Retiree Health Benefits Learning Session - New Hampshire

Retiree Health Benefits Learning Session

June 2017

NH Department of Administrative Services (DAS)

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Allow Us to Introduce Ourselves!

? Department of Administrative Services (DAS)

Cassie Keane, Director of Risk and Benefits Joyce Pitman, Deputy Director Health Benefit Plan

? National Diabetes Prevention Program, NH Department of Health and Human Services

Turcina McNeilly, Public Health Advisor, Centers of Disease Prevention and Control

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Today's Agenda

? Provide background about the Retiree Health Benefits budget challenges

? Update you on the State budget process ? Update you on the status of the FY 18/19 Retiree Health

Benefits budget ? Educate you about the National Diabetes Prevention

Program for both non-Medicare and Medicare retirees ? Talk about making wise health care choices that can help

reduce costs to the Plan and help you lower your out-ofpocket health care costs

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The Retiree Health Benefits Budget Challenges

? We will review the variables that influence future funding of the Retiree Health Benefits budget

? We will review the FY 18/19 Retiree Health Benefits budget as passed by the House Finance Committee, the Senate and the Committee of Conference

potential 2018 monthly Premium Contribution for Medicare retirees potential increase in monthly non-Medicare Premium Contribution

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The Variables in Health Care Management

? Enrollment/Headcount

? Cost Trends

Medical and RX Cadillac Tax Concern about sustainability of funding

? Budget Funding

? Plan Design

Enrollee Premium Contributions Enrollee Cost Sharing

? Deductibles ? Co-Pays ? Maximum Out-of-Pocket expenses (MOOP) ? Coinsurance ? Getting the quality care you need to prevent more serious health issues

For non-Medicare: Incent members to use low cost providers through programs like Vitals SmartShopper

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In 2002, the largest employee age group was age 46-50. In 2016, the largest employee age group was age 51-55.

# of employees

# of Employees in 2002 # of Employees in 2016 2000 1800 1600 1400 1200

Employees by Age Distribution

(Filled Positions)

1801 1887 1857

1466 1167

1106

1341

1589 1537 1130

1000 800 600 400 200 0

770

815

864

607

450 379

114 49

16-20 21-25 26-30 31-35 36-40 41-45 46-50

Age

51-55

845

345 274

110 56-60 61-65 >65

Division of Personnel 2016 Annual Report

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Retiree Enrollment by Fiscal Year

10,000 9,000 8,000 7,000 6,000 5,000 4,000 3,000 2,000 1,000 -

7,820 3,503 Jun-12

8,221 3,272 Jun-13

8,529 3,196 Jun-14

8,799 3,072 Jun-15

9,117 2,980 Jun-16

Non-Medicare Eligible Members (U65) Medicare Eligible Members (O65)

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Retiree Plan Members by Age Bracket

Number of Members

5,548 (45%) members over age 70

3,000

2,500

2,000

1,884 (15%) members over age 80

2,987

2,232

323 (3%) members over age 90

Non-Medicare Eligible Members (U65) Medicare Eligible Members (O65)

1,500

1,452

1,427

1,000 500 0

799

367

239 22

105 37

680 37

0-50 51-55 56-60 61-65 66-70

4

71-75

1

76-80

977

583

266

1

46 11

81-85 86-90 91-95 96-100 101-105

Source: Anthem March 2017

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