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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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