1. APS Renewal Options Benefit Year: November 1, 2017 – October 31, 2018

2. What are our current medical plan options?
Through Kaiser Permanente, both PSE and Exempt / Excluded currently offer the following medical plans:
HMO Plan
PPO $100 deductible plan
PPO $750 deductible plan
PPO $1,500 deductible plan
Qualified High Deductible Health Plan (QHDHP) with HSA option
Lets take a look at some of the key benefits and current monthly rates of these plans...

3. Current Coverage Arlington Public Schools Medical/Rx Plans - Non-AEA
Arlington Public Schools
Medical/Rx Plans - Non-AEA
Benefit Outline and Cost Summary
Current Coverage
Network Benefit Outline
HMO
PPO $100
PPO $750
PPO $1,500
QHDHP w/ HSA
Carrier
Kaiser Permanente
Plan Type
Alliance HMO (RQ )
Access PPO (RQ )
Access QHDHP HSA (RQ )
Deductible (In/Out)
$200 (2x Family)
$100/$200 (3x Family)
$750 (2x Family)
$1,500 (3x Family)
$1,500/$3,000 (2x Family Agg.)
OOP Max incl. Deductible (In/Out)
$2,000 (2x Family)
$1,000/Unlimited (3x Family)
$3,000 (2x Family)
$4,000 (3x Family)
In: $5,100 ($6,850 Family) Out: $10,200 ($13,700 Family)
Coinsurance (In/Out)
100/0%
90/70%
80/60%
80/60% Enhanced: 90/60%
Office Visit
$15/100%
$15/100% (dw) Enhanced: $5/100% (dw)
First 4 Visits: $25/100% (dw) 5+ Visits: $0/80%
$20/80% Enhanced: $10/80%
$0/80%
Outpatient Lab/X-Ray
$0/100%
$0/90%
First $500: $0/100% (dw) $501+: $0/80%
Emergency Room
$100/100%
$75/90%
$75/80%
$100/80%
Prescription Drugs
$15/$30 (2x Mail)
In: $15/$25/$45 (2x Mail) Out: Not Covered
In: $20$45/$65 (2x Mail) Out: Not Covered
After Ded.: $10$35/$70 (2x Mail) Out: Not Covered
Preventive Care
$0/100% (dw)
$0/100% (dw); Net. Only
Monthly Rates
Non-AEA
Employee 35 34 18 12 29
811.99
926.24
758.96
607.97
533.81
Employee + Spouse 6 5 3 7
1,490.77
1,700.54
1,393.41
1,116.20
980.05
Employee + Child(ren) 17 8
1,087.82
1,240.90
1,016.78
814.50
715.15
Employee + Spouse & Child(ren) 1 2 9
1,786.95
2,038.41
1,670.25
1,337.96
1,174.77
Total Employees 58 52 30 26

4. HMO Renewal Kaiser Permanente
**Will continue to be offered will all options EXCEPT the PEBB program

5. Current Plan Renewal 33/21 Arlington Public Schools
Arlington Public Schools
Medical/Rx Plans - Non-AEA
Benefit Outline and Cost Summary
Current Plan Renewal
Network Benefit Outline
HMO
Carrier
Kaiser Permanente
Plan Type
Alliance HMO (RQ )
Core HMO (RQ )
Deductible (In/Out)
$200 (2x Family)
OOP Max incl. Deductible (In/Out)
$2,000 (2x Family)
Coinsurance (In/Out)
100/0%
Office Visit
$15/100%
Outpatient Lab/X-Ray
$0/100%
Emergency Room
$100/100%
Prescription Drugs
$15/$30 (2x Mail)
Preventive Care
$0/100% (dw)
Monthly Rates
Non-AEA
Employee 35
811.99
936.37
Employee + Spouse 6
1,490.77
1,719.13
Employee + Child(ren) 17
1,087.82
1,254.46
Employee + Spouse & Child(ren)
1,786.95
2,060.69
Total Employees 58
33/21

6. 2017-2018 Medical Renewal Plan Options Arlington Public Schools (Non-AEA)
The Benefit Committee has thoroughly reviewed the current plans and is presenting four medical plan renewal options for the year:
Renew with Kaiser Permanente “as-is.”
The WEA (Aetna and UHC) Plans
The Premera K-12 Pool
The PEBB Program 1 2 3 4

