November 2024 - Slebcboard - groups.netroopers.org

2025 Rates and Plan Changes
by Tara Johnson 12 Nov '24

12 Nov '24

Hi Guys, The below is for review, discussion, and approval. NO changes to Dental and Vision Premiums and no changes to life insurance rates. Medical rates were adjusted by an 6.3% as suggested by the actuary. After splitting this with the state by percentage here is the dollar breakdown by tier: Employee only: $11.83/mo+ Employee + Spouse: $23.66/mo+ Employee + child(ren): $20.16/mo+ Family: $29.49/mo+ Historically: 2024 increases were between $24.96-35.05 2023 increases were between $18.85-49.92 2022 increases we're between $10.74-28.44 2021 increases were between $8.79-35.24 Plan changes discussed are as follows: * ServeYouRx will be the new PBM (I have held off on sending this approval to you pending the disruption report, which is minimal because of the large formulary that ServeYouRx has. Any members with disruptions will be contacted accordingly.) * OON Hearing Aid benefit to mirror INN benefit of 85% AD, $2500/ear * Obesity exclusions will be updated to allow nutritional counseling with a licensed dietician or nutritionist. OON benefits will mirror INN benefit level 85% AD. * Addition of GLP-1 Compounding Pharmacy program – employee paid Tara Johnson

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Fw: 2025 Renewal - Signature Requested Stop Loss Quote
by Tara Johnson 09 Nov '24

