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2015-16 Benefit Renewals & Recommendations

Tahlya Visintainer, Administrator for Human Resources

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MEDICAL BENEFITS

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• No increase over last year-keeping employee premiums flat to last year.

• Plan Changes:– CDHP Plans:• Increase in deductible to comply with IRS guidelines• CDHP $1250 to $1300 single / $2500 to $2600 family • CDHP $2500 to $2600 single / $5000 to $5200 family• Plan names will change - will update the number in the

plan name for transparency and clarity

– Traditional Plan: No plan change

Medical Renewal Overview

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Traditional CDHP 1300 CDHP 2600

Employee Only $86.80 $ 0 $ 0

Employee + Spouse $601.42 $326.20 $197.11

Employee + Child(ren) $498.49 $260.96 $157.69

Employee + Family $1,064.58 $619.79 $374.50

Monthly Premiums for FY 2015-16

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• PREP for CDHP Plans– Currently $250 for completion of wellness

activities• Consideration for Renewal: – Offset the increase in the deductible caused by IRS

regulations– Increase H.S.A PREP award to $350 – Add a 4th requirement to qualify

Employee Wellness

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PHARMACY

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• Considerations for Renewal:– Reduce Tier 1 Prescription Copay from $10.00 to

$0.00 on both CDHP and Traditional plans– Increase consumerism and reduce claims cost

overall

Pharmacy Renewal Overview

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• Decrease the Tier 1 co-pay from $10 to $0– Estimated investment: $183,000

• Increase in PREP Award amount to $350– Estimated investment: $50,000

Summary of Recommendations and Investments for Medical and Pharmacy

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DENTAL

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• Considerations for Renewals– TDA Prepaid Dental• Premiums increased $0.31 for employee-only coverage

due to ACA and claims• Recommend that employee-only premium remains $0

(Approximate annual investment: $2,105.52)

– Delta Dental• Due to increase in claims following plan enhancements

last year, premiums costs have increased• Recommend that District contribute a flat

Dental Renewal Considerations

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TDA Premiums

TDA Proposal: 2015 – 2016 School Year

Fully Insured Monthly Premium

Employer Premium

2015-16Employee Premiums

2014-15 EmployeePremiums

Employee $9.81 $9.81 $0 $0

Employee & Spouse

$19.40 $9.81 $9.59 $9.28

Employee & Child(ren)

$21.74 $9.81 $11.93 $11.55

Family $23.86 $9.81 $14.05 $13.60

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Delta Dental Premiums

Delta Dental Proposal: 2015 – 2016 School Year Self-insured Monthly

Premium Cost to the District

Employer Premium

2015-16Employee Premiums

2014-15 Employee Premiums

2014-15Employer Premiums

Employee $35.89 $15.00 $20.89 $ 15.00 $18.36

Employee & Spouse

$73.57 $15.00 $58.57 $51.94 $16.45

Employee & Child(ren)

$83.52 $15.00 $68.52 $61.69 $15.89

Family $128.30 $15.00 $113.30 $76.04 $43.12

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VOLUNTARY BENEFITS

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• No premium increases to any voluntary benefit plans– AFLAC– Short Term Disability– Vision– Life Insurance– FLEX Spending

Voluntary Benefits

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• Decrease the Tier 1 prescription co-pay from $10 to $0– Estimated investment: $183,000

• Increase in PREP Award amount for HSA to $350– Estimated investment: $50,000

• Dental– TDA Plan: increase employer contribution across all levels to

the amount of $9.81 to keep employee premium at $0 • Estimated investment: $2,105.52

– Delta Dental: decrease and level the employer contribution to $15 for all tiers• Estimated savings to the plan: $214,237

Final Overview of Renewal Recommendations

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Questions or clarification?

Conclusion of Recommendations