1. ARKANSAS BLUE CROSS and BLUE SHIELD An Independent Licensee of the Blue Cross and Blue Shield Association Health Care Reform From an Insurer’s Perspective Providers and their employees

2. ARKANSAS BLUE CROSS and BLUE SHIELD What Small Employers Need to Know 2 October 1 – Health Insurance Marketplaces (Exchanges) open across the country December 15- must be enrolled by this date for coverage to be effective January 1, 2014 January 1 – Much of the regulation impacting employers starts becoming effective March 31 -last day for individuals to enroll for coverage during 2014 unless you have a qualifying event Important Dates

3. ARKANSAS BLUE CROSS and BLUE SHIELD What Small Employers Need to Know 3 Regulations changing in small group market  New rating rules  New benefits and coverage requirements  Medicaid expansion

4. ARKANSAS BLUE CROSS and BLUE SHIELD What Small Employers Need to Know 4 New Rating Methodology Effective for non-grandfathered groups with 2-50 employees at the first renewal on or after January 1, 2014  Gender rating removed  Industry rating removed  Common geographic rating established by regulators  Tobacco load nationally 50% (Arkansas 20%)  Health status and pre-existing conditions no longer considered  Age rating reduced from 6:1 ratio oldest to youngest to 3:1

5. ARKANSAS BLUE CROSS and BLUE SHIELD What Small Employers Need to Know 5 Premium Rate Calculation  Unique rate calculation for every member  Member-level, rather than employee-level, census required to comply  Every member on an employee contract has a unique rate  Rates developed for up to 3 minor children  4 th minor child (and any additional) is free  Children age 21+ must be rated as adults

6. ARKANSAS BLUE CROSS and BLUE SHIELD What Small Employers Need to Know 6 Essential Health Benefits Prescription drugs Rehabilitative and “habilitative” services and devices Laboratory services Preventive and wellness services and chronic disease management Pediatric services, including dental and vision care Non-grandfathered small group health plans – offered on or off the Small Employer Health Options Program (SHOP), must provide these government-mandated essential health benefits Essential health benefits include services in the following 10 categories: Ambulatory patient services Emergency services Hospitalization Maternity and newborn care Mental health and substance use disorder services, including behavioral health treatment 1 2 3 4 5 6 7 8 9 10

7. ARKANSAS BLUE CROSS and BLUE SHIELD What Small Employers Need to Know 7 Additional Benefit and Coverage Requirements Deductibles Annual Limits Coinsurance Maximums No greater than $2,000/$4,000 (adjusted annually) unless required by “reasonable” product design No annual or lifetime dollar limits on essential health benefits Must be replaced by true out-of-pocket maximums

8. ARKANSAS BLUE CROSS and BLUE SHIELD What Small Employers Need to Know 70% 8 Metallic Coverage Levels Actuarial Values for Levels of Coverage Provided by Qualified Health Plans Actuarial Value for Levels of Coverage BRONZE SILVER GOLDPLATINUM 10% 100% 60% 70% 80% 90%

9. ARKANSAS BLUE CROSS and BLUE SHIELD What Small Employers Need to Know 9 Examples: Small Group Metallic Plans $3,000 60% $6,350 $2,000 80% $6,350 $1,000 80% $3,000 $500 90% $1,000 STANDARD BENEFITS Bronze Silver Gold Platinum Deductible Coinsurance True Out-of- Pocket Max ADDITIONAL OPTIONS PCP Copay Drug Copay n/a $30 $10/$40/$60 $20/$40 $10/$30/$50 $20/$40 $10/$30/$50 Bronze Silver Gold Platinum

10. ARKANSAS BLUE CROSS and BLUE SHIELD An Independent Licensee of the Blue Cross and Blue Shield Association Offering Coverage to Employees How Employers Win

11. ARKANSAS BLUE CROSS and BLUE SHIELD What Small Employers Need to Know 11 Arkansas’ Medicaid “Private Option”  Arkansas Health Care Independence Program  Adults between 17% and 138% of FPL now are eligible to participate in the Medicaid program  In Arkansas, these newly eligible participants will shop for coverage on the Health Insurance Marketplace and purchase Medicaid-approved benefit plans offered by private carriers  Very desirable benefits at no premium cost  Employees may be eligible for Medicaid-no penalty or cost to the employer

