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Summary of Health Insurance Par#icipation and Gosts for` Employees and Retirees
<br />2007-2011
<br />e~ .;f M.~.. 7r1A A
<br /> .-~~ v~ m w w ~ ~
<br /> oun os
<br /> of Employee
<br /> Coverage
<br /> Employee (Exclusive of County Cost
<br />
<br />Plan Year
<br />Plan Design Changes Plan
<br />Expel~ience*
<br /># Covered Cost for
<br />Dependents Dependent
<br />Subsidy) of Dependent
<br />Subsidy Total AnnNal
<br />County Cost
<br />Total Premium
<br /> $1000 allowance for hearing aids Active HMO -693 $1,134,129 ' $4,334,976 $1 0 1 668 $5 376 644 $6
<br />510
<br />773
<br /> Mental health visits covered at 100% At;tive PPO 112 $192 453 $684,123 $208,496 $892
<br />619 ,
<br />,
<br />$1
<br />085 072
<br />2011 Opened dependent status to all children up to Retiree H 0 127 ~ $134,445 $799,691 $123,270 ,
<br />$922,961 ,
<br />$1 057
<br />406
<br /> age 26 Retiree PPO 15 $12,373 $91,624 $13,404 $105 028 ,
<br />$117 400
<br /> Post-65 129 $0 $459,738 $0 $459 738 $459,738
<br />
<br />Provided $0 generics Total
<br />Active HMO 1 076
<br />730 $1 473 399
<br />$1,160,963 $6 370152
<br />$4,289 184 $1 386 83
<br />$1,070,674 $7 756 ,990
<br />$5
<br />359 858 $9 230 389
<br />$6
<br />520 821
<br /> Increased Physical Therapy visits by 50% Active PPO 102 $127,630 $585 023 $138 267 ,
<br />$723 290 ,
<br />$850
<br />920
<br />2010 Added 100% covered visits to Convenience 111.03% Retiree HMO 121 $1 5 384 $716 736 $90 831 $807 567 ,
<br />$912 951
<br /> Care Clinics Retiree PPO 13 $3,056 $74,562 $3 310 $77 872 $80 g28
<br /> Removed student status criteria for` children Post-65 109 , $0 $385,980 $0 $385
<br />980 $385 980
<br /> over 19
<br />Added Health Advisor program Total
<br />Active HMO 1 0 5
<br />' 743 $1 397 033
<br />$1
<br />171 078 $6 051 485
<br />$4
<br />24 793 $1 303 082
<br />1 ,
<br />$7 354 567 ~ $8 75 600
<br /> , , $
<br />0 9 464 . $5 328 258 $6,499 336
<br />
<br />2009
<br />Right-priced" premiums based on claims & co-
<br />103.34% Active PPO
<br />Retiree HMO 80
<br />94 $99 532
<br />' $82 536 $446,784
<br />$541'558 $107 827
<br />$75 687 $554 611
<br />$617
<br />24 $654,143
<br />69
<br />
<br />insurance so HMO became more costly plan
<br />Retiree PPO
<br />11
<br />$2 976
<br />$61 433
<br />$3,223 ,
<br />$64 656 $
<br />9 781
<br />$67 632
<br /> Post-65 92 $0 $303,432 $0 $303,432 $303 432
<br />
<br />Increased Office Visit co-pays from $10/$20 to Total
<br />Active HMO 1 020
<br />752 $1 356 122
<br />$1 014 989 $5 602 000
<br />$4 016 221 $1 266 202
<br />$1 099 565 $6 868 202
<br />$5 115 786 $$ 224 323
<br />
<br />
<br />2008
<br />$15/$30
<br />Added Employee/Child tier
<br />Active'PPO
<br />Retiree HMO
<br />46
<br />75
<br />$33 424
<br />$67 81
<br />' $280 788
<br />$20,707
<br />, $30'1 495 $6 130 775
<br />$334 919
<br />
<br />$400,554 $73 464 $474 018 $541
<br />832
<br /> Retiree PPO 13 $4,797 $8Q 520 $3,081 $83 600 ,
<br />$88
<br />398
<br /> Post-65 data is lJ navaila le ~ ,
<br />'
<br />
<br />(Participation as of July 2007) Total
<br />Active HMO 8,86
<br />,741 $1 121 0~5
<br />$1 057 483 $4 778 083 ~ ' $1 196 817 $5 974 900
<br />$3 606 951 $1 14 614 $4
<br />752
<br />564 $7 095 925
<br />$5 810
<br />
<br />Added 100% covered preventive care
<br />Active PPO
<br />36
<br />$28,88 ,
<br />,
<br />$199,666 $18 292 $217 95$ ,048
<br />$246 841
<br />2007 Retiree HMO 84 $81 291 $408,885 $88,067 $496,952 , $57>~
<br />243
<br /> Retiree PPO 19 $13,117 105 964 $8,422 $114 366 ,
<br />$127
<br />503
<br /> Post-65 data is unavailable ' ,
<br /> Total 880 $1 180 774 $4 321 466 $1 260 394 $5 581 861 $6 762 635
<br />*Plan Experience is the ratio of claims to expenses. A number greater that 100% indicates that claims are exceeding premiums paid ~
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