1 / 32

City of LaGrange

City of LaGrange. Health Care Initiative. City of LaGrange Health Care Plan. Self-Insured

daniel_millan
Download Presentation

City of LaGrange

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. City of LaGrange Health Care Initiative

  2. City of LaGrange Health Care Plan • Self-Insured • Type of Insurance Arrangement where Employers Pay for Medical Claims out of their own Funds rather than Contracting with an Insurance Company for Coverage. This puts the Employer at risk for its Employees' Medical Expenses rather than an Insurance Company. • TPA (Third Party Administrator) • An organization that processes health plan claims but does not carry any insurance risk (Covenant Administrators)

  3. City of LaGrange Health Care Plan • Re-Insurance- One insurance company (UHC) agrees to indemnify another insurance company (the City of LaGrange) in whole or in part against risks that the first company has assumed. • Specific Stop Loss/Reinsurance - insurance which pays for medical charges above a selected deductible for an individual person per policy year. $175,000.00 • Aggregate Stop Loss/Reinsurance - provides coverage against an entire population's budget overrun in a calendar year. $2.6 million

  4. City of LaGrange Health Care Plan • PPO (Preferred Provider Organization) - • A doctor, hospital or other healthcare provider who has entered into an agreement with United Healthcare to provide healthcare services to members for a negotiated rate of reimbursement.

  5. Basic Plan Design • Family or Single Coverage • $20.00 Office Visits – In Network • Deductibles • $250 - Single • $500 – Family • Co-Insurance • 80% after Deductible up to $5,000 of Services – In Network • 60% after Deductible up to $5,000 of Services – Out of Network

  6. Basic Plan Design • Drug Card Benefit • Generic - $10.00 • Formulary - $20.00** • Non-Formulary/Preferred (Brand) Drug - $35.00

  7. July 1 to June 30

  8. July 1, 2003 to April 30, 2005

  9. Renewal in June 2005 • City Approached by TPA with a Supplemental Medical Policy that ties with a High Deductible • Deductible would be Reduced for Employees that were Tobacco Free, Controlled Weight, Cholesterol and Blood Pressure • 70% of Illnesses are Lifestyle Related • Re-Insurance Carrier • Expected Claims – ↓ $447,724 • Reduction in the Annual Re-Insurance Premium - $7,890 • Cost of Administration $10,000.00 plus $35.00 per employee screened

  10. Health Screenings • August 2005 – Preliminary Screening • December 2005 – Screening for Insurance Costs • District Four Health Services Coordinated Both Screenings • Additional Assistance from West Georgia Health Systems and Industrial Park Physicians

  11. Restructured Health Care Plan • Doubled Insurance Rates for Employees – Premiums • Family Coverage Per Month $108.33 to $216.66 • Single Coverage Per Month $54.16 to $108.33 • Ability to Reduce Premiums by 216.66 108.33 • Blood Pressure – less than 140/90 -43.33 -$21.66 • Cholesterol – less than 240 -43.33 -$21.66 • Body Mass Index (BMI) – less than 30 -43.33 -$21.66 • Men – Body Fat % less than 30 • Women – Body Fat % less than 38 • Tobacco Free -43.33 -$21.66 • Premium with All Credits $43.34 $21.69

  12. Focus on Preventive Care • Increased Preventive Care Benefit from $150.00 to $500.00 per person (Wellness Visits, Mammograms, Shots, etc.) • $20.00 a month Fitness Credit Awarded to Employees that Engage 10 times a Month at a Gym or • Physical Fitness Challenge – Held Bi-Annually • Cooper Institute Standards for • Mile and Half Run • Sit-Ups • Push-Ups

  13. Safety Initiative - 2005 • Analysis of City Accidents Revealed that Accidents are often Related to Fitness Levels • $400,000 – Workers Compensation Costs • Mandatory Fitness Training for Public Safety Officers • Bike • SWAT • Canine • Special Investigations Unit (SIU) • Consideration being given to tighten standards for annual physical training • Fire Department Established a Wellness Program • Encourage employees to exercise one hour a day for a minimum of 10 days • Time allotted during workday

  14. Fit for Life – Wellness Committee Fit for Life

  15. Wellness Committee Established • Comprised of Employees Throughout Each City Department • Public Works • Demeteris Easter • Cheri Howell • Jason Hill • City Hall • Dion Senn • Marjorie Potts • Garage • Tommy Brown • Water Plant • Brett Whaley • Police Department • Mark Kostial • Rob Moore • Fire Department • John Brant • Phillip Rice • Public Utilities • Elaine Delong • Waste Water Treatment Plant • Jill Henderson

