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2015 state OF THE Local Government Health Insurance Plan (LGHIP)

Understand how the LGHIP works, enrollment history, cost sharing, premium trends, and decisions for 2016. Presented by William L. Ashmore, CEO of State Employees’ Insurance Board.

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2015 state OF THE Local Government Health Insurance Plan (LGHIP)

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  1. 2015 state OF THELocal Government Health Insurance Plan (LGHIP) Presented by: William L. Ashmore, CPA Chief Executive Officer State Employees’ Insurance Board

  2. LGHIPBackground

  3. LGHIPHow it works

  4. LGHIPEnrollment History

  5. LGHIP2014 Negotiated provider savings

  6. LGHIP2014 Cost sharing

  7. LGHIP

  8. Inflation TrendLGHIP vs. National Average National Average Source: Mercer National Survey of Employer-Sponsored Health Plans 2014

  9. LGHIPmedical Premium History National Av. Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits. www.kff.org Premium Rates as of January 1

  10. LGHIPOverall Claims Trend

  11. Drug Trend

  12. 15% to 25% Forecast Drug Trend

  13. 15% to 25% Forecast Drug Trend

  14. 15% to 25% Forecast Drug Trend

  15. LGHIB Decisions

  16. LGHIB Decisions

  17. Lghip2016 Changes • Premiums • Increase Premiums 7.8% • Benefits • Increase Physician Office Visit Copay to $40. • Increase Generic Drug Copay to $10. • Diabetic Brand Name Drugs Assignment Accepted • Teladoc - Physician Consultation ($0 Copay) • SelectQuote - Medicare Retiree Exchange • Draw from Reserve

  18. Questions?

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