HomeMy Public PortalAbout20160818 Finance Committee Agenda Packet.pdf1
CITY OF TYBEE ISLAND
FINANCE COMMITTEE MEETING
AGENDA
Public Safety Building 78 Van Horne Street
August 18, 2016 @ 3:30pm
1. Approve minutes from last finance committee meeting
2. Old Business
3. FYI – June 30, 2016 -Preliminary Equity Report and Cash Balances
4. Health Insurance – Update and Presentation, Karen Larkin, CEO, MidSouth Benefits
• Current Premiums & Contributions for July, 2016 through Dec. 31, 2017
• Comparison of Single vs Family health insurance premium coverage
• Medical Benefits & Premiums – Effect of 60% renewal increase on current
benefits
5. Property Liability Insurance – Discussion – City Manager
6. Finance Committee Council members discussions
7. Establish date for next finance committee meeting
City of Tybee Island
Finance Committee Meeting
May 19-26, 2016
In Attendance: Mayor Jason Buelterman; City Manager Diane Schleicher; Committee Members
John Major and Monty Parks; Council Members Wanda Doyle, Bill Garbett, and Julie Livingston,
Finance Director Angela Hudson
Notes from last meeting were approved.
There was no old business to discuss
NEW BUSINESS
1. Equity Report and Cash Balance Update Angela reported that the Fund Balance deficit is
lower this year than it was at the same time last year. Hotel Motel revenue is expected to
come in higher than budgeted. April, May and June revenues are still due to be recorded.
The E-911 Fund 215 is currently at a deficit and will need to have money trasferred into it at
year end. This amount is already budgeted. Jason expressed concern about the cost of the
Tybee E911 center. It would be possbile to combine with the County, but Diane suggested
that it is unreasonable due to response time, and that there would still be a significant cost.
Jason will email Lee Smith for a breakdown on the tax information, and suggests that the
Public Safety Committee look into the matter further. SPLOST 2003 just has funds left for
TIMSC, and will carry that over to next year. SPLOST 2008 had funds for Salt Meadows, which
will transferred to the General Fund reserved. Approx $20,000 will go to infrastructure in
the next budget, and the rest will go towards Memorial Park bathrooms, which will also be
carried over into the next budget. County SPLOST VI is earmarked for the North Beach
restrooms and concessions. Diane said it may also be used for fixtures for the start up of the
concession stand and for the NB parking lot study. Water/Sewer fund is in the negative right
now but most of the large projects are done. There is $24,000 still to pay for the Effluent
Discharge project. There is no increase upcoming for water rates other than COLI. Solid
Waste Fund looks good. Just received first bill from Atlantic Waste. Campground Fund 555 is
in the negative right now, because most of the funds are tied into capital assets. Angela
found out that we are eligible to refinance the loan in August at a much lower interest rate.
She plans on getting the loan prior to the final payment date that is also due in August, and
then pay off the balance of the previous loan.
2. Alternatives to Financing Angela is talking to banks about financing the upcoming capital
projects for DPW, TIPD, and W/S (in addition to refinancing the Campground debt). Fund
balance currently stands at 2.2 million. Jason suggests that the trail project should come out
of that at $400,000. Then back out $810,000 for City Hall renovation.
City of Tybee Island
Finance Committee Meeting
May 19-26, 2016
3. A motion is made to recommend that 810,000 be taken out of the budget that was for
construction and furnishings for City Hall and leave in the 40,000 for design and appraisal.
Monty moved to also take out 43,000 for police barricades. John seconded. Passed
unanimously.
4. Monty suggests giving Post Theater more money at the end of June. Jason wants him to put
that on a regular agenda in the new fiscal year.
5. Diane and Angela will be working on a budget adjustment for next week to fund the startup
of the North Beach concession.
6. Angela needs 3-5 comparable cities to Tybee for the Risk Based Analysis.
7. Angela summing up recommendation to Council: TIPD budget will be reduced by $43,000
from $81,000 to $38,000 by removing police barricades. City Manager’s budget for Furniture
and Fixtures - $400,000 will be removed completely. The Building (City Hall) budget will be
reduced by $40,000 which will be moved to another line item for Design/Architects.
