Orange County NC Website
Browse       Search
Annual Deductible is $250 per member with maximum for Family of $750. <br />Wellness benefit of "no copay" for physicals, immunizations, diagnostic tests <br />With HMO there is 100% payment of claims after annual deductible <br />With PPO there is a 90% payment of claims after annual deductible <br />Total Premium Increase of 10.7% (Attachment 7) <br />Effect of Option I Rate increase on County and Employee costs in Attachments 5 and 6 <br />Option II Only Increase in Physician Copays (Recommended) <br />Description: The current plan with change in only the copays for Physician Copays from $10 for <br />Primary Care Physicians and $20 Specialist to $15 for Physician and $30 for Specialist. <br />Total Premium Increase 'of 9.7% (Attachment 8) <br />Effect of Option II Rate increase on County and Employee costs in Attachments 5 and 6 <br />Option III Only Increase in Pharmacy Copays <br />Description: The current plan with change in only the pharmacy drug copays from $5 for <br />generic, $15 for Brand and $30 for Non Formulary to $10 for Generic, $25 for Brand and $40 for <br />non-formulary. Mail Order Drug Benefit changes from $13 Generic, $26 Brand and $60 non- <br />formulary to $25 Generic, $49 Brand and $87 non-formulary. <br />Total Premium increase of 5.8% (Attachment 9) <br />Effect of Option II.I Rate increase on County and Employee costs in Attachments 5 and 6 <br />Option IV Increase in Prescription Copays and Physician Copays <br />Description: The current plan with changes in the pharmacy drug copays from $5 for generic, <br />$15 for Brand and $25 for Non Formulary to $10 for Generic, $25 for Brand and $40 for non- <br />formulary . Mail Order Drug Benefit changes from $13 Generic, $26 Brand and $60 non- <br />formulary to $25 Generic, $49 Brand and $87 non-formulary and the copays and for Physician <br />Copays from $10 for Primary Care Physicians and $20 Specialist to $15 for Physician and $30 <br />for Specialist <br />Total Premium increase of 4.9% (Attachment 10) <br />Effect of Option IV Rate increase on County and Employee costs in Attachments 5 and 6 <br />Dental Insurance <br />The County's employee dental insurance program is aself-insured plan administered by Delta <br />Dental of North Carolina. The County pays the full cost for individual employee dental coverage <br />Employees pay the full cost of dependent dental coverage. ,The Personnel Department has <br />evaluated the dental plan costs and projected plan revenue needed for 2008. Based on this <br />evaluation, staff recommends no changes to the dental plan design and no increase in dental <br />premium rates for the 2008 calendar year effective January 1, 2008. <br />Employee Monthly Rates: <br />Life Insurance <br />Employee $0 . <br />Employee/Children $41.93 <br />Employee/Spouse $35.17 <br />Employee/Family $60.07 <br />The County's Term Life Insurance Plan has been provided by Ft. Dearborn Life Insurance <br />affiliated with Blue Cross Blue Shield of NC. The cost will increase in November 2007 from <br />