1. Delaware’s Health Insurance Marketplace: Update on Activity Delaware Health Care Commission, January 9, 2014 Secretary Rita Landgraf, Department of Health and Social Services

2. Agenda Updates since last Health Care Commission meeting Enrollment activity Marketplace Guide update Marketing and website update Stories from the ground Key dates 2

3. Pharmacy “Bridge” Coverage Several national pharmacies have announced plans to provide short-term supplies of prescriptions to those newly-enrolled in a Marketplace plan who have not yet received an ID number from their insurance company Customers must provide the pharmacy with proof of their enrollment Customers may receive up to a 30-day supply of their medications to cover any gap in coverage Participating pharmacies include Walgreens, Rite-Aid, CVS and Walmart 3

4. 90-Day Grace Period for Non-Payment of Premium The ACA provides a 90-day grace period during which insurers cannot terminate coverage for premium tax credit recipients who fail to pay their share of the premium. Those enrollees who do NOT receive a premium tax credit will be allowed a 30- day grace period for premium non-payment. Impact to Insurers, Providers and Enrollees: Insurers must cover claims incurred in the first month of nonpayment, but for the second and third months may “pend” payments. If the enrollee pays the premium during the grace period, the insurer must reinstate the enrollee and cover any claims. If the enrollee does not pay, the issuer can deny payment of claims and must refund advance tax credits received for the second and third months.  Important—If the enrollee does not pay the premiums by the end of the 90-day grace period, the enrollee will be left responsible for paying providers and repaying the tax credit received for the first month, as well as the first month’s premium. 4

5. Delawareans with coverage due to ACA As of January 3, 2014, 4,241 Delawareans have gained access to health care coverage through expanded Medicaid and the Marketplace since October 1 5

6. Marketplace Enrollment Update Number of individuals who selected plans through the Marketplace as of January 3, 2014: 3,183 Number of paid enrollments as of January 3, 2014: 1,145 Enrollment update from the Federal Government is expected in mid-January 6

7. Medicaid Update Number of individuals assessed eligible for Medicaid/CHIP by the Marketplace by the U.S. Dept. of HHS = 5,732 Electronic account transfer between the State and FFM has been delayed. Delaware is among the first group of states selected for testing account transfer functionality with the Marketplace. Delaware has successfully implemented account transfer to the Federal government and successfully received account transfers from the Federal government in a test environment. For those individuals assessed eligible for Medicaid by the Federal Government, DHSS is conducting further outreach and completing eligibility determinations. As of January 3, 2014, 1,058 adults were enrolled in the Medicaid program under the ACA expansion. 7

8. Trend of Marketplace Enrollments 8 9-Jan

9. Newly Covered Delawareans by County 9

10. Newly Covered Delawareans by Age 10 Note that rounding may account for deviations from 100%

11. Choosing the best enrollment “door” We are still encouraging the use of the most direct “door” for most efficient enrollment experience: ASSIST – Delaware’s portal for those Medicaid eligible https://assist.dhss.delaware.gov/https://assist.dhss.delaware.gov/ Healthcare.gov – Federal portal for those who may qualify for a subsidy Directly through insurers – for those who do not expect a subsidy; links are available on ChooseHealthDE.com 11

12. Choosing the most efficient “door” ASSIST (<138% FPL or <212% for children and pregnant women) Medicaid eligible ASSIST (<138% FPL or <212% for children and pregnant women) Medicaid eligible Healthcare. gov (139-399% FPL) Eligible for Federal Subsidies Healthcare. gov (139-399% FPL) Eligible for Federal Subsidies Insurers (>400% FPL) Not-eligible for subsidies Insurers (>400% FPL) Not-eligible for subsidies The most efficient “door” for Delawareans: 12

13. Marketplace Guide Activities to Date As of January 7, 2014: 81 fully-certified Marketplace Guides 216 completed enrollments 486 completed applications 1020 outreach activities conducted Between October 1 and December 31, 2013, Marketplace Guides have referred 298 consumers to Medicaid

14. Enrollment Support Guides continue to focus the bulk of their efforts on meeting one-on-one with consumers to facilitate Marketplace applications and enrollments Guide organizations have and will continue to offer larger scale enrollment events to connect with the maximum number of consumers possible Please check www.ChooseHealthDE.com for the most up-to-date information about Marketplace Guide activities, including enrollment eventswww.ChooseHealthDE.com 14

15. Advanced Resolution Center The Federal government continues to refer consumers with difficult cases to advanced resolution centers housed at CMS regional offices Consumers that call the Federal Contact Center at 1-800- 318-2596 may have their case referred for active casework These consumers will receive follow-up communication from the appropriate party, which may include the designated caseworker, insurance company, call center representative or other entity DHSS has also been working with the Delaware Congressional Delegation to resolve some consumer issues 15

