Subject:
Title
2021 Group Health Plan Design Changes
End
Fiscal Impact:
Minimum - $535,000-year 1 cost reduction resulting from the previously completed RFP selection of Cigna and Health First Health Plans can be further enhanced with a potential estimated additional savings of $2,697,000 based on plan design recommendations made by the EBIAC if adopted by the Board. The combined RFP and Plan Design potential savings is estimated at $3,232,000 in the first year of the new contract period.
Dept/Office:
Office of Human Resources / Employee Benefits
Requested Action:
Recommendation
That the Board approves a Group Health Insurance program for CY2021 as recommended by the Office of Human Resources/Employee Benefits and the County's Employee Benefits Insurance Advisory Committee (EBIAC).
End
Summary Explanation and Background:
The actuarial projections for the 2021 plan year pursuant to F.S. 112.08 estimate the following plan performance in 2020 and 2021 with no changes:
2020
2021
Revenue
$56,568,000
$56,568,000
Expenses
$61,791,000
$65,727,000
Projected Gain/-Loss
-$5,223,000
-$9,159,000
This information was provided to the County's Employee Benefits Insurance Advisory Committee (EBIAC) by the Office of Human Resources/Employee Benefits for their consideration along with the County's Benefits Consultant's analysis of responses received to this office's RFP.
The EBIAC was tasked to evaluate several plan design options that would help the group health plan mitigate its future plan costs. The following Plan Design recommendations were made by the County's Employee Benefits Insurance Advisory Committee (EBIAC):
* Overage dependents assessed $100/month surcharge (this is in line with the current Working Spouse surcharge in place for several years).
* Medical care management - The EBIAC opted to access just the Cigna HMCM Basic enhanced care management option vs the more aggressive HMCM Preferred enhanced care management option offered as an upgrade, in o...
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