|
Back to Calendar
Return
|
| |
County Administrator's Report 12. 18.
|
| BCC Regular Meeting |
Budget & Finance Consent |
|
|
|
| RECOMMENDATION: |
Recommendation Concerning Group Medical Insurance - Eric Kleinert , Human Resources Department Director
That the Board take the following action concerning the County’s Group Medical Insurance (PD 08-09.042, Group Medical):
A. Approve the employee and retiree health insurance premiums; Attachment 1 shows proposed premiums reflecting a $50 discount for employees who do not use tobacco; Attachment 2 shows the proposed health insurance premiums for the County’s retirees; Medicare Advantage, Pharmacy and Medicare Plan "F" premiums will be determined later. Retirees will be responsible for paying their full premium, whether they are Medicare-eligible or not; and
B. Authorize staff to deposit $600 into the Health Saving Account (HSA) account of each employee who elects the HSA Plan; this will assist the employee in paying the higher deductible ($2,100 or $4,200); the deposit will be reviewed each year at renewal time, along with monthly administrative fees of $2.50 per member and a one-time start-up fee of $22 for each new employee who enrolls; the cost is included in the total cost estimate.
[Funding Source: Fund 501, Internal Service Fund, Cost Center 150108, Object Code 54501]
|
| BACKGROUND: |
The County is in its second year of self-funding with health care. Based on the recommendation of AON Hewitt and Florida Blue, our premiums should increase by 20% across the board to cover our health care cost for the next plan year.
First year self-funded, we paid $1,805,872 in admin/stop loss and and in claims we paid $16,168,071, for a total of $17,973,943. Looking at this year's present trend, we are looking at spending $1,852,880 in admin/stop loss and $18,310,900 in claims for a total of $20,163,780. This does not include the staffing cost, the cost of the clinic or any retirees that we have on Medicare Plan F, Pharmacy, or the Medicare Advantage plan.
Attached is an overview of our Health Insurance breakdown to current date.
We are actively looking at ways to reduce costs through plan design, stop loss measures and any other available measures. In the next year, the County will be actively looking at ways to reduce costs and still have a health plan that will be attractive to our employees.
The County will offer the existing plans and will provide individual supplement options during open enrollment for retirees that are Medicare-eligible.
Funding for Dental insurance administrative services will remain level and we could maintain our administrative cost and keep a network that services most the employees. Any additional cost to dental will come from employees using the plan (i.e., claims).
|
| BUDGETARY IMPACT: |
Funds are available in Fund 501, Internal Service Fund, Cost Center 150108, Object Codes 53401 and 54501.
|
| LEGAL CONSIDERATIONS/SIGN-OFF: |
This is in accordance with Florida Statutes 112.09 and 112.0801.
|
| PERSONNEL: |
The Human Resources Department and all appointing authorities (payrolls) will have to make the appropriate adjustments to their payroll systems, Human Resources Information System, and work with Florida Blue to ensure changes are made in the respected systems.
|
| POLICY/REQUIREMENT FOR BOARD ACTION: |
| N/A |
| IMPLEMENTATION/COORDINATION: |
A voucher will be the instrument utilized for making payment against the Contract. The Human Resources Department will coordinate with Legal, the Office of Purchasing, FRS and the other appointing authorities to ensure all changes are made in the respected systems.
|
|
|
|
|