  16. Goal for Committee • Organize 6 projects to promote wellness within the organization • First Project – 8 in 8 • 8 Week Program to encourage employees to lose 8 pounds in 8 weeks • 84 of 105 participants completed the program • 1,190.5 total pounds lost • 14.17 pounds per person lost • 11 of 34 Teams lost 40 or more pounds • 84 of 380 (full-time insured) employees completed the program – 22%

  17. First Project – Eight in Eight • Eight in Eight • 8 Week Program to encourage employees to lose 8 pounds in 8 weeks • 84 of 105 participants completed the program • 1,190.5 total pounds lost • 14.17 pounds per person lost • 11 of 34 Teams lost 40 or more pounds • 84 of 380 (full-time insured) employees completed the program – 22%

  18. Second Project – 500 Mile Club • 500 Mile Club • Program designed to Encourage Physical Activitity • Walk, Run, Elliptical, and/or Bike (4 miles equals 1 mile of walking) your way to 500 Miles! • Initial Registration Dates – March 31 – April 18 (We will have more registration dates later in 2008 that will give people another opportunity to register for the ones who did not March 31 through April 18) • 1 Year to complete the program (Program begins Monday, April 19, 2008 and ends Monday, April 20, 2009) • Mileage Log Sheet (Given to each participant once he/she registers to keep up with mileage)

  19. Mile Points & Rewards: 50 (200 Biking) Name in City Newsletter Name on LGTV 100 (400 Biking) T-shirt (Certain Color‐TBD) Name in City Newsletter Name on LGTV $10 Gift Card to Subway 200 (800 Biking) T-shirt (Certain Color‐TBD) Name in City Newsletter Name on LGTV $25 Cash 350 (1,400 Biking) T-shirt (Certain Color-TBD) Name in City Newsletter Name on LGTV $50 Gift Card to restaurant etc. of the person’s choice 500 (2,000 Biking) T-shirt (Certain Color-TBD) Name in City Newsletter Name on LGTV Paid day of leave (8hrs) Recognition by Mayor and Council Second Project – 500 Mile Club

  20. Second Project – 500 Mile Club • 93 Participants • Logged 5,019 miles (April 20 – July 5) • Average of 53.96 miles per participant

  21. 86 participants All children 10 and under were awarded a small medal for participation Awards for 5K for Overall Finisher and 1st in each age/gender category Donations by local business - fruit and water Third Project – 5K/1 Mile Fun Run

  22. Fourth Project – Employee Softball Tournament • September 27, 2008 (8 a.m. – 4:00 p.m.) • Four Teams (12-15 employees on a team) • Police • Fire/Public Works • Public Utilities • City Hall • Cook-Out for Lunch • Families Attended • Facilities/Field Provided by LaGrange College

  23. Lunch and Learn The Health Committee will hosting several lunch and learn programs during the upcoming holidays. These programs will cover some very important issues. Time and location of these programs are listed below. December 5 11:00 Christmas Fire Safety (LFD) LFD Admin. Building Alcohol (LaGrange PD) December 12 11:00 Stress, Holiday Diet (Dr. Smalls) Municipal Court

  24. Join the fun on Saturday, December 13 at 8:30am for a Poker Run! Starting on the Square, run/walk a 3.1 mile course, as you meet a dealer with playing cards along the way. To complete your hand, the final dealer and cards will be waiting for you at a nearby station. This is one group run/walk, where you can win with your hands rather than your feet, as the best poker hand, not the fastest runner, will win an iPod Shuffle! Other prizes available too. After the run, enjoy the award ceremonies and door prizes Registration Fee: Donate new toy for TOYS FOR TOTS. So, ask yourself, do you feel lucky?

  25. Chief’s 10K Challenge STEP UP TO THE CHALLENGE! Join Chief Lou Dekmar for his 2nd Annual Chief’s Running Challenge! Saturday, December 22, 2008 Fire Station #4 Mooty Bridge Road 10:00 a.m. All participants who register prior to Monday November 24th will receive an event t-shirt. Lunch to be provided at Station 4 at the conclusion of the event.

  26. Results

  27. July 1 to June 30

  28. 2009 Insurance Health Credits • Tobacco Free • Cholesterol • Less than 220 • Blood Pressure • 138/88 or less • BMI • Men/Women – Less than 30 • Body Fat Review – Men less than 30, Women less than 38 • A1C • Less Than 7.0

  29. Employee Credits Lost Credits Lost – 2008 and 2009

  30. Employee Credits Awarded 2008 and 2009 Credits Awarded

  31. Questions?

More Related