The Cigna Group · NYSE:CI
The Cigna — Cigna — Investor Presentation (March 2012)
35 slides from The Cigna's investor presentation, Mar 27, 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 March 27, 2012 © 2012 Cigna
Slide 2: PPACA: Rolling Out the Summary of Benefits and Coverage
PATIENT PROTECTION Download this presentation on AND AFFORDABLE CARE InformedOnReform.com ACT (PPACA) under Reform News Rolling Out the Summary of Benefits and Coverage March 27, 2012 © 2012 Cigna 2
Slide 3: Agenda
Download this presentation on InformedOnReform.com under Reform News AGENDA • Policy and Politics Update • Summary of Benefits and Coverage Final Rule • Questions Bill Hoagland Kathy Vaccaro Vice President Vice President Federal Affairs Health Care Reform © 2012 Cigna 3
Slide 4: Health Care Reform: Policy and Politics
Download this presentation on InformedOnReform.com under Reform News HEALTH CARE REFORM: POLICY AND POLITICS An update © 2012 Cigna 4
Slide 5: Federal Budget
Download this presentation on InformedOnReform.com under Reform News FEDERAL BUDGET Update and outlook © 2012 Cigna 5
Slide 6: Total Budget Surplus/Deficit
Download this presentation on InformedOnReform.com under Reform News TOTAL BUDGET SURPLUS/DEFICIT CBO Baseline - Alternative Baseline – President’s Budget FY 1965 - 2022 Actual Alternative Projections Surplus Deficit Trend Recession as announced by National Bureau of Economic Research 22 Sources: Th
Slide 7: Budget Outlook FY 2011-2017
Download this presentation on InformedOnReform.com under Reform News BUDGET OUTLOOK FY 2011 – 2017 (In Billions of Dollars – % of GDP) President’s FY 2013 Budget (CBO Estimated) %∆ 2011 2012 2013 Annual 2014 2015 2016 2017 Actual Est Proj → 2012- 2017 Receipts 2,303 2,394 2,741 3,105 3,413 3,657 3,8
Slide 8: Major Components of Federal Expenditures
Download this presentation on InformedOnReform.com under Reform News MAJOR COMPONENTS OF FEDERAL EXPENDITURES % of GDP 2011-2051 14% Healthcare 12% 10% 8% 6% Social Security Discretionary Spending 4% Other Mandatory 2% Spending 0% 2011 2021 2031 2041 2051 Source: Congressional Budget Office. © 2012
Slide 9: Legislative and Regulatory Outlook
Download this presentation on InformedOnReform.com under Reform News LEGISLATIVE AND REGULATORY OUTLOOK © 2012 Cigna 9
Slide 10: 112th Congress: 2nd Session Legislative Update
Download this presentation on InformedOnReform.com under Reform News 112th CONGRESS: 2nd SESSION LEGISLATIVE UPDATE Select Health Care Legislative Policy Agenda 54 Days House & Senate in Session Concurrently before Elections • December 31, 2011: Expiration of AMT, R&E Tax Credits, etc.(Continue to e
Slide 11: Health Care Regulations: 12,260 pages to date
Download this presentation on InformedOnReform.com under Reform News Health Care Regulations: 12,260 pages to date. February 18, 2012 ©Jon Berkeley and The Economist © 2012 Cigna 11
Slide 12: Judicial Outlook
Download this presentation on InformedOnReform.com under Reform News JUDICIAL OUTLOOK © 2012 Cigna 12
Slide 13: Public Opinion: Individual Mandate
Download this presentation on InformedOnReform.com under Reform News PUBLIC OPINION: INDIVIDUAL MANDATE USA Today/Gallup February 20-21, 2012 Q: Regardless of whether you favor or oppose the health care reform law, do you think the requirement that every American must buy health insurance or pay a f
Slide 14: Public Attitudes on Judicial Matters Compared to Supreme Court Justices
Download this presentation on InformedOnReform.com under Reform News PUBLIC ATTITUDES ON JUDICIAL MATTERS COMPARED TO SUPREME COURT JUSTICES Higher points on scale connote more conservative ideological position. Public Notes: Top panel plots density of 1,500 respondents on ideological positions on 1
Slide 15: Political Setting
Download this presentation on InformedOnReform.com under Reform News POLITICAL SETTING © 2012 Cigna 15
Slide 16: Views on Health Reform Remain Divided
Download this presentation on InformedOnReform.com under Reform News VIEWS ON HEALTH REFORM REMAIN DIVIDED Question: As you may know, a health reform bill was signed into law in 2010. Given what you know about the health reform law, do you have a generally favorable or generally unfavorable opinion
Slide 17: 2012 Republican Calendar and Delegate Count
Download this presentation on InformedOnReform.com under Reform News 2012 REPUBLICAN CALENDAR AND DELEGATE COUNT 1,144 needed to win nomination As of March 21: Romney 416; Santorum 170; Gingrich 133; Paul 26; Unbound 304 PHASE 1 PHASE 2 PHASE 3 PRE-SUPER TUESDAY SUPER TUESDAY POST-SUPER TUESDAY (bef
Slide 18: President Obama vs. Republican Candidates
Download this presentation on InformedOnReform.com under Reform News PRESIDENT OBAMA VS. REPUBLICAN CANDIDATES Real Clear Politics Poll General Election President Obama DATE Republicans SPREAD 3/4-3/18 +4.1 3/4-3/18 +8.5 3/4-3/12 +8.2 3/4-3/12 +13.8 © 2012 Cigna 18
Slide 19: Political Environment 2012 Elections