09 Nov '24

Hi Guys, Here is the disruption report. Obviously, it is recommended to move to the lowest net cost formulary. The rebates will be less, but the original cost to the plan will also be less. Win Win. Also... forgot to mention we will plan to continue to move forward with the no-cost Over the Counter scripts previously included. So we need to move forward with a motion, second, and vote. 🙂 Thanks!! Tara Tara Johnson This email may contain confidential and privileged information for the sole use of the intended recipient. Any review or distribution by others is strictly prohibited. If you are not the intended recipient please contact the sender and delete all copies. ________________________________ From: Sarah Thielen AH <sthielen(a)Apta-health.com> Sent: Thursday, November 7, 2024 5:00 PM To: Tara Johnson <tjohnson(a)netroopers.org> Cc: Tim Longwell <tlongwell(a)theolsongroup.net>; Howard Shandell <hshandell(a)theolsongroup.net>; Ryan Thiess <rthiess(a)novoconnection.com> Subject: RE: 2025 Renewal - Signature Requested Stop Loss Quote Hi Tara, Thank you for your patience as I am catching up from travel yesterday! With ServeYou, we would recommend the Lowest Net Cost formulary. However, I have also included the disruption detail for ServeYou’s standard formulary. Lowest Net Cost – Novo Formulary: The lowest net cost formulary is more expansive which allows for greater substitution opportunity to affect the greatest clinical outcome for the member, with the lowest financial output for the Plan. Traditional PBM based formularies are typically subject to manufacturer negotiations that steer members towards drugs with larger rebates and larger discounts off of wholesale price. ServeYou Standard Formulary: ServeYou has a longstanding history of being able to minimize cost using their own formulary strategy. There is more disruption for the ServeYou formulary, as it is built using different principals than the Novo Lowest Net Cost formulary. This is not to say it is a worse option, rather an explanation for the variance. I would be more than happy to set up a call to review the formulary options! Please let me know if you have any questions. Thank you, Sarah Sarah Thielen Lead Client Experience Executive Apta Health | Novo Connection 628 N 108th Court | Omaha, NE 68154 402.999.4478 direct | 402.707.9786 mobile [cid:image001.png@01DB3132.B8B05010] The information contained in this message and any accompanying attachments may contain privileged, private and/or confidential information protected by state and federal law. Penalties may be assessed for unauthorized use and/or disclosure. This message and any attachments are intended for the designated recipient only. If you have received this information in error, please notify the sender immediately and return or destroy the information. This e-mail transmission and any attachments are believed to have been sent free of any virus or other defect that might affect any computer system into which it is received and opened. It is, however, the recipient's responsibility to ensure that the e-mail transmission and any attachments are virus free, and the sender accepts no responsibility for any damage that may in any way arise from their use. From: Tara Johnson <tjohnson(a)netroopers.org> Sent: Wednesday, November 6, 2024 12:48 PM To: Sarah Thielen AH <sthielen(a)Apta-health.com> Cc: Tim Longwell <tlongwell(a)theolsongroup.net>; Howard Shandell <hshandell(a)theolsongroup.net> Subject: Re: 2025 Renewal - Signature Requested Stop Loss Quote Hi Sarah, Have you seen the report for ServeYouRX's formulary disruption report yet? I think this is the only item we are really waiting on to finalize things on our end. Once this is ready, do you know when the benefit guide, OE slide show, etc. will be ready so that I can begin OE? Thank you!! Tara Tara Johnson This email may contain confidential and privileged information for the sole use of the intended recipient. Any review or distribution by others is strictly prohibited. If you are not the intended recipient please contact the sender and delete all copies. ________________________________ From: Sarah Thielen AH <sthielen(a)Apta-health.com<mailto:sthielen@Apta-health.com>> Sent: Wednesday, October 23, 2024 3:32 PM To: Tara Johnson <tjohnson(a)netroopers.org<mailto:tjohnson@netroopers.org>> Cc: Tim Longwell <tlongwell(a)theolsongroup.net<mailto:tlongwell@theolsongroup.net>>; Howard Shandell <hshandell(a)theolsongroup.net<mailto:hshandell@theolsongroup.net>> Subject: 2025 Renewal - Signature Requested Stop Loss Quote Hi Tara, Thank you for joining us for lunch today! For the 2025 renewal we are looking at a 4.1% increase on admin costs and 8.9% overall with Stop Loss premiums and aggregate factors. As discussed, we are working with Granular to see if we can get some relief on the aggregate factors. While we are pending their final review, I do recommend that you sign the current quote to ensure it is locked in as-is. In the event of a reduction, a new quote will be generated. * Granular Firm Quote – Signature requested on page 10 * Meritain PHI Form – Signature requested at the bottom of page 1 We are running the formulary disruption to see the impact of using our custom Lowest Net Cost formulary with ServeYouRx as the PBM. Plan changes discussed are as follows: * OON Hearing Aid benefit to mirror INN benefit of 85% AD, $2500/ear * Obesity exclusions will be updated to allow nutritional counseling with a licensed dietician or nutritionist. OON benefits will mirror INN benefit level 85% AD. * Addition of GLP-1 Compounding Pharmacy program – employee paid Thank you, Sarah Sarah Thielen Lead Client Experience Executive Apta Health | Novo Connection 628 N 108th Court | Omaha, NE 68154 402.999.4478 direct | 402.707.9786 mobile [cid:image001.png@01DB3132.B8B05010] The information contained in this message and any accompanying attachments may contain privileged, private and/or confidential information protected by state and federal law. Penalties may be assessed for unauthorized use and/or disclosure. This message and any attachments are intended for the designated recipient only. If you have received this information in error, please notify the sender immediately and return or destroy the information. This e-mail transmission and any attachments are believed to have been sent free of any virus or other defect that might affect any computer system into which it is received and opened. It is, however, the recipient's responsibility to ensure that the e-mail transmission and any attachments are virus free, and the sender accepts no responsibility for any damage that may in any way arise from their use.

