2012 State Health Plan EnrollmentChart Measured in percentage (%)

49%

40%

3%8%

Total Lives Covered: 51,371Active Dependants - 25,232 Active Employees - 20,435Retiree Dependants - 1,515 Retirees - 4,189

Employee Survey Concerns

• Salary Issues• Respondents pointed to no across-the-board

pay increases for the past three years.• They felt that their take-home pay has been

reduced as a result of premium increases each year.

Employee Survey Concerns

• Picking a Plan Design • Respondents feel they have limited choices

and many don’t want to pay for services they don’t use.

Employee Survey Concerns

• Pharmaceuticals • There was a great deal of concern about the

significant increase in out-of-pocket expenses.• If we switched from a co-payment plan to a

“co-insurance” plan.

BENEFIT PROVISIONS FOR ACTIVE EMPLOYEES

Benefit. Outpatient Physical Therapy.

Traditional Plan. The benefit is limited to $800 per

insured, per benefit period.

PPO In-Network See Outpatient Therapy Services.

Note: Plan pays 80% of allowable charges after you meet your deductible.

Benefit In-Patient Physical Therapy

Traditional Plan The benefit is limited to $15,000

per insured, per benefit period.

PPO in-network Plan pays 85% of the allowable

charges after you meet your deductible.

There is a $150,000 lifetime benefit limit.

• Note: Plan pays 80% of allowable charges after you meet your deductible.

Benefit Temporomandibular Joint

Syndrome (TMJ)

Traditional Plan The benefit is limited to $2000

per lifetime.

• Note: Plan pays 80% of allowable charges after you meet your deductible.

Benefit Transplant Services.

Traditional Plan The benefit is limited to $350,000

lifetime maximum per insured.

PPO in-network Plan pays 85% of allowable

charges after you meet your deductible.

PPO out-of-network Plan pays 70% of allowable

charges after you meet your deductible.

• Note: Plan pays 80% of allowable charges after you meet your deductible.