8. Health Insurance Update Jason expressed concern that the City could be looking at a 60%
increase after our current locked in rate expires in 18 mos. Angela reports that our broker
will be working with BC/BS to try to get that down, but we may have to put it out for bid
when the time comes. She suggests that the City possibly start having the employees
contribute to the health care cost in the future, as right now, individual plans are covered in
full by the City. Once our current rates expire, we will probably go to a calendar year policy.
Jason would like to invite our broker to the next meeting to help the committee look at other
options ahead of time.
9. Debt Refinancing Angela has been talking to Tom Gray regarding refinancing and he hopes
to have a proposal ready for Council by June 9 (after he meets with the Chatham County
Recreational Authority). Part of the refinancing would mean cutting out a ‘middleman’ fee. It
should end up saving the City somewhere around $800,000 in total savings over a 10 year
period.
10. Risk Based Analysis Diane contacted Dennis at CEMA to get a list of cities comparable to
Tybee Island, and Angela forwarded the information to the consultant. Jason would like
Diane to ask Dennis for some comparable cities that were hit by either Sandy or Katrina. The
consultant would also like to have a detailed listing of the City’s capital projects and
City of Tybee Island
Finance Committee Meeting
May 19-26, 2016
replacement costs. Angela will continue to try to get this information from department
heads.
11. COPS Grant Angela brought up an item on the Council agenda that involves to applying for a
COPS grant that would assist with the cost of hiring additional police officers. She made the
point that you have to receive the grant money prior to hiring the officers. Diane suggests
only hiring 4 of the 5 officers until the grant money is received.
12. Hotel/Motel Tax Scofflaws Bubba is working on a policy regarding collections and penalties.
Monty would like to make sure that rental property owners are not filing for Stevens Day.
Angela stated that Claire Price has been working on that.
Finance Committee Meetings will be held quarterly on the 2nd Tuesday of the 2nd month of
the quarter. The next meeting will be held August 9th at 3:30.
D = B + C G = E + F H = D + G I = A + G
A B C D E F G H I
FY2015 FY2016 FY2016 FY2016 FY2016 FY2016 FY2016 FY2016 FY2016
FY2016 Beginning Balance Revenues Expenses Net Earnings Transfers In Transfers Out
Net Other
Changes
Total Net
Changes
Ending Fund
Balance
GENERAL OPERATING FUND 6,759,174 8,660,148 (8,613,239)46,909 1,547,691 (318,276)1,229,415 1,276,324 8,035,498
SPECIAL REVENUE FUNDS
Consficated Assets Fund 1,459 0 0 0 0 0 0 0 1,459
Emergency 911 Telephone Fund 7,210 51,488 (361,181)(309,693)318,276 0 318,276 8,583 15,793
Hotel-Motel Fund 0 3,095,382 (1,547,691)1,547,691 0 (1,547,691)(1,547,691)0 0
TOTAL 8,669 3,146,870 (1,908,872)1,237,998 318,276 (1,547,691)(1,229,415)8,583 17,252
CAPITAL PROJECT FUNDS
SPLOST 2003 485,852 194 (35,370)(35,176)0 0 0 (35,176)450,676
SPLOST 2008 158,081 63 (12,483)(12,419)0 0 0 (12,419)145,662
SPLOST 2014 350,207 742,988 (769,756)(26,768)0 0 0 (26,768)323,439
Chatham County SPLOST IV 21,146 909,128 (1,062,044)(152,915)0 0 0 (152,915)(131,769)
Capital Grant Fund 2,025,335 624 (2,025,334)(2,024,710)0 0 0 (2,024,710)625
