1. OneExchange Transition Texas Annual Conference
RETIREE HEALTH BENEFITS
OneExchange Transition Texas Annual Conference

2. Agenda Why The Texas Conference is changing
Post-65 Health Benefits Through OneExchange
Choosing a Plan
Paying for a Plan Plan
Texas Conference Funding
Health Reimbursement Account (HRA)
Medicare Basics – and the best news yet!
Next Steps

3. Why Are Individual Plans Attractive?
Many UMC conferences have found that offering access to individual plans with HRA funding meets both individual and conference needs.
Choice
Cost Effective
Important to remember that Medicare exchanges are much different than active exchanges, in part because so highly regulated by Medicare. It’s important to separate that in your mind with all of the “news” about active exchanges.
Individual plans through OE has allowed UMC conferences to give choice and flexibility to participants, while controlling costs for long term sustainability. A win-win for conference and participants.
Flexibility
Sustainable
Retiree exchanges are considerably different than exchanges for active employees.

4. One Exchange and Choosing a Plan

5. New Post-65 Retiree Medical Offering
Individual Medicare Supplement plan through Towers Watson’s OneExchange
May be eligible for HRA—funded by the conference if you meet conference requirements
Action required to select a plan!

6. What Is OneExchange?
Leading provider of health care solutions for Medicare-eligible retirees
Connect Medicare-eligible participants with local Medicare supplement (“Medigap”) or Medicare Advantage plans
90+ health plan carriers available, 670+ unique plans
Objective and trusted U.S.-based licensed benefit advisors (LBAs)
Objectively support each participant to make informed and confident decision about plan choice

7. Personalized Telephonic Support
Licensed Benefit Advisor
100% domestic workforce
Objective advocacy
Neutral compensation
Licensed and certified by state
UMC cultural sensitivity training
Individualized telephone support
Education about different plans, including costs
Advice and decision-making support based on current coverage and future needs
Assistance with enrolling in medical, prescription drug, dental and vision plans

8. Medicare Advantage, Medicare Supplemental, Part D Prescription, Dental, Vision
OneExchange offers plans from national and regional carriers

9. UMC Enrollment Stats 994 unique plans chosen
23 plan sponsors (2012 – 2017)
7,245 eligible members
994 unique plans chosen
92 different insurance carriers
Over the last 6 years we have guided implementation of 23 UMC groups—most are annual conferences.
You can see the variety of the plans and carriers that were available to our members—that is something that an individual employer just cannot offer with respect to variety.
There is an excellent contact and enrollment rate—OE takes connecting with everyone very seriously and if they don’t get ahold of someone, they work with Wespath and the conference to try harder.
Some do choose not to make an election because it doesn’t align with their needs. Typically they then forgo their HRA.

10. Retiree Enrollment Experience
Identify needs— (network, Rx, financial) with support from OneExchange outreach and communications
Discuss options with Licensed Benefit Advisor (call length unlimited)
Select and enroll in a plan with support from OneExchange
(participant and spouse can choose different plans)
Just a brief overview of the retiree enrollment experience.
#1: The retiree gets information from Wespath and OE to give them a sense of how to think about their needs (their doctors, what meds they are on, whether they travel a lot).
#2: Then they discuss those needs and various plan options with a benefit advisor.
#3: Once they select a plan, an enrollment specialist from OneExchange helps them enroll in the plan.

11. Personal Guidance for a Lifetime
Lifetime advocate
Navigation
Enrollment
Claim issues
Denied policies
Affordability concerns
Prescription
Late enrollment
HRA
Annual plan

12. OneExchange Plan Selection Resources
Telephonic support
Online decision support tool
medicare.oneexchange.com/wespath
24/7 access to your information

13. Health Reimbursement Accounts (HRAs)

14. Health Reimbursement Account Primer
Tax-advantaged account that can be used to reimburse eligible health care expenses
As a retiree, includes premiums and out-of-pocket expenses
Joint accounts for couples when both covered by OneExchange plans
Account administered by OneExchange
Must select a plan through OneExchange to access HRA
Funding levels determined by Texas Annual Conference

15. Health Reimbursement Account Primer
Must meet conference’s eligibility requirements to qualify for HRA
Entire HRA amount is available as of 1st of the month you enroll
Prorated if enrolled mid-year
Unused funds roll over from year to year and accumulate
No limit as long as enrolled in a OneExchange plan
If you run out of funds in one year: Can request to have claims reimbursed from next year’s funding

16. Health Reimbursement Arrangement
You may be reimbursed up to the amount available in the HRA!
© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only.

