The Cigna Group · NYSE:CI
The Cigna — Cigna — Corporate Update (November 2012)
20 slides from The Cigna's corporate update, Nov 14, 2012
Slide 1: Welcome to the Cigna Health Care Reform Webinar
Download this presentation on InformedOnReform.com under Reform News Welcome to the Cigna Health Care Reform Webinar Public Policy, New Fees/Taxes and Essential Health Benefits: What You Need to Know November 14, 2012 © 2012 Cigna
Slide 2: Agenda
Download this presentation on InformedOnReform.com under Reform News AGENDA Public Policy, New Fees/Taxes and Essential Health Benefits: What You Need to Know • Politics and Public Policy Update • How Essential Health Benefits are Evolving • New Fees and Taxes • What’s Next and How to Prepare • Ques
Slide 3: Politics and Public Policy Update
Download this presentation on InformedOnReform.com under Reform News POLITICS AND PUBLIC POLICY UPDATE © 2012 Cigna 3
Slide 4: Election Results Summary
Download this presentation on InformedOnReform.com under Reform News ELECTION RESULTS SUMMARY Republican Democrat President Electoral votes (270 needed) 206 332 U.S. Senate 45 55* U.S. House** 233 195 Governors 30 20 * 2 Independents caucusing with Democrats ** 7 races yet to be decided © 2012 Cigna
Slide 5: How Essential Health Benefits Are Evolving
Download this presentation on InformedOnReform.com under Reform News HOW ESSENTIAL HEALTH BENEFITS ARE EVOLVING © 2012 Cigna 5
Slide 6: Clearing Up the Confusion Between Three 1/1/14 Provisions
Download this presentation on InformedOnReform.com under Reform News CLEARING UP THE CONFUSION BETWEEN THREE 1/1/14 PROVISIONS Essential Health Minimum Value Minimum Essential Benefits Employer Mandate Coverage Individual Mandate Summary Summary Summary Non-grandfathered Employers with 50+ All indiv
Slide 7: Essential Health Benefits – What We Know
Download this presentation on InformedOnReform.com under Reform News ESSENTIAL HEALTH BENEFITS – WHAT WE KNOW • Effective for plans beginning on or after 1/1/14 • Each state determines EHBs by selecting a benchmark plan • HHS Bulletin in Dec. 2011; awaiting further guidance Annual or Must Cover Life
Slide 8: Essential Health Benefits – 10 Basic Categories
Download this presentation on InformedOnReform.com under Reform News ESSENTIAL HEALTH BENEFITS – 10 BASIC CATEGORIES Challenge of Balancing Comprehensiveness and Affordability • Ambulatory patient services • Rehabilitative and habilitative • Emergency services services/devices • Hospitalization • La
Slide 9: Essential Health Benefits – Open Questions
Download this presentation on InformedOnReform.com under Reform News ESSENTIAL HEALTH BENEFITS – OPEN QUESTIONS Determination of EHBs • When will states announce their benchmark plan details? • Do all benefits included in the benchmark plan become EHBs for the state? • Must plans duplicate the bench
Slide 10: Essential Health Benefits: State Benchmark Plan Status
Download this presentation on InformedOnReform.com under Reform News ESSENTIAL HEALTH BENEFITS: STATE BENCHMARK PLAN STATUS Benchmark plan Started the Waiting for guidance No action selected selection process from HHS taken 25 States/DC 5 States 13 States 8 States Source: AHIP as of 10/18/12 © 2012
Slide 11: Essential Health Benefits in California – Making Headway
Download this presentation on InformedOnReform.com under Reform News ESSENTIAL HEALTH BENEFITS IN CALIFORNIA – MAKING HEADWAY Proposed benchmark plan includes: • Mental health – no limits • Physical, occupational and speech therapy – no limits • Skilled nursing facility – 100 days • Home health care
Slide 12: Essential Health Benefits – Potential Cost Impact
Download this presentation on InformedOnReform.com under Reform News ESSENTIAL HEALTH BENEFITS – POTENTIAL COST IMPACT Applicable to Small and Large Employer Groups Not Currently Covered Estimated Cost Impact Under Most Small Group Plans Assuming No Dollar Limits Infertility Treatment 3.0% - 9.0% Ch
Slide 13: New Fees and Taxes
Download this presentation on InformedOnReform.com under Reform News NEW FEES AND TAXES © 2012 Cigna 13
Slide 14: Additional Medicare Taxes Effective 1/1/13
Download this presentation on InformedOnReform.com under Reform News ADDITIONAL MEDICARE TAXES EFFECTIVE 1/1/13 • Current Medicare Tax = 2.9% of compensation • Both employers and employees currently pay 1.45% – no income limit Who is Impacted? Individuals $200k+ and Couples $250k+ Employers .9% Addi
Slide 15: New Taxes and Fees with Employer Impact
Download this presentation on InformedOnReform.com under Reform News NEW TAXES AND FEES WITH EMPLOYER IMPACT Comparative Effectiveness Health Insurance Reinsurance Assessment Research Fee Industry Fee • Annual fee on insured and • Annual fee on all insured • Annual fee on insured Who self-insured pl
Slide 16: What's Next and How to Prepare
Download this presentation on InformedOnReform.com under Reform News WHAT’S NEXT AND HOW TO PREPARE © 2012 Cigna 16
Slide 17: What's Next
Download this presentation on InformedOnReform.com under Reform News WHAT’S NEXT Guidance/Regulations – Still Pending for Several Key Provisions November 16: December 16: January 1: March 1: States must State • Flexible Spending Employers must send notify HHS Exchange Account (FSA) capped at employe
Slide 18: How to Prepare: Checklist for Employers
Download this presentation on InformedOnReform.com under Reform News HOW TO PREPARE: CHECKLIST FOR EMPLOYERS Essential Health Benefits 9 Assess or confirm your situs state/Essential Health Benefits state 9 Understand your requirements or options with Essential Health Benefits Fees and Taxes 9 Medica
Slide 19: Next Steps and Questions
Download this presentation on InformedOnReform.com under Reform News NEXT STEPS AND QUESTIONS Visit our award-winning website, InformedOnReform.com Try our new tool, Health Care Reform for YOU Our next webinar will take place in early 2013 © 2012 Cigna 19
Slide 20: "Cigna" is a registered service mark and the "Tree of Life" logo is a
"Cigna" is a registered service mark and the "Tree of Life" logo is a service mark of Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by such operating subsidiaries and not by Cigna Corporation. Such oper