1. Everett School Employee Benefit Trust
    1. 2008 Renewal Planning
      1. HMA Self-Insured PPO Medical
      2. ESI Self-Insured Pharmacy
      3. Symetra Stop-Loss
      4. Group Health Fully-Insured HMO Medical
      5. PacifiCare Fully-Insured HMO Medical
      6. MetLife Fully-Insured Life and AD&D Insurance
      7. Standard Fully-Insured STD, LTD and EAP Insurance


 

 

 

 

 

 

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Everett School Employee Benefit Trust



2008 Renewal Planning


 



HMA Self-Insured PPO Medical
§ 3.4% ASO fee increase effective 1/1/2007
§ Plan Changes Effective at Last Renewal
Modifications to preventive benefits (mammograms and prostate screenings)
Change lifetime maximum language definition of spouse as recommended by HMA
§ Issues or changes to consider for 2008 renewal?


 



ESI Self-Insured Pharmacy
§ Coverage moved from NMHC to ESI effective 1/1/2007
§ Two-year contract through 12/31/2008
§ Issues or plan design changes to consider?


 



Symetra Stop-Loss
§ 16.1% increase effective 7/1/2006
§ Mercer requesting renewal effective 7/1/2007
§ Consider marketing coverage?


 



Group Health Fully-Insured HMO Medical
§ 7.6% premium increase effective 1/1/2007
§ Plan Changes Effective at Last Renewal
Introduce two-tier copays of $10 generic and $20 brand
Adopt 15th of the month premium rule for newborns and adopted children
Time served under other employer plan for organ transplants
§ Issues or changes to consider for 2008 renewal?


 



PacifiCare Fully-Insured HMO Medical
§ 6.2% premium increase effective 1/1/2007
§ Potential transition to UHC platform
§ Issues or changes to consider for 2008 renewal?


 



MetLife Fully-Insured Life and AD&D Insurance
§ Multi-year rate guarantee ending 12/31/2007
§ Issues or changes to consider for 2008 renewal?
§ Consider marketing coverage?


 



Standard Fully-Insured STD, LTD and EAP Insurance
§ Effective 1/1/2007:
13% premium increase for STD
20% premium increase for LTD
Rate pass for EAP services
§ Issues or changes to consider for 2008 renewal?
§ Consider marketing coverage?


 

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