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7 <br /> th nd <br /> 1 � October 29 — November 2 : Open Enrollment, Mark III and HR Staff conduct <br /> 2 numerous open enrollment meetings <br /> nd <br /> 3 � November 2 : Open enrollment closes <br /> 4 <br /> 5 <br /> 6 Commissioner Jacobs said that he asked for the detail of the survey because he knew <br /> 7 that employees were very displeased with UHC as compared to Cigna. He wants to know if <br /> 8 employees would be willing to have fewer benefits if you could switch to a provider they would <br /> 9 rather have. He said that the survey should have had this question. In the follow-up, he thinks <br /> 10 that this is a key indicator. <br /> 11 Nicole Clark said that the survey is a starting point and she hopes to have focus groups. <br /> 12 The details of the survey will be posted on the website. This is only a starting point for <br /> 13 discussion. <br /> 14 Commissioner Jacobs said that, having heard from employees, he would like them to <br /> 15 know that they are not alone and that the County Commissioners responded in some way to <br /> 16 direct staff to do this survey. <br /> 17 <br /> 18 Commissioner Foushee said that she has a concern about retiree health insurance. <br /> 19 The Board changed the eligibility of employees but Board of County Commissioners retiree <br /> 20 health insurance is not addressed. She thinks that if the County requires employees to have 20 <br /> 21 years of continuous service, then the County Commissioners should also have something <br /> 22 comparable (they are currently eligible now after eight years) to this for equity's sake. This will <br /> 23 be brought back to the Board. <br /> 24 <br /> 25 Mark Browder then made his PowerPoint presentation. He made reference to slide 2 <br /> 26 and said that the payout versus the premium pay was a loss of$2.7 million for the NCACC for <br /> 27 insuring Orange County. After plan design changes were made, the plan has been running <br /> 28 more smoothly than it did with the NCACC. It is running two points better than breaking even. <br /> 29 Slide 5 has the 2013 renewal estimate. He looked at both fully insured and self-funded <br /> 30 and self-funding does not make economic sense at this point. <br /> 31 Slide 6 has the 2013 renewal from United Healthcare. There are now plan design <br /> 32 changes. The net effect is a 7% increase in rates, which is competitive. <br /> 33 Mark Browder made reference to the question of whether employees would be willing to <br /> 34 pay more for richer benefits. He said that some employees would be willing to pay more. <br /> 35 Slide 10 has the difference in Option 1 and 2, with the difference being the addition of <br /> 36 the obesity surgery benefit. There is a substantial jump in cost to add that benefit. <br /> 37 <br /> 38 <br /> 39 RenewalObservations: <br /> 40 - The UHC Renewal is very competitive, based on the County's claims. <br /> 41 -Looking to transition to another carrier will have a nominal financial impact. <br /> 42 -Self-funding doesn't provide the County with any savings. <br /> 43 -As noted, there are benefits additions that are being recommended. <br /> 44 -Adding the obesity coverage would increase rates by nearly 4%, while only a few would utilize <br /> 45 the benefit. <br /> 46 <br /> 47 <br /> 48 Commissioner Jacobs asked if the County solicited bids and Mark Browder said no <br /> 49 because this renewal was extremely competitive. He said that if they had stayed with Cigna, <br />