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Summary of Benefits Provided by Other Jurisdictions <br />Benefit Type Oran a Coun OWASA Durham Cit Wake Coun Ralei h Guilford Coun Greensboro State <br /> Percent paid for 100°,G 100°k 100% (Core Level HRA 100°~ 90°~ 95% 100°~ <br /> Em to ee Coverage Coverage) <br /> 52°k of amount after 72 6°k <br /> Percent paid for individual is paid (same 50°~ 28% (Core Level 49% City = $906 76% 68% 4t .4°k <br /> Family Coverage as 65°h of total Family Coverage) <br />Emp = $342 <br /> premium) <br /> Primary/Specialist Copay $15/$30 $10/$20 $20/$40 Coinsurance 85%/15% $20/$40 $15/$25 $20/$40 $25/$60 <br /> <br />Urgent Care/ER Copay <br />$30/$150 <br />$20/$150 <br />$20/$300 $100.00 Copay <br />° <br />$40/$200 <br />$75 <br />$40/ $200 $75/$200 + 20°h <br /> 85%/15 <br />k coinsurance <br />Medical plan Deductible No Plan deductible -new <br />Insurance (Individual/Family) $2501$750 $500/$1,000 $750/$1,500 $1,200/$2,200 $500/$1,000 $150 In network this year $100 deductible $600/$1,800 <br /> for In-patient medical <br /> Plan Coinsurance <br />100°~ <br />100°k <br />$2,000/$4,000 <br />85%/15°~ <br />80°~ <br />90% 80%l20%where <br />20% <br /> Individual/Famil applicable <br /> Max out-of-pocket 81,000/$3,000 $500/$1,000 $2,750/$5,500 $2,500/$5,000 $1,500/$3,000 $1,000/$2,000 $2,500/$5,000 $2,7501$8 <br />250 <br /> Individual/Famil , <br /> Rx Co-pay <br /> (Generic/Preferred Brand/ $OI$15/$30 $10/$25/$40/$75 $0/$30/$45 20°x/35°x/50% $10/$25/$50/75% $7/$25/$40/$55 (Nexium) $10,$25,$40,$50 $10/$35/$55/25% <br /> Non-Preferred Brand/ coinsurance up to $100 <br /> Specialty) <br /> Same as Acflve. <br /> Hired onlbefore 6N6/s4 <br /> 5-1o yre service pay full Discontinued eligibility for Same healthcare <br /> premium future contributions to programs as actives until <br /> <br />Same coverage options t0+yrs have premium fully <br /> <br />aid new hires eff. 7/1/09, but <br /> <br />till h <br />ti <br />h <br />age 65. All retirees pay <br /> as active em to ees- <br />p y p s <br />ave re <br />rees on t <br />e <br />$65/mo surcharge <br /> does not extend to Same coverage as Hired r~/1slsa to 4/16/97 Retiree Coverage plan. <20 yrs service pay <br /> <br />R <br />ti <br />M <br />di <br />l C <br />P <br />65 Same coverage options dependents. OWASA's active employees 10-19 yrs service pay 50 % Available with 15 years <br />Setup retirement health 100% of premium; <br />° Same coverage options <br />e <br />ree <br />e <br />ca <br />overa a <br />re- <br />g( ) as active em to ees. <br />p y remium contribution is <br />p 10-15 Yrs 50% Subsid <br />y of remlum <br />p Ci Service. Retiree <br />ty <br /> <br />savings plan for new 20-<25 rs ci <br />y ty pays 50 <br />h <br />as active employees. <br /> Same premiums based on years of service 15-20 Yrs 75% Subsidy 20+yrs have premium fully pays same rate as active <br />employees; no other of subsidy Same premiums <br /> and age at time of 20+Yrs = 100% Subsidy paid employee <br />retiree health benefits 25-<30 yrs city pays 75% <br /> retirement. of subsidy <br /> Hired or on/after 4/16/97 30+yrs city pays 100% o <br /> 20+ continuous yrs have All County retree health <br />subsidy <br /> premium fully paid contributions were held <br /> flat moving forward. <br /> All dependent premiums <br /> paid by retiree. <br /> Medicare supplement for Same coverage as pre- <br /> <br /> <br />Retiree Medical Coverage (Post-65) <br />100% of Medicare Part D <br />100% of Medicare Part D employeeswith at least <br />years service. City pays 65 retirees $100 Contribution toward <br /> <br />cost of BCBS Medicare <br />Same benefits as <br /> <br />No Coverage after 65 Retiree remains on active <br /> <br />coverage <br />but Medicare <br /> and Plan F and Plan J $93-$109 per month County Coverage Supplement Pre-65 retirees , <br />becomes primary <br /> based upon age of retiree becomes secondary. <br />f <br />l~ <br />