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Deadline 11/1: SLEBC - 2025 Revised Renewal
by Tara Johnson 05 Nov '24

05 Nov '24

SLEBC Board, I met Sarah, Tim and Howard last week to chat about Open Enrollment for 2025. Following our meeting I received a copy of the rate increases and thought it would be wise to ask for a reduction in the rates as they seemed higher than what I would expect. I do know inflation is high, but I also know that we have been with them since 2017, I have done so many referrals, and feel we are a relatively "easy" client. Asking for a rate review and reduction from the original 8.2% total increase felt appropriate. With blessings from James and Nic, I requested this review immediately and today I received news that the new increase is now 6.8%. Below is the email from Sarah. Attached is the proposal and firm quote from granular for 2025. We will need to get this quote back to them by November 1. Rates will be reviewed upon receipt of this signed quote. We are currently with Granular and I agree with Sarah and her team that this is the best stop loss option for our plan. Please review, ask questions or comment, make a motion, and vote as you see fit. Once this is complete and rates are available, we will have a zoom call to discuss all. Thanks, Tara Tara Johnson This email may contain confidential and privileged information for the sole use of the intended recipient. Any review or distribution by others is strictly prohibited. If you are not the intended recipient please contact the sender and delete all copies. ________________________________ From: Sarah Thielen AH <sthielen(a)Apta-health.com> Sent: Wednesday, October 30, 2024 5:13 PM To: Tara Johnson <tjohnson(a)netroopers.org> Cc: Ryan Thiess <rthiess(a)novoconnection.com> Subject: SLEBC - 2025 Revised Renewal Hi Tara, Thank you for the call today! As discussed, attached is the revised renewal. We value your continued partnership and as such, are holding our program fee for 2025 and requested Meritain do the same. As our partner and in appreciation for your longstanding partnership, Meritain has agreed to hold rates for 2025. We were able to work with Granular to pull in a reduction to the specific premium from a 9.4% increase to 5.1%. They were also able to offer a reduction to the aggregate claims factors. For 2025, we followed our standard process and evaluated 30 markets (shopping 15 markets). The attached proposal does include the most competitive quote responses, ECU did not offer a firm quote, and we expect additional laser risk from the other markets based on claims experience. As such, we are recommending the $135k option with Granular based on their past performance and rates for 2025. The Granular quote is valid through 11/1 and signature is requested on page 10 of the attached quote. Please don’t hesitate to let us know if there are any questions we can help with. Thank you! Sarah Sarah Thielen Lead Client Experience Executive Apta Health | Novo Connection 628 N 108th Court | Omaha, NE 68154 402.999.4478 direct | 402.707.9786 mobile [cid:image001.png@01DB2AEC.D27A7210] The information contained in this message and any accompanying attachments may contain privileged, private and/or confidential information protected by state and federal law. Penalties may be assessed for unauthorized use and/or disclosure. This message and any attachments are intended for the designated recipient only. If you have received this information in error, please notify the sender immediately and return or destroy the information. This e-mail transmission and any attachments are believed to have been sent free of any virus or other defect that might affect any computer system into which it is received and opened. It is, however, the recipient's responsibility to ensure that the e-mail transmission and any attachments are virus free, and the sender accepts no responsibility for any damage that may in any way arise from their use.

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Labor Leader Payments - Deadline 11/15
by Tara Johnson 04 Nov '24

04 Nov '24

$125 for Labor Leader premiums can be sent to the address below by 11/15. Check should be made out to Zimmer Insurance Group. Zimmer Insurance Group 3230 S 13th St Lincoln NE 68502 Monte, I have mailed yours! Need: Estwick Jaworski Pollard Sloup STAN folks - I will bring a check to the STAN Board Meeting on Saturday. Sloup, I will drop a NSFMA Check in the mail! In January we will add Krause and we will also need communication from NCOA of this change so we can get confirmation for our meeting minutes! Thank you, Tara Tara Johnson Director of Operations & Benefits State Law Enforcement Bargaining Council STAN | NCOA | NSFMA PO Box 6729 Lincoln, NE 68506 Phone: 402.489.2081 Cell Phone: 402.440.8284 Fax: 402.500.3666 This email may contain confidential and privileged information for the sole use of the intended recipient. Any review or distribution by others is strictly prohibited. If you are not the intended recipient, please contact the sender and delete all copies.

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