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Medical Plan Rates and Benefits Analysis Meeting Summary

This document provides a summary of the Benefits Fringe Committee Meeting held on April 24, 2014. The meeting covered topics such as Kaiser rate analysis, self-funded claims analysis, factors used for calculating rates, fixed costs, specific stop loss premiums, demographics, utilization of the plan, estimation of run-out of claims reserves, Medicare coordination, plan design factors, and YourCare wellness product. The document also includes self-funded rates, active contribution schedule, post-2012 retiree contribution schedule, and a Q&A section.

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Medical Plan Rates and Benefits Analysis Meeting Summary

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  1. PSW BENEFIT RESOURCES APRIL 24, 2014 MEDICAL PLAN Rates EFFECTIVE July 1, 2014 Benefits Fringe Committee Meeting 4 24 14

  2. AgendaKaiser rate analysiskaiser renewal ratesself funded claims analysisfactors used for calculating rates for self fundedself funded rate table (local 39)self funded rates for all other unionsactive contribution schedulepost 2012 retiree contribution schedule Benefits Fringe Committee Meeting 4 24 14

  3. Kaiser Rate analysis Benefits Fringe Committee Meeting 4 24 14

  4. Kaiser Renewal Rates 07/01/2013 – 06/30/2015 Benefits Fringe Committee Meeting 4 24 14

  5. Self Funded Plans Claims Analysis07/01/2010 – 06/30/2014 Benefits Fringe Committee Meeting 4 24 14

  6. Fixed Costs (including Medical Administration Fees, Prescriptions Integration Fees, COBRA Administration Fees, HIPAA Administration Fees, YourCare Fees*, and PPO Network Access Fees) Specific Stop Loss Premiums Demographics (location of member) Age Sex Utilization of Plan Estimation of Run out of Claims Reserves Medicare Coordination (Retirees) Plan Design Factors Used for calculating rates YourCare is a Wellness product, it monitors chronic conditions, and includes wellness reminders & Health Risk assessments - $3.20 PEPM Benefits Fringe Committee Meeting 4 24 14

  7. Self Funded Rates (Local 39)07/01/2013 – 06/30/2015 Benefits Fringe Committee Meeting 4 24 14

  8. Self Funded Rates07/01/2013 – 06/30/2015 Benefits Fringe Committee Meeting 4 24 14

  9. Self Funded Rates07/01/2013 – 06/30/2015 Benefits Fringe Committee Meeting 4 24 14

  10. Active Contribution Schedule07/01/2014 – 06/30/2015 Benefits Fringe Committee Meeting 4 24 14

  11. Post 2012 retiree Contribution Schedule07/01/2014 – 06/30/2015 Benefits Fringe Committee Meeting 4 24 14

  12. Questions and Answers Benefits Fringe Committee Meeting 4 24 14

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