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Providence Rates Presentation

Providence Rates Presentation

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Published by Statesman Journal
Providence Rates Presentation
Providence Rates Presentation

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Published by: Statesman Journal on Apr 19, 2013
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04/22/2013

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MERCER
7
 April 12, 2013
2014 Medical Renewal
 –
Providence
 Administrative fees from Providence are unchanged from the 2013 rates
 –
Statewide ASO fee is $52 PEPM
 –
Providence Choice fee is $93.21 PEPMFees have been unchanged since 2010
Other fixed costs:
 –
PEBB admin fee: 0.4% load
 –
Commissions: 0.16% load
 –
Rx Rebates:Statewide: $4.02 PEPMProvidence Choice: $1.39 PEPM
 –
PPACA Fees (Applied to medical rates only):Reinsurance Fee: $13.65 PEPMComparative Effectiveness Fee: $0.45 PEPMOregon Children's Reinsurance Fee: $3.33 PEPM
 Assumptions used for the self-insured plans
 –
Claims incurred through December 2012 and paid through February 2013
 –
Trend rates of 7.5% for medical and prescription drugs for both Statewide and ChoiceVSP trend of 3%
 –
Excludes OMIP and Self-Insured Tax
 –
No cost increase assumed for HCR OOP
Fully loaded rates are on the following page
 
MERCER
8
 April 12, 2013
2014 Medical Renewal Proposal
 –
Providence
Providence 2014 Rate Proposal
 –
Full-Time Medical Plan(Fully Loaded premium equivalents, including VSP)
 
EmployeeEmployee &Spouse/Partner 
 
Employee &Child(ren)
 
Employee & Family
 
2013 Statewide Rates
 
$1,060.62 $1,421.08 $1,219.62 $1,452.902014 Statewide Rates
 
$1,028.09 $1,377.50 $1,182.23 $1,408.36% Change Statewide
 
-3.1% -3.1% -3.1% -3.1%2013 Prov Choice Rates
 
$935.06 $1,252.94 $1,075.33 $1,281.012014 Prov Choice Rates
 
$911.82 $1,221.82 $1,048.60 $1,249.20% Change Prov Choice
 
-2.5% -2.5% -2.5% -2.5%
Note: Percentage increase for part-time plans mirrors change for full-time plans shown above. Based on 30,367 total enrolled inStatewide and 10,638 in Prov Choice as of March 2013.
The above Providence rates include:
 –
 Addition of Active Employee PEBB administration of 0.4%
 –
Excludes Funding Assessment
 –
Includes consultant commissions of 0.16%
 – Includes Children’s Reinsurance Fee
 
 –
Excludes OMIP, Provider Tax
 –
Includes PPACA Reinsurance Fee and Comparative Effectiveness Fee
 –
Includes 2014 VSP rates

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