16. Plan Enrollment Verification Consumers who enrolled in a plan through the Marketplace and paid their first month’s premium prior to January 1 st should have received a welcome packet or other communication from their chosen insurance company. For those who have not received this information, we urge the following steps: Contact the insurance company directly to verify that enrollment information has been properly received. Consumers are encouraged to have the following information ready when verifying enrollment: Name of plan enrollee, Marketplace Account ID, full Plan Name, names of anyone included on the Plan, date the enrollee completed transaction through the Marketplace If the insurance company is unable to confirm the enrollment, consumers are urged to contact the Federal Contact Center immediately to determine if there are any issues regarding their selection/enrollment transaction. 16

17. Get help from the QHP Insurance Companies The table below provides links to each of the Delaware QHP Insurance Company Customer Service Centers Insurance CompanyCustomer Service WeblinkCustomer Service Phone Coventry Health and Life Insurance Company http://www.coventryone.com/ 855-449-2889 Coventry Health Care of Delaware http://www.coventryone.com/ 855-449-2889 Highmark Blue Cross Blue Shield of Delaware http://www.highmarkbcbsde.com/ 888-601-2242 TTY: 888-232-5460 Delta Dental Insurance Company http://www.deltadentalins.com/ 800-932-0783 Dentegra Insurance Company https://www.dentegra.com/ 877-280-4204 Dominion Dental Services, Inc. https://www.dominionmembers.com/ https://www.dominiongroups.com 888-518-5388 17

18. Marketing Updates ChooseHealthDE.com redesign Clear and easy navigation to address most common consumer issues Highlights availability of Marketplace Guides and other enrollment assistance Beginning the second phase of the marketing and media campaign. Young Invincibles (18-29 year olds) will be a major focus of marketing and outreach efforts in 2014 Conducted 2 focus groups with this age group in December, one in Georgetown, one in Wilmington 18

19. ChooseHealthDE.com (English version): As of Jan. 6, 2014, there have been 134,959 visits Visitors are staying an average of 2 minutes, 33 seconds

20. ChooseHealthDE.com (Spanish version): As of Jan. 6, 2014, there have been 8,526 visits. Visitors are staying an average of 2 minutes, 48 seconds.

21. HEALTHCARE.GOV Traffic from ChooseHealthDE.com to HealthCare.gov: As of Jan. 6, 2014, ChooseHealthDE.com has directed 27,117 visits to HealthCare.gov. 21

22. Stories from the Ground A 26-year-old Newark woman, who isn’t offered insurance through her job, chose a catastrophic plan. She is excited that her PCP is in-network and that her co-pay for visits will be only $20. Her monthly premium is $134. A 62-year-old Felton woman and her husband, who are self-employed and have individual insurance, met with a marketplace guide to look for “something more affordable.” She and her husband received a tax credit and are relieved to have new affordable insurance. A 44-year-old New Castle man, who has been trying to enroll since Oct. 1, was able to enroll on Dec. 24. 22

23. Stories from the Ground A family from Dover was assisted at a Westside Family Healthcare enrollment event by a Spanish-speaking guide. The child is enrolled in CHIP, and the husband and wife -- who received a $545 tax credit -- will pay $38 a month for a Marketplace plan. A Rehoboth Beach man was incorrectly flagged as being potentially eligible for Medicaid. He has an upcoming appointment with a Marketplace Guide to resolve his application. A Bear man in his 50s, who received a $242 tax credit, will pay $334 a month. He told a Guide he is relieved to have insurance. 23

24. Stories from the Ground 24 A Delaware woman, who thought she had enrolled for medical and dental coverage Oct. 20 but whose enrollment became stuck, enrolled Dec. 20 with the help of Rep. John Carney’s office and a troubleshooting team from HHS. A 26-year-old Wilmington woman, who works part-time at a hospital and is a UD nursing student, received a tax subsidy and will pay $100 a month. “I feel like the ACA was built for people like me,” she said. One of Westside’s Guides enrolled herself and her 19-month-old daughter, who qualified for CHIP, in 15-20 minutes. The Guide, who will receive a $93 tax credit; will pay $138 a month.

25. Key Dates DateMilestone January 14, 2014First premium payment due for coverage that began January 1 st for those consumers who selected Coventry Health & Life or Coventry Healthcare of DE plans January 15, 2014First premium payment due for coverage that began January 1 st for those consumers who selected Highmark BCBS plans January 31, 2014Last day of coverage for those in the Pre-Existing Condition Insurance Plan (PCIP). March 15, 2014Last day to enroll for coverage to begin on April 1; those who enroll between March 16-31 will have coverage beginning May 1. March 31, 2014Last day of open enrollment for coverage in Plan Year 2014. In order to buy a Marketplace health insurance plan outside the open enrollment period, you must have a qualifying life event. November 15, 2014-January 15, 2015 Open enrollment begins for coverage in Plan Year 2015