7. OPTION # 1
Kaiser Permanente

8. Renewal Choice 1
This option would renew our current medical plans “as-is.” The 2017 renewal increase for each plan is as follows:
PPO $100 deductible plan
PPO $750 deductible plan
PPO $1,500 deductible plan
QHDHP with HSA option
Lets review the increase in monthly premiums for employees and their dependents with this option...
18.0%
Overall increase of 17.2%
18.0%
18.0%
17.7%

9. Renewal Choice 1 Arlington Public Schools Medical/Rx Plans - Non-AEA
Arlington Public Schools
Medical/Rx Plans - Non-AEA
Benefit Outline and Cost Summary
Renewal Choice 1
Network Benefit Outline
PPO $100
PPO $750
PPO $1,500
QHDHP w/ HSA
Carrier
Kaiser Permanente
Plan Type
Access PPO
Access QHDHP HSA
Deductible (In/Out)
$100/$200 (3x Family)
$750 (2x Family)
$1,500 (3x Family)
$1,500/$3,000 (2x Family Agg.)
OOP Max incl. Deductible (In/Out)
$1,000/Unlimited (3x Family)
$3,000 (2x Family)
$4,000 (3x Family)
In: $5,100/$7,150 (Family) Out: $10,200/$14,300 (Family)
Coinsurance (In/Out)
90/70%
80/60%
80/60% Enhanced: 90/60%
Office Visit
$15/100% (dw)
First 4 Visits: $25/100% (dw) 5+ Visits: $0/80%
$20/80% Enhanced: $10/80%
$0/80%
Outpatient Lab/X-Ray
$0/90%
First $500: $0/100% (dw) $501+: $0/80%
Emergency Room
$75/90%
$75/80%
$100/80%
Prescription Drugs
In: $15/$25/$45 (2x Mail) Out: Not Covered
In: $20$45/$65 (2x Mail) Out: Not Covered
After Ded.: $10$35/$70 (2x Mail) Out: Not Covered
Preventive Care
$0/100% (dw)
$0/100% (dw); Net. Only
Monthly Rates
Non-AEA
Employee 35 34 18 12 29
1,092.54
895.26
717.21
628.26
Employee + Spouse 6 5 3 7
2,005.87
1,643.66
1,316.78
1,153.46
Employee + Child(ren) 17 8
1,463.70
1,199.39
960.86
841.69
Employee + Spouse & Child(ren) 1 2 9
2,404.40
1,970.22
1,578.39
1,382.63
Total Employees 58 52 30 26

10. OPTION # 2
Washington Education Association (WEA)
- Aetna
- UHC

11. Renewal Choice 2 Choose a carrier
This option replaces Kaiser Permanente plans with WEA (Aetna and UHC) plans aside from a Kaiser HMO plan.
Total of 28 plan options available
7 plans (QHDHP, Basic Plan, Easy Choice A, Easy Choice B, PPO Plan 3, PPO Plan 2 and PPO Plan 5)
2 carriers (Aetna and United HealthCare) each with 2 networks
_______
Aetna
PPO
High Performance
UHC
Step 1:
Select Plan
Step 2:
Choose a carrier
Step 3:
Pick a network

12. Step 1: Select a Plan Renewal Choice 2
The plans options are as follows:
QHDHP
Basic Plan
Easy Choice A
Easy Choice B
PPO Plan3
PPO Plan 2
PPO Plan 5
Lets review the benefits for employees and their dependents with this option...

13. UnitedHealthcare: PPO Network
Renewal Choice 2
Network Benefit Outline
QHDHP
Basic Plan
Easy Choice A
Easy Choice B
PPO Plan 3
PPO Plan 2
PPO Plan 5
Carrier
WEA
Network Deductible (Individual / Family)
$1,750 / $3,500
$2,100 / $4,200
$1,250 / $3,750
$750 / $2,250
$500 / $1,500
$300 / $900
$200 / $600
Out-of-Pocket Maximum (Individual / Family)
$5,000 / $10,000
$6,600 / $13,200
Med: $4,000 / $8,000 Rx: $2,500 / $5,000
Med: $3,500 / $7,000 Rx: $2,500 / $5,000
Med: $3,000 / $9,000 Rx: $2,000 / $4,000
Med: $2,000 / $6,000 Rx: $2,000 / $4,000
Med: $1,000 / $3,000 Rx: $2,000 / $4,000
Coinsurance (In/Out)
80% / 50%
70% / 50%
75% / 50%
80% / 60%
90% / 70%
Primary Care Office Visit
$0/80%, Ded. Applies
$35/100% (dw)
$25/100% (dw)
$30/100% (dw)
$20/100% (dw)
Monthly Rates
Aetna: PPO Network
Employee
505.70
551.20
658.33
684.23
883.50
972.29
1,135.00
Employee + Spouse
926.58
1,013.88
1,199.78
1,250.40
1,620.77
1,783.32
2,185.31
Employee + Children
674.14
734.88
879.09
913.85
1,183.91
1,303.25
1,544.89
Employee + Spouse & Children
1,100.05
1,206.52
1,432.16
1,492.46
1,941.52
2,137.89
2,633.37
UnitedHealthcare: PPO Network
531.95
579.82
692.61
719.89
929.71
1,023.14
1,194.42
975.19
1,067.11
1,262.77
1,315.79
1,706.19
1,877.25
2,300.00
709.00
772.96
925.08
961.41
1,245.83
1,371.77
1,625.68
1,158.05
1,269.64
1,507.46
1,571.09
2,043.66
2,250.17
2,771.99

