Minutes 05-10-2011 - Laserfiche WebLink

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•There is a deductible for services such as hospitalizations, surgeries and durable medical goods •An additional share of the cost is paid for these services (Co-Insurance) with an annual maximum Health Savings Account Hiqh Deductible Medical Plan Tax Advantaged HSA Plan •Provides coverage for current medical/pharmacy expenses and allows the option to save for future health expenses •Contributions to the HSA can be made by the Employer and/or Employee •Money deposited to the Health Savings Account is generally not taxable Health Savings Account Plan •Preventive care is 100% covered •There are no co-pays •There is co-insurance for all services before the annual out of pocket maximum is reached •All services, except covered preventive care, are subject to a deductible •Employer funds in the Health Savings Account are used for the co-insurance before the employee spends his or her own money She introduced Mark Browder, a consultant working with the County since September. Mark Browder made a PowerPoint presentation. Medical Plan PerFormance and Projections Medical Plan Renewal — Overview - The Orange County medical plan has performed poorly. - The NCACC did not charge the County the needed renewal rates (underfunded). - We anticipate a significant increase. - The Plan is out to bid and we will have the responses back to the County by May 26tn - We are asking for fully insured and self-funded responses. He went through the total claims for each year (page 6 of the PPT) The firm that the County was using decided to go out of business. - We have bid a dozen Medical Plans this renewal season. - The carriers have been ultra conservative and very inflexible - The loss of the NCACC as a Medical Plan market was negative for Counties. - The private insurance carriers have taken the position that they are not in the business of going out of business.