TOTAL 3,040,621 1,652,998 (3,904,986)(2,251,988)0 0 0 (2,251,988)788,633
TOTAL GOVERNMENTAL FUNDS 9,808,464 13,460,016 (14,427,097)(967,081)1,865,967 (1,865,967)0 (967,081)8,841,383
D = A+B+C G = E + F J = C + I
A B C D E F G H I J
FY2016 FY2016 FY2016
Net Investment In
Capital Assets Debt Service Unrestricted
Total Net
Position Revenues Expenses Net Earnings Net Transfers
Total with
Transfers
in/out Net
Earnings
Net
Investment In
Capital Assets Debt Service Unrestricted
Total Net
Position
ENTERPRISE FUNDS
Water & Sewer Fund 8,564,491 476,103 1,150,880 10,191,474 2,919,225 (3,302,025)(382,800)0 (382,800)8,564,491 476,103 768,080 9,808,674
Solid Waste Collection 0 0 30,520 30,520 703,631 (703,200)432 0 432 0 0 30,951 30,951
Rivers' End Rv Park Fund 2,400,420 0 (314,771)2,085,649 1,567,391 (1,261,360)306,030 - 306,030 2,400,420 0 (8,742)2,391,679
10,964,911 476,103 866,628 12,307,642 5,190,247 (5,266,585)(76,338)0 (76,338)10,964,911 476,103 790,289 12,231,304
TOTAL CASH ON HAND GENERAL FUND
Confiscated Asset
& E911 Fund Hotel - Motel SPLOST 2003 SPLOST 2008 SPLOST 2014
Chatham County
SPLOST VI GRANT FUND SOLID WASTE WATER & SEWER RIVER'S END RV
Municipal
Court
Pooled Cash Cheking Account 2,636,588 2,626,281 16,411 (94,716) - - (4,192) - 33,993 656,734 (597,922) -
Individual Checking Acct 6,923,552 5,068,117 - - 454,015 147,222 194,726 175,613 275,008 - 476,294 - 132,556
Total Cash on Hand 9,560,141 7,694,398 16,411 (94,716) 454,015 147,222 194,726 171,421 275,008 33,993 1,133,028 (597,922) 132,556
CASH ON HAND AS OF June 30, 2016
June 30, 2016 YEAR END EQUITY REPORT Status as of August 16, 2016
GOVERMENTAL FUNDS
ENTERPRISE FUNDS
FY2015 BEGINNING NET POSITION FY2016 ENDING NET POSITION
Employee Count Total Monthly Cost City of Tybee Monthly Cost Employee Monthly Cost Employee Cost Per Pay Period
(24)
Employee Only 0 $524.20 $524.20 $-$-
Employee & Spouse 15 $1,100.83 $852.65 $248.18 $124.09
Employee & Child(ren)9 $1,022.20 $791.75 $230.45 $115.23
Family 5 $1,598.82 $1,096.85 $501.97 $250.99
$33,706.35 $25,399.75 $8,306.60
Employee Count Total Monthly Cost City of Tybee Monthly Cost Employee Monthly Cost Employee Cost Per Pay Period
(24)
Employee Only 52 $561.57 $561.57 $-$-
Employee & Spouse 3 $1,179.30 $852.65 $326.65 $163.33
Employee & Child(ren)3 $1,095.07 $791.75 $303.32 $151.66
Family 2 $1,712.79 $1,096.85 $615.94 $307.97
$39,450.33 $36,328.54 $3,121.79
$73,156.68 $61,728.29 $11,428.39
Monthly Total
Monthly Total
Combined Monthly Total
MEDICAL - RENEWAL $2,000 OPTION
MEDICAL - NEW $1,000 OPTION
City of Tybee
Current Premiums & Contributions
Effective 7/1/16 through 12/31/17
1 of 4
Employee Count Total Monthly Cost City of Tybee Monthly Cost Employee Monthly Cost Employee Cost Per Pay Period
(24)
Employee Only 0 $ 838.72 $ 838.72 $ - $ -
Employee & Spouse 15 $ 1,761.33 $ 1,364.24 $ 397.09 $ 198.54
Employee & Child(ren)9 $ 1,635.52 $ 1,266.80 $ 368.72 $ 184.36
Family 5 $ 2,558.11 $ 1,754.96 $ 803.15 $ 401.58
$ 53,930.16 $ 40,639.60 $ 13,290.56
Employee Count Total Monthly Cost City of Tybee Monthly Cost Employee Monthly Cost Employee Cost Per Pay Period
(24)
Employee Only 52 $ 898.51 $ 898.51 $ - $ -
Employee & Spouse 3 $ 1,886.88 $ 1,364.24 $ 522.64 $ 261.32
Employee & Child(ren)3 $ 1,752.11 $ 1,266.80 $ 485.31 $ 242.66
Family 2 $ 2,740.46 $ 1,754.96 $ 985.50 $ 492.75
