Agenda - 04-21-2015 - 6a - Laserfiche WebLink

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11 1 Healthcare administrative fee of$143.53 per member per month includes stop-loss coverage of 2 $100,000 per person. 3 4 Further, the County is currently transitioning from a twelve-month calendar plan year to a 5 twelve-month fiscal plan year, July 1 through June 30. Therefore, a one time, six-month plan 6 year was implemented effective January 1, 2015 through June 30, 2015. A twelve-month plan 7 year will begin July 1, 2015 and end June 30, 2016 to align with the County's fiscal year. 8 In February 2015, the Health Insurance Advisory Committee, under the direction of County 9 Purchasing Agent David Cannel!, participated in the Request for Proposal (RFP) process for the 10 selection of a Broker of Record for the administration of benefit programs which include but are 11 not necessarily limited to health, dental, vision, and other voluntary programs for employees 12 and retirees. The Manager recommended, and the Board of Commissioners approved, the 13 selection of Arthur J. Gallagher & Co. (AJG) as the Broker of Record at the March 3, 2015 14 regular meeting. 15 16 Overall, enrollment numbers for the six-month benefit period which were effective January 1, 17 2015 have remained consistent, with a slight decrease in the High Deductible Health Plan 18 membership compared to FY 2014/15. The number of employees waiving health insurance 19 coverage has increased primarily due to employees obtaining coverage elsewhere, usually a 20 spouse's benefit plan. Attachment 1 shows benefits and enrollments as of February 16, 2015. 21 22 The County continues to administer voluntary benefit programs including vision coverage, short 23 term disability, whole life insurance, critical illness and accident insurance available through the 24 benefit of a payroll deduction. At this time, there are no plans to change the voluntary benefit 25 programs. 26 27 The County will continue to partner with representatives of the UNC Wellness @ Work program 28 to offer health screenings to all employees. In the fall of 2014, the Health and Human 29 Resources Departments coordinated flu clinics for employees and Human Resources held two 30 Breast Cancer Awareness Days for mammograms at UNC Radiology in Hillsborough. Staff will 31 be working closely with AJG to conduct a feasibility study related to wellness and an employee 32 clinic. 33 34 Health Insurance 35 Open Enrollment for benefits will be held in April 2015 for coverage effective July 1, 2015 36 through June 30, 2016. AJG worked with United Healthcare to obtain utilization data for medical 37 and pharmacy cost projections for the FY2015/2016 budget. The data incorporated 24 months 38 of claims utilization including periods of January 2014 through January 2015 (self-funded) and 39 January 2013 through December 2013 (fully insured). After a detailed review, AJG is 40 recommending that the premium equivalent remain the same, with no increase for medical and 41 pharmacy costs. 42 43 To date, no benefit changes are anticipated for FY2015/16 coverage. Health benefits, co-pays, 44 co-insurance and deductibles are expected to remain the same. AJG will continue to work with 45 staff in analyzing all data relative to benefits and will bring forward any recommendations, if 46 necessary, to the Manager and the BOCC for consideration and approval. 47 48 Staff and the County Manager discussed with AJG ways to mitigate additional deductible 49 expenses for some employees because of the plan year change from calendar to fiscal. It is 50 estimated that approximately 18 percent of employees and retirees may have met or will meet