Washington Health Benefit Exchange
Outreach Technical Advisory Committee
January 9, 2014
Meeting Protocol
▪ Open public meeting
▪ Callers are in listen-only mode
▪ Participation limited to Outreach TAC Members
▪ Public comment period at end of meeting
▪ GotoWebinar
▪ Chat feature
▪ Raise your hand
▪ We will unmute committee members (please mute
your own phone)
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Agenda
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Welcome and HBE Updates
Open Enrollment
Washington Healthplanfinder Business Update
Future Navigator Program
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Outreach Technical Advisory Committee Membership
Eric Earling
Premera
Carrie Glover
Within Reach
Matthew McColm
Office of Raul Martinez Farmers Insurance
Robin Hilleary
Moda Health
Sally Mildren
Coordinated Care
Courtney Normand
Planned Parenthood Votes Northwest
Patricia Gepert
Wash. Association of Community and Migrant Health Centers
Brittany Jones
Cowlitz Indian Tribal Health Clinic
Jaelen Pace
Volunteers of America
Suzanne Pak
Cornerstone Medical Services
Dr. James Polo
Mary Bridge Children’s Healthcare
Mary Wood
Health Care Authority
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HBE Updates – Enrollment Update
▪ QHP enrollments = 141,000
QHPs – new
QHP renewals
51,000
90,000
▪ Apple Health (continuous enrollment)
▪ Expansion population = 471,600
▪ 9,300 renewing applicants moved from a QHP to WAH
▪ Special Enrollment Period starting Feb. 17
▪ SEP Close date of April 17 (webinar Feb. 18)
▪ System issues, did not understand penalty, instructions were unclear
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HBE Updates – Efforts toward Renewals
▪ Correspondence
▪ Renewal letters and e-mails (November)
▪ Survey
▪ Media
▪ Press release/media tour and coverage (tv, radio, print, digital) (December, January)
▪ PSA – Russell Wilson/Richard Sherman
▪ Call Center
▪ Managing call volume with minimal waits during most hours
▪ Open extended hours through Feb. 15
▪ Reaching out to 2014 enrollees who have not renewed with 2 Robo-calls, 2 e-mails
▪ Navigators/Brokers
▪ Reaching out to 2014 enrollees who have not renewed in 2015
▪ Telephone/e-mail
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HBE Updates
Premium Aggregation
▪ HBE will discontinue collecting premium payments in 2016
▪ Moving forward to target date of October 1, 2015
Adult Dental Plans
▪ Stakeholder interest in promoting Adult Dental
▪ Difficult to implement by October 1
▪ Medicaid Plan Selection
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Moving forward toward April release
Consumer usability
Community stakeholder updates – MPS@hca.wa.gov
Community stakeholder meeting February 18th 1-2 p.m
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Marketing & Outreach Update
▪ Seahawks PSA
▪ Enrollment Efforts
▪ All Hands on Deck
▪ Community events
▪ Ads
▪ Partnerships
▪ KING 5
▪ Univision
▪ Live Nation
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HBE Updates - Budget
▪ No-Cost Extension across HBE programs through 2015
▪ Supplemental Federal Grant Request - 2015
▪ 2015 HBE State Operating Budget
▪ HBE Leadership continues to meet with various Legislative Committees
▪ HBE Budget request submitted with HCA package
▪ $10 million allocation in Governor’s to DSHS for Medicaid enrollment
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New Tax Reporting Requirements
▪ Non-Healthplanfinder Coverage
▪ Minimum Essential Coverage
▪ Exemption
▪ Shared Responsibility Payment (penalty)
▪ Healthplanfinder Coverage - Tax credits
▪ Advanced tax credits – taken monthly based on estimated income
▪ Reconciled by IRS on income tax return based on actual income
▪ Can use 1040, 1040A, 1040NR (but not 1040EZ)
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Customer Support
▪ Call Center CSRs – General Information
▪ Dedicated Account Workers
▪ Trained in tax-related areas
▪ Assist with 1095-A errors
▪ New web page – 1095-A
▪ Infographic
▪ IPA-Broker
▪ Webinars
▪ Partnerships with tax preparers
▪ Social media, digital ads
Legislative Bills of Interest
HB 1628, SB 5142
▪ Removes premium aggregation for the individual market.
(HBE must aggregate premiums for SHOP by regulation.)
HB 1700, SB 5340
▪ Requires QHPs to pay claims for enrollees who are in a grace
period. Requires HBE to notify individuals prior to termination
for non-payment.
SB 5626
▪ HBE produce detailed monthly enrollment reports, including
movement between QHP and WAH. Bi-annual reports with
analysis of churn and coverage gaps.
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Washington Healthplanfinder Business Update
▪ 26 enrolled businesses (2015)
▪ 33 total (2014-15)
▪ 2,044 employer accounts created
▪ Anticipated carrier participation for
2016:
▪ Kaiser Permanente
▪ Moda Health
▪ United Healthcare (New!)
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Washington Healthplanfinder Business Marketing
▪ Partnerships
▪ Puget Sound Business Journal
▪ Office of Minority and Women’s Business
Enterprises
▪ WA Society of Certified Public Accountants
▪ New Interactive Guide for Employers!
▪ http://wahbexchange.org/coveragebasics/who-can-sign/employers/
▪ New Fact Sheets available at:
http://wahbexchange.org/partners/ou
treach-partners/business-toolkit/
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HBE Meetings
HBE Board Meeting
February 26
9 am- 3 pm
Health Equity TAC
February 24
1 pm – 2:30 pm
Dental Plan TAC
March 2
1:30 pm – 3 pm
Advisory Committee
March 5
1 pm – 3 pm
More listed on Corporate site News Center – Meetings and Events
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For discussion/input: Navigator Program Planning
▪ Role of the Lead Organization – Scope
▪ Network structure
▪ Partner Organizations
▪ Medicaid – QHP Enrollment Balance (targets)
▪ Certified Assister Designations
▪ Demand – volume of work long term
▪ Compensation
▪ Training
▪ Retention of enrollees year to year
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