14. Step 2: Choose a Carrier Renewal Choice 2
The 2017 renewal increase for each plan is as follows:
QHDHP
Basic Plan
Easy Choice A
Easy Choice B
PPO Plan3
PPO Plan 2
PPO Plan 5
Lets review the monthly premiums for employees and their dependents with this option...
Aetna
PPO Network
UHC
PPO Network

15. Step 3: Pick a Network Renewal Choice 2
1. PPO Network
2. High Performance Network
Lets review the premiums for employees and their dependents with these options...

16. Renewal Choice 2 Network Benefit Outline QHDHP Basic Plan
QHDHP
Basic Plan
Easy Choice A
Easy Choice B
PPO Plan 3
PPO Plan 2
PPO Plan 5
Carrier
WEA
Network Deductible (Individual / Family)
$1,750 / $3,500
$2,100 / $4,200
$1,250 / $3,750
$750 / $2,250
$500 / $1,500
$300 / $900
$200 / $600
Out-of-Pocket Maximum (Individual / Family)
$5,000 / $10,000
$6,600 / $13,200
Med: $4,000 / $8,000 Rx: $2,500 / $5,000
Med: $3,500 / $7,000 Rx: $2,500 / $5,000
Med: $3,000 / $9,000 Rx: $2,000 / $4,000
Med: $2,000 / $6,000 Rx: $2,000 / $4,000
Med: $1,000 / $3,000 Rx: $2,000 / $4,000
Coinsurance (In/Out)
80% / 50%
70% / 50%
75% / 50%
80% / 60%
90% / 70%
Primary Care Office Visit
$0/80%, Ded. Applies
$35/100% (dw)
$25/100% (dw)
$30/100% (dw)
$20/100% (dw)
Monthly Rates
Aetna: PPO Network
Employee
505.70
551.20
658.33
684.23
883.50
972.29
1,135.00
Employee + Spouse
926.58
1,013.88
1,199.78
1,250.40
1,620.77
1,783.32
2,185.31
Employee + Children
674.14
734.88
879.09
913.85
1,183.91
1,303.25
1,544.89
Employee + Spouse & Children
1,100.05
1,206.52
1,432.16
1,492.46
1,941.52
2,137.89
2,633.37
Aetna: High Performance Network
485.86
529.54
632.36
657.23
848.49
933.72
1,089.88
889.84
973.63
1,152.07
1,200.66
1,556.14
1,712.17
2,098.02
647.54
705.83
844.25
877.62
1,136.83
1,251.38
1,483.32
1,056.34
1,158.54
1,375.11
1,432.99
1,864.02
2,052.50
2,528.09
UnitedHealthcare: PPO Network
531.95
579.82
692.61
719.89
929.71
1,023.14
1,194.42
975.19
1,067.11
1,262.77
1,315.79
1,706.19
1,877.25
2,300.00
709.00
772.96
925.08
961.41
1,245.83
1,371.77
1,625.68
1,158.05
1,269.64
1,507.46
1,571.09
2,043.66
2,250.17
2,771.99
UnitedHealthcare: High Performance Network
480.71
523.90
625.61
650.20
839.35
923.67
1,078.14
880.30
963.22
1,139.67
1,187.46
1,539.39
1,693.79
2,075.03
640.33
698.03
835.20
867.95
1,124.35
1,238.02
1,467.01
1,045.15
1,145.80
1,360.28
1,417.64
1,843.65
2,030.04
2,500.62

