1 2016-2017 Benefit Renewals & Recommendations Tom Hancock, Administrator for Human Resources March 24, 2016.

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Presentation transcript:

Benefit Renewals & Recommendations Tom Hancock, Administrator for Human Resources March 24, 2016

MEDICAL BENEFITS 2

Keeping employee premiums the same. CDHP name changes to HDHP Buy up (1300 currently) and HDHP Base (2600 currently) Changes to out of network deductible and out of pocket maximums due to expanding network and plan cost to align with standard employer plans 3 Renewal Overview Recommended ChangeCurrent Plan DesignRecommended Plan Design Decrease out of pocket max 1300 plan$3,750 individual and $7,500 family$3,425 individual and $6,850 family to comply with IRS guidelines Increase out of network deductible on 1300 plan $2,500 individual and $5,000 family$5,000 individual and $10,000 family (If no comparable care in network claim can be considered as in network) Increase out of network out of pocket maximum on 1300 plan $7,500 individual and $15,000 family$9,000 individual and $18,000 family (If no comparable care in network claim can be considered as in network) Increase out of network deductible on the Traditional plan $950 individual and $1,900 family$2,250 Individual and $4,500 family (If no comparable care in network claim can be considered as in network) Increase out of network out of pocket maximum on Traditional plan $6,000 individual and $12,000 family$10,000 individual and $20,000 family (If no comparable care in network claim can be considered as in network)

CDHP plans 1300 or 2600 = $0.00 Traditional plan = $ Employee Only : Monthly Premiums for FY

CDHP 1300 = $ CDHP 2600 = $ Traditional plan = $ Employee Plus Spouse: Monthly Premiums for FY

CDHP 1300 = $ CDHP 2600 = $ Traditional plan = $ Employee Plus Child(ren): Monthly Premiums for FY

CDHP 1300 = $ CDHP 2600 = $ Traditional plan = $ Employee Plus Family: Monthly Premiums for FY

PREP for CDHP Plans – Currently $350 for completion of wellness activities Consideration for Renewal: – Increase Health Savings Account (HAS) PREP award to $400 The Peoria Unified School District EBT Board continues to pursue investments in employee wellness 8 Employee Wellness

Decrease CDHP 1300 deductible and out of pocket maximum to comply with IRS guidelines. Increase in PREP Award amount to $400 – Estimated investment: $25,000 Increase out of network deductible and out of pocket maximum on the CDHP 1300 plan Increase out of network deductible and out of pocket maximum on the Traditional Plan 9 Summary of Recommendations and Costs

DENTAL 10

Considerations for Renewals – TDA Prepaid Dental Premiums increased.49 for employee-only coverage due to ACA and claims Recommend that employee-only premium remains $0 (Approximate annual cost increase: $4400) – Delta Dental Due to increase in claims and plan enhancements premiums have been increased Recommend that District supplement a flat amount since this is a buy up plan and employer premium exceeds TDA’s employer premium Recommend that District move to Delta Dental PPO plan from PPO plus Premier plan. More standard plan with Delta Dental and expands coverage maximums for employees. Recommend District keep premiums the same with no increase to employee (Approximate annual investment: $212,000) 11 Dental

12 TDA Premiums TDA Proposal: School Year Fully InsuredTotal Monthly Premium Employer Premium Employee Premium Employee Premiums Employee$10.30 $0 Employee & Spouse $20.37$10.30$10.07$9.59 Employee & Child(ren) $22.83$10.30$12.53$11.93 Family$25.05$10.30$14.75$14.05

13 Delta Dental Premiums Delta Dental Proposal: 2016 – 2017 School Year Self-insuredTotal Monthly Premium Employer Premium Employee Premium Employee Premiums Employer Premiums Employee$45.01$24.12$20.89 $15.00 Employee & Spouse $90.03$24.12$65.91$58.57$15.00 Employee & Child(ren) $94.53$24.12$70.41$68.52$15.00 Family$135.04$24.12$110.92$113.30$15.00

VOLUNTARY BENEFITS 14

Considerations for Renewals – VSP Slight increase to premiums $.57 for employee coverage. Move to tiered plan to be uniform with other district plan offerings. 15 Vision

16 Vision Premiums VSP Proposal: School Year Total Monthly Premium Employer Premium Employee Premium Employee Premiums Employee$9.99$0.00$9.99$9.42 Employee & Spouse $15.95$0.00$15.95$20.23 Employee & Child(ren) $17.08$0.00$17.08$20.23 Family$27.28$0.00$27.28$20.23

No increases to the other voluntary benefits – AFLAC – Short Term Disability – Life Insurance – FLEX Spending 17 Voluntary Benefits

18 Questions?