1

PRESENTED BY

2016 PRODUCT UPDATESWELLMARK BLUE CROSS AND BLUE SHIELD

WARD BUTTOLPHTeam Leader, Agency Account Management

2

PRODUCT STRATEGY

• Comprehensive• Sustainability• Customer Focused• Innovative• Compliant

3

EXPANDED NETWORK CHOICE - IA • All IFP plans will have both a PPO and HMO option

• Plans names will reflect network name (also in small group)

• Provide greater price and benefit choice in our portfolio

• Wellmark’s HMO is a great option for PPO members who are happy with their current benefits but who are looking for savings (approximately 10% pricing differential)

4

MYBLUE HSA PLANS: EMBEDDED DEDUCTIBLE• Silver and Bronze myBlue H.S.A. plans will have

embedded deductibles in 2016

• Gold myBlue HSA will remain an unembedded deductible due to IRS requirements on the minimum family deductible

5

Plan Rationalization – simplified portfolio

You will see revisions to plans due to AV calculator

HMO expanded to all plan designs

IFP Updates - Takeaways

6

1-100 New ACA Definition

Now back to 1-50

Plan Rationalization – simplified portfolio

New plan offerings and AV calculator updates

Small Group Updates - Takeaways

7

PHARMACY TREND DRIVERS

8

THANK YOU!

Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association.

Confidential and Proprietary – Wellmark Blue Cross and Blue Shield.

9