Agenda - 10-21-2014 - 6a - Laserfiche WebLink

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I 1 Chair Jacobs said he agrees with Commissioner Pelissier and Commissioner Rich. He 2 likes option 2, but he does not want to give up the Efland /Hillsborough commuter loop. 3 Commissioner Gordon asked if the discussion is to go only one day a week for the zonal 4 routes. 5 Chair Jacobs said the staff asked for feedback on options, and it seems that there is a 6 preference for option 2 with some combination. 7 Commissioner Dorosin said it sounds like the consensus is option 2, with yes on the 8 Hillsborough Loop. 9 Commissioner Pelissier asked if the new grant could be used for the Efland Hillsborough 10 circulator route. 11 Bret Martin said this grant is only for one year, but he is confident that additional sources 12 of revenue will be made available. 13 Commissioner Gordon said when staff comes back with this, the zonal routes need to 14 start with two days a week, and it is important to be fair to the both ends of the County. 15 16 2. Employee Benefits Updates and Preliminary Recommendations Regarding 17 Benefits Effective January 1, 2015 18 Brenda Bartholomew said Mark Browder presented the renewal options for 2015. 19 Mark Browder said he would be reviewing Attachment B, and the renewal estimate for 20 the health plan. He discussed several PowerPoint slide spreadsheets. 21 He said slide 15 is a reminder that the County transitioned from being fully insured to 22 self funded. He said the budgetary numbers were left the same as they were in 2013. He said 23 slide 16 is an experience review since the plan has been self- funded, and he pointed out the 1 24 percent change in cost from 2013. He said the plan is currently running well and at budget. 25 Mark Browder said slide 17 shows renewal calculations. He said when all of the costs 26 are wrapped into one amount, they equal a 13 percent increase for 2015. He said 5 percent of 27 that increase is due to healthcare reform changes, which means the plan itself would only call 28 for an 8 percent increase. 29 He said there are two renewal options for the 2015 plan year, as outlined in the abstract 30 and on slide 8: 31 32 Option 1: Renewal of the current two plans, the Point of Service Plan (POS) and the High 33 Deductible Plan (HDP), without any change to plan design for six - months. Employees will 34 continue to pay 2014 rates for dependent coverage. The County will bear the increased cost for 35 dependent coverage for the six -month renewal period. 36 Option 2: Renewal of the two current plans with plan design changes to the Point of Service 37 Plan, with a 9% increase for both plans. The change in plan design for the POS plan increases 38 co -pays for office visits and prescription coverage. Employees will continue to pay 2014 rates 39 and for dependent coverage. The County will bear the increased cost for dependent coverage 40 for the six -month renewal period. 41 42 Mark Browder said option 1 has no benefit design changes and has a 13 percent 43 increase in cost. He said option 2 reflects a benefit design change to offer some relief on the 44 renewal. He said there is a 5 dollar increase on the primary physician co -pay, and a 10 dollar 45 increase on the specialist co -pay. He read through several changes to the pharmacy benefits. 46 He said this option reflects a 9 percent increase in funding, and the rates and details are 47 included on slide 19. 48 Mark Browder said the staff recommendation on slide 20 is to transition the plan from 49 being a calendar year plan to a fiscal year plan. He said this would align with the budget