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Welcome to the Cigna Health Care Reform Web MeetingPublic Exchanges – Impacts and ReadinessJune 5, 2013

© 2013 Cigna

Download this presentation on InformedOnReform.com under Reform News

Public Exchanges – Impacts and Readiness

2© 2012 Cigna

AGENDA

• Recent developments• Cigna’s position and preparations• Cost and subsidy impacts• Next steps• Questions

Kathy Vaccaro

Your Presenters

Ray Smithberger

F O R I N T E R N A L U S E O N L YDownload this presentation on InformedOnReform.com under Reform News

© 2013 Cigna 3

RECENT DEVELOPMENTS

© 2013 Cigna


NEW TERMINOLOGY!

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Out with the oldIn with the new

HEALTH INSURANCE

MARKETPLACE

HEALTH INSURANCE EXCHANGE

© 2013 Cigna


Temporary Guidance Effective by October 1, 2013

EMPLOYEE NOTICE OF COVERAGE OPTIONSAlso known as the Employee Notice of the Exchange

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Virtually all employers must notify all employees• All full- and part-time employees, regardless of health coverage

Must include• Acknowledgment of employer coverage, or not• Marketplace consumer assistance information• Explanation of potential eligibility for premium subsidy –

employer plan “affordable” and of “minimum value”• Marketplace plans purchased with post-tax dollars• Department of Labor models available

© 2013 Cigna


MARKETPLACE UPDATE: QUICK STATUS OF WHAT AND WHO

Market saturation• 52 million uninsured Americans • About half will explore the new Marketplace• About 19 million will be eligible for a premium subsidy

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16

9

26

State‐basedMarketplaces (16)

State PartnershipMarketplaces (9)

Federally FacilitatedMarketplaces (26)

© 2013 Cigna


WHO WILL SUPPORT THIS BROADER MARKET?

Private / Off MarketplaceState licensing required

MarketplaceTraining/Certification

required

Navigators

Certified application counselors

In-person assistors

Certified, licensed brokers

Brokers

eBrokers

Insurers – direct to consumer

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© 2013 Cigna 8

CIGNA’S POSITION AND PREPARATIONS

© 2013 Cigna


QHP Certification

Operational Impacts

OperationalModels

Financial Impact

Benefit Plans

Notification and

Reporting

Risk Management

Market Rules

Cigna Public Marketplace

Strategy

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THE MARKETPLACE PUZZLE

© 2013 Cigna


OUR 2014 MARKETPLACE PARTICIPATIONMedical and Dental Plans

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CT

TN

FL

NC

SCGA

CACO

TX

AZ

Off Marketplace

© 2013 Cigna


OUR 2014 MARKETPLACE PARTICIPATIONMedical and Dental Plans

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CT

TN

FL

NC

SCGA

CACO

TX

AZ

On and Off MarketplaceOff Marketplace

© 2013 Cigna


HOW CIGNA WILL COMPETE AND WHAT WILL DIFFERENTIATE US

Operational readiness

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Products that promote customer engagement22

Managing costs with physician engagement and incentives33

Service perspective44

© 2013 Cigna


INDUSTRY OVERVIEWCountdown to Open Enrollment on October 1

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March HHS finalizes decisions for Marketplace models Insurers’ QHP designs complete

April Federal Data Hub ready for single applications

May Insurers submit QHP data for Federal Marketplace

June Re-launched Healthcare.gov, and Launch customer service center

August QHPs available for insurers to preview

July Broker/Navigator Training completePhase I approval of QHPs

Sept All systems and development completePhase II approval of QHPs

© 2013 Cigna


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WHAT MIGHT UNSUBSIDIZED MARKETPLACE PLANS COST?

ID62.2%Increase

WI80%

Increase

IN67.6%Increase

MD66.6%Increase

OH80.9%Increase

NY13.9%Decrease VT

12.5%Decrease

MA12.8%Decrease

RI6.6%

Decrease

NJ1.4%

Decrease

National31.5%Increase

Society of Actuaries study, March 2013

© 2013 Cigna


SUBSIDY ELIGIBILITY AND OPTIONSEstimated 60% of individual market will be eligible

Who will be eligible?• Individuals at 100% - 400% FPL

without access to affordable, minimum essential coverage

Who won’t be eligible? • Employees offered small or large

employer plans that provide affordable, minimum value coverage

• Medicare or Medicaid enrollees

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Household income $46,100 $69,150 $92,201

% FPL 200% 300% 401%

Annual premium threshold

$2,904 $6,569 Pays full premium

2012 FPL data, family of four

Considering the options

© 2013 Cigna


RESOURCES AND YOUR QUESTIONS

Visit ouraward-winning website,InformedOnReform.com• News Alerts• Fact Sheets• Timeline• Tools

Try our updated tool,Health Care Reform for YOU

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Offered by: Connecticut General Life Insurance Company or Cigna Health and Life Insurance Company.

"Cigna,” the "Tree of Life" logo and "GO YOU" are registered service marks 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 operating subsidiaries include Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, and HMO or service company subsidiaries of Cigna Health Corporation and Cigna Dental Health, Inc. All models are used for illustrative purposes only.

863922 06/13 © 2013 Cigna. Some content provided under license.

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