Estimated PacifiCare Members, Active Employees June 2007 Data by Bargaining Unit (Excludes Labs)
I UCB I UCD I UCI I UCLA UCM I UCOP I UCR I UCSB UCSC UCSD UCSF Totals $43,000 or less
CXCOV 131 340 271 246 6 34 117 143 214 414 206 2122 EXCOV 2 179 300 217 2 242 76 1018 HXCOV 2 6 11 5 24 NXCOV 6 5 2 2 2 17 PACOV 1 1 RXCOV 12 141 40 81 13 19 20 132 30 488 SXCOV 56 143 73 130 12 75 100 213 174 36 1012 TXCOV 13 107 35 35 4 23 22 33 73 20 365 FFCOV 0 Academic Represented 7 11 25 2 2 8 14 9 5 83 Local Represented 1 6 20 1 3 1 32 Subtotal 222 927 757 739 25 34 239 301 489 1054 375 5162 $43.001 • $86,000
CXCOV 8 8 1 5 3 1 4 1 27 58 EXOQV 79 62 51 1 88 61 342 HXCOV 1 33 45 34 55 56 224 NXCOV 3 95 203 151 1 3 224 51 731 PACOV 5 4 5 3 2 3 3 6 1 32 RXCOV 10 59 6 18 8 1 5 47 30 184 SXCOV 2 6 1 2 1 2 14 TXCOV 7 25 13 4 3 2 6 12 18 5 95 FFCOV 9 4 13 Academic Represented 17 46 15 16 1 14 13 135 20 277 Local Represented 23 19 37 15 21 26 44 3 188 Subtotal 76 364 369 319 1 6 41 47 195 504 236 2158 $86,001 - $129.000 CXCOV 0 EXCOV 3 3 1 7 14 HXCOV 12 9 7 1 16 21 66 NXCOV 4 166 30 67 4 1 27 127 426 PACOV 0 RXCOV 1 1 SXCOV 0 TXCOV 0 FFCOV 0 Academic Represented 3 6 1 57 67 Local Represented 0 Subtotal 7 187 43 75 0 0 0 4 60 43 155 574 $129,001 and UP CXCOV 0 EXCOV 0 HXCOV 0 NXCOV 2 3 1 6 PACOV 0 RXCOV 0 SXCOV 0 TXCOV 0 FFCOV 0 Academic Represented 3 15 18 Local Represented 1 1 Subtotal 3 2 1 0 0 0 0 0 15 3 1 25
Totals bv Baraainina Unit CXCOV 2180 EXCOV 1374 HXCOV 314 NXCOV 1180 PACOV 33 RXCOV 673 SXCOV 1026 TXCOV 460 FFCOV 13 Academic Represented 445 Local Represented 221 Total 7919
OP Labor Relations 8/7/200i
2008 Request-far-Proposal - Medical Plan Bid
for'\
University of California
UPDATE FOR BENEFITS COALITION
August 7, 2007
-,eloitte. ~ I
--------------------------------------University of California I Request/or Proposa/2008
Medical Plan - Long Term Strategy
Engage members in improving personal
health practices through education,
tools and incentives.
Member Engagement
.Explore adoption of Ind ~t practicea
. :1ver8d outside of health ni, enhance vlslbnity .0
accessibility ofmember ,,-.gagement oppor1uni
Portfolio Management
Consider changes in the dynamic with vendors to improve partnership, quality and cost.
UC's strategy for health benefits addresses four key areas of opportunity that link together to support the Regents' objectives for a Total Compensation package that is supportive of the University's mission of education, research, and public service.
Page 1 Deloitte.
------------------------------------University of California I Requestfor Proposa/2008
Current and Future Models
Active Employees and Non-Medicare Retirees
Current Model
Group HMO (Kaiser)
Group HMO (Kaiser)
Network HMO\ (Health Net) Network HMO
(Health Net)
Network HMO (PacifiCare)
Network HMO (WHA - Regional)
Network HMO (WHA - Regional)
POS POS } (Blue Cross)
[ (Blue Cross)
Carve-out
HRA-PPO
";~p6 '.':"Behavioral Health .. :. ).~i~I:~;~ > (UBH)
HRA-PPO CIGNA - Systemwide
. (Definity - Regional) ,
Core Indemnity (Blue Cross)
Core Indemnity (Blue Cross)
2008 Model
Overlay Behavioral Health
(UBH)
I" I
I- Carve-out
Behavioral Health
I" (UBH)
t-
I-
Integrated ~ Behavioral
Health
-
-
-
--
Carve-out Wellness
(StayWell)
Page 2 Deloitte
University of California I Requestfor Proposa!2008
Portfolio Summary - Active and Non-Medicare Retirees
(A blank cell indicates a service is "integrated" with the health plan; otherwise the carve-out vendor is shown).
2008
Care Support
Health Medical IPrescription I Behavioral I Disease ICoaching!
Plan Drugs Health Mgmt Wellness
BCC PPO
BCC POS
CIGNA HRA·PPO (system
wide)
Health Net HMO
UBH Carve-out
StayWell Carve-out
2007
Care Support
Health Medical Prescription I Behavioral Disease I Coaching!
Plan Drugs Health Mgmt Wellness
BCC PPO
BCC POS UBH Carve-out
Deflnlty HRA-PPO (regional)
Health Net HMO
Page 3 Deloitte
I
. ,
University of California I Requestfor Proposa/2008
Portfolio Summary - Medicare Retirees
(A blank cell indicates a service is "integrated" with the health plan; otherwise the carve-out vendor is shown).
Medical Plan
2007
Prescription I Behavioral Drugs Health
Care Support
Health Disease I Coachingl Mgmt Wellness
2008
Care Support
Health Medical IPrescription IBehavioral I Disease ICoachingl
Plan Drugs Health Mgmt Wellness
BCC PPO
BCC POS
Health Net Medicare
Advantage
UBH Carve-out
None
BCC PPO
BCC POS
UBH Carve-out
IStayWe•• Carve-out ,
Page 4 Deloitte.
Benefits Coalition Meeting Agenda
August 7, 2007
• Medical Plan Bid Process
• Follow-up on items from last meeting Paybanding Pay band 5 UC's response on single payer health care
• Future meeting dates