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 COHBE Business Concept “Refresh”  Introduce SEWG  Discussion #1: “High Level Market”  Discussion #2: “SHOP in Colorado”  Consensus/Recommendations/Wrap.

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Presentation on theme: " COHBE Business Concept “Refresh”  Introduce SEWG  Discussion #1: “High Level Market”  Discussion #2: “SHOP in Colorado”  Consensus/Recommendations/Wrap."— Presentation transcript:

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2  COHBE Business Concept “Refresh”  Introduce SEWG  Discussion #1: “High Level Market”  Discussion #2: “SHOP in Colorado”  Consensus/Recommendations/Wrap up

3 Small Employers, Insurers, Brokers Actuaries State Officials (CDLE, OEDIT, DOI) NFIB, CACI MSEC Consumer Groups Policy Advocates Companies COHBE Board Members

4  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

5 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

6 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)

7  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

8  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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