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Published byAlexandrina O’Brien’ Modified over 9 years ago
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COHBE Business Concept “Refresh” Introduce SEWG Discussion #1: “High Level Market” Discussion #2: “SHOP in Colorado” Consensus/Recommendations/Wrap up
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Small Employers, Insurers, Brokers Actuaries State Officials (CDLE, OEDIT, DOI) NFIB, CACI MSEC Consumer Groups Policy Advocates Companies COHBE Board Members
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Utah Exchange Presentation Business Partner Market Research Adverse Selection 12 Priority Areas for SHOP decision-making Perspectives from brokers/underwriters Perspective from insurers Consensus in 6 of 12 Priority Areas
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1.Small Employer: Should the SHOP start with the current Colorado definition (<50)? -- Yes 2. Merge Markets: Should the small group and individual markets remain separate? -- Yes 3. Separate SHOP Functions: Should there be separate website & business functionality? -- Yes: for the needs of this market
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4.Services: What services should the SHOP offer? -- A general principle: “Offer services that attract small employers and provide value” 5.Market Rules: Should rules for carriers be the same in/out of the exchange? -- Yes 6.Continue SHOP Exchange? -- Yes (SB-200, proposed rule & value-added)
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Issues related to federal rule: -- Definition of Employee -- Business Group of One Issues related to future proposed rules: -- Qualified Health Plans -- Offer all plans? -- Same QHP’s in individual and SHOP markets? -- Colorado’s state requirements? Specific Planning Issues: -- Services offered -- Collect premiums? (required in proposed rule) -- Defined Contribution
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Recognize the Small Employer Work Group for their hard work, thoughtful consideration and collaboration Accept the SEWG Report Give their recommendations strong consideration in implementation of the SHOP Exchange
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