A service of Maryland Health Benefit Exchange Maryland Health Benefit Exchange Implementation Advisory Committee Meeting September 18th, 2014

A service of Maryland Health Benefit Exchange Welcome & Approval of Minutes Michele Eberle Acting Director, Plan & Partner Management Maryland Health Benefit Exchange

A service of Maryland Health Benefit Exchange HBX System Updates/Rate and Benefit Extracts Dennis Glorioso, MHBE PMO

Glossary SIT – System Integration Testing UAT – User Acceptance Testing EDI – Electronic Data Interchange Release 1 – Plan Management Release 2 – Eligibility & Enrollment 4

Agenda System Implementation Timeline Release 1 UAT Release 2 SIT & UAT Meetings 5

System Implementation Update - Timeline 66 UAT Today

Release 1 Received feedback on rate and benefit extracts Received updated plan templates Correcting the major defects on our side identified with internal review and your feedback Loading the latest and greatest tomorrow morning 7

EDI Testing Ongoing EDI 834 testing –Please reach out if you have concerns Completion by October 3 –Receive all 999s and 834 effectuations 8

Off-site testing Thank you for taking the time to meet with us individually to review anonymous browsing Details on plan shopping validation will be ed tomorrow Require updated templates by COB Friday, September 26 –Focus on plan display Monday, Tuesday, & Wednesday of next week –Reach out with any issues you encounter –Plan Services has a documented plan update process for production Off-site testing will include additional functionality –Ability to create an application –Generate an 834 –Complex scenarios –Require close coordination with our team. Details will be sent separately 9

On-site Testing October 13 – October 17: structured carrier UAT testing –Full access to end-to-end system – hitting the FDSH, identity proofing, generating 834s, etc. –MHBE-defined & ad-hoc scripts 10

A service of Maryland Health Benefit Exchange Plan Management Items Plan Services

2015 Individual Market Plans Individual Market Plans Available for 2015 Participating Medical Carrier/Lices Number of Plans Metal Levels Available All Savers (United Healthcare)82 Bronze, 4 Silver, 1 Gold, 1 Catastophic CareFirst of Maryland Inc.41 Bronze, 1 Siver, 1 Gold, 1 Platinum CareFirst BlueChoice, Inc.113 Bronze, 3 Silver, 3 Gold, 1 Platinum, 1 Catastrophic Cigna Health and Life31 Bronze, 1 Silver, 1 Gold Evergreen Health Cooperative124 Bronze, 3 Silver, 3 Gold, 1 Platinum, 1 Catastrophic Group Hospitalization and Medical Services, Inc. (GHMSI)41 Bronze, 1 Silver, 1 Gold, 1 Platinum Kaiser Permanente103 Bronze, 3 Silver, 2 Gold, 1 Platinum, 1 Catastrophic OPM on behalf of CareFirst of Maryland (Multi-State Plan)21 Silver, 1 Gold OPM on behalf of GHMSI (Multi-State Plan)21 Silver, 1 Gold United Healthcare of the Mid-Atlantic, Inc.52 Bronze, 2 Silver, 1 Gold

2015 Individual Market Plans Number of Plans by Metal Level Bronze17 Silver18 Gold13 Platinum5 Catastrophic4

State Benchmark Plans Eighteen different silver level plans will be offered this year on the Maryland Health Connection Of these eighteen plans, three will serve as benchmark plans for the 2015 plan year. Rating Areas 1 and 2 : –Evergreen Health HMO Silver HSA/HRA 1700 Plan Rating Area 3: –BlueChoice HSA Silver $1300 Plan Rating Area 4: –KP MD Silver 1750/25%/HAS/Dental/Ped Dental

Premium Payment Guide - Reminder Copy at carrier’s discretion but must include: Methods of acceptable payments and payment dates Modes of invoicing Relevant Departments and Phone Numbers Directions for logging into member portals or A URL with this information Instructions for when a consumer has not yet received an invoice 15 Written Direction For Consumers

Carrier Webinar & Presentation Due Dates All carriers will give their Navigator presentations on 9/19 Editing and production phase 9/22 through 9/26 Carrier review will occur concurrently Final product 10/1 Please submit presentation materials by: 9/22

Carrier Handoffs – Warm Transfer Table The Warm Transfer table describes the scenarios whereby the MHBE Call Center would connect a consumer to a specific customer service resource at a respective carrier. This information is built into Call Center Representative training. The number of warm transfer resources are at a carrier’s discretion. MHBE will distribute last year’s document to the carriers New carriers are required to add language to the document Please submit edits and updates by 9/26 Carrier NameReason for Warm Transfer to Carrier Phone Number Business Hours Special Instructions for Callers

Producer Appointment/Broker File Point of Contact Carriers must provide MHBE a point of contact (or instructions) for: 1. Producer Appointments 2. Producer Demographic File (Broker File)Producer Demographic File (Broker File) Please submit information by 9/26

Provider changes to record for CRISP MHBE will rely on carrier to submit changes, i.e. source of truth.

A service of Maryland Health Benefit Exchange Life Events Update Nabila Rahman, Optum

A service of Maryland Health Benefit Exchange QDP Renewals & SADP Shopping Michele Eberle, MHBE Plan Management

A service of Maryland Health Benefit Exchange MHBE Communications Michele Eberle, MHBE Plan Management

A service of Maryland Health Benefit Exchange SHOP Update Stephanie Lee, MHBE Plan Management

NEXT MEETING: October 2 nd, :00 – 4:00PM UMBC Tech Center PUBLIC COMMENTS? 24