Agenda - 09-08-2011 - 8b - Laserfiche WebLink

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After reviewing three options (shown in Attachment 5) presented by Benefits Consultant Mark III, staff determined that Community Eye Care has the most extensive benefits and network of providers. It has been endorsed by the North Carolina Association of County Commissioners and serves over twenty North Carolina counties and numerous cities. Recommendation: • Authorize employee payroll deductions for the Community Eye Care vision plan. Community, Home Trust The Community Home Trust has been a subgroup of the NCACC County Health Plan. They have requested continued participation as the County seeks other health insurance for 2012. The Patient Protection and Affordability Act establishes health care exchanges and other potential remedies to the high cost of health insurance for small employers that will ~e effective in 2014. Allowing the Community Home Trust to remain on the county's health insurance until December 31, 2013 will enable them to research other possibilities for coverage. Recommendation: Authorize the County Attorney to develop a two year Memorandum of Understanding between the County and Community Home Trust and authorize the County Manager to sign the agreement. Revised Work Session Attachment Attachment 6 is a revision of responses from the employee survey, originally provided as part of the August 30, 2011 work session materials. The original charts inadvertently contained inaccurate information. FINANCIAL IMPACT: Attachment 1 includes the estimated costs of the health insurance options. RECOMMENDATION(S): The Manager recommends the Board: • Approve the renewal of the fully-insured health insurance plans with UnitedHealthcare, choosing one of the following options: o Option 3, with an overall premium increase of 5.24%, or o Option 4, wifh an overall premium increase of 8.64%. • Authorize the County Manager to sign a contract with UnitedHealthcare, following review by the County Attorney and Human Resources staff • Replace fhe entire Orange County Table of Allowances with the maximum payable amounts reimbursed by Delta Dental; • Align the Flexible Compensation Plan Year with the calendar year; • Reduce the grace period allowed to incur medical expenses in the current plan year to one month, ending December 31, 2011, for employees electing a Health Savings Account, effective January 1, 2012, and • Authorize employee payroll deductions for the Community Eye Care vision plan.