West Virginia Retiree Health Benefit Trust Fund and PEIA Finance - - PowerPoint PPT Presentation

west virginia retiree health benefit trust fund and peia
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West Virginia Retiree Health Benefit Trust Fund and PEIA Finance - - PowerPoint PPT Presentation

West Virginia Retiree Health Benefit Trust Fund and PEIA Finance Board Meeting Thursday, January 21, 2016, 1:00 p.m. Canaan Valley Room 1041, DEP Building, 601 57th Street, SE Charleston, WV 25304 Agenda Roll Call Call to Order Approval


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West Virginia Retiree Health Benefit Trust Fund and PEIA Finance Board Meeting

Canaan Valley Room 1041, DEP Building, 601 57th Street, SE Charleston, WV 25304

Thursday, January 21, 2016, 1:00 p.m.

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Agenda

  • Roll Call
  • Call to Order
  • Approval of Minutes
  • Financial Update
  • Public Comment
  • Vote on FY2017 Financial Plan
  • Director Update
  • Old Business
  • New Business
  • Schedule Next Meeting

2 PEIA/RHBT Finance Board Meeting

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Roll Call

Jason Pizatella, Chairman Members: Brian Donat James W. Dailey, II Troy Giatras Elaine Harris William “Bill” Ihlenfeld William “Bill” Milam Michael T. Smith Joshua Sword

3 PEIA/RHBT Finance Board Meeting

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Approval of Minutes

December 10, 2015

Jason Pizatella, Chairman

4 PEIA/RHBT Finance Board Meeting

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Financial Update

5 PEIA/RHBT Finance Board Meeting

Ted Cheatham PEIA Director Jason Haught, CPA PEIA Chief Financial Officer Chris Borcik, CPA CCRC Actuaries

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6 PEIA/RHBT Finance Board Meeting

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7 PEIA/RHBT Finance Board Meeting

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New Funding: How does this affect employees?

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Active Employees 12% Rate Increase (80/20 Rule) Non-State Agencies 4% Rate Increase (Parity) Non-Medicare Retirees 12% Rate Increase (Parity) Medicare Retirees 12% Rate Increase (Parity)

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Health Promotion Benefit Changes (Except Medicare Retirees)

9 PEIA/RHBT Finance Board Meeting

  • Face-2-Face diabetes program will become a two year

program similar to weight management. After two successful years, members will graduate.

  • Healthy Tomorrows reminder
  • Have a primary care provider
  • Submit your biometric form completed by your doctor
  • Submission must be in before May 15, 2016, to avoid an additional

$500 deductible for plan year FY 17

  • Start working with your doctor to get your numbers in range for FY

18

  • Considering a premium differential for FY 19 instead of the

increased deductible

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Proposed Benefit Adjustments for Plan Management

Non-State, State, Non-Medicare Retirees, Special Medicare

10 PEIA/RHBT Finance Board Meeting

  • Increase Urgent Care copay to $50
  • Add Telehealth at $40 copay (Legislation Needed)
  • For CCP members, charge $40 copay for ANY non-CCP office visit
  • Remove Living Will Discount
  • Remove non-network out-of-state benefits
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Proposed Benefit Adjustments

Non-State, State, Non-Medicare Retirees, Special Medicare

11 PEIA/RHBT Finance Board Meeting

  • Add $500 emergency room copay for high risk

behaviors:

  • Accidents while driving motorcycle or UTV/ATV

without a helmet

  • DUI/DWI or Drug -related accidents
  • Failure to wear seatbelt(s)
  • New fee schedule for select items = $2,000,000 Plan

savings

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Proposed Fee Schedule for Selected Items

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Proposed Rates Non-State Agency

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Proposed Premium Increase

Active Employees

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5 Year Plan State and Non-State

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Proposed Benefit Adjustments Non-Medicare Retiree

  • 12% Premium Increase
  • See Active Page

16 PEIA/RHBT Finance Board Meeting

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Proposed Rates Non-Medicare Retirees

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Proposed Benefit Adjustments Medicare Retiree

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  • 12% Premium Increase
  • Remove Living Will Discount
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Proposed Rates Medicare Retiree

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5 Year Plan Non-Medicare & Medicare Retiree

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Public Comment

21 PEIA/RHBT Finance Board Meeting

Jason Pizatella, Chairman

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Voting of the FY2017 Financial Plan

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Jason Pizatella, Chairman

Members:

Brian Donat James W. Dailey, II Troy Giatras Elaine Harris William “Bill” Ihlenfeld William “Bill” Milam Michael T. Smith Joshua Sword

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Director Update

Ted Cheatham PEIA Director

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Old Business

Jason Pizatella Chairman

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New Business

Jason Pizatella Chairman

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Schedule Next Meeting

April 21, 2016, 1:00 pm

Jason Pizatella Chairman

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Adjourn

Jason Pizatella Chairman

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If you want to request a copy of today’s meeting materials, please contact: Twila Neil (304) 957‐2620 twila.j.neil@wv.gov

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