Iowa Association of Community Providers/ Holmes Murphy NEW Employee Benefits Partnership January 15, 2019

IACP DIRECT SERVICE TEAM NATALIYA BOYCHENKO, MBA, CEBS ACCOUNT EXECUTIVE/SHAREHOLDER (515) 223.6904 NBOYCHENKO@HOLMESMURPHY.COM GAIL STEFFEN VICE PRESIDENT (515) 223.7015 GSTEFFEN@HOLMESMURPHY.COM JEN KIVLIN VP STRATEGIC LEADERSHIP

IACP/HMA Affinity Partnership Holmes Murphy exclusive employee benefit consulting partnership 1/1/2019 Effective date HMA depth of experience working with IACP members Pricing benefit for IACP members through Holmes Murphy Association benefit from HMA partnership Educational resource and seminars Innovative solutions designed specifically for Community Providers

SIMPLICITY INDEX 2017 A study on how consumers rank leading brands, the role social media plays in their lives, And why simplicity pays for the brands that embrace it.

HEALTH INSURANCE ISN’T SIMPLE

Strategy Design & Procurement Project Management & Vendor Support Actuarial, Underwriting & Budget Modeling Health Reform & Benefits Compliance Communications Support Preventative Health & Condition Management Ongoing Reporting & Assessment Technology, Transparency & Data Analytics

HOW CAN HOLMES MURPHY HELP? PRODUCTS EDUCATION ONLINE ENROLLMENT TOOLS FIND LOWER COST BENEFIT OPTIONS FIND A DOCTOR / EOB & MEDICAL BILL REVIEW SEVERAL WAYS IN WHICH HMA CAN HELP DO THE FOLLOWING: INTRODUCE NEW PRODUCTS TO YOUR EMPLOYEE BENEFITS OFFERINGS PROVIDE EDUCATION TO EMPLOYEES ON NEW AND CORE BENEFITS BRING ONLINE ENROLLMENT TOOLS TO HR AND EMPLOYEES GIVE EMPLOYEES ANOTHER WAY TO ASK BENEFIT QUESTIONS LOOK FOR LOWER COST MEDICAL OPTIONS FIND A DOCTOR HAVE A PERSON WITH A MEDICAL BACKGROUND REVIEW MY EOB’S AND MEDICAL BILLS

How are you keeping up? MARK Plan Admin/Fiduciary Liability Grandfathered Plan Status Audit Plan Provisions ERISA Title I Research and Education Recordkeeping Requirements Prepare/Distribute Notices Working Families Tax Relief Act Mental Health Parity Act Summary of Benefits and Coverage FMLA Continuation of Coverage Subrogation On-Site Clinic ERISA Compliance Claim Procedures Summary Annual Report ERISA Safe Harbor Delivery Methods Prohibition of preexisting condition exclusions for enrollee’s under 19 Women’s Health and Cancer Rights Act Notice Employee and Dependent Eligibility Requirements Children’s Health Insurance Program Notice Prohibition of annual and lifetime dollar limits Nondiscrimination Rules (beyond HIPAA) HIPAA Preex Condition Exclusion Notice Prepare Disclosure Language & Materials Maintaining Grandfathered Plan Status Disclosure HIPAA Certificates of Creditable Coverage COBRA HIPAA Notice of Privacy Practices Administration and monitoring Newborns’ and Mothers’ Health Protection Act Participant tracking Eligibility compliance HIPAA Special Enrollment Notice Send/document notices Medicare Part D Creditable Coverage Notice  HIPAA Privacy & Security  Prepare Forms/Report to Government Implement/Review policies and procedures Notice of the Health Benefit Exchange Form 5500 Risk assessment/breach notification procedures Creditable Coverage to CMS Patient Protections Disclosure W-2 Reporting USERRA Rights Notice Reporting & Disclosure Implement/Review administrative, technical and physical safeguards Prepare/Distribute Plan Documents Prepare Disclosure Language/Materials Plan Audit plan documentation Summary Plan Description Qualified Medical Child Support Orders Workforce training Summary of Material Modifications Bonding Requirements Newborns’ Protection Act Every person who handles plan assets Cafeteria Plan HIPAA Nondiscrimination MARK

Tenured, strategically-focused client team with specific experience in the restaurant industry Expertise of consulting firm with the flexiblity of a brokerage agency Leading clinicians, researchers, actuaries, attorneys, communicators and consulting staff Health innovation lab delivering solutions for tomorrow Delivering savings and simplicity Transparent pricing You will have confidence in your benefit program and will enjoy working with us!