1 / 11

Board of Education Insurance Renewal Plan Year 2008-2009

Board of Education Insurance Renewal Plan Year 2008-2009. Plan Design Changes 2008-2009. CIGNA HMO : PCP office visit copay: $20 to $25 Specialist visit copay: $25 to $40 Outpatient Surgery copay: $100 to $200 Increasing out of pocket maximum from

nantai
Download Presentation

Board of Education Insurance Renewal Plan Year 2008-2009

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. Board of Education Insurance Renewal Plan Year 2008-2009

  2. Plan Design Changes2008-2009 CIGNA HMO: • PCP office visit copay: $20 to $25 • Specialist visit copay: $25 to $40 • Outpatient Surgery copay: $100 to $200 • Increasing out of pocket maximum from $2000 (single)/$4,000 (family) to $2,500 (single/$5,000 (family) • Add Hearing Aid deductible of $250 • 2

  3. Plan Design Changes2008-2009 PPO 1: Increase deductible: From $250 (single) to $300 (single) From $500 (family) to $600 (family) PPO 2: No plan design changes 3

  4. Prescription Drug Changes2008-2009 CIGNA HMO, PPO 1, and PPO2 Plans: • Increase Generic Copay from $5 per prescription to $10 per prescription • Add 4th tier copayment of $100 for injectibles • Increase prescription preferred and non-preferred minimums and maximums: • Preferred minimum: $20 to $25 • Preferred maximum: $40 to $50 • Non Pref. minimum: $40 to $50 • Non Pref. maximum: $80 to $100 • 4

  5. Plan Design Changes for Kaiser2008-2009 • Increase PCP copayment from $20 per office visit to $25 per office visit. • 20% coinsurance for specialty drugs including self-administered injectibles (does not include insulin) up to a maximum of $250 per drug dispensed/per prescription. • 5

  6. Life, Long Term Disability and Dental/Vision Plans2008-2009 • No rate increase to Life Insurance – CIGNA No plan design changes • No rate increase to Long Term Disability No plan design changes • No rate increases to Dental plan No changes to Plan Design • No rate increases to Vision Plan Increase in contact allowance from $105 to $115 • 6

  7. Projected Medical Costs2008-2009 Administration (+5% increase): $2,163,319 Stop-Loss (increase to $400,000) $614,916 Medical/RX claims (+12.1%) $32,355,048 Total CIGNA Plan Cost $35,679,007 Kaiser Premium $ 3,862,562 (+12.1%) TOTAL Medical Cost: $39,541,569 7

  8. Projected 2008-2009 Medical/RX Cost Total Projected 2008-2009 Medical/RX Cost: $39,541,569 Total Cost Savings of Proposed Changes ( $ 3,087,013) (Plan changes absorbed by district and employees) Revised Projected 2008-2009 Projected Medical/RX Cost: $36,454,556 8

  9. Total Compensation District Negotiations continue on the total compensation package, however, it is agreed that the 12.1% increase in medical premiums is part of the total compensation package.

  10. Medical 2008-09 Rates

  11. Metro area School District Rate Increases 2008-09 Cherry Creek Schools: Kaiser HMO: + .6% Kaiser Triple Option: +2.6% Poudre Valley: Self funded plan +13% Littleton Public Schools: Aetna: +17.8% Kaiser +21.9% Aurora Public Schools: Kaiser: +2.4% PacifiCare HMO: +9.8% PacifiCare POS: +9.98% Denver Public Schools: Kaiser High & Low Plans: +6.5% PacifiCare plans +8.0% 11

More Related