Rate & Benefit Change History

On this Page
Historical Overview
2019-20 Plan Year
2018-19 Plan Year
2017-18 Plan Year
2016-17 Plan Year
2015-16 Plan Year
2014-15 Plan Year
2013-14 Plan Year
2012-13 Plan Year
2011-12 Plan Year
2010-11 Plan Year
2009-10 Plan Year
2008-09 Plan Year


Historical Overview
Plan Year Rate Change % National Trend %
2018-19      2.5      7.5
2017-18      7.4      8.0
2016-17      7.5      7.8
2015-16      0.0      3.9
2014-15      1.2      5.3
2013-14      0.0      4.1
2012-13      5.0      6.1
2011-12      8.5      8.5
2010-11      6.0      6.9
2009-10      5.0      6.3
2008-09      5.0      6.0
Top of Page


2019-20 Plan Year
4.0% Rate Increase
6.9% National Trend
Benefit Changes
4 New Health Coverage Options Added - Platinum, Gold, Silver & Bronze. Existing Health Coverage Option re-named as Diamond
Diamond Health Coverage Option - Rx Non-Preferred Brand Name Coverage Tier create with a $60 Co-Pay
Diamond & Platinum Health Coverage Options - Medical In-Network Maximum Out-of-Pocket lowered to $3,000 for an Individual, upto a maximum of $6,000 for Families of 2 or more.
Diamond & Platinum Health Coverage Options - Medical Out-of-Network Maximum Out-of-Pocket lowered to $6,000 for an Individual, upto a maximum of $12,000 for Families of 2 or more.
Top of Page

2018-19 Plan Year
2.5% Rate Increase
7.5% National Trend
Benefit Changes
Added Orthodontic Dental Services (Dependent Children Only)
  $1,500 Lifetime Maximum
  50% Coinsurance
  Not Subject to Deductible
  No Waiting or Elimination Periods
Top of Page

2017-18 Plan Year
7.4% Rate Increase
8.0% National Trend
Benefit Changes
In-Network Medical Plan Year Deductible for individuals unchanged at $750, family decreased to $1,500
In-Network Medical Plan Year Max Out-of-Pocket for individuals increased to $5,000, family decreased to $10,000
Out-of-Network Medical Plan Year Deductible for individuals increased to $1,500, family increased to $3,000
Out-of-Network Medical Plan Year Max Out-of-Pocket for individuals increased to $10,000, family increased to $20,000
In-Network Rx Plan Year Max Out-of-Pocket for individuals increased to $2,000, family decreased to $4,000
Dependent Child Group Life Coverage regardless of age, a dependent child's group life benefit is now 10% of the emplpoyee's group life benefit. Previously, the maximum was $500 for dependent children under 6-months
Top of Page

2016-17 Plan Year
7.5% Rate Increase
7.8% National Trend
Benefit Changes
In-Network Deductible increased to $750
Out-of-Network Deductible decreased to $750
Medical Network: Medical network changed from the BlueCross BlueChoice network to the BluePreferred network
ConnectDME has been made the Health Plan’s vendor for medical equipment, it will provide medical equipment and supplies for Free
CatapultHealth - Health Screenings has been made the Health Plan’s vendor for on-site Wellness Screenings, screenings remain free to the Member and Group, any member or spouse receiving a screening will receive a $250 reduction in medical deductible at the start of the following plan year
MDLIVE provides $0 office visit co-pays for non-emergency face-to-face primary care services through mobile app or web interface or, $0 office visit co-pays for behavioral health services through the same mobile app or web interface
Pre Service or Procedure Member Care with the Benefits Value Advisor is a free and optional service for use prior to receiving medical services or procedures. Assists with locating providers offering the higher quality outcomes and lowest out-of-pocket costs. Also, offers help and support in multiple related areas linked to the condition, service or procedure.
Top of Page

2015-16 Plan Year
0.0% Rate Increase
3.9% National Trend
Benefit Changes
Specialty Drugs Coverage split into 3 cost tiers, Generics $10, Preferred Brands $60, Non-Preferred Brands $100
Rx In-Network Out-of-Pocket Limit created Annual In-Network Out-of-Pocket Maximum of $1,900 per individual per plan year, up to a maximum of $5,700 for a family of 3 or more
Rx Drug Exclusions added for some Brand Names where adirect thetapeutic alternatives exist
Top of Page

2014-15 Plan Year
1.5% Rate Increase
5.3% National Trend
Benefit Changes
Medical In-Network Out-of-Pocket Limit created and set at $2,500 per individual per plan year, up to a maximum of $7,500 for a family of 3 or more
Medical In-Network & Out-of-Network Co-Insurance separated
Wigs or Other Scalp Prostheses' the play year maximum of $150 has been removed
Dependent Maternity Care now covered
Co-Pay for Specialty Rx increased from $40 to $60
Nexium Over-The-Counter now covered at a $0 Co-Pay (with a prescription)
Nasacort Over-The-Counter now covered at a $5 Co-Pay (with a prescription)
Pre-Existing Conditions no longer considered
Domestic Partnerships will now be allowed for same-gender Domestic Partnerships
Top of Page

2013-14 Plan Year
0.0% Rate Increase
4.1% National Trend
Benefit Changes
Contraception Rx Co-Pay reduced from $10 to $0
Smoking Cessation Drugs coverage added of 6-months each plan year at a $0 Co-Pay
Top of Page

2012-13 Plan Year
5.0% Rate Increase
6.1% National Trend
Benefit Changes
Office Visit Co-Pay reduced from $25 to $20
Medical In-Network Co-Insurance reduced from 30%/$3,000 to 20%/$2,000
Dependent Child Deductible reimbursement added for amounts paid over $250
Top of Page

2011-12 Plan Year
8.5% Rate Increase
8.5% National Trend
Benefit Changes
Rx Brand Name Deductible added for $50
Medical Out-of-Network Deductible added at $1,000
Office Visit Co-Pay added at $25 for Primary Care & $50 for Specialists
Medical In-Network Co-Insurance increased from 20%/$2,000 to 30%/$3,000
Lifetime & Plan Year Maximums limits removed
Top of Page

2010-11 Plan Year
6.0% Rate Increase
6.9% National Trend
Benefit Changes
Deductible increased from $400 to $500
Generic Rx Co-Pay increased from $5 to $10
Top of Page

2009-10 Plan Year
5.0% Rate Increase
6.3% National Trend
Benefit Changes
No Benefit Changes Made
Top of Page

2008-09 Plan Year
5.0% Rate Increase
6.0% National Trend
Benefit Changes
No Benefit Changes Made
Top of Page