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HomeMy WebLinkAbout145-11 RESOLUTIONRESOLUTION NO. 145-11 A RESOLUTION APPROVING A 2012 EMPLOYEE BENEFITS PACKAGE BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FAYETTEVILLE, ARKANSAS: Section 1: That the City Council of the City of Fayetteville, Arkansas hereby approves the 2012 employee benefits package as recommended in the staff memorandum attached as Exhibit "A". PASSED and APPROVED this 16th day of August, 2011. APPROVED: ATTEST: B BY: ovaita} SONDRA E. SMITH, City Clerk/Treasurer a�ve..eville THE CITY OF FAYETTEVILLE, ARKANSAS DEPARTMENT CORRESPONDENCE www.accessfayetteville•org CITY COUNCIL AGENDA MEMO To: Mayor Lioneld Jordan and City Council members Thru: Don Marr, Chief of Staff From: Missy Leflar, Human Resource Director Date: July 29, 2011 Subject: Employee benefits renewals PROPOSAL: It is proposed that the City Council renew the City's employee benefits for 2012, as more fully described below. The proposal is made now in order for the employee benefits enrollment process to proceed on time, and so that City employees may retain what many consider the most positive aspect of their employment with the City: their benefits. Employee benefits are an extremely important positive in an environment where economic times have caused raises to cease. There are four City paid benefits contracts coming up for renewal for 2012. Three of them are for the same price as the City currently pays. Staff recommends renewal of these three contracts. The first is with Datapath Administrative Services for administration of the legally required Section 125 Summary Plan Description and COBRA Administration services, as well as administration of the employee Flexible Spending Accounts (medical reimbursement and dependent care reimbursement). The second is with Delta Bank & Trust for the administration of employee Health Savings Accounts. The third is with Ace USA for group Accidental Death & Dismemberment insurance ($25,000 coverage in the event an employee dies in an accident or loses a limb). The fourth City paid benefit contract coming for renewal for 2012 is the health insurance. The City's current health insurance carrier, Blue Cross, has proposed an increase of 7.75% which would increase the City's total expenditures for employee health insurance by $ 307,185.24 City staff thus looked into less expensive alternatives, with the guidance of the City's Benefits Brokers, and it ultimately came down to three choices: A. Continue with the present Blue Cross coverage at a greatly increased expense of $307,185.24 to the City and to the employees, with whom such an expensive burden would likely have to be shared; B. Change to a different Blue Cross coverage that would significantly increase the out of pocket deductible expense for employees, at an increase less than Choice "A" above but still enough of an increase the burden might need to be shared by employees; C. Change to United Health Care coverage for comparable coverage to the current Blue Cross plan with the same out of pocket deductible expense for employees that they currently have, at significantly less of an increased expense than either Choice "A" or Choice "B", above. Staff recommends that Council approve Choice "C", the United Health Care plan. Staff further recommends that Council approve Choice "C" with the City absorbing the costs of the increase, which would be $52,458.48 (which is $254,726.76 less expensive than remaining with the current Blue Cross plan). Although the City has historically split insurance increases with employees 50/50, this has occurred in the context of employees also receiving raises, cost of living increases, etc. Employees are not currently receiving raises and have not since THE CITY OF FAYETTEVILLE, ARKANSAS 2009. (Some employees who did not receive their 2009 raises, due to lack of funding occurring that year, are just now receiving them.) When an increase in payroll deductions