IIC 2024 Program Information

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2024 Program Information
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A self-funded health benefits purchasing program for municipalities in Lancaster and York Counties.

4 Table of Contents A Letter to Our Members 6 Meet the IIC Team 7 IIC Board of Directors 9 Membership Report 10 Surplus Distribution 14 Highmark Loyalty Credits 15 Account Services 16 Open Enrollment Reminder 17 ConnectCare3 18 Life & Disability Program 21 Administrative Services 23 2024 Health Benefits Seminar 28

It all started with four local government groups in 1991

Recognizing the effectiveness of group purchasing, Benecon pioneered self-funded consortium and cooperative programs. Today, we’re proud to manage fourteen programs across the country and maintain membership retention of more than 98%. With our full suite of services, Benecon is able to provide unlimited expert support through Account Management, Actuarial, Compliance, Finance and the Producer Services Divisions. With the unparalleled Nurse Navigation and Wellness Services of our subsidiary, ConnectCare3, Benecon is a powerhouse in the self-insurance marketplace.

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A Letter to Our Members

October 1, 2023

Dear IIC Members,

Thank you for being a valued member of the Intergovernmental Insurance Cooperative (IIC). We continue to offer a cost-effective program with excellent service and stability to our members. On behalf of the IIC Board of Directors, thank you for your ongoing participation in the program.

For 2024, the average renewal increase for the 61 members of IIC is 8%. When developing the rates for individual members, the actuarial staff considered the following:

• Medical trend estimate (projected at 8% for 2024)

• Plan designs and demographics for each member group

• Claims experience for 2021, 2022 and the first six months of 2023

• Fixed costs (reinsurance fees and administrative fees)

The IIC will continue to stabilize the reinsurance costs of its members through the collective purchasing power of the cooperative.

Your renewal is only one indicator of the total cost of your health insurance program. For the 2022 plan year, 89% of IIC members received a surplus. When combining surplus returns with your projected 2024 costs, many members experience level funding or decreases in their total costs.

This renewal booklet and accompanying packet include other information relating to your 2024 renewal, the IIC program, Benecon, your claim fund performance and dental & vision rates. We hope you take a few minutes to review this important information.

We appreciate your participation in the IIC. It is our pleasure to work with you and we look forward to serving you in 2024.

Sincerely,

Michelle Joy VP Account Management
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Zachary Peirson VP Program Management
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Meet the IIC Team
Cindy McKillips Associate Account Manager Anne Walls Senior Enrollment Specialist, Account Services Brian Zimmerman Account Manager Nicole Whitmoyer Executive Programs Coordinator
8 I NS U RA N CE C O O P E R ATI VE Established 1991 Proven actuarial pricing model Priced by Benecon's independent actuaries Administered by Benecon 30+ years of experience $3+ billion administered funds 98% retention $600+ million stop-loss placed Control Be in the driver’s seat when choosing your benefits Full Transparency Know where every dollar is spent Surplus & Savings Any surplus after year end reconciliation is returned to the group Flexibility Choose the plan design that works best for your employees To learn more about IIC please contact: The Benecon Group 717.723.4600 | 888.400.4647 info@benecon.com | www.benecon.com Intergovernmental
Insurance Cooperative (IIC) is a self-funded group purchasing program developed and administered by The Benecon Group for municipalities in York and Lancaster County, Pennsylvania. Benecon is a nationally recognized leader in the industry, dedicated to providing its members with efficient and safe access to the self insurance market.
Costs
Using the Power of Group Purchasing to Lower Your Health Benefits

Ralph Hutchison Chairman

2022-2024 IIC Board of Directors

7 Members - 2 Year Term (7/1/22-6/30/24)

Charter Members

East Lampeter Township, Manager 2250 Old Philadelphia Pike | Lancaster, PA 17602 Office: 717.393.1567 | rhutchison@eastlampetertownship.org

Ryan Strohecker Vice Chairman

Manor Township, Manager 950 West Fairway Drive | Lancaster, PA 17603 Office: 717.397.4769 | manager@manortwp.org

Cindy Schweitzer Treasurer

Nancy Harris

East Hempfield Township, Manager

1700 Nissley Road | Landisville, PA 17538

Office: 717.898.3100 ext 222 | manager@easthempfield.org

Ephrata Borough, Manager

124 South State Street | Ephrata, PA 17522 Office: 717.738.9232 | nharris@ephrataboro.org

Non-Charter Members

Tim James Secretary

Manchester Township, Manager 3200 Farmtrail Road | York, PA 17406 Office: 717.764.4646 | t.james@mantwp.com

Kelly Kelch

Jenny Gunnet

West Manchester Township, Manager 380 East Berlin Road | York, PA 17408

Office: 717.792.3505 | kkelch@wmtwp.com

Windsor Township, Manager

1480 Windsor Road | Red Lion, PA 17356

Office: 717.244.3512 | jgunnet@windsortwp.com

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IIC Membership Report

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We would like to welcome our new 2022-2023 groups!

