1 / 12

2014-15 Medical and Insurance B enefit Renewal Recommendations

2014-15 Medical and Insurance B enefit Renewal Recommendations. Governing Board Meeting March 25, 2014. Tahlya Visintainer and Christie Davis. Benefit Renewal Process and Players. Insurance Renewal process

taariq
Download Presentation

2014-15 Medical and Insurance B enefit Renewal Recommendations

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. 2014-15 Medical and InsuranceBenefit Renewal Recommendations • Governing Board Meeting • March 25, 2014 Tahlya Visintainer and Christie Davis

  2. Benefit Renewal Process and Players • Insurance Renewal process • Annually look at claims for prior 12 months with actuaries and make assumptions for the following year’s claims • Other considerations: legislation, regulation and market • PUSD’s Employee Benefit Trust Board • Established to oversee the trust fund and make recommendations to the Governing Board on management of the trust • Currently 6 Trustees: • Chairman and Board Member Matthew Bullock* • Trustees: Dr. Denton Santarelli*; Ms. Julia Smock; Ms. Lisa Morris; Mr. Will Briggs; Mr. Donald May (*members required by Trust Agreement) • Over the course of 2-3 meetings, the Trustees evaluate information and recommendations from administration in order to reach their own recommendation to this Board

  3. Medical Benefits & Premiums

  4. Renewal Overview • Budget for 2014-15: $22 million or approximately $7500 per employee • Contributing factors: fewer high cost claimants and removal of retirees from our claims • Same budget as 2013-14 resulting in no increase to employee premiums • Increase in costs of ACA fees and additional staff must be provided benefits • No decrease in HSA Contributions • $1250 for CDHP 2500 • $375 for CDHP 1250 • $250 available for PREP (Wellness) • Plan Changes to the Traditional Plan: • Increased out of pocket maximum to capture the co-pays and deductible due to ACA • Increase co-pay for urgent care • Changed chiropractic to co-insurance to align with other therapies (Physical, Occupational, Speech)

  5. Medical Premiums for 2014-15

  6. pharmacy

  7. Pharmacy • Moving to one provider of prescription coverage - Optum RX • Change for the Traditional Plan members from Express Scripts • Change for the CDHP Plan members is an expanded drug list

  8. Dental

  9. Delta Dental • Change the existing Delta Dental Plan to a Standard Delta Plan that includes: • Check-up Plus Plan added- Preventative and Diagnostic covered at 100% • Sealants now covered 100% up to age 19 • Annual maximum benefit $1,000 (reduced from $1500) • Impacts approximately 4% of the staff who are on Delta Dental

  10. Dental Premiums for 2014-15

  11. voluntary

  12. Other Voluntary Benefits • Vision- VSP • Rates increased slightly due to ACA fees • Additional coverage added: • Diabetes Testing • Frame allowance increased for brand name frames • AFLAC • Moving to Group Plan • More plans, guaranteed issue • Critical Illness (Includes Cancer and Wellness) • Hospitalization (Includes ICU) • Accident Advantage

More Related