Ad Hoc Dental Technical Work Group October 16, 2014
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1 Ad Hc Dental Technical Wrk Grup Octber 16, 2014
2 AGENDA Ad Hc Dental Technical Wrk Grup Meeting and Webinar Thursday Octber 16, 2014, 12:00-3:00 p.m. Agenda Items Suggested Time 1. Welcme & Agenda Review 12:00-12:15 2. Prgram Updates 12:15-12:30 3. CalHEERS Update 12:30-1:00 4. Sales Channel Educatin & Training 1:00-1:30 Break 1:30 1:40 5. Marketing & Outreach Campaign SHOP Dental Marketing 1:40 2:10 Individual Dental Marketing 2:10 1:40 Send public cmments t QHP@cvered.ca.gv 2
3 PROGRAM UPDATES PLAN MANAGEMENT STAFF 2
4 2014 SADP ENROLLEE NOTICE 4
5 2014 SADP CONTRACT AMENDMENT Summary f Draft Amendment: Aligns Custmer Service Perfrmance Measurement reprting with QHP reprting Retains Quality and Delivery System Refrm reprts and activities Currently executing amendments with 2014 SADP Cntractrs 5
6 2015 QUALIFIED DENTAL PLAN CONTRACT Summary f Prpsed Changes: Cntract revised t cver bth SADP and Family Dental Plan prducts Extends existing netwrk requirements t Family Dental Plans Extends mst existing quality measures t adult benefits Requires separate reprting fr Individual Exchange and SHOP lines f business Nt implementing penalties in 2015 due t significant changes in fferings 6
7 2015 QHP CONTRACT Summary f Prpsed Embedded Dental Prvisins: Netwrk adequacy standards applicable t dental prvider netwrks Additin f pediatric dental quality measures 7
8 CALHEERS UPDATE PLAN MANAGEMENT 8
9 CalHEERS FAMILY DENTAL PLAN LAUNCH INDIVIDUAL Waiting fr final design apprval Dental Plan Preview nt available in 2015 Design will underg readability and user testing Current plan is t launch Family Dental Open Enrllment 1/1/2015 with Open Enrllment clsing 2/15/15, but we will cntinue t update status f CveredCa s ability t keep this Open Enrllment perid as future CalHEERS releases are evaluated 9
10 CALHEERS FAMILY DENTAL PLAN SELECTION PREVIEW Replace text: Chse the adult husehld members yu want t enrll in dental cverage. Adding a single adult husehld member will allw yu t click the cntinue buttn, and will als allw yu t add yur children t the family dental plan by clicking the checkbx. Replace text: Remember! Children s dental benefits are included in yur health plan fr Enrlling yur children in a Family Dental Plan is nt required and will prvide duplicate dental benefits already available in their health plan. 10
11 CALHEERS FAMILY DENTAL PLAN SELECTION PREVIEW Replace text: Adult Dental Check-up. Child Dental Check-up (include new hver text explaining what s included) 11
12 PINNACLE FAMILY DENTAL PLAN LAUNCH SHOP On track fr launch this fall Available fr quting and renewals Nvember 2014 Effective date fr cverage 1/1/15 12
13 2015 SALES CHANNEL EDUCATION MARY WATANABE, ACTING DEPUTY DIRECTOR, SALES DIVISION 13
14 SALES DIVISION Kirk Whelan Directr Mary Watanabe Acting Deputy Directr Diane Stantn Reginal Manager In Persn Assistance Prgram Outreach and Educatin & Navigatr Grant Prgrams Small Business Health Optins (SHOP) & Agent Supprt Cmmunity Outreach Netwrk Cmmunity Outreach Campaign 14
15 COMMUNICATION STRATEGY Bi-weekly Webinar 12,000 Certified Insurance Agents 6,000 Certified Enrllment Cunselrs 1,000 Plan Based Enrllers 2,000 Certified Educatrs 100 Outreach and Educatin and Navigatr Grantees 165 Cmmunity Outreach Netwrk Partners Bi-Mnthly Newsletters blasts System and Prgram Updates Jb Aids and Sales Tls Reginal Cmmunity Outreach Campaign 15