$ 63,120.53 $ 58,125.66 $ 4,994.86
$ 117,050.69 $ 98,765.26 $ 18,285.42
$ 43,894.01 $ 37,036.97 $ 6,857.03
60.00%60.00%60.00%
Combined Monthly Total
Monthly $ Increase Above Current
Monthly % Increase Above Current
MEDICAL - NEW $1,000 OPTION
Monthly Total
Monthly Total
City of Tybee
Hypothetical 60% Renewal Premiums & Contributions OPTION 1
Effective 1/1/18 through 12/31/18
MEDICAL - RENEWAL $2,000 OPTION
City increases current contributions by 60%
2 of 4
Employee Count Total Monthly Cost City of Tybee Monthly Cost Employee Monthly Cost Employee Cost Per Pay Period
(24)
Employee Only 0 $ 838.72 $ 838.72 $ - $ -
Employee & Spouse 15 $ 1,761.33 $ 1,300.02 $ 461.30 $ 230.65
Employee & Child(ren)9 $ 1,635.52 $ 1,237.12 $ 398.40 $ 199.20
Family 5 $ 2,558.11 $ 1,698.42 $ 859.70 $ 429.85
$ 53,930.16 $ 39,126.52 $ 14,803.64
Employee Count Total Monthly Cost City of Tybee Monthly Cost Employee Monthly Cost Employee Cost Per Pay Period
(24)
Employee Only 52 $ 898.51 $ 808.66 $ 89.85 $ 44.93
Employee & Spouse 3 $ 1,886.88 $ 1,302.84 $ 584.04 $ 292.02
Employee & Child(ren)3 $ 1,752.11 $ 1,235.46 $ 516.65 $ 258.33
Family 2 $ 2,740.46 $ 1,729.64 $ 1,010.83 $ 505.41
$ 63,120.53 $ 53,124.55 $ 9,995.98
$ 117,050.69 $ 92,251.07 $ 24,799.62
$ 43,894.01 $ 30,522.78 $ 13,371.23
60.00%49.45%117.00%Monthly % Increase Above Current
Monthly Total
MEDICAL - NEW $1,000 OPTION
Monthly Total
Combined Monthly Total
Monthly $ Increase Above Current
City of Tybee
City reduces dependent contribution to 50% on both plan options, and employee contribution to 90% on $1,000 plan
MEDICAL - RENEWAL $2,000 OPTION
Hypothetical 60% Renewal Premiums & Contributions OPTION 2
Effective 1/1/18 through 12/31/18
3 of 4
Employee Count Total Monthly Cost City of Tybee Monthly Cost Employee Monthly Cost Employee Cost Per Pay Period
(24)
Employee Only 0 $ 838.72 $ 754.85 $ 83.87 $ 41.94
Employee & Spouse 15 $ 1,761.33 $ 1,123.89 $ 637.44 $ 318.72
Employee & Child(ren)9 $ 1,635.52 $ 1,073.57 $ 561.95 $ 280.98
Family 5 $ 2,558.11 $ 1,442.60 $ 1,115.51 $ 557.75
$ 53,930.16 $ 33,733.50 $ 20,196.66
Employee Count Total Monthly Cost City of Tybee Monthly Cost Employee Monthly Cost Employee Cost Per Pay Period
(24)
Employee Only 52 $ 898.51 $ 718.81 $ 179.70 $ 89.85
Employee & Spouse 3 $ 1,886.88 $ 1,114.16 $ 772.72 $ 386.36
Employee & Child(ren)3 $ 1,752.11 $ 1,060.25 $ 691.86 $ 345.93
Family 2 $ 2,740.46 $ 1,455.59 $ 1,284.87 $ 642.44
$ 63,120.53 $ 46,812.50 $ 16,308.03
$ 117,050.69 $ 80,546.00 $ 36,504.68
$ 43,894.01 $ 18,817.71 $ 25,076.29
60.00%30.48%219.42%
MEDICAL - NEW $1,000 OPTION
Monthly Total
Combined Monthly Total
Monthly $ Increase Above Current
Monthly % Increase Above Current
City of Tybee
City reduces dependent contribution to 40% on both plan options, and employee contribution to 80% on $1,000 plan and 90% on $2,000 plan
MEDICAL - RENEWAL $2,000 OPTION
Monthly Total
Hypothetical 60% Renewal Premiums & Contributions OPTION 3
Effective 1/1/18 through 12/31/18
4 of 4
16%17%
19%18%18%18%18%18%
27%27%
30%
28%28%29%29%29%
0%
5%
10%
15%
20%
25%
30%
35%
2008 2009 2010 2011 2012 2013 2014 2015
AVERAGE PERCENTAGE OF PREMIUM PAID BY EMPLOYEES FOR
SINGLE AND FAMILY COVERAGE, 2008 –2015
Single Coverage Family Coverage
In 2015, the employees of the City of Tybee Island paid 0% for single coverage and 30% for family coverage.
