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Employers

August 21, 2017

Important 2018 Health Plan Changes

Health plans will begin sending communications to members this week indicating that they will not be participating in the State and Local Group Health Insurance Program in 2018.

ETF is providing these preliminary Questions and Answers to assist you in addressing employee questions and preparing communications. ETF will update this Q&A after the Group Insurance Board meeting on August 30 and provide additional program information for the It's Your Choice open enrollment period, October 2-27, on our website.

Six Health Plans Leaving Program and Member Impact
The following health plans have elected not to participate in the program in 2018:

  • Anthem Blue Preferred Northeast (serves Northeast Wisconsin; 1,600 subscribers; 4,300 members)
  • Arise Health Plan (serves Northeast Wisconsin; 740 subscribers; 1,700 members)
  • Health Tradition Health Plan (serves Western Wisconsin; 1,760 subscribers; 4,600 members)
  • Humana Eastern and Western, including Medicare Advantage (serves Eastern and Western Wisconsin, with Medicare Advantage providing nationwide access; 6,810 subscribers; 18,100 members)
  • UnitedHealthcare of Wisconsin (serves Eastern Wisconsin; 5,980 subscribers; 14,000 members)
  • WPS contract terminates December 31, 2017 (serves all of Wisconsin; 7,470 subscribers; 10,600 members)

Approximately 24,360 subscribers are enrolled in the above plans. Other than those currently enrolled in a WPS plan, members will be required to change plans during the open enrollment period. (See additional information about WPS.)
Most members will be able to keep their current doctors. The 2018 It's Your Choice section on our website will include a new interactive map to make it easier for members to find which plans are available in each county and the doctors they cover; similar information will be included in the decision guides.

2018 Health Plans
Pending approval by the Group Insurance Board, the health plans available in 2018 will be:

It's Your Choice Health Plan and High Deductible Health Plans:

  • Dean Health Insurance and Dean Health Insurance-Prevea360
  • Group Health Cooperative of Eau Claire
  • Group Health Cooperative of South Central Wisconsin
  • HealthPartners Health Plan
  • Medical Associates Health Plans
  • MercyCare Health Plans
  • Network Health
  • Security Health Plan – Central and Valley
  • Quartz – Community and UW Health (formerly Gundersen, Physicians Plus and Unity)
  • WEA Trust – East, Northwest Chippewa Valley and Mayo Clinic Health System

The It's Your Choice Access Plan, Access High Deductible Health Plan, Medicare Plus and State Maintenance Plan:

  • WEA Trust

Network Health
Network Health will combine its currently separate offerings, Network Health Northeast and Network Health Southeast, into one plan and coverage area. Participants will be auto-enrolled in the new combined plan, Network Health, unless they select a different plan during open enrollment.

Quartz
Gundersen Health Plan, Physicians Plus and Unity Health Insurance will be offered under the name "Quartz". Participants of these plans will be auto-enrolled in either Quartz-Community or Quartz-UW Health and can select a different plan during open enrollment.

WPS
WEA Trust will replace WPS as the new administrator of the IYC Access Plan, Medicare Plus and the State Maintenance Plan for 2018. Participants will be auto-enrolled in the same plan with WEA Trust, unless they select a different plan during open enrollment.

Upcoming Employer Communications and Training


Timing

Topic

Format

By September 1

Notice of Group Insurance Board decisions

Employer What's New delivered via ETF E-mail Updates

Targeted for the week of September 11

2018 Health Plan Changes

Employer Webinar

Targeted for the week of September 18

2018 It's Your Choice Open Enrollment Bulletin

Employer Bulletin delivered via ETF E-mail Updates

Targeted for the week of September 25

2018 It's Your Choice Decision Guides delivered to employers

2018 It's Your Choice web pages live

Printed guides, PDF files of guides and web resources at etf.wi.gov/IYC2018

September 28

2018 It's Your Choice Open Enrollment Employer Kick-Off Event

In-person event with remote viewing capabilities

Upcoming Member Communications


Week of August 21

Enrollees of terminating health plans receive notifications they will need to select a new plan during open enrollment

Letter mailed to homes from terminating health plan

Notice posted to terminating health plans' websites

By September 1

Notice of Group Insurance Board decisions

What's New delivered via ETF E-mail Updates

Week of September 4

General Update on It's Your Choice 2018

September editions of WRS News/WRS News Online via ETF e-mail Updates

By September 23

All current health insurance participants receive notice from their health plan about important 2018 changes

Letter mailed to homes from health plans

Targeted for the week of September 25

2018 It's Your Choice Decision Guides available through employers

2018 It's Your Choice web pages live

Printed guides, PDF files of guides and web resources at etf.wi.gov/IYC2018

By October 2

Employees receive email from their employer about open enrollment with links to the 2018 Decision Guide and  web pages

Employer email

Week before open enrollment begins and each week of open enrollment

ETF sends It's Your Choice Health and Wellness e-alert with varying topics related to open enrollment and 2018 changes

Delivered via ETF E-mail Updates

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