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<br /> insurance and dental coverage for employees and pre-65 retirees. The total FY2019/2020
<br /> appropriation is $13.3 million (including health savings account contributions).
<br /> Health Insurance
<br /> For the FY2020/2021 plan year, no increase to the Health Insurance (70 Fund) is
<br /> recommended. As such, a budget of $13 million (including health savings account
<br /> contributions) based on current enrollments employees and pre-65 retirees. The County
<br /> contribution is projected at $11 million.
<br /> Through February 2020, Orange County is in a very good position from a reserve perspective
<br /> with NCHIP. Average monthly enrollment is 1,063 employees (1,758 total members). Actual
<br /> spending through February 2020 is $8,028,107 which is comprised of $6,944,910 for total net
<br /> claims paid and $1,083,197 for total fixed costs. Total reserve balance YTD has increased by
<br /> $693K and over two years is currently $3,400,230. This is well over the recommended reserve
<br /> level due to extremely favorable claim experience the last 20 months and ability to share large
<br /> claim risk with NCHIP partners.
<br /> The following shows the total reserve balance by plan year:
<br /> Year . Total
<br /> (through Feb i
<br /> Average Monthly Employees 1,053 1,063
<br /> Total Funding $12,969,352 $8,721,375 $21,690,726
<br /> Fixed Costs* $1,692,821 $1,083,197 $2,776,018
<br /> Reallocated Total Claims $8,569,569 $6,944,910 $15,514,479
<br /> Total Cost $10,262,390 $8,028,107 $18,290,497
<br /> Net Variance (RESERVE) $2,706,962 $693,268 $3,400,230
<br /> ('Includes Administration,Stop Loss, Consulting, Legal,Accounting,D&O,Care Management Fees,SOA True Up and Benefits Administration)
<br /> The following represents total health care appropriations over the last five years:
<br /> 2016-17 2017-18 2018-19 2019-20 2020-21
<br /> Health Insurance $11,784,305 $12,585,606 $13,333,299 $13,333,299 $13,333,299
<br /> Budget
<br /> Health Budget% 6.33% 6.80% 5.94% 0.00% 0.00/o°
<br /> Increase
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