In 2016, the employees of the City of Tybee Island pay 0% for single coverage and 31% ($2,000 ded plan) or
36% ($1,000 ded plan) for family coverage.
Kaiser Employer Health Benefits 2015 Annual Survey
$60 $65 $75 $77 $79 $83 $90 $89
$280 $293
$333 $344 $360
$380
$402 $413
$0
$50
$100
$150
$200
$250
$300
$350
$400
$450
2008 2009 2010 2011 2012 2013 2014 2015
AVERAGE MONTHLY PREMIUM CONTRIBUTIONS PAID BY
EMPLOYEES FOR SINGLE AND FAMILY COVERAGE, 2008 –2015
SINGLE COVERAGE FAMILY COVERAGE
Kaiser Employer Health Benefits 2015 Annual Survey
In 2015, the employees of the City of Tybee Island paid $0 for single coverage and $453.66 for family coverage.
In 2016, the employees of the City of Tybee Island pay $0 for single coverage and $501.97 ($2,000 ded plan) or
$615.944 ($1,000 ded plan) for family coverage.
20.00%
13.30%
11.60%
11.30%
10.60%
8.20%
7.80%
7.40%
9.80%
0.00%5.00%10.00%15.00%20.00%25.00%
<$2,000
$2,000-$4,999
$5,000-$7,499
$7,500-$9,999
$10,000-$12,499
$12,500-$14,999
$15,000-$19,999
$20,000+
Not Sure
AVERAGE ANNUAL EMPLOYER CONTRIBUTION TOWARD THE PREMIUM FOR
FAMILY COVERAGE, 2015
Zywave Employee Benefits Benchmark 2015 Annual Survey. Fifty-four percent of the firms responding to this survey had fewer than 100 employees, and 35% had between 100-499 employees.
City of Tybee Island Contributed $12,656 in 2015, and $13,162 in 2016
$1,127
$867 $1,047
$0
$5,001
$4,597
$5,079
$5,444
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
Private For-Profit Public Private Not-for-Profit Tybee Island
Average Premium Contribution Paid by Employees for Single and Family
Coverage, by Firm Characteristics, 2015
Single Coverage Family Coverage
Kaiser Employer Health Benefits 2015 Annual Survey
($6,024 in 2016)*
*based on same $2,000 deductible plan
($0 in 2016)*
38%
30%
33%
30%
26%
28%
26%
0%
5%
10%
15%
20%
25%
30%
35%
40%
Private For-Profit Public Private Not-for-Profit Tybee Island
Average Percentage of Premium Paid by Employees for Family Coverage, by
Firm Characteristics and Size, 2015
Small Employer Large Employer
Small Employer (3-199 employees) Large Employer (200 or more employees)
Kaiser Employer Health Benefits 2015 Annual Survey
(31% in 2016)*
*based on same $2,000 deductible plan
16%
24%
28%
32%
1%
52%
39%
8%
0%
10%
20%
30%
40%
50%
60%
0%1% to 25%25% to 50%50% or more
Distribution of Percentage of Premium Paid by Employees for Family Coverage,
by Firm Size, 2015
Small Employer Large Employer
Small Employer (3-199 employees) Large Employer (200 or more employees)
Kaiser Employer Health Benefits 2015 Annual Survey
City of Tybee Island
falls in this category
21%
19%
16%
20%
25%
14%
17%
12%
19%
0%
37%
26%
22%
33%
35%
28%
30%
25%
32%
30%
0%5%10%15%20%25%30%35%40%
Agriculture/Mining/Construction
Manufacturing
Transporation/Communication/Utilities
Wholesale
Retail
Finance
Service
State/Local Government
Health Care
Tybee Island
Average Percentage of the Premium that is Paid by the Employee,
By Coverage Tier and by Industry Type, 2015
Family Coverage Single Coverage
Kaiser Employer Health Benefits 2015 Annual Survey
(31% in 2016)*
(0% in 2016)*
*based on same $2,000 deductible plan
48%
38%
29%
49%
21%
8%
2%
4%
0%10%20%30%40%50%60%
Small Employer
Large Employer
Among Firms Offering Family Coverage, Percentage of Employers Using
