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*Employer 52%of Dependent Coverage <br /> *Increase Dental Reimbursements for Restorative Services <br /> •Consolidate Petty/Personal/Vacation Leaves <br /> 2011 Benefit Recommendation Challenges <br /> •Economic Crisis <br /> •No COLA/InRange Increases for 2nd Year <br /> *Personnel Services Cost Reduction Efforts <br /> *Increasing Health Care Costs <br /> *Influence of Affordable Care Act <br /> •Growing Retiree Health Care Costs <br /> 2011 Strengths <br /> Health Care <br /> •3rd year of stable rate increases(Stable Loss Ratios) <br /> •More Wellness activities(Wellness Grant) <br /> Affordable Care Act Early Retiree Reimbursement Program <br /> Dental Care Increase (without fund increase) <br /> •Reinstatement of Employer 401k Contribution <br /> Consolidation of Leave (Personal+Petty+Vac=Annual) <br /> 2011 Health Care Considerations <br /> Health Care Renewal <br /> •No Reductions in Plan Design <br /> •Rate Increase of 6.5%(Below Budget 7%) <br /> •Enhancement(hearing aid allowance) <br /> Consideration: <br /> Reviewed Potential for Self-Insurance <br /> Renewal at fully-insured is more financially feasible for 2011 <br /> Affordable Care Act <br /> Early Retiree Reimbursement Program <br /> •Federal funds available to reimburse 80%of certain claims for pre-65 retirees <br /> •Available until the$5 billion appropriated is distributed. <br /> •Can only be used to reduce health costs <br /> •Application is prepared and awaiting BOCC approval <br /> •Potential estimated reimbursement up to $150,000 over 18 months. <br /> 2011 Recommendation <br /> Dental Care <br />