Minutes 02-06-2018 - Laserfiche WebLink

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25 Commissioner McKee said to bring this item back in a year, in order to review the financials. c. Recommendations for Employee Health Insurance and Other Benefits The Board considered approving the Manager’s recommendations regarding employee health and dental insurance and other employee benefits effective July 1, 2018 through June 30, 2019. The Manager is recommending no increase in premium equivalent for employees or participating pre-65 retirees for FY2018/2019. All other health benefits, co-pays, co-insurance and deductibles will remain the same. Brenda Bartholomew reviewed the following information and PowerPoint presentation: BACKGROUND: The County provides employees with a comprehensive benefits plan, including health, dental and life insurance, an employee assistance program, flexible compensation plan and paid leave for permanent employees. Additionally, the County contributes to the Local Governmental Employee’s Retirement System and a supplemental retirement plan. The County has been self-funded since January 1, 2014 for medical and pharmacy plans and continues to be self-insured for the dental plan. The County transitioned from a twelve- month calendar plan year to a twelve-month fiscal plan year in 2015 aligning with the County’s fiscal year. In February 2015, the Board of County Commissioners approved Gallagher Benefit Services (GBS) as Broker of Record for the administration of the benefit programs, which include health, dental, vision, and other voluntary programs for employees and retirees. In FY2016/2017, the Board of County Commissioners approved the recommendation of the County Manager to continue with UnitedHealth Care (UHC) as the County’s Third Party Administrator for health insurance programs and granted authority to the County Manager to renew the Third Party Administrator contract with UnitedHealth Care. UnitedHealth Care will also fund $25,000 for FY 2017/2018 for wellness programs. For FY2017/2018, the Board of County Commissioners approved “carving out” pharmacy coverage from UnitedHealth Care and contracted with Envision Rx as the County’s Pharmacy Benefit Manager (PBM). This resulted in an expenditure reduction of $141,000 for FY2017/2018. The FY2017/2018 total adopted budget was increased by $524,433 or 5.05 percent for the County’s health insurance appropriation. The FY2017/2018 total County budget for health insurance for employees and pre-65 retirees is approximately $11.6 million dollars. Health Insurance The total FY2018/2019 health insurance expenditure is projected to be approximately $13.3 million (including health savings account contributions) based on increases to current enrollment of 1,068 employees and pre-65 retirees. The County contribution is projected at $11.9 million assuming that no changes are made to the current employee contribution structure. This represents a 5.9 percent increase in the projected FY2018/2019 budget; or approximately $750,000 (County share). 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