Agenda - 03-21-2023; 6-b - Recommendations for Employee Health Insurance and Other Benefits

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2 levels for future sustainability of rates. The actuarial analysis conducted by the North Carolina Health Insurance Pool is recommending an increase of five percent (5%). The Manager recommends that the County assumes 100% of the recommended 5% increase and that the employee contributions continue at current rates. As such, a 5.5% increase for funding the County contribution is proposed. This represents a total budget increase of$659,108. FY 2023-24 Health Insurance Rate Renewal Year Rates Monthly Cost Annual Cost Employee Employer Contribution Contribution 2022 Current Rates $1,098,486 $13,181,834 $1,296,475 $11,885,359 2023 Current Rates with Employer $1,153,412 $13,840,942 $1,296,475 $12,544,467 Increase Only (Renewal) Net Increase $54,926 $659,108 $0 $659,108 Dental Insurance Delta Dental is the County's current Dental provider, and the County will continue to provide coverage with Delta Dental. The Board of County Commissioners approved an increase of funding totaling $92,236 (County contribution of $73,286) for the FY 2021-22 Dental Fund. The total Dental budget is currently $639,000, and no increase is recommended for FY 2023-24. Behavioral Health Services A new behavioral health benefit is also being recommended for FY 2023-24. Based on clinical assessments, this program provides access to mental wellness resources, guided assessment and recommendations, an immediate gateway to personalized support, and access to a therapist within three days. The services is available 24 hours a day, 7 days a week. Training, communication and knowledge-building materials are also available and designed to engage all employees in an effort to maintain a supportive work environment that combats the stigma around mental health. The total cost of this program is $89,000. SOCIAL JUSTICE IMPACT: The following two Orange County Social Justice Goals are applicable to this item: • GOAL: FOSTER A COMMUNITY CULTURE THAT REJECTS OPPRESSION AND INEQUITY The fair treatment and meaningful involvement of all people regardless of race or color; religious or philosophical beliefs; sex, gender or sexual orientation; national origin or ethnic background; age; military service; disability; and familial, residential or economic status. • GOAL: ENSURE ECONOMIC SELF-SUFFICIENCY The creation and preservation of infrastructure, policies, programs and funding necessary for residents to provide shelter, food, clothing and medical care for themselves and their dependents. FINANCIAL IMPACT: The FY 2023-24 Health and Dental Fund budget request is anticipated to increase by $659,108. The recommendation for implementing UNUM Behavioral Health for all employees is $89,000.