16 TRAINING UPDATE Interactive, self-paced Cmputer-Based Training curse Recertificatin required annually fr Certified Enrllment Cunselrs and Plan Based Enrllers Includes an exam - 3 chances t pass at 80% r better Training Certified Enrllment Entity and Plan Based Enrller Certificatin New Certificatin fr Certified Insurance Agent New Certificatin fr Certified Enrllment Cunselrs and Plan Based Enrllers Apprximate Duratin Release Date 3 hurs September 24, hurs Octber 23, hurs Octber 30,
17 2015 DENTAL OFFERINGS EDUCATION August 15 Agent Training webinar included verview f 2015 dental fferings Respnding t agent questins Redesigning training material fr Nvember 5 webinar 17
18 DENTAL MARKETING & OUTREACH SHOP NATALIE KROSEL, PUBLIC RELATIONS & COMMUNICATION MANAGER, PINNACLE CHRIS PATTON, VICE PRESIDENT OF SALES, PINNACLE CORKY GOODWIN, SENIOR ADVISOR 18
19 SMALL BUSINESS HEALTH OPTIONS PROGRAM (SHOP) SHOP Overview Health exchange fr emplyers with 1 t 50 eligible emplyees* Prgram ffers emplyer cntrl, emplyee chice Emplyer defines cntributin amunt and metal tier(s) Emplyees select health plan that meet individual needs and budget frm defined metal tier(s) ptins Sme businesses eligible fr federal tax credits Tax credits nly available thrugh Cvered Califrnia SHOP Sales Distributin 80% f SHOP business enrlled thrugh SHOP General Agents and Certified Insurance Agents SHOP Enrllment fr ,750 Ttal Cases 12,001 Cvered Lives Average Case Size: 6.85 * Effective January 1, 2016, SHOP available t emplyers with 1 t 100 eligible emplyees. 19
20 NEW SHOP OFFERINGS & MARKETING INITIATIVES SHOP New Offerings fr 2015 Dual Tier Chice Expanded Health Plan Chices Standalne Dental Optins fr bth Adult and Children Agent Targeted Marketing Campaigns Print Flyers Print Advertising SHOP Sales Presentatin Cnsumer Targeted Marketing Scial Media Campaigns Print Advertising SHOP Renewal Packets 20
21 MARKETING SHOP RENEWAL Dental Plans & Rates Dental Plan Renewal Wrksheet SHOP Renewal Cver Letter Emplyee Change Request Frm 21
22 MARKETING PIECES FEATURING SHOP DENTAL SHOP Campaign (1 f 3) SHOP What s New Flyer 22
23 DENTAL MARKETING & OUTREACH INDIVIDUAL YULIYA ANDREYEVA, SENIOR MARKETING SPECIALIST 23
24 OBJECTIVE, STRATEGY & TIMING Objective Intrduce the new Family Dental plans Strategy 1. Leverage member database t intrduce dental cverage t existing members and newly enrlled members w/ dental 2. Leverage pen enrllment campaign tactics t intrduce dental prducts t prspective members Timing January thrugh February 15 Nte, timing is cntingent upn peratinal readiness. 24
25 TARGET AUDIENCE 1. Existing Cvered Califrnia members 2. Uninsured Califrnians Cre: Subsidy-eligible adults age Other: While nt the cre audience, we ll als target the uninsured with husehld incme up t $100K, regardless f subsidy level 25
26 TACTICS Website All rads lead t... CveredCA.cm Hme page and Member page f the website t prminently sptlight the new dental cverage and encurage enrllment (see arrws fr placement) 26
27 MEMBER TACTICS Renewal cmmunicatins Insert Family Dental call ut in select renewal cmmunicatins t begin building awareness ahead f the prduct launch Dental plan s Target all current members w/ address Message entirely fcused n Family Dental intrductin In English and Spanish 27
28 PROSPECT TACTICS Emply a multi-platfrm media mix leveraging mass and direct respnse media vehicles selected frm the existing OE plan Develp creative assets designated t prmte the new dental cverage in English and Spanish Scial: earned and paid Digital banners Search Engine Marketing Leverage nging lead cnversin effrts t include dental plan message 28
29 WRAP-UP AND NEXT STEPS 29
30 THANK YOU Send public cmments t QHP@cvered.ca.gv 17
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