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  • John DiMartino

9/19/18 SEHBC Meeting Recap

On Monday, September 17, the SEHBP Plan Design Committee met to review potential changes to the 2019 SEHBP Medical and Prescription Drug Program. Announcements were made immediately following the conclusion of this meeting:

There were two plan design changes that took place:

  • Active Population: Addition of the "Horizon Direct 0" and the "Aetna Freedom 0"

  • Competitive In-Network Benefits

  • $0 copay for Primary Care and Specialist Care

  • Mandatory Generic Drugs

  • Less competitive Out-of-Network Benefits

  • Expected to be about 14% less premium than the Direct 10 plans

  • Retiree Population: Movement of Direct/Freedom 10 and Direct/Freedom 15 participants to the Aetna Educators Medicare 10 and Aetna Educators Medicare 15 plans. The NJEA released an FAQ with additional information.

  • Also doubling the NJWELL incentive from $250 to $500

  • Benefit levels will not change

  • No referrals are needed, but some services require pre-authorization

  • No prescription drug changes

  • No change to early retiree benefits

These changes were formally adopted at the Wednesday, September 19th SEHBC meeting. Liberty was live tweeting updates from the meeting.

The next SEHBC meeting is scheduled for Wednesday, September 26th. This will be the rate renewal meeting. Prior to this meeting we expect Aon to release and updated rate renewal report. It is anticipated that the rates contained in this report will be adopted at this meeting.

Once the rates are released, Liberty Benefit Advisors will be following up with additional information and creating 2019 SEHBP Open Enrollment documents for our clients.

John DiMartino

President, LBA

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