Avenue H Enrollment Statistics - Enrollment Counts As of November 1, 2014

Open Forum Call Wednesday November 12, 2014 Noon Mountain Time MEETING NOTES  Avenue H Enrollment Statistics - Enrollment counts as of November 1, 2014:

Total Groups: 501 Enrolled in Medical Total Employees: 4,266 Total Dependents: 7,306 Total Members: 11,572 Dental Enrollment Total Employees: 961 Total Dependents: 580 Total Members: 1541 H S A Total Members: 1276

 “November Groups” cycle wrapped up November 7th, with payment and remittance provided to carriers

. 25 groups for November (11 new / 14 renewing)

. 10 Transitional Relief groups (of 14 renewing)

. 3 groups did not renew

. 3 groups required underwriting (all 3 were approved)

 “December Groups” Open Enrollment ends Saturday, Nov. 15th for groups effective Dec. 1st

. 168 groups in various stages of enrollment (tentative: 30+ NEW groups / 124 renewing)

. New group registration ended Monday, Nov. 10th.

. 75 Transitional Relief Groups (49 requested ACA) – tentative counts until enrollment closes

. 12 groups have informed us they will not be renewing Note: Primary reason provided for not renewing is group wants to stay with Regence or employees will be enrolling in the individual market

 “January Groups”

. 100+ renewing groups for January.

. Employers and Brokers are reviewing their rates; some have completed registration

. January rates were available in pre-quote tool on November 1st.

1 o Groups have until December 15th to enroll.

 System Enhancements - November

 Loading of 2015 Rates and Plans completed by November 1

. Rates and plans are loaded for 2015 and open to the public via the pre-quote tool located on Avenueh.com

. Carriers have reviewed and approved plans

. Certification notifications provided to participating Avenue H carriers last week Participating carriers for 2015 include:

Medical: Arches, SelectHealth, UnitedHealthcare Dental: Alpha Dental, Delta Dental, Dental Select, EMI, Guardian, Premier Access

. 75 medical plans offered for 2015, first quarter: 10 Bronze, 34 Silver, 31 Gold, 0 Platinum Out of state coverage is available for 2015; Arches is offering out of state coverage

 Plan Comparison Tool Project and SBC alignment complete

. 4th quarter Plan Comparisons available for Medical plans only (in preparation for Dec. groups)

. Beginning with January 1, 2015 groups, the plan comparison tools will be available for medical and dental

. Employees can access to comparison tools

 While enrolling in coverage

 A summary of comparison detail is available for the plan employee has elected is available anytime throughout the year from their confirmation statement

. English and Spanish version of SBC available for employees and administrators (brokers, employers) via the enrollment system. Also available to the public via the pre-quote tool

. SBC’s available in English and Spanish for most of Avenue H’s participating carriers

 Employee Access to 4 additional Demographic Fields available to employees

. Effective November 1, employees have access to add /change their email addresses, phone numbers, and preferred language

. Prior to January 1 - if employee indicates Spanish as their preferred language, they will receive all automated system notifications in Spanish; their enrollment system instructions will also be in Spanish  Rollout of New Census Layout - November 6th

. Avenue H has revised the way census information is gathered within the registration process

. Available to December groups and new groups going forward

. Groups registering now have an on-line tool to enter in their employee census information

. Includes field validation and help tools

. Census data no longer imported and validation of data will no longer be needed after an import process

. The Utah Wage & Tax Form is still required and must be obtained on-line from DWS. If not supplied, group will require review and approval by participating carriers’ underwriting team

. Employer will be unable to complete registration until all employees listed on the W&T form have been acknowledged and required information has been supplied - this new workflow provides a more automated and cleaner approach to match up employees with the W&T form supplied

. Additional enhancements to the census display will be incorporated later in November and December

 Additional Changes to Employer Registration - complete

. Beginning mid-November, Employers are asked additional questions during registration to establish the makeup of their group. Includes: count of full time, part time, and out of state employees, etc.

. If group has out of state employees, a W&T form will be requested for each state where the groups’ employees reside. System captures state code and W&T form for each of these situations

 Automation of renewal process - complete

. The renewal process is now automated

. The workflows begins 90 days in advance - initiation of a system generated email to broker or primary admin of a group -prepare for their upcoming renewal

. A 60 day notice sent - includes instructions and a link to the renewal registration page where employer completes an on-line questionnaire, selects their default plan, defined contribution, dental carrier, and answer the same set of eligibility questions they were asked when initially applying with Avenue H

. A 30 day notice sent – sent only to those failing to respond and/or complete their registration. This is a reminder notice to inform the group of possible termination of coverage

. Information gathered during registration is stored within the PlanSource system

3 . On-line tracking tool provides administrators access to when notifications went out and who they went to

 Billing Updates

. SSO (single signon) is now in place between our existing enrollment system and billing system

. Groups no longer are required to provide their banking information at the time of registration

. Once registered, the employer can visit the banking page and enter their banking information

. Beginning next month, employers will have the option to select credit card as a banking option

. Beginning in December, the monthly ACH draw (from employers) will always occur on a set day of the month; the 26th day of the month prior to the month of coverage

 Group ID for Certifi File & Carrier Billing Reconciliation - complete

. Beginning with the November bill, the Group ID will be included on the payment remittance details supplied to carriers from our billing administrator.

. The Group ID is also available to employees – access via the confirmation statement

 Training

. Broker training courses continue; schedule posted on Avenue H website

. Patty, Cole, and Rebecca are providing this training throughout the state

 Marketing

. Avenue H television advertising campaign kicked off in October.

 Includes15 second to 30 second television spots; will “air” through February.

 Advertisements feature value messaging from participating employer groups.

. Marketing campaign also included direct mailings sent to small employers.

. Avenue H has contracted with the Cicero Group/Dan Jones & Associates to perform market research.

 9 focus groups were held - included participating and not participating small business owners, brokers both credentialed and not credentialed, and groups on Ave H and those without groups on Avenue H. Feedback will be incorporated into upcoming process improvements and training sessions.

 Wrap-up 5