Various Approaches to Family Premium Contributions, by Firm Size, 2015
Firms with contribution varying by class of employees
Firms using some other approach
Firms contributing a larger $ amount for family coverage than for single coverage
Firms contributing the same $ amount for family coverage as for single coverage
Small Employer (3-24 employees) Large Employer (25-199 employees)
Kaiser Employer Health Benefits 2015 Annual Survey
Coverage Type $2,000
Ded.
$1,000
Ded.
Monthly
Premium
Total Monthly
Cost
Tybee Monthly
Cost
Employee
Monthly Cost
Monthly
Premium
Total Monthly
Cost
Tybee Monthly
Cost
Employee
Monthly Cost
Employee Only 0 52 $ 524.20 $ -$ -$ -$ 561.57 $ 29,201.64 $ 29,201.64 $ -
Employee & Spouse 15 3 $ 1,100.83 $ 16,512.45 $ 12,789.75 $ 3,722.70 $ 1,179.30 $ 3,537.90 $ 2,557.95 $ 979.95
Employee & Child(ren)9 3 $ 1,022.20 $ 9,199.80 $ 7,125.75 $ 2,074.05 $ 1,095.07 $ 3,285.21 $ 2,375.25 $ 909.96
Family 5 2 $ 1,598.82 $ 7,994.10 $ 5,484.25 $ 2,509.85 $ 1,712.79 $ 3,425.58 $ 2,193.70 $ 1,231.88
$ 33,706.35 $ 25,399.75 $ 8,306.60 $ 39,450.33 $ 36,328.54 $ 3,121.79
$ 73,156.68 $ 61,728.29 $ 11,428.39
Currently, the City of Tybee pays 84.38% of total premiums, and the employees make up the remaining 15.62%.
This is only an outline of coverage and rates; and is not considered binding. Please reference carrier contracts for full details. Should there be a discrepancy between this outline and any contracts, the
contracts will apply. Proposed carrier rates are estimated based on preliminary census submitted; firm rates are not set until final application is made with final census and effective date requested.
Rx Tier 2 Copay - Retail/Mail Order
Rx Tier 1 Copay - Retail/Mail Order
20% (up to $300 maximum)
$60 / $180
$35 / $70
$15 / $15
$19,800 / $39,600 (includes deductible, coinsurance & copayments)
$4,000 / $12,000
70%
100%
$19,800 / $39,600 (includes deductible, coinsurance & copayments)
Rx Deductible
Individual/Family Annual Out-of-Pocket Max
City of Tybee
Current Medical Benefits & Premiums
Effective July 1, 2016 - December 31, 2017
$2,000 Deductible Plan (OAP5 2k/0 6.6K A)$1,000 Deductible Plan (OAP5 1K/0 6.6K A)
100%
0% after the deductible
0% after the deductible
0% after the deductible
$60
$150 (waived if admitted)
$50
$25
$6,600 / $13,200 (includes deductible, coinsurance & copayments)
Individual/Family Annual Deductible
Carrier Coinsurance
$1,000 / $3,000
$6,600 / $13,200 (includes deductible, coinsurance & copayments)
$25
$50
$150 (waived if admitted)
$60
0% after the deductible
0% after the deductible
0% after the deductible
$2,000 / $6,000
Combined Total Monthly Cost
$2,000 Deductible Plan $1,000 Deductible PlanMonthly Rates
Rx Tier 4 Copay - Retail/Mail Order
Rx Tier 3 Copay - Retail/Mail Order
N/A
$15 / $15
$35 / $70
$60 / $180
20% (up to $300 maximum)
BCBS - CURRENT
Pharmacy Benefits
Out-of-Network Benefits
In-Network Benefits
Major Diagnostic Testing
Out-Patient Facilities
In-Patient Facilities
Urgent Care Copay
Hospital Emergency Copay
Specialist Care Provider Office Visit Copay
Primary Care Provider Office Visit Copay
Individual/Family Annual Out-of-Pocket Max
Individual/Family Annual Deductible
Carrier Coinsurance
70%
$2,000 / $6,000
N/A
Total Monthly Premium
1 of 4
Coverage Type $2,000
Ded.