11 IIC Municipal Members as of: Number of Employer Groups 2008 40 2009 43 2010 43 2011 45 2012 49 2013 49 2014 52 2015 55 2016 55 2017 58 2018 59 2019 59 2020 61 2021 63 2022 61 Employee Members: 9/1/2022 2,114 Overview
Groups Employee Count Effective Date East Manchester Township 9 11/1/2022
12 Member Employee Count Akron Borough 6 Carroll Township 17 Clay Township 5 Columbia Borough 38 Dallastown Borough 9 Dillsburg Area Authority 10 Dover Township 39 East Cocalico Township 32 East Cocalico Township Authority 11 East Donegal Township 11 East Hempfield Township 74 East Lampeter Township 73 East Manchester Township 9 Elizabeth Area Water Authority 7 Elizabeth Township 3 Elizabethtown Borough 45 Ephrata Borough 102 Ephrata Township 6 Fairview Township 38 Hanover Area Fire and Rescue 14 Hanover, Borough of 140 Jackson Township 11 Lancaster Airport Authority 18 Lancaster Area Sewer Authority 54 Lancaster County Solid Waste Management 106 Lancaster Township 18 Lititz Borough 31 Manchester Township 28 Manheim Borough 25 Manheim Township 200 Manor Township 44
Members
13 Members Member Employee Count Millersville Borough 25 Mt. Joy Township 6 New Freedom Borough 15 Newberry Township 25 Northern Lancaster County Regional Police 34 Northern York Regional Police Department 65 Northwest Regional Lancaster County Police 22 Penn Township 11 Pequea Township 7 Quarryville Borough 7 Red Lion Municipal Authority 16 Red Rose Transit Authority 64 Salisbury Township 5 South Central Transit Authority 44 Southern Regional Police Department 13 Spring Garden Township 27 Spring Grove Borough 5 Springettsbury Township 60 Susquehanna Regional Police Department 22 Warwick Township & Authority 25 West Donegal Township 4 West Earl Township 22 West Lampeter Township 29 West Manchester Township 60 West Manheim Township 33 Windsor Township 18 York County Regional Police 69 York Area United Fire Rescue 58 York Housing Authority 51 York Township 38

For the 2022 plan year, we returned nearly $7.3 million dollars in surplus claim funds to 89% of IIC members. Most IIC members received a 75% distribution of their 2022 surplus in June 2023. The balance was distributed in September 2023 after all claims had been closed out.

14 Surplus Distribution

New for 2024: Highmark Loyalty Credits

In the previous agreement with Highmark, there was $20,000 initially allocated for wellness credits. The utilization of these dollars was restrictive in that groups must apply, and the money was only allowed to be used for efforts within a wellness program.

As part of the new agreement, Highmark will be distributing $100,000 in loyalty credits in 2024 and 2025. Given that these are now loyalty credits, the consortium may utilize the dollars as it wishes.

The IIC Board of Directors has voted to distribute the funds on a per employee per year (PEPY) basis to each group. Based on the IIC July 2023 membership of 2,114 employees, this would amount to a credit of $47.30 PEPY that would be returned to the groups via check in the first quarter if 2024. The final PEPY amount will be determined based on the membership count as of January 31, 2024.

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Account Services

Enrollments, changes and terminations

IIC members use Highmark’s online portal to process adds, changes and terminations to their medical plans. For dental and vision plans, please send a completed universal benefit form (UBF) via secure email to Account Services or fax the form for processing.

ID Card Requests

Need a new ID card for an employee? Requests for medical plan ID cards can be made through Highmark’s online portal. For dental and vision plans, send Account Services an email to request a new one. Most insurance carriers take 7-10 business days to generate and mail a new card. Don’t forget to include the employee’s address in your request!

Box.com Invoice Delivery

Enrollment Related Questions

Any other enrollment related questions, we have you covered!

IIC invoices are delivered securely each month using Box.com. Upon receipt of your monthly notification email, you are able to log in to Box.com to retrieve your most recent invoice as well as review invoices from previous months. To avoid mispayments, please make sure you are accessing the newest invoice each month by following these steps:

• Log in to Box.com and click on “All Files”

• Click the arrow next to recent files to hide this section. The recent files section shows the last files you opened, not the most recent files uploaded.

