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Redlands Unified Insurance Committee

Redlands Unified Insurance Committee. Health and Welfare Benefits Plan April 2012. Insurance Committee Members. Maria Clark Chuck Mendoza Deborah Severo Mike Kress. Jolene Tripp Miguel Ruiz Celiza Hernandez Ed Sibby. Sabine Robertson-Phillips Brad Mason Brian Guggisberg

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Redlands Unified Insurance Committee

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  1. Redlands Unified Insurance Committee Health and Welfare Benefits Plan April 2012

  2. Insurance Committee Members Maria Clark Chuck Mendoza Deborah Severo Mike Kress Jolene Tripp Miguel Ruiz Celiza Hernandez Ed Sibby Sabine Robertson-Phillips Brad Mason Brian Guggisberg Felicia Robinson Kate Pearne Curtis Marcell Janet Jungnickel

  3. Insurance Committee Timeline September-October Committee reviewed loss ratio reports of current providers, health care reform updates, IRC 125, and health fair. February Committee received results of proposals from selected carriers and provided direction to Keenan. November-December Committee provided Keenan a list of providers for requests for proposals. March- 1st Meeting Committee listened to presentations from selected providers. January Committee listened to presentation from Rx and reviewed loss ratio reports. March- 2nd Meeting Committee continued to listen to presentations from selected providers.

  4. Insurance Committee Timeline March- 3rd Meeting Committee participated in a prioritization activity and reviewed rates submitted from selected providers. Committee discussed rates and gave direction to Keenan to negotiate lower rates based on decrement adjustments. April- 1st Meeting Committee reviewed new rates and gave Keenan further direction to request different decrements within the presented plans. Committee also reviewed final rates of Rx and Mental Health plans.

  5. Insurance Committee Timeline April- 2nd Meeting Committee met to finalize recommendations for Benefits plan for the 2012-13 school year. FINAL PLAN PRESENTATIONS TO RUSD EMPLOYEES

  6. Request for Proposals (RFP) Selected Carriers from RFP Process Aetna Kaiser Mental Health Network Express Scripts (Rx)

  7. Plan Rates – Aetna

  8. Aetna Tier 1 Information • Providers included are Beaver Medical Group, Redlands Yucaipa Medical Group, Pinnacle Medical Group • Epic Management still offering $20.00 co-pay for office visits and Urgent Care • Aetna plan design comparable to current health plan through Anthem Blue Cross

  9. Aetna Tier 2 Information • Changes to Tier 2 are: • Redlands Yucaipa Medical Group and Pinnacle Medical Group are now in the Tier 1 network • Loma Linda University Medical Center is no longer in Tier 2. Those wishing to continue with Loma Linda will need to move to Aetna PPO • All other providers in Tier 2 remain the same

  10. Plan Design - Aetna

  11. Plan Design - Aetna

  12. Plan Design - Aetna

  13. Aetna – Open Enrollment All Aetna Enrollees Must Participate in the Open Enrollment Process

  14. Plan Rates- Kaiser

  15. Plan Design- Kaiser

  16. Kaiser – Plan Design

  17. Kaiser – Open Enrollment If you are currently with Kaiser and are remaining with Kaiser, and you are not making any changes to your dependents, you do not have to participate in the Open Enrollment Process

  18. Express Scripts (Rx) Information • Cost Saving Changes to Rx are: • Co- pay $10/$25/$40 • Step Therapy • Select Home Delivery Changes to Rx saved each member approximately $13.00 per month

  19. Mental Health Plan Information • Mental Health Plan Changes are: • Carrier changing from Holman to Mental Health Network (MHN) • Similar Provider Network with Ability to include current provider • Enhancements with Employee Assistance Program (EAP) • No co-pay change • Holman’s renewal rate was 100% increase Watch for more details shortly regarding Transition of Care for members who are receiving outpatient or inpatient mental health or substance abuse services on 7/1/2012.

  20. Plan Design – Mental Health Network

  21. Dental/Vision/Life Information NO CHANGES

  22. Rates for Part-time Employees

  23. Rates for Part-time Employees

  24. Information Meeting Timeline • April 17, 2012 @ 10:00 a.m. General Information Meeting • April 17, 2012 @ 5:00 p.m. General Information Meeting • April 18, 2012 @ 3:00 p.m. General Information Meeting • April 19, 2012 @ 4:30 p.m. General Information Meeting • April 26, 2012 @ 2:00 p.m. Retiree Information Meeting RETIREES ONLY • April 25-27, 2012 RTA/RESPA/RAPA Voting All information meetings will be held in the Board Room • May 14, 2012Open Enrollment Begins • May 25, 2012Open Enrollment Closes • July 1, 2012 New Benefit Cards received by staff Computer Lab open daily 8:00 a.m. – 5:00 p.m. during the Open Enrollment Period.

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