® RightOpt From Hire through Retire® Facilitating Individual Coverage Options for Part-time, COBRA, and Pre-Medicare Retirees, with Special Guest from Panera Bread Today’s Objectives Help you better understand: • How public and private exchange offerings can work in tandem to provide a breadth of insured products • Why employers are interested in supporting ineligible populations in shopping for insurance • What the members would experience when shopping through a combination public and private exchange Sherri Bockhorst David Foster Misi Holmberg National Practice Leader Health Exchange Solutions Buck Consultants at Xerox Market Leader Health & Productivity Buck Consultants at Xerox Sr. Manager Benefit Operations Panera, LLC 2 Employer Interest is High and Growing Percentage of large employers considering a private exchange by population. 50% 41% 40% 40% 30% 30% 26% 20% 20% 15% 10% 0% Full Time Actives Spouses Part Time Actives COBRA Pre-65 Retirees Medicare Retirees *Source: NBGH Large Employers’ 2014 Health Plan Design Survey, August 2013; Percentage considering private exchanges in 2015 or after. 3 Uninsured Rates Among Actives is High Insurance Coverage For Workers Critical opportunities for individual coverage: 7.7M 2.9M 2.2M • Approximately 1/3 of those eligible but not enrolled, and 1/3 of those not eligible, are uninsured…that’s 9.2M uninsured employees working for large employers • Approximately 2%, or nearly 1M individuals are covered under COBRA 5.4M 41.3M 11.7M FT PT Coverage through employer Eligible, not enrolled Not eligible Source: Health Insurance Coverage Bulletin; Abstract of Auxiliary Data for the March 2013 Annual Social and Economic Supplement to the Current Population Survey Employers with over 500 employees. 4 Why Employers Facilitate Access Supporting members through a low to no-cost solution helps you and your employees. Help people avoid penalties related to ACA’s individual mandate Provide personalized and more consistent shopping experience across the public and private marketplace Create affinity to the organization by providing support and access to additional ancillary benefits Notify COBRA participants of additional options available in the individual market, potentially with a government subsidy Support access to federal tax credits that may save employees money on health care expenses Offers a combination of website and call center concierge support 5 Medical Insurance Support for 2015 Fully integrated solution leveraging certified Web Based Entity, GetInsured, for eligibility, shopping and enrollment FFM States: Phone + RightOpt portal State-Based Marketplaces: Phone + state website Referral States Enrollment States (49) Referral States (2) Phone + RightOpt Portal Phone + State Exchange Site Referral Only • Licensed agents will help customers claim tax credits, compare plans and enroll – via phone and Internet co-browsing. • • • Customers can self-serve through RightOpt portal, where they can compare plans using the GetInsured Plan Score, claim tax credits and enroll. 6 Licensed agents will help customers claim tax credits, compare plans and enroll on the state’s marketplace site – via phone and Internet co-browsing. Following subsidy eligibility, customers will be referred to state marketplace for enrollment assistance. Key Stats from 2014 Enrollment (RightOpt) 11/80/9% Of those interacting with us chose web only / co-browsing / telephonic only support 77% Of those who completed pre-enrollment information were eligible for a premium tax credit 21% Of those who looked at plans on-line enrolled with us 7 Making it Easy With Xerox + GetInsured, our clients empower individuals to… 1 2 Determine if they are eligible for premium tax credits, Medicaid or an employer subsidy. 8 Shop for a best fit health insurance (medical, dental and vision) through phone and online support leveraging available subsidies. 3 Return to the site for additional support regarding health care utilization and improvement. 