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© 2012 Blue Cross and Blue Shield of Minnesota. All rights reserved. 2014 Renewal Bulletin Andrew Roos and Janet Doyle August 30 th , 2013

© 2012 Blue Cross and Blue Shield of Minnesota. All rights reserved. 2014 Renewal Bulletin Andrew Roos and Janet Doyle August 30 th, 2013

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Page 1: © 2012 Blue Cross and Blue Shield of Minnesota. All rights reserved. 2014 Renewal Bulletin Andrew Roos and Janet Doyle August 30 th, 2013

© 2012 Blue Cross and Blue Shield of Minnesota. All rights reserved.

2014 Renewal Bulletin

Andrew Roos and Janet Doyle

August 30th, 2013

Page 2: © 2012 Blue Cross and Blue Shield of Minnesota. All rights reserved. 2014 Renewal Bulletin Andrew Roos and Janet Doyle August 30 th, 2013

© 2012 Blue Cross and Blue Shield of Minnesota. All rights reserved.

GRANDFATHERED PLANSCO-OP CDHP PLANS CANNOT BE GRANDFATHERED

SUMMARY BENEFITS OF COVERAGE

ACA ASSESSMENTSPATIENT CENTERED OUTCOMES RESEARCH FEE $2 / MEMBER

“TEMPORARY” REINSURANCE FEE $63 / MEMBER

Page 3: © 2012 Blue Cross and Blue Shield of Minnesota. All rights reserved. 2014 Renewal Bulletin Andrew Roos and Janet Doyle August 30 th, 2013

© 2012 Blue Cross and Blue Shield of Minnesota. All rights reserved.

ACA EMPLOYER NOTICEEMPLOYEE COVERAGE OPTIONS

MODEL COBRA ELECTION NOTICE

Page 4: © 2012 Blue Cross and Blue Shield of Minnesota. All rights reserved. 2014 Renewal Bulletin Andrew Roos and Janet Doyle August 30 th, 2013

PREVENTIVE HEALTH BENEFITSCOVERAGE FOR POLYP AND TUMOR REMOVAL

DURING ROUTINE COLONOSCOPY

OVER-THE-COUNTER CONTRACEPTION (W/ RX)

SMOKING CESSATION DRUGS (W/ RX)

Page 5: © 2012 Blue Cross and Blue Shield of Minnesota. All rights reserved. 2014 Renewal Bulletin Andrew Roos and Janet Doyle August 30 th, 2013

90 DAY WAITING PERIOD REQUIREMENT

SPECIAL ENROLLMENTNO MORE LATE ADDS

LIST OF TRIGGERING EVENTS

BEHAVIOR HEALTHEARLY INTENSIVE BEHAVIORAL INTERVENTION

(EIBI)

Page 6: © 2012 Blue Cross and Blue Shield of Minnesota. All rights reserved. 2014 Renewal Bulletin Andrew Roos and Janet Doyle August 30 th, 2013

SUNSETTING OF FLUSTOP

CREDITABLE COVERAGE DISCLOSURE FOR RX BENEFITS

SMALL GROUP CHANGES

IRS-SSA-CMS DATA MATCH

Page 7: © 2012 Blue Cross and Blue Shield of Minnesota. All rights reserved. 2014 Renewal Bulletin Andrew Roos and Janet Doyle August 30 th, 2013

BLUE CROSS UPDATE

ACCOUNTABLE CARE ORGANIZATIONS (ACO)BLUEPRINT - ALLINA

BLUECONNECT – SANFORD

MINIMUM VALUE PLANS$6,350 DEDUCTIBLE W/ OPEN RX FORMULARY

$6,000 DEDUCTIBLE W/ CLOSED GENRX

FORMULARY

Page 8: © 2012 Blue Cross and Blue Shield of Minnesota. All rights reserved. 2014 Renewal Bulletin Andrew Roos and Janet Doyle August 30 th, 2013

Blue Cross® and Blue Shield® of Minnesota is a nonprofit independent licensee of the Blue Cross and Blue Shield Association.