1. Washington Health Benefit Exchange Washington State of Reform Health Policy Conference January 8, 2015 Molly Voris, Policy Director What’s Ahead for the Exchange?

2. Enrollment Update 2  As of Dec. 23: 101,000 enrolled  76,000 reenrolled  25,000 new enrollees  Special enrollment period has been opened for those who experienced system issues to retro coverage to Jan. 1  Continuing to see enrollments; expect another surge before Feb. 15

3. Premium Aggregation 3  Exchange Board voted to remove premium collection and invoicing functionality from individual Exchange  Approximate Exchange savings: $6 million in biennium  Currently developing plan and timeline for removal; will regularly report on progress  Work closely with carriers to ensure new processes are as seamless as possible  Learnings from federal and other state exchanges will be important to improve customer experience

4. Implications of Removing Premium Aggregation 4  Anticipate that consumers will start paying and receiving invoices from carriers during next open enrollment  Two step process: After selecting a plan, consumer will be directed to pay carrier directly (enrollment will not complete until consumer pays)  Clear communications to consumers on role of the Exchange and role of the carrier in enrollment process will be critical  Should expedite receiving insurance cards after payment

5. Implications of Removing Premium Aggregation (continued) 5  Should allow Exchange to focus on key areas of eligibility and enrollment  Turn to shopping tools to improve customer’s experience and more easily understandable information on choosing a plan  Carriers will have a more direct relationship with customers, something most of them are accustomed to  Providers will receive enrollment information more quickly from carriers

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