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Minutes 08-30-2011
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Minutes 08-30-2011
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BOCC
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8/30/2011
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Work Session
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Minutes
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Agenda - 08-30-2011
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Agenda - 08-30-2011 - 2
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Agenda - 08-30-2011 - 3
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for doing any kind of authorization, but it falls on the participating doctor in the network and the <br /> participating hospital. <br /> 2012 Renewa/ Options <br /> After going through an extensive bid process, United Healthcare provided the most competitive <br /> responses for Orange County. <br /> - The renewal options include: <br /> o Option 1 — HMO and POS plans that closely reflects the current benefits with an <br /> 18% increase. <br /> o Option 2— HMO plan that closely reflects the current benefits and an HSA plan <br /> that is a 16% increase. <br /> o Option 3— POS and HSA dual option for a 5% increase. <br /> Mark Browder went through the breakdown of what is covered with each plan. <br /> From a funding standpoint, the County's responsibility for the HMO plan would be a <br /> little under$8.2 million for this. Employee contribution would be about $1.8 million. Total <br /> funding for the plan would be a little over$10 million. <br /> The County's responsibility for the County for Option 3 is $7.5 million. The employees' <br /> liability is $1.6 million. The total is about $9 million. <br /> Tracy Macardy gave a website for the list of providers: www.uhc.com. <br /> Katherine Cathey said that this is a lot of information and they have talked with <br /> employees through the ERC. She asked the Board to follow up with Human Resources in the <br /> days to come. There have been a lot of comments from employees. <br /> Frank Clifton said that this is going to come before the Board for a decision next month <br /> and they are planning to bring this back for board approval on September gtn <br /> Discussion ensued on when the Board would be making a decision on this issue. <br /> Commissioner Gordon made reference to page 8 at the top and asked what the cost <br /> numbers for the out-of-network service would be. <br /> Mark Browder said that the POS product has an out-of-network component and the <br /> HMO does not. The out-of-network benefit is not a focus because 99.5% of the time all of the <br /> benefits accessed are in-network. He will get this information. <br /> Commissioner Gordon asked about preexisting conditions for employees when they <br /> switch over and it was answered that there would be none. <br /> Commissioner McKee asked if there has been feedback from employees on the plan <br /> that is better. Katherine Cathey said that the employees want to keep the plan they have now. <br /> She said that the possibility of raising the copays is causing anxiety. <br /> Commissioner McKee said that he has heard feedback that any increase in healthcare <br /> equates to a decrease in salary. <br /> Frank Clifton said that the real issue is that historically, employees do not pay for their <br /> coverage and it is a benefit. He said that he wants to educate the employees on this. <br /> Mark Browder said that one of the reasons they prefer Option 3 is that it provides an <br /> affordable option for dependent coverage. <br /> Katherine Cathey said that she is trying to take into account the compounding factor of <br /> the increases and how this affects the employees. <br /> Commissioner Jacobs said that he appreciates the work that has gone into this. He <br /> made reference to page 4 and said that he would like to see a long-term strategy and move <br /> toward being self-insured like Moore County. He said that he did some research on United <br />
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