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19 <br /> Current PPO Plan Premium Monthly Monthly Semi Monthly Semi Monthly <br /> Equivalent County Employee County Employee <br /> FY2019/2020 Cost Share Cost Share Cost Share Cost Share <br /> Employee Only $806.59 $806.59 $0.00 $403.30 $0.00 <br /> Employee+Child(ren) $1,267.24 $1,037.34 $229.90 $518.67 $114.95 <br /> Emplo ee+Spouse $1,631.71 $1,222.51 $409.20 $611.26 $204.60 <br /> Employee+Family $2,293.71 $1,558.87 $734.84 $779.44$ 367.42 <br /> Current HDP Plan Premium Monthly Monthly Semi Monthly Semi Monthly <br /> Equivalent County Employee County Employee <br /> FY2019/2020 Cost Share Cost Share Cost Share Cost Share <br /> Employee Only $680.51 $680.51 $0.00 $340.26 $0.00 <br /> Emplo ee+Child ren $1,065.16 $916.04 $149.12 $458.02 $74.56 <br /> Employee+Spouse $1,369.49 $1,109.29 $260.20 $554.64 $130.10 <br /> Emplo ee+Famil $1,922.26 $1,441.70 $480.57 $720.85 $240.28 <br /> The total FY2019/2020 budget is projected to be approximately $13.3 million (including health <br /> savings account contributions) based on current enrollments for employees and pre-65 <br /> retirees. The County contribution is projected at $11.9 million assuming that no changes are <br /> made to the current employee contribution structure. This represents no increase to the <br /> FY2019/2020 budget. <br /> Through December 2018, Orange County is in a very good position from a reserve perspective <br /> with NCHIP. Reserve levels are recommended at 1.25 times total monthly claims; $6.4 million <br /> has been funded by Orange County through December 2018; $819,000 has been paid in fixed <br /> costs; and $3.9 million paid in claims which results in a $1.7 million reserve. This is well over <br /> the recommended reserve level. <br /> Comparatively, $21.4 million has been funded by all participants of NCHIP through December <br /> 2018. A total of$16.9 million has been paid for claims resulting in a $4.5 million reserve. Of <br /> these reserves, $1.7 million is tied to Orange County. <br /> The following represents total health care appropriations over the last five years (County and <br /> Employee shares): <br /> 2015-16 2016-17 2017-18 2018-19 2019-20 <br /> Health Insurance $11,082,953 $11,784,305 $12,585,606 $13,333,299 $13,333,299 <br /> Budget <br /> Health Budget% 6.33% 6.80% 5.94% 0.00% <br /> Increase <br /> It is recommended that the premium equivalent for the high-deductible plan be decreased by <br /> $118 per month for each plan tier. The $118 per month represents 1/12th of the Health <br /> Savings Account County funding of$1,416 annually. A total of$363,912 is funded for Health <br /> Savings Accounts for FY2018/2019 and is 100% paid by the County. These funds are <br /> currently not paid to NCHIP and therefore not necessary to include as part of the high- <br /> deductible premium equivalent. The Health Savings Account funding is budgeted separately in <br /> the Health Insurance 70 Fund. <br /> Dental and Vision Insurance <br /> Delta Dental is the County's Dental provider and Community Eye Care provides the County's <br /> vision plan. The County will continue to provide coverage with Delta Dental and Community <br /> Eye Care. Vision premiums are paid 100 percent by employees and to date no increase has <br /> been proposed by Community Eye Care. There is no recommended increase to the <br /> FY2019/2020 Dental budget. Dental budget and the funding is proposed as follows: <br />