12. ARKANSAS BLUE CROSS and BLUE SHIELD What Small Employers Need to Know 12 Employer-shared Responsibility Provisions: “Play or Pay” Penalties  Offer minimum essential coverage (group health plan) or pay $2,000 per employee (after the first 30)  Coverage must meet minimum value requirements (60%) and affordability requirements (employee contribution of 9.5% of W-2 income or less) or pay $3,000 for every employee receiving subsidized coverage except those on Medicaid  Enforcement postponed until 2015 ONLY APPLIES TO Employers with 51 or more FTEs:

13. ARKANSAS BLUE CROSS and BLUE SHIELD What Small Employers Need to Know 13 Small Employer Health Options Program Available ForSubsidies First-Year Employers Employers with 2-50 employees in 2014 (2-100 in 2016) No subsidies are available for employees; employer contribution takes its place Will choose plan from one carrier on behalf of all employees Subsequent Years May be employee choice

14. ARKANSAS BLUE CROSS and BLUE SHIELD What Small Employers Need to Know 14 Small Employer Tax Credit  Must buy through the SHOP to qualify  Available for 2014 and 2015 only  Available to employers who:  Have fewer than 25 FTEs (excluding owner and family members)  Have average annual wages below $50,000  Contribute uniform amount of at least 50% of employee-only premium

15. ARKANSAS BLUE CROSS and BLUE SHIELD What Small Employers Need to Know 15 Small Employer Tax Credit  Maximum tax credit 50% of employer contribution  Tax credit decreases with average wage and firm size increases  Reduction to the 50% maximum credit when employee count exceeds 10 and/or the average annual wage exceeds $25,000  Lose grandfathered status

16. ARKANSAS BLUE CROSS and BLUE SHIELD An Independent Licensee of the Blue Cross and Blue Shield Association What would happen to their employees Small Employers Might Drop Coverage

17. ARKANSAS BLUE CROSS and BLUE SHIELD What Small Employers Need to Know 17 2013 Federal Poverty Level (FPL) Medicaid $11,490 $15,510 $19,530 $23,550 $27,570 $31,590 $35,610 $39,630 Medicaid $15,282 $20,628 $25,975 $31,322 $36,668 $42,015 $47,361 $52,708 6.3% $22,980 $31,020 $39,060 $47,100 $55,140 $63,180 $71,220 $79,260 9.5% $34,470 $46,530 $58,590 $70,650 $82,710 $94,770 $106,830 $118,890 Note: Federal minimum wage employee working 50 weeks per year, 40 hours per week would earn $14,500. PERSONS IN FAMILY 100% 133% 200% 300% Premium Cap 1 2 3 4 5 6 7 8 400% 9.5% $45,960 $62,040 $78,120 $94,200 $110,280 $126,360 $142,440 $158,520

18. ARKANSAS BLUE CROSS and BLUE SHIELD What Small Employers Need to Know 18 Personal Responsibility $31,321 $35,325 $47,100 $58,875 $70,650 $94,200 3% 4% 6.30% 8.05% 9.50% $78.30 $117.75 $247.28 $394.95 $559.31 $745.75 % of FPL Family of 4 INCOME MAXIMUM % of INCOME MAXIMUM Monthly Premium Family of 4 133% 150% 200% 250% 300% 400% Federal definition of affordability

19. ARKANSAS BLUE CROSS and BLUE SHIELD What Small Employers Need to Know 19 Remember That Group Coverage Remains a Valuable Benefit  People at 300% or more of the FPL are often key employees or family members in small businesses  Little or no subsidy will be available for them and comprehensive coverage in the reformed individual marketplace will be more expensive than existing coverage Cancelling group coverage is likely to present the greatest burden on those most critical to your business

20. ARKANSAS BLUE CROSS and BLUE SHIELD What Small Employers Need to Know 20 Group Coverage: Considerations  When groups cancel coverage, they are withdrawing a form of compensation  To avoid employee dissatisfaction, groups may consider replacing some or all of the contribution amount made to the group health plan with additional income to the employee  By doing so, the group will have replaced a form of compensation that is tax deductible for both employer and employee with a form of compensation that is taxable for both

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