for insurance occurs against a backdrop of flat wages, it obviously cuts an employee's home pay. Please refer to the attached tables setting out the details of Choices "A", "B" and "C". Please note that the City currently offers two plans, a "Traditional" (PPO) plan and a "High Deductible" (HDHP) plan. Employees elect to participate in one or the other. This choice would continue under proposed Choice "C". The dollar amounts provided in this memo refer to the total cost of the Traditional and High Deductible plans combined. Council may wish to know that Choice "C", the United Health Care plan, has some differences between it and the current plan, which include the following items that help explain the less expensive cost: ■ It has different pharmacy coverage for employees in the High Deductible plan. Under the present High Deductible plan employees pay all pharmacy costs until the high deductible is met ($3,000 for an individual, $6,000 for a family), then the plan covers prescriptions 100%. Under the Choice "C" High Deductible plan employees pay all pharmacy costs until the high deductible is met, then pay co -pays of $10/$35/$60 on prescriptions for the next $1,000, then the plan pays 100%. • The deductible accumulators are different on the Traditional plan. Under the present Traditional plan, non - covered expenses go toward one deductible, period. Under the "Choice C" Traditional plan, in -network expenses go toward the in -network deductible, while out -of -network expenses go toward the out -of - network deductible. • For those with coverage on the Traditional plan, there is a higher "co-insurance maximum" dollar amount that has to be paid by employees for in —network medical services. For those on the High Deductible plans, it has a co-insurance maximum where there wasn't any before but it's applicable to limited situations. As you know, a "co-insurance maximum" is the dollar amount at which the plan pays 100% of medical expenses. It stops the employee's financial loss. The three month carry over provision that the Traditional Plan had is discontinued. This means that a new deductible will always begin for each calendar year. • There will no longer be an out -of -network wellness benefit. However, there are some plan enhancements which include: ■ There will be a monetary incentive by the insurance company (in the form of gift certificates) for employees who participate in certain wellness activities. By participating in the designated wellness activities, employees (and covered spouses) can receive a gift cards which they may select from over 350 national retailers. The gift certificate amounts are for up to $175 per employee (and up to $175 per covered spouse for family coverage). • The ambulance coverage is improved. Ambulance services will not have a maximum. Currently there is a maximum of $1,000 for a ground ambulance and $5,000 for air ambulance services. However these services are much more costly and often employees have had hundreds of dollars of ambulance expenses that were not covered by insurance. Under UHC ambulance services will be paid just like other medical expenses with no annual maximum. 2 THE CITY OF FAYETTEVILLE, ARKANSAS ■ The prescription drug mail order system is enhanced. It will cover more than just maintenance drugs. • Diabetic supplies will be more favorably covered. Diabetic test strips will be paid under the pharmacy plan, which means a cost of $10, $30 or $50 (under the Traditional Plan) rather than being applied to the deductible. • Periodic vision exams will be covered. This coverage will be available every 2 years and will be paid just like other medical expenses SUMMARY OF STAFF RECOMMENDATIONS: Staff recommends that Council approve renewal of the Datapath. Delta Trust, and Ace USA contracts, so that these same services will continue at no increased cost to the City. Staff further recommends that the Council approve Choice "C", the United Health Care health insurance