1. 2013 Human Resources Benefits Update and Open Enrollment Meetings November 13-20, 2013

2. Agenda Health Plan Review Health Plan Review Affordable Care Act Update Affordable Care Act Update Summary of Changes Summary of Changes Question & Answer Question & Answer

3. Net Claims & Admin Fees vs. Deductions and Accruals FY 2011-FY 2014

4. Health Care Cost Distribution Claims paid 10/2012 thru 9/2013

5. Affordable Care Act Update Maintain Grandfathered Status Maintain Grandfathered Status Employer Mandate delayed until 2015 Employer Mandate delayed until 2015 Health Insurance Marketplace Notice – eff. 10/1 Health Insurance Marketplace Notice – eff. 10/1 Summary of Benefits and Coverage Summary of Benefits and Coverage Transitional Reinsurance Program Begins Transitional Reinsurance Program Begins PCORI fee PCORI fee Transitional Reinsurance Fee Transitional Reinsurance Fee

6. Strategic Health Care Goals Find resources to assist employees in leading healthy lives; Find resources to assist employees in leading healthy lives; Provide support to those in need when health issues arise; Provide support to those in need when health issues arise; Offer tools to employees to manage the cost and effectiveness of their own healthcare; Offer tools to employees to manage the cost and effectiveness of their own healthcare; Ensure the College has the financial resources necessary to help those in catastrophic need. Ensure the College has the financial resources necessary to help those in catastrophic need.

7. 2014 Strategic Health Care Initiatives Wellness Wellness Continue current Wellness Offerings Continue current Wellness Offerings Wellness Program Review by Health America Wellness Program Review by Health America Financial Resources Financial Resources No premium increase through 5/31 No premium increase through 5/31 $750 Incentive to Decline Health Plan Coverage $750 Incentive to Decline Health Plan Coverage Service (Ongoing) Service (Ongoing)

8. Question & Answer