STRATEGIC PRIORITY: Government Performance and Financial Management
AGENDA DATE: September 18, 2019
COUNCIL DISTRICT(S): N/A
DEPARTMENT: Department of Human Resources
EXECUTIVE: Kimberly Bizor Tolbert
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SUBJECT
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Authorize (1) approval of the proposed plan design changes effective January 1, 2020; and (2) approval of the proposed health coverage plans and premium rates including all of the separate health benefit plans for retirees and their families including the self-insured health plans, insured Medicare Supplement Plans, Medicare Advantage Plans, Prescription Drug Plans, dental and vision - Total cost based on the number of employee/retiree participants - Financing: Employee Benefits Fund and City Employee/Retiree Contributions (see Fiscal Information)
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BACKGROUND
In 2018, the City offered two in-network plans. The plans included the Exclusive Provider Organization (EPO) 75/25 Plan with a Health Reimbursement Account (HRA) and the 70/30 High EPO Plan with a $3,000.00 medical deductible and a separate pharmacy deductible of $750.00. Members enrolled in the HRA Plan with "member only" coverage received a $700.00 allocation, while members who cover one or more dependents received a $1,700.00 allocation. For the HRA Account, any unused HRA allocation balances can be rolled over from year-to-year up to a maximum of $6,000.00. Health Reimbursement Account (HRA) participants also had an opportunity to earn an additional $300.00 towards their HRA allocation by accumulating 200 Points. In 2018, Wellness Points were awarded for wellness activities that employees participated in throughout the year.
The 2018 Master Plan for retirees defines the City's health coverage for the self-insured pre-65 health plans which are administered by a third party and for fully-insured Medicare Supplement, Medicare Advantage and Medicare Part D Prescription plans.
The fully-insured Medicare Supplement,...
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