Page 4 - GLCVB Presentation

GREATER LANSING CONVENTION VISITORS BUREAU
January 1, 2021 Renewal

Current Mapped Renewal Alt # 1
PHP PPO GFH014 Gold PHP PPO GFH015 Gold PHP PPO GFH018 Gold
17 employees
Member Member Member
Level Level Level
Rating Rating Rating

Est. Monthly Premium $20,986.72 $19,663.21 $18,943.60
Est. Annual Premium $251,840.64 $235,958.52 $227,323.20
Includes Taxes and Fees
Change in premium
6.3% DECREASE 9.7% DECREASE
Benefits
Deductible
In network $1400/$2800 $1400/$2800 $2000/$4000
Out Network $4000/$8000 $4000/$8000 $5000/$10,000

Prescription drug copay $20/$50/$80/20% 10/ $25/$60/$100/20%/20 10/$25/$60/$100/20%/20%

Office visit copay
$25 PCP/$50 SPEC$60 $25 PCP/$50 SPEC $25 PCP/$50 SPEC$60
Urgent care copay
80% after deductible $60 80% after deductible
Emergency Room Copay
80% after deductible
80% after deductible 80% after deductible
Hospitalization
In patient 80% after deductible 80% after deductible 80% after deductible
Out patient
80% after deductible 80% after deductible 80% after deductible

Lab & X-ray $1600/$3200 80% after deductible $1500/$3000

Embedded Coinsurance Max. $1600/$3200

Maximum copayment In
network
Out network
$8000/$16,000 $8000/$16,000 $8000/$16,000
$15,000/$30,000 $15,000/$30,000 $15,000/$30,000

2020 rates increased 6.4%

2019 incr. ded/copays, rates increased only 1.4%, Please note: Jan 2019, the telehealth copay moves to a flat $5. Other benefit differences for
the renewal plan if not noted above are as follows: Hi Tech Imaging NOW $150 after ded., ST/OT/PT NOW $50 after ded. and Chiro $30 copay after ded.
ER visits are now $300 after ded. Old benefits were: Hi Tech Imaging was 20% after ded., ST/OT/PT was 20% after deductible, and Chiro was 20% afte deductible.
Moved to a January 2018 renewal, rates decreased 1.6%, Aug 2017 rates increased 11.2%, lowered deductible, 2016 rates increased 4.9% (increased copays),
2015 rates increased 6.3%, 2014 rates increased 8%, 2013 rates increased 13.5% (changed from HMO PLUS to PPO), 2012 rates increased 7.2% by moving to PHP.
Original increase expected was 13.4% with the BLUES. 2011 rates increased 19.1% (tweaked some copays), 2010 rates DECREASED 1.2%
(tweaked some copays), 2010 rates DECREASED 1.2%, 2009 rates increased 3.4% by tweaking a few copays, 2008 rates increased 6.3%
by moving to CB 12, 2007 rates increased .5%, 2006 rates increased .3%, 2005 rates DECREASED 2.4% on POS and DECREASED 4% on PPO,
2004 SAVED 17.4% by chging to POS 7, 2003 rates increased 22.9% on PPO, introduced POS as the Base Plan, 2002 rates increased 13.25%,
2001 rates increased 27%, 2000 rates increased 14.7%.
**Please note: SB PPO Office visits and Urgent Care visits' ancillary services are subject to the deductible and coinsurance

Prepared October 2020