”

leora
Download Presentation

Report to the Colorado Health Benefit Exchange Board: SHOP and the Small Employer Work Group (SEWG ) November 14, 201

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Report to the Colorado Health Benefit Exchange Board: SHOP and the Small Employer Work Group (SEWG)November 14, 2011

  2. November 4 Study Session Format: • COHBE Business Concept “Refresh” • Introduce SEWG • Discussion #1: “High Level Market” • Discussion #2: “SHOP in Colorado” • Consensus/Recommendations/Wrap up

  3. Who Participated in the Colorado’s Small Employer Work Group? Small Employers, Insurers, Brokers Actuaries State Officials (CDLE, OEDIT, DOI) NFIB, CACI MSEC Consumer Groups Policy Advocates Companies COHBE Board Members

  4. What Topics Did the SEWG Discuss? • Utah Exchange Presentation • Business Partner Market Research • Adverse Selection • 12 Priority Areas for SHOP decision-making • Perspectives from brokers/underwriters • Perspective from insurers • Consensus in 6 of 12 Priority Areas

  5. Initial SEWG Recommendations: • Small Employer: Should the SHOP start with the current Colorado definition (<50)? -- Yes 2. Merge Markets: Should the small group and individual markets remain separate? -- Yes 3. Separate SHOP Functions: Should there be separate website & business functionality? -- Yes: for the needs of this market

  6. Initial SEWG Recommendations: • Services: What services should the SHOP offer? -- A general principle: “Offer services that attract small employers and provide value” • Market Rules: Should rules for carriers be the same in/out of the exchange? -- Yes • Continue SHOP Exchange? -- Yes (SB-200, proposed rule & value-added)

  7. SHOP Questions for Further Planning: • Issues related to federal rule: -- Definition of Employee -- Business Group of One • Issues related to future proposed rules: -- Qualified Health Plans -- Offer all plans? -- Same QHP’s in individual and SHOP markets? -- Colorado’s state requirements? • Specific Planning Issues: -- Services offered -- Collect premiums? (required in proposed rule) -- Defined Contribution

  8. Proposal to COHBE Board: • Recognize the Small Employer Work Group for their hard work, thoughtful consideration and collaboration • Accept the SEWG Report • Give their recommendations strong consideration in implementation of the SHOP Exchange

More Related