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under Reform News<br />
Web meeting call in numbers:<br />
877.702.5001<br />
Passcode: 142431<br />
Welcome to the Cigna Health Care Reform Web Meeting<br />
Public Exchanges – Impacts and Readiness<br />
June 5, 2013
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AGENDA<br />
Public Exchanges – Impacts and Readiness<br />
Your Presenters<br />
• Recent developments<br />
• Cigna’s position and preparations<br />
• Cost and subsidy impacts<br />
• Next steps<br />
• Questions<br />
Kathy Vaccaro<br />
Ray Smithberger<br />
© 2013 2012 Cigna<br />
2
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RECENT<br />
DEVELOPMENTS<br />
© 2013 Cigna 3
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NEW TERMINOLOGY!<br />
HEALTH<br />
INSURANCE<br />
EXCHANGE<br />
Out with the old<br />
In with the new<br />
HEALTH<br />
INSURANCE<br />
MARKETPLACE<br />
© 2013 Cigna<br />
4
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EMPLOYEE NOTICE OF COVERAGE OPTIONS<br />
Also known as the Employee Notice of the Exchange<br />
Temporary Guidance Effective by October 1, 2013<br />
Virtually all employers must notify all employees<br />
• All full- and part-time employees, regardless of health coverage<br />
Must include<br />
• Acknowledgment of employer coverage, or not<br />
• Marketplace consumer assistance information<br />
• Explanation of potential eligibility for premium subsidy –<br />
employer plan “affordable” and of “minimum value”<br />
• Marketplace plans purchased with post-tax dollars<br />
• Department of Labor models available<br />
© 2013 Cigna<br />
5
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MARKETPLACE UPDATE: QUICK STATUS OF WHAT AND WHO<br />
16<br />
State‐based<br />
Marketplaces (16)<br />
26<br />
State Partnership<br />
Marketplaces (9)<br />
9<br />
Federally Facilitated<br />
Marketplaces (26)<br />
Market saturation<br />
• 52 million uninsured Americans<br />
• About half will explore the new Marketplace<br />
• About 19 million will be eligible for a premium subsidy<br />
© 2013 Cigna<br />
6
WHO WILL SUPPORT THIS BROADER MARKET?<br />
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Marketplace<br />
Training/<br />
Certification<br />
required<br />
Navigators<br />
Certified application counselors<br />
In-person assistors<br />
Certified, licensed brokers<br />
Private / Off<br />
Marketplace<br />
State licensing<br />
required<br />
Brokers<br />
eBrokers<br />
Insurers – direct to consumer<br />
© 2013 Cigna<br />
7
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CIGNA’S POSITION<br />
AND PREPARATIONS<br />
© 2013 Cigna 8
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THE MARKETPLACE PUZZLE<br />
QHP<br />
Certification<br />
Operational<br />
Impacts<br />
Operational<br />
Models<br />
Financial<br />
Impact<br />
Cigna Public<br />
Marketplace<br />
Strategy<br />
Notification<br />
and<br />
Reporting<br />
Risk<br />
Management<br />
Benefit<br />
Plans<br />
Market<br />
Rules<br />
© 2013 Cigna<br />
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OUR 2014 MARKETPLACE PARTICIPATION<br />
Medical and Dental Plans<br />
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CT<br />
CA<br />
CO<br />
AZ<br />
TN<br />
GA<br />
NC<br />
SC<br />
TX<br />
FL<br />
Off Marketplace<br />
© 2013 Cigna<br />
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OUR 2014 MARKETPLACE PARTICIPATION<br />
Medical and Dental Plans<br />
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CT<br />
CO<br />
CA<br />
AZ<br />
TN<br />
GA<br />
SC<br />
NC<br />
TX<br />
FL<br />
Off Marketplace<br />
On and Off Marketplace<br />
© 2013 Cigna<br />
11
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HOW CIGNA WILL COMPETE AND WHAT WILL DIFFERENTIATE US<br />
1<br />
Operational readiness<br />
2<br />
Products that promote customer engagement<br />
3<br />
Managing costs with physician engagement and incentives<br />
4<br />
Service perspective<br />
© 2013 Cigna<br />
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INDUSTRY OVERVIEW<br />
Countdown to Open Enrollment on October 1<br />
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March<br />
April<br />
May<br />
June<br />
July<br />
August<br />
Sept<br />
HHS finalizes decisions for Marketplace models<br />
Insurers’ QHP designs complete<br />
Federal Data Hub ready for single applications<br />
Insurers submit QHP data for Federal Marketplace<br />
Re-launched Healthcare.gov, and<br />
Launch customer service center<br />
Broker/Navigator Training complete<br />
Phase I approval of QHPs<br />
QHPs available for insurers to preview<br />
All systems and development complete<br />
Phase II approval of QHPs<br />
© 2013 Cigna<br />
13
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COST AND<br />
SUBSIDY IMPACTS<br />
© 2013 Cigna 14
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WHAT MIGHT UNSUBSIDIZED MARKETPLACE PLANS COST?<br />
National<br />
31.5%<br />
Increase<br />
WI<br />
80%<br />
Increase<br />
OH<br />
80.9%<br />
Increase<br />
NY<br />
13.9%<br />
Decrease<br />
VT<br />
12.5%<br />
Decrease<br />
ID<br />
62.2%<br />
Increase<br />
MA<br />
12.8%<br />
Decrease<br />
IN<br />
67.6%<br />
Increase<br />
MD<br />
66.6%<br />
Increase<br />
RI<br />
6.6%<br />
Decrease<br />
NJ<br />
1.4%<br />
Decrease<br />
Society of Actuaries study, March 2013<br />
© 2013 Cigna<br />
15
SUBSIDY ELIGIBILITY AND OPTIONS<br />
Estimated 60% of individual market will be eligible<br />
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Who will be eligible?<br />
• Individuals at 100% - 400% FPL<br />
without access to affordable,<br />
minimum essential coverage<br />
Who won’t be eligible?<br />
• Employees offered small or large<br />
employer plans that provide<br />
affordable, minimum value<br />
coverage<br />
• Medicare or Medicaid enrollees<br />
Household<br />
income<br />
$46,100 $69,150 $92,201<br />
% FPL 200% 300% 401%<br />
Annual<br />
premium<br />
threshold<br />
Considering the options<br />
2012 FPL data, family of four<br />
$2,904 $6,569<br />
Pays full<br />
premium<br />
© 2013 Cigna<br />
16
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NEXT STEPS<br />
© 2013 Cigna<br />
17
CONSIDERATIONS AND WATCH LIST<br />
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Customers<br />
Market Size<br />
Service Experience<br />
© 2013 Cigna<br />
18
RESOURCES AND YOUR QUESTIONS<br />
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© 2013 Cigna<br />
19
Offered by: Connecticut General Life Insurance Company or Cigna Health and Life Insurance Company.<br />
"Cigna,” the "Tree of Life" logo and "GO YOU" are registered service marks of Cigna Intellectual Property, Inc., licensed for use by Cigna<br />
Corporation and its operating subsidiaries. All products and services are provided by such operating subsidiaries and not by Cigna<br />
Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company,<br />
and HMO or service company subsidiaries of Cigna Health Corporation and Cigna Dental Health, Inc. All models are used for illustrative<br />
purposes only.<br />
863922 06/13 © 2013 Cigna. Some content provided under license.
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