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~1~ <br />Attachment 5 <br />COMPARISON OF RENEWAL AND OPTIONS <br />Renewal-No Changes <br />Pros Cons <br />No change to plan design Continues to increase the cost to the <br /> County and to employees with <br /> dependent coverage, particularly <br /> those in the PPO <br />No cost for employees with employee Requires employees with dependents <br />only coverage to pay more for their health insurance <br /> than the actual usa e <br /> Drives more employees to the lower <br /> cost plan because of the inequity in <br /> premiums for dependent coverage. <br /> Results in 95% employees in HMO, <br /> 5% in PPO <br /> Does not address the situation where <br /> the higher benefit (HMO) costs less <br /> than the lower benefit PPO . <br />Option 1 Buy Up Plan <br />Pros Cons <br />Addresses the inequity between the Affects all employees. <br />cost of the two plans <br />Provides greater equity for the cost of Requires employees in the HMO who <br />dependent coverage (affects 45% of wish to keep the same benefits to pay <br />employees) additional premiums for employee <br /> onl covera e. <br />Allows employees to choose the plan The County saves but the employees' <br />that best meets his/her individual benefits are reduced in the no-cost <br />needs o tion, <br />Cost sharing (paying for a premium or Increases the costs for dependents <br />co-insurance) is an effective means of more than the straight renewal. <br />controlling claims costs because more <br />attention is paid to out of pocket costs. <br />