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3 <br /> 1 providing additional savings, which is very common with pass-through models. <br /> 2 • Envision Rx will communicate with employees directly during the transition. Employees <br /> 3 currently taking non-formulary maintenance medications will be grandfathered into their <br /> 4 program for 90 days. Employees not medically respondent to any drug change may be <br /> 5 granted continuance because of medical necessity. <br /> 6 • Envision Rx will grandfather all members on specialty medications for the life of the <br /> 7 contract. <br /> 8 <br /> 9 Dental and Vision Insurance <br /> 10 Delta Dental is the County's Dental provider and Community Eye Care provides the County's <br /> 11 vision plan. The County will continue to provide coverage with Delta Dental and Community <br /> 12 Eye Care. In FY2017/2018 no increases in dental or vision premiums is recommended by the <br /> 13 Manager. <br /> 14 <br /> 15 FINANCIAL IMPACT: An increase in the FY2017/2018 Health Insurance appropriation of <br /> 16 $524,433 and no increase to the FY2017/2018 Dental Insurance budget. <br /> 17 <br /> 18 Brenda Bartholomew, Human Resources Director, made the following PowerPoint <br /> 19 presentation: <br /> 20 <br /> 21 Recommendations Employee Health Insurance and Other Benefits <br /> 22 Action Agenda Abstract <br /> 23 Item 6c <br /> 24 April 4, 2017 (Moved to April 6, 2017) <br /> 25 BOCC Meeting <br /> 26 <br /> 27 Manager's recommendations for the FY2017/2018 budget <br /> 28 (July 1, 2017 through June 30, 2018) <br /> 29 • No increase in premium equivalent for medical coverage or increase in dental or vision <br /> 30 premiums. Total county cost for medical coverage will increase by $524,433 <br /> 31 • Include in the current plan design trans-inclusive health care coverage <br /> 32 • Carve out pharmacy coverage with a Pharmacy Benefits Manager <br /> 33 <br /> 34 RE-CAP of Actions <br /> 35 FY2016/2017 <br /> 36 > County conducted a Third Party Administrator (TPA) marketing analysis for the service <br /> 37 of administering and managing claims. <br /> 38 > BOCC Approved UnitedHealth Care (UHC) to continue as the Third Party Administrator <br /> 39 (TPA)for the County's Medical Plan. The TPA renewal was negotiated from $41.50 per <br /> 40 employee per month to $29.50 per employee per month. (Budget savings of $149,000) <br /> 41 > UHC funding $25,000 each year for FY2016/2017 through FY2018/2019 for wellness <br /> 42 programs. <br /> 43 > County participated in a stop-loss marketing comparison and moved the specific stop- <br /> 44 loss to a $150,000 deductible from $100,000 deductible and contracted with Symetra <br /> 45 (previously UHC). (Budget savings of$120,000) <br /> 46 > Dental plan benefits were enhanced by removing diagnostic and preventative services <br /> 47 from the annual maximum of$1,200 of covered services to promote preventative oral <br /> 48 health care. <br /> 49 > No increase in premium equivalent for medical coverage or increase in dental or vision <br /> 50 premiums. <br />