Agenda - 09-17-2013 - 5a - Laserfiche WebLink

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10 1 2 2012 Plan Experience (slide 2) 3 2013 Renewal (slide 3) 4 Option 1 Rates (slide 4) 5 2014 Renewal Estimate (slide 5) 6 2013 Plan Experience (slide 6) 7 Health Care Reform Timeline (slide 7) 8 PPACA (slide 8) 9 10 Mark Browder said the first few slides are a review from his previous 11 presentation to the Board. He reviewed the 2012 Plan and said the HSA plan ran well, 12 however the PPO plan did not. He said that, all in all, 2012 was a decent year. 13 He referred to slide 3 and said there were a few benefit changes that resulted in 14 an 8.5% increase, which was a competitive renewal for the 2013 plan year. 15 He said slide 4 is a reminder of the current rates and contribution strategies for 16 the County. 17 He referred to slide 5 and directed the Board to note the red highlighted lines in 18 the middle of the page, labeled PPACA. He said these are three fees or taxes being 19 applied to the plan for 2014. 20 He noted that the health insurance reinsurance fee is eliminated from the cost to 21 the plan if you are self-funded program. This gives an incentive to being self-funded. 22 He reviewed the claims experience data on slide 6. 23 He reviewed each row of data on slide 7 and said that the top, light blue row is 24 the $1 per member research fee that will be paid by United Healthcare this year. 25 He said the next row down, labeled "Notification of Changes", will go into effect 26 on October 1, 2013. 27 He noted that the auto enroll program is a new requirement for employers with 28 over 200 employees, and employees will be automatically be enrolled into a health plan. 29 He said the County needs to decide which plan to use for auto enrollment if employees 30 fail to choose one on their own. 31 Referring to the yellow row, he noted that 30 hour employees will be considered 32 eligible for health insurance and will be enrolled in a plan. He said that there will be 33 significant effort on the part of staff to determine eligibility for this. 34 He said the transitional reinsurance fee will apply to the health plan for the 35 upcoming year to help pay for catastrophic claims in the marketplace. 36 He reviewed the final overview slide and said the re-insurance fee is expected to 37 drop off over the next two years. 38 Chair Jacobs confirmed that Mark Browder will be back again in September to 39 answer questions. 40 41 3. Outside Agencies: Recommended Allocations FY2013-14 Pg. 209 42 43 Clarence Grier reviewed the following: 44 45 Synopsis 46 - In FY 2012-13, Orange County appropriated $1,038,700 to 36 Outside Agencies. 47 - The County received 56 Outside Agency funding requests, for FY 2013-14. One 48 agency, approved for funding in FY 2012-13, did not submit an application. 49 Requests totaled $1,549,923, an increase of$511,223 over FY 2012-13 50 appropriations. The 21 requests from new agencies total $337,423. 51 - County departments, advisory boards, and members of the County management 52 team evaluated each application. 53 - The County Manager recommends funding for 38 agencies, in FY 2013-14. The 54 recommendation totals $1,030,100, a decrease of$8,600 from the FY 2012-13 55 Approved Budget. Nine (9) agencies would receive an increase; one (1) agency