plan, with the City absorbing the cost increase due to employee wages remaining flat. BUDGET IMPACT: These planned items are being budgeted for in the City's 2012 budget, subject to Council approval of the above. City staff and staff from the City's Benefits Broker, Stephens, Inc., are available to answer any questions you may have. "Cu ARENT PU$' "PL C" UHC -City Takes 100% of Inc PPO IUI Individual Family Employee $18.42 $93.18 City $232.52 $571.80 Total $250.94 $664.98 Total Annual City Costs Current 100% inc to City Individual- 173 $ 479,680.56 $ 482,711.52 Family -386 $ 2,618,052.72 $ 2,648,577.60 TOTAL $ 3,097,733.28 $ 3,131,289.12 Cost Difference $ 33,555.84 Current Monthly:Rate UHC -City Takes 100% of Inc HDHP Individual Family Individual Family Employee lo Os 26.51 $10.08 $26.58 City $137.12 •361.87'• •••• $143.65 $380.79 Total 7.20`: 38 5 $153.73 $407.37 City HSA Contribution 8 $70.80 $156.66 $. 8.00` $224.53 $564.03 Total Annual City Costs Current 100% inc to City Individual- 50 $ 124,752.00 $ 128,670.00 Family- 60 $ 410,675.76 $ 425,660.40 TOTAL $ 535,427.76 $ 554,330.40 Cost Difference Total Cost Difference $ 18,902.64 $ 52,458.48 fy $1 Existing Plan - 7.75% Inc omen Pim ?LAIbIAA. Total Annual City Costs Current Monthly Rate BCBS-City Takes 100% of Inc PPO Individual Family Individual Family Employee $18.42 $93.18 $18.42 $93.18 City $231.06 $565.21 $250.39 $616.24 Total $249.48 $658.39 $268.81 $709.42 Total Annual City Costs Current Monthly Rate Current HDHP 100% inc to City Individual- 173 $ 479,680.56 $ 519,809.64 Family -386 $ 2,618,052.72 $ 2,854,423.68 TOTAL $ 3,097,733.28 $ 3,374,233.32 Cost Difference $ 276,500.04 Total Annual City Costs Current Monthly Rate BCBS-City Takes 100% of Inc HDHP Individual Family Individual Family Employee $10.08 $26.58 $10.08 $26.58 City $137.12 $361.87 $148.53 $391.97 Total $147.20 $388.45 $158.61 $418.55 City HSA Contribution $70.80 $156.66 $70.80 $156.66 $218.00 $545.11 $229.41 $575.21 Total Annual City Costs Current 100% inc to City Individual- 50 $ 124,752.00 $ 131,598.00 F mily„6 $ 410,675.76 $ 434,514.96 TOTAL $ 535,427.76 $ 566,112.96 Cost Difference Total Cost Difference $ 30,685.20 $ 307,185.24 City of Fayetteville Medical Renewal - Effective Date January 1, 2012 CuEt'V thyiNA', BENEFITS / COST Plan Design PCP Office Visit Specialist Office Visit Inpatient Hospital Emergency Room Urgent Care Ambulance Annual Deductible - IND Annual Deductible - FAM Coinsurance Annual Coinsurance Max - IND Annual Coinsurance Max - FAM Rx Drug Copays Mail Order Rx Medical Lifetime Max Per Person Wellness Benefits 3 Month Carryover Provision Monthly Rates Employee Only Family Estimated Monthly Premium Estimated Annual Premium Estimated from Current Employee Only Family Annualized Monthly H.S.A. Contributions Employee Family Annualized Total Employer Cost of Plan Combined Plan Totals PPO 173 386 92.5% 85.8% Arkansas Blue Cross Blue Shield Current Benefits PPO - HDHP In Network Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins $1,000/trip ground Non Network Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins $1,000/trip ground $5,000/year air $5,000/year air $500 2 x Individual Aggregate 80%/20% 60%/40% $1,000 $4,000 $2,000 $8,000 $10/$30/$50 Participating Pharmacies Maintenance Drugs Only Unlimited No Ded No Ded 100% 80% Yes Current Renewal $249.48 $268.81 $658.39 $709.42 $297,298.58 $320,340.25 $3,567,582.96 $3,844,083.00 7.75% $39,923.04 $43,016.32 $218,050.87 $234 951.39 $257,973.90 $277,967.71 $3,095,686.85 $3,335,612.53 $3,095,686.85 $3,335,612.53 HDHP 50 66 93% 93% $70.80 $156.66 In Network Ded 8, Coins Ded & Coins Ded &Coins Ded & Coins Ded & Coins $1,000/trip ground $5,000/year air $3;000 $6,000 100%0% $0 Non Network Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins $1,000/trip ground $5,000/trip air $6,000 $12,000 80%/20% Unlimited Unlimited Ded & Coins None Does Not Apply Unlimited No Ded No Ded 100% 80% Not Allowed Current $147.20 $388.45 $32,997.70 $395,972.40 $6,844.80 $23,843.06 $30,687.86 $368,254.33 Renewal $158.61 $418.55 $35,554.80 $426,657.60 7.75% $7,375.37 $25,690.60 $33,065.96 $396,791.57 Monthly H.S.A. Contributions bv City $3,540.00 $3,540.00 $10,339.56 $13,879.56 $166,554.72 $534,809.05 $10,339.56 $13,879.56 $166,554.72 $563,346.29 'PIAN c_'I Option #1 Option #2 United Healthcare Choice Plus 9AKP Traditional TPF -P HDHP w EmbeddedDoductibie In Network Ded & Coins Ded & Coins Ded &Coins Ded & Coins Ded & Coins 80%After Ded 80% After Ded No Limit by Ground or Air $500 $1,000 2 x Individual Aggregate 80%/20% 60%/40% $2,000 $3,000 $3,000 $6,000 $10/$30/$50 Participating Pharmacies Included Unlimited No Ded 100% Not Covered Non Network Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins 0 $250.94 $664.98 $300,094.90 $3,601,138.80 0.94% $40,156.67 $220 233.40 $260,390.07 $3,124,680.84 $3,124,680.84 In Network Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins Non Network Ded & Coins Ded & Coins Ded 8, Coins Ded & Coins Ded & Coins 100% After Ded 100% After Ded No Limit by Ground or Air $3,000 $5,000 2 x Individual Aggregate 100%/0% 80%/20% $1,000 $1,000 $2,000 $2,000 $10/$35/$60 Participating Pharmacies Included Unlimited No Ded 100% Not Covered Not Allowed $153.73 $407.37' $34,572.92 $414,875.04 4.77% $7,148.45 $25,004.37 $32,152.82 $385,833.79 Monthly H.S.A. Contributions bv City $3,540.00 $10,339.56 $13,879.56 $166,554.72 $552,388.51 Current PPO & HDHP $3,630,495.90 This is not intended to be a complete summary of benefits. Please refer to the benefit summary for any limitations or exclusions. Renewal PPO & HDHP $3,898,958.82 PPO & HDHP $3,677,069.34 This benefit includes Simply Engaged program. Stephens Stephens insurance .L4 City of Fayetteville Medical Renewal - Effective Date January 1, 2012 'v' LACI`. mea BENEFITS / COST Plan Design PCP Office Visit Specialist Office Visit Inpatient Hospital Emergency Room Urgent Care Ambulance Annual Deductible - IND Annual Deductible - FAM Coinsurance Annual Coinsurance Max - IND Annual Coinsurance Max - FAM Rx Drug Copays Mail Order Rx Medical Lifetime Max Per Person Wellness Benefits 3 Month Carryover Provision Monthly Rates Employee Only Family Estimated Monthly Premium Estimated Annual Premium Estimated from Current Employee Only Family Annualized Monthly H.S.A. Contributions Employee Family Annualized Total Employer Cost of Plan Combined Plan Totals PPO 173 386 92.5% 85.8% Arkansas Blue Cross BlueShield PPO Current Benefits In Network Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins 31,000/trip ground Non Network Ded & Coins Ded & Coins Ded &Coins Ded & Coins Ded & Coins $1,000/trip ground $5,000/year air $5,000/year air $500 2 x Individual Aggregate 80%/20% 60%/40% $1,000 $4,000 $2,000 $8;000 $10/$30/$50 Participating Pharmacies Maintenance Drugs Only Unlimited No Ded - No Ded 100% 80% Yes Current $249.48 $658.39 Renewal $268.81 $709.42 $297,298.58 $320,340.25 $3,567,582.96 53,844,083.00 $39,923.04 $218,050.87 $257,973.90 $3,095,686.85 $3,095,686.85 $43,016.32 $234,951.39 $277,967.71 $3,335,612.53 53,335,612.53 HDHP 50 66 93% 93% $70.80 $156.66 HDHP In Network Non Network Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins $1,000/trip ground $1,000/trip ground $5,000/year air $5,000/trip air $3,000 $6,000 36,000 312,000 100%0% 80%/20% $0 Unlimited $0 Unlimited Ded & Coins None Does Not Apply Unlimited No Ded No Ded 100% '80% Not Allowed Current Renewal $147.20 $158.61 $388.45 $418.55 $32,997,70 $395,972.40 $35,554.80 $426,657.60 $6,844.80 $7,375.37 $23,843.06 $25,690.60 530,687.86 $33,065.96 $368,254.33 $396,791.57 Monthly H.S.A. Contributions by City $3,540.00 510 339.56 $13,879.56 $166,554.72 $3,540.00 $10,339.56 $13,879.56 $166,554.72 $534,809.05 $563,346.29 Current PPO & HDHP 03,530,455.95 Renewal PPO & HDHP 33,890,050.02 This is not intended to be a complete summary of benefits. Please refer to the benefit summary for any limitations or exclusions. Non -Gran fathered Plans with Standard Formulary In Network Ded 8, Coins Ded & Coins Ded & Coins Non Network Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins $1,000/trip ground $1,000/trip ground $5,000/trip air $5,000/trip air $750 2 x Individual Aggregate 80%/20% 60%/40% $1,000 $4,000 $2,000 $8,000 510/330/$50 Participating Pharmacies Maintenance Drugs Only.: Unlimited No Ded No Ded PPACA Wellness Yes $264.08 $696.93 6314,700.82 $3,776,409.84 542,259.40 $230,814.85 $273,074.25 $3,276,891.06 53,276,891.06 In Network r'. Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins $1,000/trip ground Non Network Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins $1,000/trip ground $5,000/trip air $5,000/trip air $1,000 2 x Individual Aggregate 80%/20% 60%/40% $1,000 $4,000 $2,000 $8,000 $10/$30/$50 Participating Pharmacies Maintenance Drugs Only Unlimited No Ded.. No Ded PPACA Wellness Yes $255.05 $673.09 5303,936.39 $3,647,236.68 $40,814.38 $222,919.33 $263,733.71 $3,164,804.49 $3,164,804.49 Option 3 - HDHP H.S.A. 613 In Network :'.Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins $1,000/trip ground $5,000/year air $4,000 $8,000 100%0% $0 $0 Ded & Coins Does Not Apply Unlimited No Ded ''. No Ded PPACA Wellness Yes Non Network Ded & Coins Ded & Coins Ded & Coins Ded & Coins Ded & Coins. $1,000/trip ground $5,000/trip air $8,000 $16,000 80%/20% Unlimited Unlimited None $151.84 $400.68 $34,036.88 $408,442.56 $7,060.56 624.593,74 $31,654.30 $295,124.86 Monthly H.S.A. Contributions by City $3,540.00 310,339.56 $13,879.56 $166,554.72 $461,679.58 Option 1 & HDHP 53,840,237.30 Option 2 & HDHP 03,725,150.77 Option 2 PPO & Option 3 HDHP 33,626,484.07 Stephens Stephens Insurance. t.t.0 Missy Leflar Submitted By City of Fayetteville Staff Review Form City Council Agenda Items and Contracts, Leases or Agreements 8/16/2011 City Council Meeting Date Agenda Items Only Human Resources Division Action Required: Chief of Staff Department Staff requests that Council approve the renewal of the following benefits and benefits services at no increased cost: Datapath Administrative Services (COBRA and FSA), Delta Trust Bank (HSA), and Ace USA (AD&D). Staff further requests that Council conserve City monetary resources by approving a change to United Health Care for employee health insurance. While this change would save money, there would still be a $52,458.48 increase in 2012 annual premiums which staff requests the City absorb in this time of flat employee wages. 3,685,619.52 Cost of this request XXXX.XXXX.51 XX.XX Account Number N/A Project Number Budgeted Item Health Insurance Category / Project Budget Citywide Program Category / Project Name Citywide Funds Used to Date Program / Project Category Name General Fund Remaining Balance Fund Name Budget Adjustment Attached -a—ll Date Date --P,k , g-2- 1( Finance and Internal Services Director Date Date 274)0 Previous Ordinance or Resolution # Original Contract Date: Original Contract Number: Received in City Clerk's Office Received in Mayor's Office Comments: Revised January 15, 2009 RESOLUTION NO. A RESOLUTION APPROVING A 2012 EMPLOYEE BENEFITS PACKAGE BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FAYETTEVILLE, ARKANSAS: Section 1: That the City Council of the City of Fayetteville, Arkansas hereby approves the 2012 employee benefits package as recommended in the staff memorandum attached as Exhibit "A". PASSED and APPROVED this 16th day of August, 2011. APPROVED: ATTEST: By: By: LIONELD JORDAN, Mayor SONDRA E. SMITH, City Clerk/Treasurer RESOLUTION NO. A RESOLUTION APPR • VING A 2012 EMPLOYEE : NEFITS PACKAGE BE IT RESOLVED B THE CITY C UNCIL OF THE CITY OF FAYETTEVILLE, ARKANSAS: Section 1: That the City Councilof the City • f Fayetteville, Arkansas hereby approves the 2011 employee benefits package as ecomme ded in the staff memorandum attached as Exhibit "A". PASSED and APPROVED this 16`° d of August, 2011. APPROVED: ATT T: By: By: LIONELD JORDAN, Mayor SO 1 RA E. SMITH, City Clerk/Treasurer