1. NISD Employee Medical Plan

2. State of the Medical Plan O Increase costs due: O High claimants O Rising cost of Health Care (15% annually) O Increasing Prescription costs (35% annually) O Affordable Care Act requirements O Conservative approach to increasing premiums and district contribution

3. Affordable Care Act O ACA Transition Fee: $86,456 November 2014 ($63 per covered plan participant) O ACA Transition Fee:$60,000 November 2015 ($40 per covered plan participant) O Unlimited wellness compared to $400 maximum

4. 2015-2016 Recommendations O Increasing the district contribution from $260 to $275 O Increase district contribution by $15 O Net impact to district funding $270,000

5. O Core Plan changes: O Add $300 medical deductible for individual O Add $600 medical deductible for family O Increase maximum out of pocket from $4,000 to $6,000 for individual O Increase maximum out of pocket from $8,000 to $12,000 for family O Increase prescription deductible from $100 to $250 O Increase retail generic from the greater of $5 or 30% to the greater of $10 or 30% O Increase retail brand from the greater of $35 or 30% to the greater of $45 or 30% O Prior authorization for all compound medication over $150 2015-2016 Recommendations

6. O Basic Plan changes: O Increase maximum out of pocket from $4,000 to $6,000 for individual O Increase maximum out of pocket from $8,000 to $12,000 for family O Increase retail generic from the greater of $5 or 30% to the greater of $10 or 30% O Increase retail brand from the greater of $35 or 30% to the greater of $45 or 30% O Prior authorization for all compound medication over $150

7. 2015-2016 Recommendations O HDP Plan changes: O Increase maximum out of pocket from $4,000 to $6,000 for individual O Increase maximum out of pocket from $8,000 to $12,000 for family O Increase retail generic from the greater of $5 or 30% to the greater of $10 or 30% O Increase retail brand from the greater of $35 or 30% to the greater of $45 or 30% O Prior authorization for all compound medication over $150

9. Comparison of District Contributions

10. NISD Benefits compared to TRS Benefits

11. Strategic Alignment Strategic Goals II: Northwest ISD will recruit, develop, retain, and recognize an exceptional, highly motivated staff to optimize student engagement and learning; Strategic Goal IV: Northwest ISD will provide premier facilities and support systems that enhance a positive learning environment and foster student and community pride.

12. Questions O The board will be asked to consider the recommendations during the May 26, 2015 Board Meeting