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26 <br /> <br />Community Eye Care. In FY2018/2019 no increases in dental premiums for employees is <br />recommended by the Manager. Vision premiums are paid 100 percent by employees and to <br />date no increase has been proposed by Community Eye Care. The current fiscal year <br />budget for dental coverage is $305,856. Based on current enrollment, the County share for <br />the FY2017/2018 budget is projected year end at $420,952; representing a budget shortfall <br />of $115,096. The County’s expenditure for the FY2018/2019 dental budget is projected at <br />$431,377. The additional funding is partly driven because of an increase in the enrollment <br />for dental coverage. By accounting for the increased enrollment and the current budgetary <br />shortfall for FY2017/2018, an increase of $125,521 is projected for the FY2018/2019 <br />budget. <br /> <br />FINANCIAL IMPACT: The proposed FY2018/2019 Health Insurance appropriation increase <br />is $750,000, and the proposed FY2018/2019 Dental Insurance appropriation increase is <br />$125,521. <br /> <br />Brenda Bartholomew presented the PPT below: <br />Recommendations for Employee Health Insurance and Other Benefits <br />Action Agenda Abstract <br />Item 6 -c <br />February 6, 2018 <br />BOCC Meeting <br /> <br />Manager’s Recommendations for the FY2018/2019 Budget <br /> No increase in premium equivalent for medical coverage or increase in dental <br />premiums. <br /> Increase County cost for medical coverage by $725,000. <br /> Increase County cost for dental coverage by $125,521. <br /> <br />Re-Cap of Actions: <br /> The County has been self-funded since January 1, 2014 for medical and pharmacy <br />plans and continues to be self-insured for the dental plan. <br /> FY2016/2017 – <br />o BOCC approved UnitedHealth Care (UHC) to continue as the Third Party <br />Administrator (TPA) for the County’s Medical Plan. The TPA renewal was <br />negotiated from $41.50 per employee per month to $29.50 per employee per <br />month. (Budget savings of $149,000) <br />o County participated in a stop-loss marketing comparison and moved the specific <br />stop-loss to a $150,000 deductible from $100,000 deductible and contracted <br />with Symetra (previously UHC). (Budget savings of $120,000) <br />o Dental plan benefits were enhanced by removing diagnostic and preventative <br />services from the annual maximum of $1,200 of covered services to promote <br />preventative oral health care. <br /> FY2017/2018 – <br />o BOCC approved “carving out” pharmacy coverage from UnitedHealth Care and <br />contracted with Envision Rx as the County’s Pharmacy Benefit Manager (PBM). <br />(Budget savings of $141,000) <br /> BOCC approved no increase in premium equivalents for medical coverage or increases <br />in dental premiums for multiple budget years.