• Click the “Billing” folder

• Click the most recent month’s folder “yyyy-mm”

Helpful tips: Including the following information in the memo section of your check helps to ensure payments are applied correctly.

• The month of the invoice you are paying

• Your Client Manager Key (this is the 3-digit or 4-digit number located under your Group’s Name in the upper left corner of the Medical Billing Invoice)

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What can the
accountservices@benecon.com | P: 888.400.4647 | F: 888.977.2173 +
Account Services team do for YOU?

Please remember to submit all Open Enrollment changes via the Highmark online portal (for medical) or to AccountServices@benecon.com (for dental and vision) prior to 12/15/2023; this includes new enrollments, changes, and terminations for an effective date of 1/1/2024. Any Open Enrollment changes submitted after the first of the year cannot be processed.

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Anne Walls Senior Enrollment Specialist Erin Willman Enrollment Specialist
Open Enrollment Reminder

The ConnectCare3 Benefit

The health and wellness solution for employers.

ConnectCare3 services are an enhancement to an individual’s medical benefits and available at no additional cost to employees and their dependents covered on a group’s health plan. We offer solutions to help our members build health literacy and reduce barriers to care while aiming to help employers with cost reduction strategies through our wellness solutions services. ConnectCare3 is a unique independent advocate, and we have no affiliation with any insurance carrier or hospital system.

Clinical Services Wellness Solutions

Patient Advocacy

• Supports the clinical team and provides resources

Nurse Navigation

• Assist patients in understanding their diagnosis and treatment options

• Prepare questions for physicians for second opinions

• Provide clinical expertise

Chronic Disease Management & Prevention

• Multidisciplinary team of registered nurses, registered dietitians, and certified health coaches

• Assist individuals with prediabetes, diabetes, high blood pressure, high cholesterol, or obesity

• Provide resources that help support and sustain health

Nutrition Education

• Help patients understand the connection between diet and health by providing nutritional assessments and healthy meal plans

Tobacco Cessation

• Work one-on-one with certified health coaches to achieve and maintain a tobacco-free life

• Can be used as reasonable alternative program

Collaboration

• ConnectCare3 will evaluate an organization’s needs and assist them in accomplishing a wide range of goals. This can be straightforward, such as developing an employee engagement strategy and providing readyfor-use educational tools, or as expansive as building a wellness committee and creating a 3-5 year strategic wellness plan.

Consultation

• ConnectCare3 will help employers design wellness programs suited specifically to their organization’s culture and demographics. We can provide wellness campaigns and educational resources on relevant and timely health topics. Employers can use these resources to support their wellness initiatives with minimal added work required for them. We can also assist employers in exploring incentives as an employee engagement tool.

Connection

• ConnectCare3 will equip groups with marketing materials, webinars, and other communication tools to help drive the utilization of ConnectCare3 services. We also connect employers with additional wellness resources from their insurance carriers, employee assistance program, or within the community that may be available at little to no cost. We can help identify the most appropriate wellness vendors, if needed, for screening services.

For more information, visit connectcare3.com.

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Engage employees with incentives and challenges Increase awareness of ConnectCare3’s clinical services Improve employee health literacy Available online and via Google Play/Apple Store Included as a part of the ConnectCare3 benefit ConnectCare3 Platform & App Empowering a Healthier Workforce ©2022 ConnectCare3, LLC - All Rights Reserved To get started, contact your Wellness Solutions Consultant, or email us at solutions@connectcare3.com • HealthyU Learning Modules • Incentive Tracking & Reporting • Wellness Checkpoint Health Risk Assessment
Mayo Clinic Resource Library • Wellbeing Challenges
Push Notifications
Available in English & Spanish
& Functions The “ConnectCare3” App:
Features
-Help your team build the skills they need to manage stress and become more resilient with Koa Foundations, an evidence-based mental wellbeing app from the team of mental health experts at Koa Health. Want to learn more about this buy-up offering from ConnectCare3? Contact Solutions@connectcare3.com for more information.

Life & Disability Program

The IIC Board endorsed Benecon to offer a Life & Disability program for all Members. IIC believes there is power and efficiency in group purchasing and encourages all Members to participate.

Program Specifics

1. Provide a significant rate reduction on current Life/STD/LTD Coverage

2. Match each group‘s current plan designs & level of benefits

3. Provide a multi-year rate guarantee

4. Place all Members with one carrier

Information Needed to Provide a Proposal

1. Current employee census (Name, DOB, DOH, Occupation, Salary)

2. Copy of current plan designs (Summary Page of Benefit Booklet)

3. Copy of most recent invoice

Insurance Provider: OneAmerica

1. “A“ financial rating from all rating agencies

2. 141+ years experience

3. $83 billion in assets

Experience: Benecon

Benecon has successfully aggregated the Members of many other Cooperatives to create a significant purchasing power for Life & Disability coverage.

