Washington Health Benefit Exchange
Outreach Technical Advisory Committee
November 14, 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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Outreach Technical Advisory Committee Membership
Eric Earling
Premera
Carrie Glover
Within Reach
Julie Severson
Neighborhood House
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 new!
Suzanne Pak
Cornerstone Medical Services
Dr. James Polo
Mary Bridge Children’s Healthcare
Mary Wood
Health Care Authority
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Agenda
• Welcome and HBE Update
• Washington Healthplanfinder Business
Update
• Board Presentation
• Discussion – Outreach
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Washington Health Benefit Exchange
Health Benefit Exchange Update
November 14, 2014
HBE Updates – Open Enrollment Readiness
▪ Healthplanfinder Release 2.0
▪ Landing Page
▪ Correspondence
▪ Auto Renew
▪ Manual Renew
▪ Renewal Functionality
▪ New payment options
▪ Healthplanfinder Business Functionality
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HBE Updates - Budget
▪ State Operating Budget
▪ Meeting with Legislative Committees
▪ Budget Request submitted with HCA package
▪ Supplemental Grant Requests
▪ Operations through summer 2015
▪ Development/Implementation through 2015
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HBE Updates - Operations
▪ Call Center
▪ 460 CSRs and increasing to 500 by December
▪ Open Saturday-Sunday
▪ Appointments for Navigators, Brokers
▪ Navigators/Brokers
▪ 2015 Training and Recertification
▪ Event calendar
▪ Outreach Material
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Existing material updated
New health literacy material
Corporate website redesign
New tv ads, radio (multiple languages), print, digital
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Healthplanfinder Business Update
▪ Opened statewide on 10/17
▪ More than 360 employer accounts created
▪ High Ranking Counties:
▪ King County
▪ Snohomish County
▪ Spokane County
▪ Thurston County
▪ Upcoming Enrollment Events
▪ Dec. 4th at South Seattle Community College 4-7PM
▪ Dec. 10th at Hilton hotel Vancouver, WA
4-7PM
▪ Event partners: Small Business Administration, Moda Health, Kaiser Permanente,
WeWork, Employment Benefits Security Association, WA Association of Health
Underwriters
Washington Health Benefit Exchange
Premium and Subsidy Analysis
November 14, 2014
Purpose of Analysis
▪ Understand impacts to consumer portion of premium payment
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Premium increases
Changes in benchmark silver plan (second lowest silver plan)
HIPTC subsidy changes
Geographic areas of greater impact
▪ Communicate potential impacts to consumers, IPAs, Brokers, CSRs
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Results of Wakely Report on Plan Pricing
• Before application of subsidies, rates are increasing by 2.9% on
average (weighted by enrollment).
• Rates for bronze and silver plans are increasing by 3% –4% on
average
• 53.5% of WAHBE customers are enrolled in silver level plans;
37.6% are in bronze plans
• 25% –30% of bronze and silver plan enrollees selected the
lowest cost plan in that metal level; only 10% of gold plan
enrollees selected the lowest cost gold plan
• 48% of silver enrollees are in the two lowest cost plans
What is Changing for Consumers
• 90% of enrollees reside in areas of the state where the second
lowest cost silver premium is decreasing.
o 60% of enrollees reside in areas where the second lowest cost silver
premium decreased by 6% or more.
o 35% of enrollees reside in King county where the second lowest cost
silver premium is decreasing by 10%
• The identity of the second lowest cost silver plan is changing in
27 out of the 39 counties which accounts for 90% of enrollees.
• The lowest cost silver plan is changing in all but three counties
Important Message for the Current Subsidized
Population
• Your cost may be changing: Because of the interaction of
generally falling subsidies and generally rising premiums, most
subsidized enrollees will experience a net (after-subsidy)
premium increase of more than the before-subsidy rate
change, if they simply auto-renew
• There may be a new plan that is more affordable: Many
subsidized enrollees will have access to lower cost plans if they
shop and move to a different plan in 2015 and in some cases
their premiums could be lower than what was available in
2014
What This Change Looks Like for “Ted”
• Ted is 40, single, lives in Seattle (King county) and has an annual
income of roughly $23,000, or 200% FPL
o Subsidy calculation is based on household contribution of 6.3% of income, or
$120 / month toward the 2ndlowest cost silver plan (benchmark)
o The 2nd lowest cost silver in 2014 is $280/month for a 40-year old single, so
Ted’s subsidy is $160/month ($280-$120)
• Ted picks the lowest cost silver plan in 2014 ($245) and pays
$85/month, after the tax subsidy of $160/month
• For 2015, Ted’s income is unchanged, but his tax subsidy falls to
$140 because the second lowest cost plan in 2015 only costs $260
What This Change Looks Like for “Ted”
▪ Ted’s plan is no longer the lowest cost silver plan, so he must “buyup” from the benchmark if he wants to continue in it
▪ Monthly rate for Ted’s plan increases 59% from $85 to $135
▪ Or Ted can shop: his lowest cost option for 2015 is a different plan
at $240/month (unsubsidized), or with his $140 subsidy it will cost
Ted $100/month Changes for 2015
Impact To “Ted” Based On Rating Area
Cost difference reflected in the “$ Chg” column
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Board Presentation
▪ Outreach TAC invited to Board meeting November 19
▪ Share TAC observations, areas of interest, needs, gaps, priorities
▪ TAC chance to speak directly to Board members – what do you want
them to hear from you?
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2015 Outreach
▪ What or who are we missing?
▪ Are there gaps?
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Board Meeting Presentation
Health Equity TAC
November 18
1 pm – 2:30 pm
HBE Board Meeting
November 19
9 am- 3 pm
Tribal Advisory Committee
November 20
2 pm – 4 pm
Dental Plan TAC
December 1
4 pm – 6 pm
Agents-Brokers TAC
December 2
9:30 a.m. – 10:30 a.m.
More listed on Corporate site – News Center – Meetings and Events
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