Page 12 - Michigan Economic Development Corp 2021 Renewal Information
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MICHIGAN ECONOMIC DEVELOPMENT CORPORATION
                                                     JANUARY 1, 2021 BCBSM MEDICAL AND VISION RENEWAL
                                                                     PRESENTED BY:  GREGORY D. BROGAN




                                                      Current            Renewal                           Current            Renewal


                                       # of     Community Blue PPO  Community Blue PPO      # of       Blue Care Network   Blue Care Network
                                    employees                                            employees
                                                      Custom              Custom                             HMO                HMO

      Single                            35            $578.06             $606.25             7            $489.73             $506.18
      Two Person                        29           $1,384.11           $1,451.82            0           $1,172.12           $1,211.65
      Family                            60           $1,736.83           $1,821.31            4           $1,471.83           $1,521.10



      Est. Monthly Premium             124          $164,581.09         $172,600.13          11           $9,315.43           $9,627.66
      Est. Annual Premium                           $1,974,973.08      $2,071,201.56                     $111,785.16         $115,531.92
      Est. Annual Taxes/Fees Included
      Change in Premium                                               4.87% INCREASE                                       3.35% INCREASE
                                                                    Benefits
      Deductible
      In network                                       None                None                           $500/$1000         $500/$1000
      Out network                                    $250/$500           $250/$500                        No Benefit         No Benefit


      Prescription Drug Copay                       $10/$40/$80         $10/$40/$80                   $10/$30/$60/$80/20%/20%  $10/$30/$60/$80/20%/20%

      Office visit copay                                $40                 $40                        $20 PCP/$30 SPEC   $20 PCP/$30 SPEC

      Urgent Care Copay                                 $40                $40                               $35                 $35

      Emergency Room Copay                             $250                $250                        $250 after deductible  $250 after deductible


      Hospitalization
      In patient                                       100%                100%                        100% after deductible  100% after deductible
      Out patient                                      100%                100%                        100% after deductible  100% after deductible

      Lab & X-ray                                      100%                100%                        100% after deductible  100% after deductible

      Embedded coinsurance
      maximum                                           N/A                 N/A                              N/A                 N/A

      Max. out of pocket
      In network                                   $6350/$12,700       $6350/$12,700                     $1000/$2000         $1000/$2000
      Out network                                 $12,700/$25,400     $12,700/$25,400                     No Benefit         No Benefit
      2020 rates increased 8.47%, 2019 rates increased 2.1% (Upgraded VSP to 12/12/12, $150 allowance), 2018 rates increased 5.97%, 2017 rates increased 3% (Negotiated down from 9.8%)
      2016 rates increased 6.97%, 2015 rates decreased 8.98%, 2014 rates decreased 8.6%, 2013 rates increased 3.49%, 2012 Decreased 4.3%, 2011 rates increased 15.6%, 2010 rates
      increased 21.4%. (negotiated it down from 29%, 2008/2009 rates increased 1.5%, Rates were guaranteed 10/1/08 - 12/31/09, 2007 rates increased .38%, 2006 rates increased 5.8%,
      2005 rates DECREASED 2.4%, 2004 rates DECREASED .7%.
      Group's current VSP 12/12/12 coverage and premiums are included above.                                                                                                                                              Prepared September 2020
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