2018 Employee Benefits 5 October 2017 Staff Senate 2018 Employee Benefits 5 October 2017

Open Enrollment & Town Hall Dates Events Open Enrollment weeks October 23 to November 3 Special online link through OUHSC homepage Encourage employees to review elections and update beneficiary, address, etc. Rollover enrollment Flexible Spending Accounts require election every year (IRS Rule) Town Hall Education Events – Samis Center Rainbolt Auditorium at Children’s Hospital October 17th at 3:00 p.m. and October 18th at 8:00 a.m. Benefit Fairs October 24th 7 a.m. to 12:00 p.m. Bird Health Sciences Library Atrium October 26th 12:00 p.m. to 5:00 p.m. College of Allied Health Atrium

Employee Assistance Program Magellan Employee Communications On-site Training On-site critical incident debriefings Threat assessment and management Work/Life Balance Services – legal, financial daycare and elder care referral Topical library 6-visit model Appointments in 2-3 business days (non-crisis) Same day appointments (crisis) Supervisory consultations Materials downloadable from Magellan website

Short-Term Disability Voluntary Policy Provider Change Guaranteed issue to new entrants Waiting period for pre-existing condition 3/6 month; AFLAC was 12/12 26 week duration 1 (first day accident coverage) /15 day illness elimination period Group rated premiums Lower rates than AFLAC Voluntary policy 100% employee paid premium Guaranteed issue for current AFLAC policy holders

2018 Medical & Prescription Plan Administrator Blue Cross and Blue Shield of Oklahoma Request for Proposal issued in June Board of Regents approved Blue Cross and Blue Shield of Oklahoma as medical and prescription plan administrator for 2018 in September Plan premium rate increase – PPO 4.9%; HSA 9.1% Plan Design Major Features Blue Options Preferred Provider Networks – coinsurance shares Blue Preferred 90%/10% Blue Choice 80%/20% Non Network 50%/50% Blue Preferred and Blue Choice cross-feed accumulators Deductibles Blue Preferred: Individual $500 / Family $1,000 Blue Choice: Individual $1,000 / Family $2,000 Pharmacy network is BCBSOK’s Prime Therapeutics - Prime National Pharmacy Network Specialty prescriptions filled exclusive through Prime Specialty Pharmacy No courtesy refill at a non-BCBSOK Prime pharmacy Out of Pocket Maximums Combined into One Accumulator – Medical + Pharmacy Blue Preferred: Individual $4,000 / Family $8,000 No change to prescription drug co-payments

2018 Medical & Prescription Plan Administrator Plan Design Major Features (Continued) Bariatric surgery and treatment a covered benefit only at HSC facilities Blue Cross flexibility regarding MRI and other high-intensity imaging Targeted mailings for prescription formulary disruptions per prior claims history Contracting with OU College of Pharmacy retail pharmacies Open formulary – Federal Legend Drug - pricing by drug classification as generic – preferred – non-preferred Must use a BCBSOK prescription network pharmacy – no out-of-network benefit Different accumulators for medical out-of-pocket expense by in-network and out-of-network

Other Benefit Programs No change to Vision Service Plan No change to Lincoln Life long-term disability or life insurance No change to Delta Dental

Premium Contribution Structure Collapse of 6-Tier to 3-Tier Structure Recruitment and retention issue developing over the cost of medical insurance particularly for family coverage 6-tiers structure cumbersome Academia common salary delineated pricing of the premium; much less common in private sector OUHSC overall pays 75% of premium cost on average Single cost will increase, family cost decrease Management to discuss implementation this year Proposal is a 3-tier structure