9 10 11 12 13 14 15 16 17 20 21 22 23 A Turnkey Solution Above the line = no cost Below the line = additional fees Employer toolkit of template RightOpt branded language for announcement member engagement portal letter, FAQs, employee presentation and new hire letter; plus RightOpt Public subsidy branded poster and calculation, plan postcards compare & selection Pre-enrollment Engagement, Education & Eligibility Fully branded custom communication campaign Client-branded portal, custom URL and tollfree number 24 In-person or webinar meetings for eligible populations Telephonic and on-line plan enrollment support Enrollment Plan Comparison & Enrollment Plan renewal and qualifying life event enrollment support Post-Enrollment Renewals & Support Telephonic health advocacy Outreach call introducing RightOpt Health Reimbursement Account management Panera Bread, Special Guest Presenter PAGE 26 Our Road to RightOpt Supporting the Various Needs of our Associates Post-ACA September 30, 2014 PAGE 27 Company Background • Panera Bread began in 1981 as Au Bon Pain, Co., Inc. founded by Louis Kane and Ron Shaich, the company prospered along the east coast of the United States and internationally. • In 1993, Au Bon Pain Co., Inc. purchased Saint Louis Bread Company® and underwent a comprehensive re-staging between 1993 and 1997 during which average unit volumes increased 75% and the concept’s name was changed to Panera Bread. • Now, Panera has 1,838 bakery-cafes in 45 states and in Ontario Canada operating under the Panera Bread®, Saint Louis Bread Co.®, and Paradise Bakery & Café® names. PAGE 28 The Challenges and Opportunities • Simplify • Easily distinguishable plan offerings • Continue to offer cafe hourly associates meaningful benefit coverages • ACA impacts – ACA regulations required a change to cafe hourly associates existing benefit offerings – The calculation of full-time status among variable hour associates adds a great deal of workplace management difficulty – Communicating and educating associates about the private exchange opportunities – Create competitive advantage where possible • Need for a new approach to health care to mitigate cost increases and reform changes PAGE 29 Phased Implementation • Fall 2013 enrollment – Implement RightOpt‘s individual market channel to support education and enrollment in the Public Marketplace – Implement Preventive MEC plan to replace Limited Medical Plan offerings • Summer 2014 – Move to Xerox benefit administration platform • Fall 2014 enrollment – Implement RightOpt’s full exchange capabilities for the 1/1/15 effective date PAGE 30 1. Manage the complexity PAGE 31 2. Understand individual options… PAGE 32 …and enroll through RightOpt’s PT solution PAGE 33 3. Or enroll in Panera’s plan PAGE 34 Retail Hourly Experience • 2014 enrollment results – 10% of retail hourly enrolled in benefits, continued concern for the 90% not enrolled in Panera offerings – Just under 5% reviewed options on the public marketplace, with nearly 80% qualifying for a tax credit – Yet 85% of enrollees still chose the preventive only plan • 2015 enrollment expectations – Access to public marketplace continues to be important to Panera – Enrollment in the public marketplace expected to be higher with increased confidence and reliability in shopping experience – As uninsured penalties increase, we anticipate growth in public option enrollment PAGE 35 Thank You! RightOpt® A single experience from hire through retire® Eligible Actives • Group plans • Self-funded • “Quilted” network • Honeycomb of partners to service ChooseUse-Improve Ineligible Actives & COBRA • Individual insured plans • Public subsidy access through WBE • Voluntary benefit portfolio Early Retirees • Individual insured plans • Public subsidy access through WBE, plus HRA • Voluntary benefit portfolio • Health Advocacy Medicare Retirees • Individual insured plans • Account administration • Medicare transition support • Health Advocacy Enhancing the members’ experience through their entire work/life cycle, while reducing delivery costs and administrative burden 36 Implementation Timing For coverage starting in 2015, the Open Enrollment Period is November 15, 2014–February 15, 2015 Available for 1/1/15 open enrollment or ongoing support: • Non client-branded solution is a turnkey no-cost solution with a 3-5 week implementation requirement • Additional customization available with timing, scope and fees to be determined based upon needs 37 Contact Us Sherri Bockhorst David Foster Misi Holmberg National Practice Leader Health Exchange Solutions Buck Consultants at Xerox Market Leader Health & Productivity Buck Consultants at Xerox Sr. Manager Benefit Operations Panera, LLC sherri.bockhorst@xerox.com david.foster@xerox.com misi.holmberg@panerabread.com 38 Buck Consultants, LLC is the broker of record regarding insurance placed through RightOpt ©2014 Xerox Corporation and Buck Consultants, LLC. All rights reserved. Xerox® and Xerox and Design® are registered trademarks of Xerox Corporation in the United States and/or other countries. Buck Consultants® and RightOpt® are registered trademarks of Buck Consultants, LLC in the United States and/or other countries. BR11887
