1. Washington Health Benefit Exchange Outreach Technical Advisory Committee January 9, 2014

2. Meeting Protocol ▪ Open public meeting ▪ Callers are in listen-only mode ▪ Participation limited to Outreach TAC Members ▪ Public comment period at end of meeting ▪ GotoWebinar ▪ Chat feature ▪ Raise your hand ▪ We will unmute committee members (please mute your own phone) 2

3. Agenda 3 Welcome and HBE Updates Open Enrollment Washington Healthplanfinder Business Update Future Navigator Program

4. 4 Outreach Technical Advisory Committee Membership Eric EarlingPremera Carrie GloverWithin Reach Matthew McColmOffice of Raul Martinez Farmers Insurance Robin HillearyModa Health Sally MildrenCoordinated Care Courtney NormandPlanned Parenthood Votes Northwest Patricia GepertWash. Association of Community and Migrant Health Centers Brittany JonesCowlitz Indian Tribal Health Clinic Jaelen PaceVolunteers of America Suzanne PakCornerstone Medical Services Dr. James PoloMary Bridge Children’s Healthcare Mary WoodHealth Care Authority

5. HBE Updates – Enrollment Update ▪ QHP enrollments = 141,000 ▪ Apple Health (continuous enrollment) ▪ Expansion population = 471,600 ▪ 9,300 renewing applicants moved from a QHP to WAH ▪ Special Enrollment Period starting Feb. 17 ▪ SEP Close date of April 17 (webinar Feb. 18) ▪ System issues, did not understand penalty, instructions were unclear ▪ IT System Architecture and Code Review 5 QHPs – new 51,000 QHP renewals 90,000

6. HBE Updates – Efforts toward Renewals ▪ Correspondence ▪ Renewal letters and e-mails (November) ▪ Survey ▪ Media ▪ Press release/media tour and coverage (tv, radio, print, digital) (December, January) ▪ PSA – Russell Wilson/Richard Sherman ▪ Call Center ▪ Managing call volume with minimal waits during most hours ▪ Open extended hours through Feb. 15 ▪ Reaching out to 2014 enrollees who have not renewed with 2 Robo-calls, 2 e-mails ▪ Navigators/Brokers ▪ Reaching out to 2014 enrollees who have not renewed in 2015 ▪ Telephone/e-mail 6

7. HBE Updates Premium Aggregation ▪ HBE will discontinue collecting premium payments in 2016 ▪ Moving forward to target date of October 1, 2015 Adult Dental Plans ▪ Stakeholder interest in promoting Adult Dental ▪ Difficult to implement by October 1 ▪ Medicaid Plan Selection ▪ Moving forward toward April release ▪ Consumer usability ▪ Community stakeholder updates – MPS@hca.wa.govMPS@hca.wa.gov ▪ Community stakeholder meeting February 18th 1-2 p.m 7

8. Marketing & Outreach Update ▪ Seahawks PSA ▪ Enrollment Efforts ▪ All Hands on Deck ▪ Community events ▪ Ads ▪ Partnerships ▪ KING 5 ▪ Univision ▪ Live Nation 8

9. HBE Updates - Budget ▪ No-Cost Extension across HBE programs through 2015 ▪ Supplemental Federal Grant Request - 2015 ▪ 2015 HBE State Operating Budget ▪ HBE Leadership continues to meet with various Legislative Committees ▪ HBE Budget request submitted with HCA package ▪ $10 million allocation in Governor’s to DSHS for Medicaid enrollment 9

10. New Tax Reporting Requirements ▪ Non-Healthplanfinder Coverage ▪ Minimum Essential Coverage ▪ Exemption ▪ Shared Responsibility Payment (penalty) ▪ Healthplanfinder Coverage - Tax credits ▪ Advanced tax credits – taken monthly based on estimated income ▪ Reconciled by IRS on income tax return based on actual income ▪ Can use 1040, 1040A, 1040NR (but not 1040EZ) 10

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12. Customer Support ▪ Call Center CSRs – General Information ▪ Dedicated Account Workers ▪ Trained in tax-related areas ▪ Assist with 1095-A errors ▪ New web page – 1095-A ▪ Infographic ▪ IPA-Broker ▪ Webinars ▪ Partnerships with tax preparers ▪ Social media, digital ads

13. Legislative Bills of Interest HB 1628, SB 5142 HB 1700, SB 5340 SB 5626 ▪ Removes premium aggregation for the individual market. (HBE must aggregate premiums for SHOP by regulation.) ▪ Requires QHPs to pay claims for enrollees who are in a grace period. Requires HBE to notify individuals prior to termination for non-payment. ▪ HBE produce detailed monthly enrollment reports, including movement between QHP and WAH. Bi-annual reports with analysis of churn and coverage gaps. 13

14. Washington Healthplanfinder Business Update ▪ 26 enrolled businesses (2015) ▪ 33 total (2014-15) ▪ 2,044 employer accounts created ▪ Anticipated carrier participation for 2016: ▪ Kaiser Permanente ▪ Moda Health ▪ United Healthcare (New!) 14

15. Washington Healthplanfinder Business Marketing ▪ Partnerships ▪ Puget Sound Business Journal ▪ Office of Minority and Women’s Business Enterprises ▪ WA Society of Certified Public Accountants ▪ New Interactive Guide for Employers! ▪ http://wahbexchange.org/coverage- basics/who-can-sign/employers/ http://wahbexchange.org/coverage- basics/who-can-sign/employers/ ▪ New Fact Sheets available at: http://wahbexchange.org/partners/ou treach-partners/business-toolkit/ http://wahbexchange.org/partners/ou treach-partners/business-toolkit/ 15

16. HBE Meetings HBE Board MeetingFebruary 269 am- 3 pm Health Equity TACFebruary 241 pm – 2:30 pm Dental Plan TACMarch 21:30 pm – 3 pm Advisory CommitteeMarch 51 pm – 3 pm 16 More listed on Corporate site News Center – Meetings and Events

17. For discussion/input: Navigator Program Planning ▪ Role of the Lead Organization – Scope ▪ Network structure ▪ Partner Organizations ▪ Medicaid – QHP Enrollment Balance (targets) ▪ Certified Assister Designations ▪ Demand – volume of work long term ▪ Compensation ▪ Training ▪ Retention of enrollees year to year 17

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