Orange County NC Website
7 <br /> basis. Calculating the subsidy in this way provides for more equitable handling <br /> and is easier to explain and communicate. In Options B and C, the percentage <br /> used is 42 percent. The amount is calculated using the BC/BS Traditional Plan as <br /> the base plan, determining 42 percent of each dependent coverage category and <br /> then applying that same dollar amount to dependent coverage under the other <br /> plans. Attachment 5 shows the dependent care subsidies provided by area local <br /> government employers. <br /> Health Insurance Waiver Option <br /> The County currently provides an option where an employee may waive health <br /> insurance coverage, if he or she has health insurance coverage through another <br /> provider, and receive a payment of$67.50 per month in lieu of coverage. The <br /> Board had asked that Personnel revisit this option as part of the 1996 health <br /> insurance review. <br /> Both HealthSource and Blue Cross have advised that this option has no adverse <br /> impact on the County's rates so long as the County requires evidence of health <br /> insurance coverage through another provider, as is done presently. <br /> Among seven area local government employers surveyed, five (Carrboro, Cary, <br /> Chapel Hill, Durham County and Wake County)permit the employee to decline <br /> health insurance coverage and two (Durham City and Raleigh) do not. Of the five <br /> who permit it,two (Cary and Durham County)require the employee have health <br /> insurance elsewhere and these same two provide for the employee to receive a <br /> payment in lieu of insurance (Cary - $62.50 per month and Durham County - up <br /> to $12 per month). <br /> If the County eliminated the waiver option and the 46 employees currently <br /> participating elected health insurance, additional funds ranging from$69,000 to <br /> $156,000 (using current rates) would be required depending on coverage elected. <br /> The effect of the waiver option is to reduce the County cost in the instance where <br /> an employee has coverage elsewhere and declines coverage instead of enrolling <br /> because there is no other alternative. If the Board elects to discontinue the waiver, <br /> it is recommended that current employees participating in the waiver be allowed <br /> to continue to do so under a "grandfather" provision so that additional funds are <br /> not required. <br /> 401(k) Plan Option <br /> The health insurance options presented and, in particular, Option C provide the <br /> opportunity for significant cost savings. An alternative for the Board's <br /> consideration is to use a portion of that cost savings to enhance the current <br /> employee benefits package. <br /> Many area local government employers provide for an employer contribution to a <br /> 401(k)plan for general government employees in addition to the five percent <br />