HIGHLIGHTS
IN SAVINGS DUE TO TRANSITIONING TO A NEW SELF-FUNDED PROGRAM
PROGRAM COST-REDUCTION AFTER RENEWAL
CONTINUED PLAN
OPTIMIZATION
IMPROVED BENEFITS
OFFERINGS
THE TIMELINE
2020-2021
This is the plan year that was designed by the previous Broker
- Average Monthly Total Program Cost: $383,883
- PEPM Cost: $1,308.69
- PEPY Cost: $15,704.31
THE PLAN
Large National Insurance Carrier Self-Funded Arrangement
2021-2022
Year 1 with Conner Insurance
- Average Monthly Total Program Cost: $331,904
- PEPM Cost: $1,147.80
- PEPY Cost: $13,773.55
Cost Difference
PLAN CHANGES
- New Self-Funded Arrangement Program.
- Independent PBM implemented.
- Specialty medications carved out of the plan and sourced through alternative sources.
- Access to Primary Care Clinic for preventive care, labs and generic medications for employees enrolled in the plan.
2022-2023
Year 2 with Conner Insurance
- Average Monthly Total Program Cost: $312,338
- PEPM Cost: $1,062.98
- PEPY Cost: $12,755.73
Cost Difference
PLAN CHANGES
- New, Independent TPA for a Self-Funded Arrangement.
- Independent PBM implemented.
- New Pharmacy Solutions Implemented.
- Specialty medications carved out of the plan and sourced through alternative sources.
- Reference Based Pricing - No PPO Network
- Access to Primary Care Clinic for preventive care, labs and generic medications for employees enrolled in the plan.
2023-2024
Year 3 with Conner Insurance
- Average Monthly Total Program Cost: $313,422
- PEPM Cost: $951.69
- PEPY Cost: $11,420.23
Cost Difference
PLAN CHANGES
- Independent TPA for a Self-Funded Arrangement.
- Independent PBM implemented.
- New Pharmacy Solutions Implemented.
- Specialty medications carved out of the plan and sourced through alternative sources.
- Reference Based Pricing - No PPO Network
- Access to Primary Care Clinic for preventive care, labs and generic medications for employees enrolled in the plan.
- Access to surgical and imaging procedures at $0 cost to the member