2014-2015 Benefit Plan Recommendations

1. 2014-2015 Benefit Plan Recommendations April 14, 2014 Board Meeting

2. 2014-2015 Recommendations • Increase District contribution from $225 to $260 • Increase premiums by 15% • Enter Interlocal agreement with Region 4 ESC for: • Online benefit enrollment • Dental plan administration • Supplemental disability plan administration • Basic life insurance administration • Supplemental life insurance administration • Vision plan administration • Supplemental cancer administration • Supplemental accident administration

3. District Contribution • 2002 district contribution $225 • 2004 district contribution $232 • 2005 district contribution $240 • 2006 district contribution $260 • 2011 district contribution $225 • 2014 district contribution $260

4. District Contribution Comparisons

5. Stop Loss Claims • NISD pays the first $150,000 in claims • Stop loss picks up after the individual exceeds $150,000 • Average 5 stop loss for past 3 years • Total plan loss $2.25 million dollars

6. Self-Insurance Fund Balance • 2006 fund balance $536,000 • 2011 fund balance $2,100,000 • 2011 Clinic Opens • 2011 State budget cuts begin • 2014 fund balance $500,000 • Implementation of Affordable Care Act • Stop loss claims • Raising costs of benefits

7. Affordable Care Act impact on Self-Insurance Fund • Unlimited Wellness • Elimination of pre-existing conditions for children under 19 • Extension of dependent children coverage up to 26 regardless of marital status • Increase access to mental counseling and treatment • Shared Responsibility Mandate • Maintenance of efforts • Creation of plan that cost less than $110 per month and pays 60% of the benefits • Federal Reporting Annually • Penalties for non compliance

8. Benefits of Health and Wellness Center • Annual administration cost $1,030,021 • Annual plan savings $1,400,000 • Overall health costs have increased • Wellness Center has allowed NISD’s increase to grow at a much slower pace

9. Medical Plan Participation • 65% of the employee population participate in the medical plan • The majority of the participants carry employee only coverage • There are 70 district couples who carry employee and family coverage • Estimated cost to increase the district contribution is approximately $756,000

10. Proposed Premium Increases • Increase premiums by 15% • $17 per month increase for employee only in the Basic Plan • $147 per month increase for employee and family in the Core Plan • Employees receive $25 per month PHA Incentive for employee only or employee and child coverage • Employee receives $50 per month PHA Incentive if employee and spouse participate in the PHA with employee and spouse or employee and family coverage

11. Premium Recommendations

12. NISD Comparability Plan to TRS Plan Premiums do not reflect district contribution

13. Creation of High Deductible Plan

14. NISD (ACA Compliance) vs TRS (ACA Compliance) Plan cost can’t exceed $110 Must pay 60% of benefits Premiums do not reflect district contribution

15. Interlocal Agreement with Region 4 ESC • Online Enrollment savings of $80,000 • 403(b) Administration savings of $5,500 • Basic life insurance savings of $15,000

16. Fully Insured Dental Plan • Cigna Dental Providers • All benefits remain the same except root canals paid at 80% instead of 50%

17. Other Recommended Changes • Supplemental long term disability all current employees guaranteed issue policies • Supplemental life insurance guaranteed issue policies • Vision insurance provider network will remain VSP with a change in administrator • Supplemental Cancer and Accident Plans • Discontinue offering AFLAC plans. Current participants can continue to have payroll deductions.