Minutes 06-07-2012 - Laserfiche WebLink

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1. Setting aside $3.0 million of FY 2011-12 fund balance for the long-term liability of funding retiree health benefits, 2. Revising the Personnel Ordinance for employees hired after June 30, 2012 to: a. Increase the service eligibility requirements retiree health care benefits from 10 to 20 years of continuous service; b. Require retirees eligible for Medicare due to disability to enroll in Medicare, and c. Cap the amount the County pays for Medicare supplements and Part D at 50% of the cost of the individual group health premium. Summary - Fax.is is on retaining a talented workforce that is oommitted to serving the residenls of Orange County. - Employees are very ooncemed about pay and health insurance. - Preserving employee pay and benefits oontinues to be a priority. - The Count�s finanaal oondition is improving. - Funding has been identified to support increases in employee pay and health insurance�. Mark Brov�erfrom Mark 111 made anotherPov�rPoint presentabbn wid�health plan figures. o For 2011, we estimate that the NCACC lost $2,700,000 while insuring Orange County. o The plan is running better now and only at 78% loss plan and the HSA is doing better than the PPO o There will be about a 23% increase for insurance next year Timeline: o July 2, 2012 — UHC Renewal Delivered to Mark III. o The renewal options that will be reviewed both fully insured and self-funded options for the current plan designs. o Depending on the competitive nature of the renewal, we will consider going to market. o We want to be careful not create too much disruption for employees. o For the self-funded option, we will request an alternative pharmacy benefit manager. o In August, we will present renewal options to the Commissioners at the first work session. Frank Clifton said that in September there will be a presentation on being self-insured. He will bring forward the pros and cons of this possibility. Commissioner Jacobs said that when this comes back to the County Commissioners, he would like to have some definition of terms. He made reference to the statement that this plan is running better. He asked for whom it is running better. Mark Browder said that the plan is financially better mainly because the employees are bearing more of the cost sharing. Commissioner Hemminger made reference to the projections for deductibles and if these were going to change and Mark Browder said no. Commissioner Jacobs made reference to the chart with 100 counties and said that four counties had lower deductibles. He would like to see these plans. Three of these four are self-insured.