Information on Your Health Insurance Options for 2019 Introducing Cigna Information on Your Health Insurance Options for 2019 Human Resources Office

Why Change Providers?

Why the Change? United’s initial quote for 2019 was for a 24.8% increase due to an increase in claims. After negotiation, United provided a revised quote of a 18.4% increase The Benefits Advisory Committee (BAC) reviewed other quotes beginning in March Cigna offered the best alternative with an increase of 11% on a self-insured basis (actual increase spreads from 7.26%-12.81% depending on plan and tier level)

Self-Insurance vs. Fully Insured Moving to a self-insured plan from a fully insured plan does not impact the employee or Stetson’s relationship with the provider The difference lies in how claims are managed and paid from a risk perspective A fully insured plan involves an upfront price agreement, and the insurer pays the claims that come in A self-insured plan has the University paying the claims as they occur

Review of Cigna

Benefits of Cigna Lowest overall cost without reducing benefits Benefits are a match or are enhanced relative to United plans OAP Performance = United Choice (HMO like option) OAP Option = United Choice Plus (PPO like option) Dedicated customer care line (One Guide) Feedback from the BAC survey indicated employees wanted a better customer service experience Customer care line offers support from people familiar with our plans starting prior to 1/19 to help in transition 1-888-806-5042 -Customer service line on steroids!

Benefits of Cigna Nationwide network of providers, including telemedicine options and emergency coverage for international travel Limited disruption to providers (doctors, labs, etc.) 93% of providers utilized by employees were in-network with United 93% of providers would also be in-network with Cigna Labcorp and Quest are both in-network labs Expanded wellness offerings, with more funding available for marketing, incentives, screenings, and other opportunities

Changes with Cigna Prescription disruption About 5% of total prescriptions written in 2018 face negative disruption (moving up in tier or are excluded) 3% positive disruption Rx plan similar in style and approach to FloridaBlue plans 90 day retail options are limited CVS and Walmart participate Publix, Walgreens, others don’t participate 90 Now network

Changes with Cigna Prior Authorization and Step Therapy Stetson is working on ways to limit the impact by coordinating with United and Cigna Employees should still talk to their doctors about providing information to Cigna about any treatments or drugs that have gone through previous step therapy or prior authorizations

What Else Should I Know?

Currently there are two Dental plans available: Delta Dental DHMO Delta Dental PPO Starting in January there will be a new mid-tier PPO plan available Lower premium PPO network Higher deductible/lower annual maximum

HR Website/Communications Bookmark our page: https://www.stetson.edu/administration/human-resources/employee-resources.php

HR Website/Communications Weekly updates on Cigna via the website, email, and Stetson Announce Future communications include: Open Enrollment, Benefit Fairs, and Cigna sessions Information about One Guide phone number 2019 Rate Sheets Updates on the third dental plan

Open Enrollment Everyone will need to submit a new Benefit Enrollment/Change Form electing 2019 health benefits FLEX forms if electing for 2019 Life Insurance forms only for changes Visit the HR Benefits page Click on the Open Enrollment Schedule and Process page Also visit the Open Enrollment Scenarios page

Benefit Fairs DeLand Benefits and Wellness Fair Thursday, October 4th in the Stetson Room from 9am-1pm College of Law Benefits and Wellness Fair Tuesday, October 9th in the Great Hall and Mann Lounge from 11:30am – 1:30pm Additional sessions with Cigna reps TBA

What You Can Do Check to ensure your doctors, pharmacies, and other health providers are in-network Visit cigna.com Click on the Find a Doctor, Dentist or Facility link at the top of the page Click on plans through your employer or school Type in a search location, and select the OAP plan option Or call your doctors and ask if the are in-network for the Cigna OAP network

What You Can Do Talk to your doctor about your prescription drugs Rx formularies will be posted as soon as we have them Explain you are moving to the Cigna OAP network Call the One Guide number and talk to Cigna about your options Reach out to Lori with problems/issues Be your own best health advocate

Thanks for your time and attention! Questions? Thanks for your time and attention!