NMPSIA
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Transcript of NMPSIA
NMPSIA
Benefits ProgramMarch 28, 2014
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Today’s TopicsNMPSIA OverviewFund BalancePremium ChangesPBM Request for Proposal Affordable Care Act Pending Rule Changes The Standard Special EnrollmentERISA Online Enrollment UpdateERISA End of Month Processing CutoffQuestions & Answers
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NMPSIA Today Benefits and Risk
Programs covering Mandatory: 88 Public
School Districts Mandatory: 95Charter
Schools Optional: 25 Other
Educational Entities
• 11 Staff Members
NMPSIA Board representation 2 classroom teachers from
NEA 1 classroom teacher from
AFT-NM 3 Governor appointees 1 Superintendents’
Association 1 School Business Officials 1 Educational Entities at
Large 1 School Boards Association 1 Public Education
Commission
Benefits EnrollmentBenefit Employees Covered
Basic Life 37,837
Additional Life 11,441
Long Term Disability 12,269
Medical 23,921
Dental 25,669
Vision 21,553
FY 15 Benefits Request
Benefits Fund BalanceDate Fund Balance
July 2012 $28.4 million (audited)
July 2013 $31.6 million (audited)
Percent Change +11.3%
Fund Balance Committed
• in FY15 is $4.5M
Increases October 1, 2014
Medical (all plans): 2.85% Applies to total premium (Er & Ee)
UCCI Dental: No ChangeDavis Vision: No ChangeThe Standard Life: No
ChangeThe Standard LTD: No Change
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Monthly EE IncreasesUnder $15,000 $25,000 or
over
Pres High Single $3.18 $5.09
Pres High Family $8.90 $14.24
Pres Low Single $2.67 $4.27
Pres Low Family $7.47 $11.96
BCBS High Single $3.93 $6.30
BCBS High Family $9.99 $15.97
BCBS Low Single $3.30 $5.28
BCBS Low Family $8.39 $13.42
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Raise vs. Premium Increase
Salary $35,000
3 % Raise
$87 per month (before taxes)$57 per month (after taxes)
PBM Request for Proposals
IBAC PBM contract expires June 30, 2014
Request for Proposal (RFP) underway
Collectively, over $200 million in prescription drugs
New pages in Program Guide
Program Guide to be distributed late July
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ACA Reminders No Pre-ex starting July 1, 2014 “Small Large Employer” delay: July 1,
2016 for those with 50 – 99 FTE’s Substitutes, and other variable hour
employees offered medical only effective July 1, 2015 or July 1, 2016
Offer to 70% of 30 hour FTE in 2015, 95% in 2016
SBC’s & Exchange Notice distribution
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Pending Rule Changes Open Enrollment for Medical in the Fall
with a Jan. 1 Effective Date (no more late enrollment)
A QE allows EE to enroll to medical (or enroll deps. within 31 days)
No more 61 days to provide missing supportive docs for deps.; Rule changing to 31 days
Coverage for deps. Effective the first of the month following date the missing supportive docs. are turned in
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The Standard Special Enrollment March 17 – April 21 Identify eligible employees never
enrolled to Basic Life Identify eligible employees never
offered full benefits Premium will appear on May bill Special enrollment does not apply to
substitutes or variable hour employees
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Online Enrollment Update Statewide rollout next
month
Enrollment options tailored to school offerings
Deductions reflect each school’s contribution schedule
Simpler Employee logon15
EOM Processing Cutoff Average last day receipts
are 135.
Two days before end of month is our suggested cutoff to appear on the bill
Urgent situations – contact your ERISA rep.
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In Closing . . .
Thanks!
Questions?
Comments?
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