17. Health Reimbursement Arrangement
Options for Reimbursement
Option 1
Automatic
Reimbursement (including recurring premiums)
Option 2
Manual
Reimbursement
Participant
OneExchange
Insurance Carrier
Participant
OneExchange
Insurance Carrier $ $
If you are interested, the next steps are:
Scheduling a financial modeling review
We ask that you let us know if you are planning to transition in April, if possible, but we don’t need a final signed agreement until after AC in June. We will try to work with you in May/June on defining your eligible group
Workshops supported by OE and Wespath in the fall in advance of enrollment season!
© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only.

18. HOW MEDICARE WORKS Medicare Advantage Plan
Medicare Supplement Plans (Medigap plans)
Medicare prices? Age? Health? Where you live?

19. How Medicare Works

20. Optional Coverage (your choice)
Your Future Coverage
How Medicare coverage works
Primary Coverage
Medicare A and B
Additional Coverage (your choice) Medicare Advantage with Prescription Drug (MAPD) or Medigap + Prescription Drug
Optional Coverage (your choice)
Dental Plans
Vision Plans
© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only.

21. Your Medicare Options MAPD HMO PPO
Option 2: MAPD: Medicare Advantage + Prescription Drug plan
MAPD
HMO
PPO
* Note that Medicare Advantage plans are generally network based plans.
© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only.

22. Prescription Drug Plan
Your Medicare Options
Option 1: Medicare Supplement Insurance (Medigap) and Prescription Drug plan
Medicare Supplement
Insurance
Prescription Drug Plan
Note: You may need to pay your first premium when you enroll in coverage.
© 2016 Willis Towers Watson. All rights reserved. Proprietary and Confidential. For Willis Towers Watson client use only.

23. Standardized Medigap Policies
10 Standardized Medicare Supplement Plans
Designated letters for plan types (Plan A, Plan B, etc.)
Specific set of basic and extra benefits
Plan bought from one insurance company has same basic benefits as same plan bought from any other insurance company
Carriers can only compete on price – price based on age and zip code

24. Access and Minimum Plan Costs— Texas Conference Retirees: Top 10 Areas
Number of Plan Options Offered
Minimum Monthly Premiums
MSA
MAPD
Medigap
PDP
Medigap*
Houston-Sugar Land-Baytown, TX MSA
12-37
20-27 18 $0
$225
$17
TX NONMETROPOLITAN AREA
4-23
21-27
Tyler, TX MSA 19 25
Longview, TX MSA
7-19
25-27
College Station-Bryan, TX MSA
17-18 27
Dallas-Fort Worth-Arlington, TX MSA
21-24
$232
Austin-Round Rock, TX MSA
22-28
Texarkana, TX-Texarkana, AR MSA 5
Beaumont-Port Arthur, TX MSA
21-26
$246
San Antonio, TX MSA
15-23
If you are interested, the next steps are:
Scheduling a financial modeling review
We ask that you let us know if you are planning to transition in April, if possible, but we don’t need a final signed agreement until after AC in June. We will try to work with you in May/June on defining your eligible group
Workshops supported by OE and Wespath in the fall in advance of enrollment season!
Based on the census information provided, Texas Annual Conference retirees would have access to a meaningful variety of plan choices in the individual market.
* Medigap premium is based on lowest premium available to a 75-year-old male for Plan F (i.e., the richest and most popular Medigap plan).

25. So, What’s Next?

26. Timeline and Next Steps
August Communications
Letter from Texas Annual Conference
Letter from Wespath
Mailing from OneExchange
Getting Started Guide
Enrollment Guide
Schedule enrollment call with OneExchange
If you are interested, the next steps are:
Scheduling a financial modeling review
We ask that you let us know if you are planning to transition in April, if possible, but we don’t need a final signed agreement until after AC in June. We will try to work with you in May/June on defining your eligible group
Workshops supported by OE and Wespath in the fall in advance of enrollment season!

27. Timeline and Next Steps
October—Medicare Open Enrollment Begins
Review plan choices online (optional)
Complete enrollment call with OneExchange
Enroll in a plan before December 31, 2017
Receive new ID cards
If you are interested, the next steps are:
Scheduling a financial modeling review
We ask that you let us know if you are planning to transition in April, if possible, but we don’t need a final signed agreement until after AC in June. We will try to work with you in May/June on defining your eligible group
Workshops supported by OE and Wespath in the fall in advance of enrollment season!
January 1, 2018
Your new plan benefits begin

28. Questions and Answers

29. Disclaimer
The material in this presentation is provided as general information and education; it should not be construed as, and does not constitute, legal advice nor accounting, tax or other professional advice or services on any specific matter, nor does this message create an attorney-client relationship. Readers should consult with their counsel or other professional adviser before acting on any information contained in this presentation.