17. OPTION # 3
Premera Blue Cross
K-12 Pool

18. Renewal Choice 3
This option would move our current medical benefits to Premera. The 2017 renewal increase for each plan is as follows:
PPO $100 deductible plan
PPO $750 deductible plan
PPO $1,500 deductible plan
QHDHP with HSA option
Lets review the increase in monthly premiums for employees and their dependents with this option...
7.0%
Overall increase of 7.0%
7.0%
7.0%
7.0%

19. Renewal Choice 3 Arlington Public Schools Medical/Rx Plans - Non-AEA
Arlington Public Schools
Medical/Rx Plans - Non-AEA
Benefit Outline and Cost Summary
Renewal Choice 3
Network Benefit Outline
PPO $100
PPO $750
PPO $1,500
QHDHP w/ HSA
Carrier
Premera
Plan Type
Your Choice PPO
Your Future QHDHP HSA
Deductible (In/Out)
$100/$200 (3x Family)
$750 (2x Family)
$1,500 (3x Family)
$1,500/$3,000 (2x Family Agg.)
OOP Max incl. Deductible (In/Out)
$1,000/Unlimited (3x Family)
$3,000 (2x Family)
$4,000 (3x Family)
In: $5,100 ($6,850 Family) Out: $10,200 ($13,700 Family)
Coinsurance (In/Out)
90/70%
80/60%
80/60% Enhanced: 90/60%
Office Visit
$15/100% (dw)
$25/80%
$20/80%
$0/80%
Outpatient Lab/X-Ray
$0/90%
First $500: $0/100% (dw) $501+: $0/80%
Emergency Room
$75/90%
$75/80%
$100/80%
Prescription Drugs
In: $15$25/$45 Mail: $20/$40/$80
In: $20$45/$65 Mail: $40/$80/$120
20% After Deductible
Preventive Care
$0/100% (dw)
$0/100% (dw); Net. Only
Monthly Rates
Non-AEA
Employee 34 18 12 29
991.08
812.08
650.52
571.18
Employee + Spouse 5 3 7
1,819.58
1,490.85
1,194.33
1,048.65
Employee + Child(ren) 8
1,327.76
1,087.96
871.51
765.21
Employee + Spouse & Child(ren) 1 2 9
2,181.10
1,787.17
1,431.62
1,257.00
Total Employees 52 30 26

20. OPTION # 4
Public Employee Benefits Board (PEBB) Program

21. What is the PEBB Program?
Administered by the Health Care Authority (HCA) of Washington State
Key Considerations
Covers over 350,000 people (including public employees, retirees and their dependents)
Comprehensive insurance coverage that includes:
Medical
Dental
Vision
Life
LTD

22. Renewal Choice 4 Arlington Public Schools Medical/Rx Plans - Non-AEA
Arlington Public Schools
Medical/Rx Plans - Non-AEA
Benefit Outline and Cost Summary
Renewal Choice 4
Network Benefit Outline
UMP Classic
UMP CDHP
Carrier
PEBB
Deductible (In/Out)
$250 (3x Family)
$1,400 (2x Family)
OOP Max incl. Deductible (In/Out)
$2,000 (2x Family)
$4,200 (2x Family)
($6,850 per person in a family)
Office Visit
85%
Outpatient Lab/X-Ray
Emergency Room
$75/85%
Prescription Drug Deductible
$100 (3x Family)
(Tier 2 & 3 ONLY)
n/a
Prescription Drug OOP Max
$2,000 per person
Prescription Drugs
$10/$25/$75
Preventive Care
$0/100% (dw)
Monthly Rates
Employee
982.00
913.00
Employee + Spouse
1,086.00
948.00
Employee + Child(ren)
1,053.00
943.00
Employee + Spouse & Child(ren)
1,157.00
967.00
Total Employees

23. PEBB: HSA Contribution
Who’s Covered?
How much is deposited into the HSA each month?
Total HSA contribution by the end of the year
Just you
$ x 12 (months)
$700.08
You and your family
$ x 12 (months)
$1,400.04

24. PEBB: Key Considerations
Eligibility
Coverage available to….
Employee
Spouse
Domestic Partner
Eligible Dependents
Medical Waiver Fee
If you choose to waive medical benefits…
You are responsible for the $ waiver fee, and
You will remain enrolled for dental, life and LTD

25. As a review, the Medical Renewal Plan Options are…
Renew with Kaiser Permanente “as-is.”
The WEA (Aetna and UHC) Plans
The Premera K-12 Pool
The PEBB Program 1 2 3 4

26. Questions?