December 1, 2016
PHBP'S 2017 OPEN ENROLLMENT SEASON STARTS DECEMBER 1, 2016!
In This Issue
2017 Open Enrollment Season Starts Soon!
2017 Open Enrollment Details
Achieving Low Premium Rates in a High Rate Market - How We Did It
2017 Benefit and Plan Changes
PHBP Brings Together Quality and Low Costs - read more about your Plan Highlights for 2017
ESSENTIAL BENEFIT MATERIALS FOR 2017
2017 Benefit Summaries
ESSENTIAL COMMUNICATION MATERIALS FOR EMPLOYERS
2017 Plan Changes
Are you not signed to the IATSE National Commercial Agreement for 2017? Read this for important details about job titles and what to convey to your freelancer population
2017 Staff Coverage Administrative Fee and Freelance Administrative Cost Assessment
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Achieving Low Premium Rates in a High Rate Market - How We Did It
 
2017 Benefit and Plan Changes

2016 has been a tumultuous year, for many reasons, and healthcare was no exception. Small Group Plan market rate increases ranged from 25% to up to 75%, largely driven by increased healthcare costs and legislation governing the small group plan market. Although many of our Contributing Employers are "small", by definition, PHBP is itself a Large Group Plan, and therefore is protected from the Small Group Plan market rate increases. Nonetheless, the Large Group Plan market average rate increases were significant as well, so we faced an additional challenge of keeping our high quality, without charging our customers large increases. 

With minimal plan changes, PHBP was able to achieve a premium rate increase of only 9.82%. Plan changes largely focused on our "Out-Of-Network" benefits, and Pharmaceutical Plan. Detailed plan changes are as follows:

  • Increased Out-Of-Pocket maximum from $2,000 to $2,500 (in-network) and from $4,000 to $5,000 (out-of-network),
  • Increased copay from $20.00 to $25.00,
  • Increased Out-of-Network deductible from $1,000 to $1,500,
  • Increased Out-of-Network co-insurance from 40% to 50%, and
  • A Pharmaceutical Plan Change to the "Essential Formulary List" 
In addition to the benefit changes listed above, Plan rules were changed to include:
  • Additional job categories in post-production, digital, and virtual reality for employers not signed to the IATSE National Commercial Agreement. Full details are listed in the 2017 Participation Agreement, attached here
  • Administrative Charges for Staff Employers. Full details are included in the Participation Agreement, but also can be found here
 
 
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Mailing Address:

Producers' Health Benefits Plan
c/o BeneSys
P.O. Box 2340
West Covina, CA 91793

Producers' Health Benefits Plan Office:

Executive Plan Administrator
Main Phone:
646-370-1431