2008 by ajizai

VIEWS: 89 PAGES: 10

									         Arkansas Business
                    and
    University of Central Arkansas
           Co-Sponsors of Symposium


Benefiting Arkansas: Health Issues for
               Employers
               May 7, 2008
      Health Insurance Purchasing Group History

   Process started 7 years ago - 2001

   Arkansas Legislature passed a Health Insurance Purchasing Group act
    (HIPG) in 2001 designed for small business (1 to 99 employees)

   Legislation amended in 2005 to include up to 199 employees

   Chamber Alliance Program or CAP – name given to purchasing group

   NLR CAP started on November 1, 2004

   As of March 1, 2008 there are over 1,800 covered lives.

   Over 24% of these lives had no insurance before the CAP.




                     Offered Statewide by 50 Chambers of Commerce - 2008
        Chamber Alliance Program Highlights
   Group health and Groups of One plans available

   Eligible members of the chamber

   Programs available through local independent agents who are
    members of a participating chamber

   Premium savings to employer and employee

   Program designed to cushion future rate increases

   HSA (Health Savings Account) and HRA (Health Reimbursement)

   Retain your chamber membership – keep coverage



               Offered Statewide by 50 Chambers of Commerce - 2008
                   Participating Chambers
                                                  Heber Springs
   Arkadelphia
                                                  Hot Springs
   Ashdown (Little River)
   Batesville                                    Jonesboro
   Benton                                        Lincoln
   Bentonville/Bella Vista                       Maumelle
   Booneville                                    Mayflower
   Blytheville
                                                  Monticello
   Bradley County (Warren)
   Bryant                                        Morrilton
   Cabot                                         Mountain Home
   Calico Rock                                   Mountain View
   Camden                                        Nashville
   Clarksville
                                                  Newport
   Clinton
   Conway                                        North Little Rock
   Cross County                                  Osceola
   El Dorado                                     Ozark
   Eureka Springs                                Prairie Grove
   Fairfield Bay
                                                  Rogers-Lowell
   Fayetteville
   Fordyce                                       Russellville
   Ft. Smith                                     Salem
   Grant County (Sheridan)                       Searcy
   Greenwood                                     Stuttgart
   Greers Ferry
                                                  Van Buren
   Hamburg
   Hartford                                      West Memphis



          Offered Statewide by 50 Chambers of Commerce - 2008
                         QualChoice - QCA

   All state mandated coverages apply including maternity

   Groups of One - Accept or decline basis

   No carve out groups

   Retirees not eligible




                  Offered Statewide by 50 Chambers of Commerce - 2008
                            CAP Plans

   High Deductible Health Plan – HDHP
       No co-pays – meets federal guideline
       Health Saving Account (HSA) qualified
       Health Reimbursement (HRA) qualified
       Wellness coverage


   Preferred or Flex Plan
       PCP co-pays
       Specialist co-pays
       80/20 co-insurance
       ER co-pays
       Drug card – no deductible
                        Participation Guidelines


Number of employees                          Participation Required

   2                                            2
   3-4                                          3
   5-8                                          4
   9-10                                         5
   11-49                                        50%
   50 plus                                      50%


   100% of all full time employees have         Full time is defined as 30 hours or more
    to have GROUP coverage (Spouse,               a week.
    Military or Medicare) somewhere. If
    not, then they must be placed into
    the CAP plan.




                     Offered Statewide by 50 Chambers of Commerce - 2008
                             Success Stories

   12 person group – looked 2 years for affordable plan

   40 person group – only 19 covered by old plan. CAP covered
    everybody and saved employer over 5 figures a year in premiums

   Manufacturing company was able to offer every employee insurance

   Over 40 groups of one in the plan

   24% of covered lives had no insurance before CAP
                            CAP Benefits

   Sole proprietorship eligible for group rates

   Choice of multiple deductible plans for the employer

   Choice of multiple deductible plans for the employee

   More affordable premiums

   Preventive care program

   Members of a larger purchasing pool at renewal
                 Other CAP Programs Now Available

   Voluntary Dental Coverage – Delta Dental
       100% coverage on preventative services
       No waiting period
       $1500 annual max benefit per person
       $40 deductible – max of 3 per family
       Current Delta groups of 10 or more not eligible
       Will cover a group of one.

   Short term and Long term Disability – Unum/Provident
       Groups of 2 or more
       Underwriting considerations

   Lump Sum Cancer Plan
            Composite rates – premium savings to chamber members


   Long Term Care Coverage
       Met Life
       John Hancock
       Gen Worth
       Simplified issue
       Minimum number of lives to qualify – 3   (can include spouse or family members)

								
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