Hard to choose a tier and we could not agree on would it be gold or would it be silver . And it was trying to get to the consensus that i cannot live with that moment, on both sides of the equation and we had to move on from that and what we decided to do, was then to just essentially tweak around the edges with the areas that have really seen the changes in the Health Insurance market which brings us to the recommendation of number five. And what we have here, then, is the out of pocket maximums that have really gone much higher than the average plan sort of for a couple of years ago and also, when they set the 4,000 two years ago, they had every reason to believe in the word on this the street was that the Affordable Care act and coverage california, i should say was really going to set their out of pocket maximum, maximums at 4,000, and it turned out that they set it at 6350 and so a lot of the plans have gone up to that amount and that made the 4,000 difficult to stick with. And so
And be fully employer funded. The next one is something that when we went in to the Advisory Group, i think that we thought a lot about tying it to a tier and we would say, well, maybe we will just say that the minimum standards are tied directly to the goal plan, or the silver plan and that was something that was talked about with the health commission, two years ago in a colleague of mine brought this report to the commissioners. And you know, we kind of actually realized pretty early on that with the group, that it was a lot more complex than we had sought given the fact that these plans rely on the actual value and, what the actual value does, and it says, kind of the, and it allows you to see that as the cost sharing, between the employee, and the insurance company, and in broad terms and it sort of put a number on that and in each tier has a actual value amount, and i am sure that have you heard about that in other contexts, but what we worry about that was that it could really p
In these jobs. And honestly it was just really hard to choose a tier and we could not agree on would it be gold or would it be silver . And it was trying to get to the consensus that i cannot live with that moment, on both sides of the equation and we had to move on from that and what we decided to do, was then to just essentially tweak around the edges with the areas that have really seen the changes in the Health Insurance market which brings us to the recommendation of number five. And what we have here, then, is the out of pocket maximums that have really gone much higher than the average plan sort of for a couple of years ago and also, when they set the 4,000 two years ago, they had every reason to believe in the word on this the street was that the Affordable Care act and coverage california, i should say was really going to set their out of pocket maximum, maximums at 4,000, and it turned out that they set it at 6350 and so a lot of the plans have gone up to that amount and that
In these jobs. And honestly it was just really hard to choose a tier and we could not agree on would it be gold or would it be silver . And it was trying to get to the consensus that i cannot live with that moment, on both sides of the equation and we had to move on from that and what we decided to do, was then to just essentially tweak around the edges with the areas that have really seen the changes in the Health Insurance market which brings us to the recommendation of number five. And what we have here, then, is the out of pocket maximums that have really gone much higher than the average plan sort of for a couple of years ago and also, when they set the 4,000 two years ago, they had every reason to believe in the word on this the street was that the Affordable Care act and coverage california, i should say was really going to set their out of pocket maximum, maximums at 4,000, and it turned out that they set it at 6350 and so a lot of the plans have gone up to that amount and that
Way, lost in that exchange, and we felt very, very, certain at the end of it, that this was a fair and good idea. And to keep these minimum standards, but just want to talk more about that later, just want to make sure that we have got some definitions of these terms. So, this gives you just the high points of the current minimum standards and you will see more in detail in your report, there is a table, that shows the old minimum standards but these are kind of the big picture and the big ticket items in any health plan and so, the minimum standards do include the premium cost and who pays the premium. And the minimum standards have always required that the employer pay 100 percent, of the premium costs. And the employee pays zero. And the out of pocket max was presently today, and it was a current minimum standard is 4,000, and it must include all types of cost sharing and that means. The deductible and really anything that that employee is putting toward their healthcare. And the de