$1,000
Ded.
Monthly
Premium
Total Monthly
Cost
Tybee Monthly
Cost
Employee
Monthly Cost
Monthly
Premium
Total Monthly
Cost
Tybee Monthly
Cost
Employee
Monthly Cost
Employee Only 0 52 $ 838.72 $ - $ - $ - $ 898.51 $ 46,722.62 $ 46,722.62 $ -
Employee & Spouse 15 3 $ 1,761.33 $ 26,419.92 $ 20,463.60 $ 5,956.32 $ 1,886.88 $ 5,660.64 $ 4,092.72 $ 1,567.92
Employee & Child(ren)9 3 $ 1,635.52 $ 14,719.68 $ 11,401.20 $ 3,318.48 $ 1,752.11 $ 5,256.34 $ 3,800.40 $ 1,455.94
Family 5 2 $ 2,558.11 $ 12,790.56 $ 8,774.80 $ 4,015.76 $ 2,740.46 $ 5,480.93 $ 3,509.92 $ 1,971.01
$ 53,930.16 $ 40,639.60 $ 13,290.56 $ 63,120.53 $ 58,125.66 $ 4,994.86
$ 117,050.69 $ 98,765.26 $ 18,285.42
With a 60% increase in premiums, the total dollar increase for 12 months is $526,728.10. If City of Tybee increased their contribution by 60% to keep the percentage of total dollars paid
the same as current, the total dollar increase for 12 months to the City would be $444,443.69 (the employee deductions would fund the remaining $82,284.41).
City of Tybee
Medical Benefits & Premiums - Current Benefits with rates assuming 60% renewal increase
Effective January 1, 2018 - December 31, 2018
BCBS - CURRENT WITH 60% INCREASE
In-Network Benefits $2,000 Deductible Plan (OAP5 2k/0 6.6K A)$1,000 Deductible Plan
Individual/Family Annual Out-of-Pocket Max $6,600 / $13,200 (includes deductible, coinsurance & copayments)$6,600 / $13,200 (includes deductible, coinsurance & copayments)
Primary Care Provider Office Visit Copay $25 $25
Carrier Coinsurance 100%100%
Individual/Family Annual Deductible $2,000 / $6,000 $1,000 / $3,000
Urgent Care Copay $60 $60
In-Patient Facilities 0% after the deductible 0% after the deductible
Specialist Care Provider Office Visit Copay $50 $50
Hospital Emergency Copay $150 (waived if admitted)$150 (waived if admitted)
Out-of-Network Benefits
Carrier Coinsurance 70%70%
Individual/Family Annual Deductible $4,000 / $12,000 $2,000 / $6,000
Out-Patient Facilities 0% after the deductible 0% after the deductible
Major Diagnostic Testing 0% after the deductible 0% after the deductible
Rx Tier 1 Copay - Retail/Mail Order $15 / $15 $15 / $15
Rx Tier 2 Copay - Retail/Mail Order $35 / $70 $35 / $70
Individual/Family Annual Out-of-Pocket Max $19,800 / $39,600 (includes deductible, coinsurance & copayments)$19,800 / $39,600 (includes deductible, coinsurance & copayments)
Pharmacy Benefits
Rx Deductible N/A N/A
Monthly Rates $2,000 Deductible Plan $1,000 Deductible Plan
Total Monthly Premium
Rx Tier 3 Copay - Retail/Mail Order $60 / $180 $60 / $180
Rx Tier 4 Copay - Retail/Mail Order 20% (up to $300 maximum)20% (up to $300 maximum)
Combined Total Monthly Cost
This is only an outline of coverage and rates; and is not considered binding. Please reference carrier contracts for full details. Should there be a discrepancy between this outline and any contracts, the
contracts will apply. Proposed carrier rates are estimated based on preliminary census submitted; firm rates are not set until final application is made with final census and effective date requested.