Download this presentation on InformedOnReform.com under Reform News POLITICAL ENVIRONMENT 2012 ELECTIONS 33 U.S. SENATE ELECTIONS – 23 D AND 10 R Ratings Based on Polls as of February 2012: S=Solid P=Probable L=Lean TU=Toss Up Incumbent Republicans (7) Incumbent Democrats (16) Barrasso (WY) S Brown
Slide 20: 2012 Gubernatorial Race Ratings
Download this presentation on InformedOnReform.com under Reform News 2012 GUBERNATORIAL RACE RATINGS Governor Lineup (4 Republicans, 8 Democrats) Ratings Based on Polls as of February 2012: S=Solid P=Probable L=Lean TU=Toss Up Nationwide 2012: Incumbent Republicans (4) Incumbent Democrats (8} 29 Rep
Slide 21: State Legislatures 2011/12
Download this presentation on InformedOnReform.com under Reform News STATE LEGISLATURES 2011/12 Nationwide: 99 State Legislative Chambers 86 Chambers will hold elections in 2012 Game Changer: California State Senate, if Democrats gain 2 seats will have 2/3rd supermajority. Relative to 2010: Democrat
Slide 22: Summary of Benefits and Coverage (SBC) Final Rule
Download this presentation on InformedOnReform.com under Reform News SUMMARY OF BENEFITS AND COVERAGE (SBC) FINAL RULE • Overview • Compliance/Logistics • Preparation © 2012 Cigna 22
Slide 23: Overview: Summary of Benefits and Coverage
Download this presentation on InformedOnReform.com under Reform News OVERVIEW: SUMMARY OF BENEFITS AND COVERAGE Intent Provide individuals and employers with HHS-defined standard information to review plans, compare carriers and make decisions Customer Four-Page Benefit Summaries Coverage Examples S
Slide 24: Overview: Differences Between NPRM and Final Rule
Download this presentation on InformedOnReform.com under Reform News OVERVIEW: DIFFERENCES BETWEEN NPRM AND FINAL RULE Feature NPRM Final Rule/FAQ Upon Request 7 calendar days 7 business days Coverage Tier SBC required by plan AND coverage tier One SBC permitted showing all coverage tier cost-sharin
Slide 25: Overview: Mandatory SBC Template
Download this presentation on InformedOnReform.com under Reform News OVERVIEW: MANDATORY SBC TEMPLATE http://www.dol.gov/ebsa/pdf/SBCSampleCompleted.pdf © 2012 Cigna 25
Slide 26: Overview: Mandatory SBC Template, Page 2
Download this presentation on InformedOnReform.com under Reform News OVERVIEW: MANDATORY SBC TEMPLATE, PAGE 2 http://www.dol.gov/ebsa/pdf/SBCSampleCompleted.pdf © 2012 Cigna 26
Slide 27: Overview: Mandatory SBC Coverage Examples
Download this presentation on InformedOnReform.com under Reform News OVERVIEW: MANDATORY SBC COVERAGE EXAMPLES http://www.dol.gov/ebsa/pdf/SBCSampleCompleted.pdf © 2012 Cigna 27
Slide 28: Compliance/Logistics: Triggers, Timing and To Whom
Download this presentation on InformedOnReform.com under Reform News COMPLIANCE/LOGISTICS: TRIGGERS, TIMING AND TO WHOM Who Trigger Timing Requirements Individual Plan • Upon application or request • Within 7 business days Shoppers Employer • Upon application or request • Within 7 business days Shop
Slide 29: Compliance/Logistics: Plan Modifications
Download this presentation on InformedOnReform.com under Reform News COMPLIANCE/LOGISTICS: PLAN MODIFICATIONS Modified SBC had before been Reissue first day provided SBC of plan with OE year © 2012 Cigna 29
Slide 30: Compliance/Logistics: Distribution Examples
Download this presentation on InformedOnReform.com under Reform News COMPLIANCE/LOGISTICS: DISTRIBUTION EXAMPLES SBC for New Hire/ Special Enrollee? SBC Plan Year: Open Enrollment during Yes No New or Renewal (OE) Period OE? 10/1/12 8/1 to 8/15/12 No 10/1/12 or later 9/23/12 – 9/30/12 11/1/12 9/1/12
Slide 31: Compliance/Logistics: Roles and Responsibilities
Download this presentation on InformedOnReform.com under Reform News COMPLIANCE/LOGISTICS: ROLES AND RESPONSIBILITIES Responsible for Roles and creating and Liable for penalty Responsibilities delivering the SBC Health insurer and employer Fully insured employers Health insurer and employer Can be d
Slide 32: Preparation: What Cigna Is Doing
Download this presentation on InformedOnReform.com under Reform News PREPARATION: WHAT CIGNA IS DOING It’s a significant work effort but we will be ready. We are: Developing business processes Upgrading systems, as necessary Preparing to support all clients © 2012 Cigna 32
Slide 33: Preparation: Cigna's Toolkit/Suggestions for You
Download this presentation on InformedOnReform.com under Reform News PREPARATION: CIGNA’S TOOLKIT/SUGGESTIONS FOR YOU Although there is no formal requirement to notify employees, Cigna is developing a toolkit to help you communicate key messages In addition, we suggest you … Incorporate SBC into H
Slide 34: Next Steps and Questions
Download this presentation on InformedOnReform.com under Reform News NEXT STEPS AND QUESTIONS Visit our website, InformedOnReform.com, or through Cigna.com Today’s presentation is posted under Reform News. Our next webinar will take place in May. Topic will be Exchanges. © 2012 Cigna 34
Slide 35: "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