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Employee Benefit Workshop 2009

Employee Benefit Workshop 2009. National Trends IBBP Information Analysis of the Plan Wellness. National Health Care Trends. Over the past five years, the percentage of U.S population covered by health insurance has been constant – hovering around 84%.

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Employee Benefit Workshop 2009

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  1. Employee Benefit Workshop 2009 • National Trends • IBBP Information • Analysis of the Plan • Wellness

  2. National Health Care Trends • Over the past five years, the percentage of U.S population covered by health insurance has been constant – hovering around 84%

  3. Coverage by Type of Health Insurance • The most recent data shows nationally, 72% of individuals have a traditional plan design, 20% HMO coverage and 8% HDHP HSA qualified

  4. Employer Contributions • Nationally, the average annual employer premium contribution for family health coverage is 73.5%

  5. Healthcare in Iowa • The number of Iowans without health insurance is 9.9%, compared to the national average of 15.3%

  6. Employee Benefit Workshop 2009 • National Trends • IBBP Information • Analysis of the Plan • Wellness

  7. Iowa Bankers Benefit Plan insures 28,501 people for health coverage.

  8. IBBP Trust Reserve August 2009 $18,090,059 December 2008 $17,133,978 2008 Actuarial Certification Amount $8,050,445 December 2007 $16,996,278 2007 Actuarial Certification Amount $6,835,781 December 2006 $12,426,176 2006 Actuarial Certification Amount $7,419,510 December 2005 $5,539,728 2005 Actuarial Certification Amount $6,809,749 December 2004 $9,301,531 2004 Actuarial Certification Amount $$7,589,751 December 2003 $9,910,486 2003 Actuarial Certification Amount $6,038,208

  9. 2008 Administrative Expense Ratio • 2008 Total Premiums $86,822,871 • Wellmark Administrative Fees -$4,627,118 • Plus IBIS Administrative Expense -$4,253,371 • Other Expense - Audit Expense -$23,983, Legal Expense - $30,591,Misc $642 • Total Administrative Expense $8,935,705 or • 10.3% Administrative Expense Ratio

  10. Employee Benefit Workshop 2009 • National Trends • IBBP Information • Analysis of the Plan • Wellness

  11. IBBP Total Claims Paid

  12. Average Cost per Member • Over the past 12 months, the Plan paid $3,049 per member, increase of 15% over the past 4 years

  13. Health and Pharmacy claims paid per member increased 9% mainly due to inpatient services Provider Savings totaled $44,547,715 or 36% of covered charges Members were liable for $12,557,980 or 20% of covered charges, down 1% from the previous year Medicare coordination and other COB savings totaled $2,122,639 143 members had claims in excess of $50,000 accounting for 22% of claims paid One claim hit stop loss-the total dollar amount is in excess of - $1,600,000 Major Trend Drivers

  14. Nearly 29% of facility claims are paid outside the state of Iowa

  15. The Plan paid out over $11 million in prescription drug claims in 2008—a cost increase of more than 11% from the year prior. • 63.6% of Plan members purchased a generic drug, which is 3.5% less compared to other health plans. • The three most costly drug classes paid for under the Plan are: • Therapeutic drugs (prescribed for cancer treatment or organ transplants) (10%) • Antidepressants (9%) • Anti-cholesterol drugs (8%)

  16. Drug Claims 2004 to Current Date

  17. Pharmacy

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