To date 50+ IIC Members have taken advantage of this program, generating significant savings!

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For more information please contact: Stephen Gingrich sgingrich@benecon.com 717.951.5636

Dental & Vision Coverage Through IIC

Did you know that IIC offers dental and vision coverage?

With plans from United Concordia, Davis Vision and National Vision Administrators, we are sure to have a plan that works for you.

For more information, please contact your Benecon Account Manager.

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Benecon Administrative Services Product Guide

With Benecon’s Administrative Services, gain access to a full suite of value-added services.

A Health Savings Account is an employee owned, taxadvantaged savings account used in conjunction with a High Deductible Health Plan (HDHP).

The Consolidated Omnibus Reconciliation Act gives employees who lose their benefits the right to choose to continue group health benefits provided by their employer for limited periods of time if the employee experiences a qualifying event.

HRA Retiree Billing

A Health Reimbursement Arrangement is an employer funded arrangement that may be used to reimburse employees for qualified medical expenses set by the employer.

Monthly billing services for eligible retirees.

FSA ICHRA

A Flexible Spending Account is an employer offered, tax-advantaged account funded by the employee to pay for qualified medical expenses with pre-taxed dollars.

A Dependent Care Assistance Plan is an employer offered, tax-advantaged plan funded by the employee to pay for care for eligible dependents, such as children or disabled family members.

Tuition Reimbursement Programs

Employer funded, tax-advantaged plan that can pay an employee up to $5,250 in educational assistance benefits each year.

Commuter Transit / Parking Benefits

Employer established, tax-advantaged account funded by the employee and/or the employer to pay for qualified mass transit and parking expenses on a monthly basis.

An Individual Coverage HRA is an employer funded, tax-advantaged arrangement in which employers of any size can reimburse employees for some or all of the premiums that their employees pay for health insurance that they purchase on their own.

A Qualified Small Employer HRA is an employer funded, tax-advantaged arrangement in which employers with under 50 Full Time Employees can reimburse their employees for their health insurance premiums that they purchase on their own.

An Excepted Benefit HRA is an employer funded, taxadvantaged arrangement, under which employers provide funds towards the cost of vision, dental or short term limited duration insurance premiums that they purchase on their own.

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Administrative Services
HSA COBRA
DCAP QSEHRA
EBHRA

Value Enhancements

In addition to our CDH & COBRA offerings, Benecon’s Administrative Services Team provides best-in-class customer service and access to industry-leading mobile and web-based services.

Administrative Portals/CDH Mobile App

24/7 access to Employer & Participant Portals

Enhanced Reporting Capabilities

Enrollment and Eligibility Management

Account Funding and Contribution Management

IOS/Android App That Makes Account Management Easy

Plan Management and Consumer Engagement

Personalized Customer Service

Representatives Available During Working Hours to Assist our Partners and their Clients

Personalized CDH Open Enrollment Presentations and Marketing Materials

Plan Setup and Renewals with no extra charges (*excluding Mini-COBRA)

No Minimum Requirements on Employee Plan Participation

Compliance Webinars and Instructional Videos

FSA / HSA Store and HealthShopper

Special deals on eligible FSA & HSA products

Industry Leading Web Browsers for FSA/HSA Eligible Items

Customized Communications for Participants

Purchased Products Require Zero Substantiation if paired with a Benecon FSA/ HSA Debit Card

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Enhancing the Consumer Experience

Benecon Portal: www.my-healthshopper.com/?id=10624

Bringing together the leader in health spending accounts and the leader in online retail to deliver the easiest way to learn about, shop for, choose and purchase HSA/ FSA eligible retail items online. Under the “Eligible Expense List“ on the Home Page, learn about what expenses can be reimbursed under your program and what documentation may be required.

Search for products on Health Shopper, and when ready to purchase, you will be guided to Amazon to procure the product.The transaction experience will work similar to any other purchase a consumer makes on Amazon, including utilizing Amazon Prime benefits.

Get Started Today!

www.my-healthshopper.com/?id=10624

CDHServices@benecon.com

Amazon is responsible for delivery and customer service for purchases made via Health Shopper.

Save the Save the Date Date Lancaster Downtown Marriott at Penn Square, 25 S. Queen Street Lancaster, PA 17603 Lancaster Marriott at Penn Square 25 S. Queen Street, Lancaster, PA 17603 April 4th & 5th, 2024 28
2024 Health Benefits Seminar
29 Notes
30 Notes
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info@benecon.com | 888.400.4647
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