Minutes 06-11-2013 - Laserfiche WebLink

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Frank Clifton said Emergency Services positions are very strenuous jobs, and hourly shifts have been changed from 24 hours to 12 hours. He said these are difficult positions to fill and maintain. Commissioner Price said there may be some cases where it does not make sense to wait 6 months to hire someone, especially if it means services have to be cut. She hopes the Board will not make this a fast and hard rule. Clarence Grier said a department can request a waiver, and these are usually approved and positions are hired. Mark Browder reviewed the following PowerPoint excel spreadsheets regarding health insurance: Health insurance update (slide 1) June 11, 2013 Work Session 2012 Plan Experience (slide 2) 2013 Renewal (slide 3) Option 1 Rates (slide 4) 2014 Renewal Estimate (slide 5) 2013 Plan Experience (slide 6) Health Care Reform Timeline (slide 7) PPACA (slide 8) Mark Browder said the first few slides are a review from his previous presentation to the Board. He reviewed the 2012 Plan and said the HSA plan ran well, however the PPO plan did not. He said that, all in all, 2012 was a decent year. He referred to slide 3 and said there were a few benefit changes that resulted in an 8.5% increase, which was a competitive renewal for the 2013 plan year. He said slide 4 is a reminder of the current rates and contribution strategies for the County. He referred to slide 5 and directed the Board to note the red highlighted lines in the middle of the page, labeled PPACA. He said these are three fees or taxes being applied to the plan for 2014. He noted that the health insurance reinsurance fee is eliminated from the cost to the plan if you are self-funded program. This gives an incentive to being self-funded. He reviewed the claims experience data on slide 6. He reviewed each row of data on slide 7 and said that the top, light blue row is the $1 per member research fee that will be paid by United Healthcare this year. He said the next row down, labeled "Notification of Changes", will go into effect on October 1, 2013. He noted that the auto enroll program is a new requirement for employers with over 200 employees, and employees will be automatically be enrolled into a health plan. He said the County needs to decide which plan to use for auto enrollment if employees fail to choose one on their own. Referring to the yellow row, he noted that 30 hour employees will be considered eligible for health insurance and will be enrolled in a plan. He said that there will be significant effort on the part of staff to determine eligibility for this. He said the transitional reinsurance fee will apply to the health plan for the upcoming year to help pay for catastrophic claims in the marketplace. He reviewed the final overview slide and said the re-insurance fee is expected to drop off over the next two years. Chair Jacobs confirmed that Mark Browder will be back again in September to answer questions. 3. Outside Agencies: Recommended Allocations FY2013-14 Pg. 209