© 2012 Blue Cross and Blue Shield of Minnesota. All rights reserved Renewal Bulletin Andrew Roos and Janet Doyle August 30 th, 2013

© 2012 Blue Cross and Blue Shield of Minnesota. All rights reserved. GRANDFATHERED PLANS CO-OP CDHP PLANS CANNOT BE GRANDFATHERED SUMMARY BENEFITS OF COVERAGE ACA ASSESSMENTS PATIENT CENTERED OUTCOMES RESEARCH FEE $2 / MEMBER “TEMPORARY” REINSURANCE FEE$63 / MEMBER

© 2012 Blue Cross and Blue Shield of Minnesota. All rights reserved. ACA EMPLOYER NOTICE EMPLOYEE COVERAGE OPTIONS MODEL COBRA ELECTION NOTICE

PREVENTIVE HEALTH BENEFITS COVERAGE FOR POLYP AND TUMOR REMOVAL DURING ROUTINE COLONOSCOPY OVER-THE-COUNTER CONTRACEPTION (W/ RX) SMOKING CESSATION DRUGS (W/ RX)

90 DAY WAITING PERIOD REQUIREMENT SPECIAL ENROLLMENT NO MORE LATE ADDS LIST OF TRIGGERING EVENTS BEHAVIOR HEALTH EARLY INTENSIVE BEHAVIORAL INTERVENTION (EIBI)

SUNSETTING OF FLUSTOP CREDITABLE COVERAGE DISCLOSURE FOR RX BENEFITS SMALL GROUP CHANGES IRS-SSA-CMS DATA MATCH

BLUE CROSS UPDATE ACCOUNTABLE CARE ORGANIZATIONS (ACO) BLUEPRINT - ALLINA BLUECONNECT – SANFORD MINIMUM VALUE PLANS $6,350 DEDUCTIBLE W/ OPEN RX FORMULARY $6,000 DEDUCTIBLE W/ CLOSED GENRX FORMULARY

Blue Cross ® and Blue Shield ® of Minnesota is a nonprofit independent licensee of the Blue Cross and Blue Shield Association.