Page 13 - CATA_Proposal_2020

Capital Area Transportation Authority

CONTINGENCES

Proposed rates are based on the following:
1. Plans are offered on a calendar year basis. Plan design and rates are valid from January 1, 2021 through
December 31, 2021 and are subject to change each year on January 1 .
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2. These quotes are for illustrative purposes. Final quotes are based on the eligible retirees and spouses
presented in the census.
3. Minimum participation is 90% Medicare eligible individuals, age 65 or older.
4. All eligible retirees and their dependents (age 65 and over) must be enrolled in Medicare Parts A & B.
5. Client may choose one medical plan option with one of the prescription drug plan options, if applicable.
6. Residents of FL, MN, WA will be provided with state-specific medical plans and rates.
7. Retirees choosing the custom options will be enrolled in Medicare Part D through the Medicare Part D
Prescription Drug Plan.
8. All eligible retirees and spouses will be enrolled within 31 days of the effective date. All future retirees
should enroll within 31 days of their 65th birthday or retirement date.
9. Additional retirees could be added to the program, either with employer contributions or on a fully
voluntary basis.
10. Amounts shown are inclusive of insurance rates and services performed by AmWINS Group benefits for
Eligibility Management, Communications, Enrollment, Marketing, Claims Servicing, Billing & Collection
and Customer Service. Non-insurance costs included in the rates are for Manage My Health ($10).

HIGH-LEVEL IMPLEMENTATION TIMELINE

TIMING DESCRIPTION

90 Days Prior to Effective Date CATA to provide AmWINS with required data to review

75 Days Prior to Effective Date Program Data, Signed Contracts, and Plan Approval Finalized
60 Days Prior to Effective Date Enrollment materials mailed to all eligible participants

15 Days Prior to Effective Date Enrolled members receive Plan Welcome Materials and ID Cards
Effective Date Program Activated for all enrolled retirees
The above timeline is a condensed summary and may be adjusted based on data provided.

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