Substitute
Public Hearing: YES ☐ NO ☒ Department: Finance - Risk Management
SUBJECT:
Title
Commission District(s): All Commission Districts
Employee & Early Retiree Health & Wellness Benefits
Body
Information Contact: Larry Jacobs
Phone Number: 404/371-2050
PURPOSE:
To approve group health benefits and rates for new plan year commencing July 1, 2019.
NEED/IMPACT:
To ensure the County is offering an affordable and valuable health plan for employees and retirees. The plan year for County employees and pre-65 retirees expires June 30, 2019.The proposed healthcare costs and plan designs have been reviewed by the ERCS Committee.
FISCAL IMPACT:
See Attachment
RECOMMENDATION:
Recommended Action
1. Recommend approval of Request for Proposal results:
a. Medical - Anthem (incumbent)
b. Pharmacy - CVS through Employers Health (incumbent)
c. Stop Loss - Anthem (incumbent)
d. Wellness - Virgin Pulse aka Viverae / SimplyWell (incumbent)
e. Vision - EyeMed (incumbent)
2. Recommend approval of Anthem’s proposed composite rate (PPO Admin Fee + Stop Loss) of $86.85 PEPM which is a decrease of 3.4% from the current rate.
3. No proposed increase in contributions for active employees and early retirees.
4. Recommend overall healthcare budget increase of 7.3% (5.8% self-funded and 9.6% fully-insured w/ Kaiser).
5. Accept the proposed Dental rates with a 0.0% increase over current rates.
Authorize the Chief Executive Officer to execute all necessary documents.