1. Fringe Benefits Committee Meeting April 11, 2013

2. Presentation to Fringe Committee April 2013 2 Agenda 1. Employee & Retiree Survey Results 2. Update on Health Care Reforms 1. Reforms already in place 2. Introduction of exchanges 2013- October 2013 open enrollment 3. Minimal essential benefits for part- time employees, effective 1/1/14 3. Peralta Open Enrollment 2013. 1. Mailings, workshops, and events 2. Joint Administrative Agreement 4. Rate Development Update 1. Status of Rate development 1. Update on Kaiser 2. Update on self-funding 3. Final rates-timing is same as last year –to be finalized next week! 5. Next meeting: 1. Results of Other Post Employment Benefits (OPEB) actuarial study 2. Medicare update 3. Rate confirmations

3. Presentation to Fringe Committee April 2013 3 Employee & Retiree Survey Results Nine Questions Nine Questions Over 200 respondents Over 200 respondents Survey Highlights Survey Highlights Popular workshop interests: Popular workshop interests: Wills Trusts & Estates Wills Trusts & Estates Post Employment Benefits Post Employment Benefits Long-term care Long-term care Popular Activities Popular Activities Picnic at the county fair Picnic at the county fair Cruise Around the Bay Cruise Around the Bay Ideas about health and wellness communications and interests: Ideas about health and wellness communications and interests: Monthly emails about health & wellness; include tips in the newsletter along with personal accomplishments within the Peralta community Monthly emails about health & wellness; include tips in the newsletter along with personal accomplishments within the Peralta community

4. Presentation to Fringe Committee April 2013 4 Update on Health Care Reforms-Affordable Care Act Review of reforms already in place Review of reforms already in place W-2 reporting for employer costs of benefits W-2 reporting for employer costs of benefits Phasing out of pre-existing conditions Phasing out of pre-existing conditions Covering dependents to age 26 Covering dependents to age 26 Elimination of plan limit on wellness benefits for non- grandfathered plans Elimination of plan limit on wellness benefits for non- grandfathered plans Elimination of office visit co- pays for wellness exams on non-grandfathered plans Elimination of office visit co- pays for wellness exams on non-grandfathered plans Summary of Benefits Coverage (SBC requirement) Summary of Benefits Coverage (SBC requirement)

5. Presentation to Fringe Committee April 2013 5 Upcoming Reforms Under the Patient Protection and Affordable Care Act Most immediate upcoming reforms Most immediate upcoming reforms PHI & HIPAA PHI & HIPAA Protected Health Information (PHI) Protected Health Information (PHI) Health Insurance Portability and Accountability Act (HIPAA) Health Insurance Portability and Accountability Act (HIPAA) Requires that we take extra steps to protect the health information of covered members, Requires that we take extra steps to protect the health information of covered members, Increased use of Increased use of encrypting software, passwords & user ids for communication even among peers and colleagues encrypting software, passwords & user ids for communication even among peers and colleagues We will introduce additional controls and forms We will introduce additional controls and forms Introduction of exchanges Introduction of exchanges http://welcoa.com/ http://welcoa.com/ Minimal essential benefits for part- time employees effective January 1, 2014 Minimal essential benefits for part- time employees effective January 1, 2014

6. Presentation to Fringe Committee April 2013 6 Open Enrollment 2013 Benefits Office Overview of Open Enrollment Overview of Open Enrollment What is open enrollment? Open Enrollment is the Annual Opportunity to change plans and enroll eligible dependents What is open enrollment? Open Enrollment is the Annual Opportunity to change plans and enroll eligible dependents Begins May 1, closes May 31 Begins May 1, closes May 31 Changes become effective July 1, 2013 Changes become effective July 1, 2013 If no changes, then benefit coverage continues-no mandatory re-enrollment this year If no changes, then benefit coverage continues-no mandatory re-enrollment this year New: Announcement of Joint Administrative Agreement New: Announcement of Joint Administrative Agreement New: 2013-2014 rates (pending with consultant) New: 2013-2014 rates (pending with consultant) Review Review Streamlined announcement, to be mailed 4/12 (see attached) Streamlined announcement, to be mailed 4/12 (see attached) Annual Distribution of “Peralta Benefits Everyone April 2013”, required notices, rates and other updates, to be mailed 4/19 Annual Distribution of “Peralta Benefits Everyone April 2013”, required notices, rates and other updates, to be mailed 4/19 Thank you for your feedback Thank you for your feedback Who will attend Fair on your behalf? 4/30 Who will attend Fair on your behalf? 4/30

7. Presentation to Fringe Committee April 2013 7 Rate Development Update-PSW Benefit Resources Kaiser Rates Kaiser Rates Self Funding Rates Self Funding Rates Drivers, Factors and Methodology Drivers, Factors and Methodology Impact of Medicare Coordination Impact of Medicare Coordination Expected Claims Rate Expected Claims Rate COBRA Equivalent COBRA Equivalent Preliminary Rates Preliminary Rates Stop-Loss Carrier bidding Stop-Loss Carrier bidding Implementation of the Joint Administrative Agreement Implementation of the Joint Administrative Agreement National Anthem Wellpoint Network Replacing Private Health Care Systems National Anthem Wellpoint Network Replacing Private Health Care Systems How to find provider? How to find provider? New cards to self-funded participants New cards to self-funded participants Announcement in 4/12/13 newsletter Announcement in 4/12/13 newsletter