Attachment B Health Plan Annual Report.pdf

This is a Health Insurance Plan Annual Report from the Nebraska Department of Administrative Services (DAS) presented to the Legislature's Appropriations Committee for the plan year July 1, 2023 to June 30, 2024. The report details the state's self-insured health plans, which include the Regular Plan, WellNebraska Plan, Consumer-Focused Health Plan (CFHP), and two Direct Primary Care (DPC) plans. Key changes implemented in 2023-2024 include a $10 decrease for medical copays, elimination of $500 maternity copay for Wellness plan participants, expansion of UHC's Preventive Drug List, and increased therapy session limits. The report outlines enrollment statistics showing 13,293 public servants enrolled, covering 27,580 total lives, with plan migration analysis and detailed comparisons to neighboring states' health plans.

The state's Health Fund investment totaled over $167.2 million in 2023-2024, representing 12% of the total rewards portfolio. The fund experienced a 10.5% growth in medical claims and a 13.9% increase in pharmacy claims from the previous year. Financial analysis shows total revenue of $246,127,645 (8% increase) and total distributions of $268,030,853 (10% increase), resulting in a net difference of -$21,903,208. The state pays 79% of monthly rates while active employees pay 21%. Notable programs include enhanced maternity benefits with zero copay, a new Tri-Care Stipend program with 58 participants, and a Real Appeal wellness program scoring 4.76/5 in satisfaction. The DPC pilot program will be terminated effective July 1, 2024, due to insufficient utilization compared to monthly fees charged.