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1 PUSD Employee Benefit Plans 2012-13 PUSD EBT Recommended Benefit Changes Michael Finn
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Traditional Plan as a buy up option for all employees No changes to core plan design (e.g. deductible, co-pays, out of pocket max) Buy up rate of $80 per month – $36.92 per pay period for 26 pay employee – $45.71 per pay period for 21 pay employee New District rate is $474.30 2 Recommended Changes to Traditional Plan
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Provide three options for CDHP plans of HSA 1250, CDHP 1250 and HSA 2500 options free of charge to employees that meet Governing Board Policy requirements – Deposit $500 per year towards $1250 deductible plan New District Rate is $367.88 – Deposit $1750 per year towards $2500 deductible plan New District Rate is $342.93 – No deposit into HSA option for employees who want PUSD benefits as secondary coverage District Rate is $326.21 Make bi-annual deposits on first pay period of the fiscal year and first pay period in January of the fiscal year Make no other changes to the core plan design 3 Consumer Driven Health Plans (CDHP) and Health Savings Accounts (HSA)
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Stronger Incentive to Participate in Wellness – Traditional Plan Participants- Gift certificates for meeting requirements – HDHP Participants- Additional $250 deposited into HSA at the completion of required wellness program options Mandatory steps include: annual wellness exam and completion of health questionnaire (on-line) Option steps include: walking program; diabetes control program; sessions with UHC health coach 4 Wellness Plan
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Dependent Coverage Options potentially more affordable – Currently two tiers: employee or family Same price if adding one or ten family members – Proposed 4 tiers: Employee Only Employee plus spouse – 28% less with break out Employee plus child(ren) – 35% less with break out Employee plus family – 5% higher with break out 5 Additional Tiers
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QUESTIONS 6
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7 Pricing Details 4 TIER STRUCTURETraditionalHSA 1250HSA 2500 CountMonthly Rate Standard Rate Tier RatioNew Rate % Change per TierCount Monthly Rate Standard Rate Tier RatioNew Rate % Change per TierCount Monthly Rate Standard Rate Tier RatioNew Rate % Change per Tier Employee3021$474.301.00$474.300%16$326.211.00$326.210%163$197.101.00$197.100% Employee + Spouse64$1,308.752.00$948.60-28%1$900.112.00$652.41-28%30$543.872.00$394.21-28% Employee + Child(ren)18$1,308.751.80$853.74-35%1$900.111.80$587.17-35%25$543.871.80$354.79-35% Employee + Family316$1,308.752.90$1,375.485%5$900.112.90$946.005%166$543.872.90$571.605% 3419 23 384
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