Minutes 04-06-2017 - Laserfiche WebLink

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3 County is the beneficiary. It is likely that the network rates will exceed the minimums, providing additional savings, which is very common with pass-through models. • Envision Rx will communicate with employees directly during the transition. Employees currently taking non-formulary maintenance medications will be grandfathered into their program for 90 days. Employees not medically respondent to any drug change may be granted continuance because of medical necessity. • Envision Rx will grandfather all members on specialty medications for the life of the contract. Dental and Vision Insurance Delta Dental is the County's Dental provider and Community Eye Care provides the County's vision plan. The County will continue to provide coverage with Delta Dental and Community Eye Care. In FY2017/2018 no increases in dental or vision premiums is recommended by the Manager. FINANCIAL IMPACT: An increase in the FY2017/2018 Health Insurance appropriation of $524,433 and no increase to the FY2017/2018 Dental Insurance budget. Brenda Bartholomew, Human Resources Director, made the following PowerPoint presentation: Recommendations Employee Health Insurance and Other Benefits Action Agenda Abstract Item 6c April 4, 2017 (Moved to April 6, 2017) BOCC Meeting Manager's recommendations for the FY2017/2018 budget (July 1, 2017 through June 30, 2018) • No increase in premium equivalent for medical coverage or increase in dental or vision premiums. Total county cost for medical coverage will increase by $524,433 • Include in the current plan design trans-inclusive health care coverage • Carve out pharmacy coverage with a Pharmacy Benefits Manager RE-CAP of Actions FY2016/2017 ➢ County conducted a Third Party Administrator (TPA) marketing analysis for the service of administering and managing claims. ➢ BOCC Approved UnitedHealth Care (UHC) to continue as the Third Party Administrator (TPA) for the County's Medical Plan. The TPA renewal was negotiated from $41.50 per employee per month to $29.50 per employee per month. (Budget savings of$149,000) ➢ UHC funding $25,000 each year for FY2016/2017 through FY2018/2019 for wellness programs. ➢ County participated in a stop-loss marketing comparison and moved the specific stop- loss to a $150,000 deductible from $100,000 deductible and contracted with Symetra (previously UHC). (Budget savings of$120,000) ➢ Dental plan benefits were enhanced by removing diagnostic and preventative services from the annual maximum of$1,200 of covered services to promote preventative oral health care.