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Coverage Type $2,500
Ded.
$1,500
Ded.
Monthly
Premium
Total Monthly
Cost
Tybee Monthly
Cost
Employee
Monthly Cost
Monthly
Premium
Total Monthly
Cost
Tybee Monthly
Cost
Employee
Monthly Cost
Employee Only 0 52 $ 727.68 $ - $ - $ - $ 760.99 $ 39,571.58 $ 39,571.58 $ -
Employee & Spouse 15 3 $ 1,528.16 $ 22,922.40 $ 17,701.01 $ 5,221.39 $ 1,598.11 $ 4,794.34 $ 3,540.20 $ 1,254.13
Employee & Child(ren)9 3 $ 1,419.01 $ 12,771.07 $ 9,862.04 $ 2,909.03 $ 1,483.95 $ 4,451.86 $ 3,287.35 $ 1,164.51
Family 5 2 $ 2,219.46 $ 11,097.28 $ 7,590.20 $ 3,507.08 $ 2,321.06 $ 4,642.11 $ 3,036.08 $ 1,606.03
$ 46,790.75 $ 35,153.25 $ 11,637.50 $ 53,459.89 $ 49,435.21 $ 4,024.67
$ 100,250.64 $ 84,588.47 $ 15,662.17
Total Monthly Premium
Combined Total Monthly Cost
This is only an outline of coverage and rates; and is not considered binding. Please reference carrier contracts for full details. Should there be a discrepancy between this outline and any contracts, the
contracts will apply. Proposed carrier rates are estimated based on preliminary census submitted; firm rates are not set until final application is made with final census and effective date requested.
With a reduction in benefits as outlined above and a 60% increase in premiums, the total dollar increase for 12 months is $325,127.52 ($201,600.58 savings from the renewal). If City of
Tybee increased their contribution by 38.4% to keep the percentage of total dollars paid the same as current, the total dollar increase for 12 months to the City would be $274,322.13
(the employee deductions would fund the remaining $50,805.39).
$50
$25 $25
$50
Rx Tier 3 Copay - Retail/Mail Order $75 / $225 (After $200 Deductible has been met)$75 / $225 (After $200 Deductible has been met)
Rx Tier 4 Copay - Retail/Mail Order 20% to $300 Max (After $200 Deductible has been met)20% to $300 Max (After $200 Deductible has been met)
Monthly Rates $2,500 Deductible Plan $1,500 Deductible Plan
Pharmacy Benefits
Rx Deductible $200/Member
Rx Tier 2 Copay - Retail/Mail Order $40 / $80 (After $200 Deductible has been met)$40 / $80 (After $200 Deductible has been met)
Out-of-Network Benefits
Carrier Coinsurance 60%60%
Individual/Family Annual Deductible $5,000 / $15,000 $3,000 / $9,000
Individual/Family Annual Out-of-Pocket Max $19,800 / $39,600 (includes deductible, coinsurance & copayments)$13,500 / $27,000 (includes deductible, coinsurance & copayments)
20% after the deductible
Out-Patient Facilities 20% after the deductible 20% after the deductible
Major Diagnostic Testing 20% after the deductible 20% after the deductible
$200/Member
Rx Tier 1 Copay - Retail/Mail Order $15 / $15 (No Deductible)$15 / $15 (No Deductible)
City of Tybee
Medical Benefits & Premiums - BCBS Plan Alternate Option #1 with rates assuming 60% renewal increase
Effective January 1, 2018 - December 31, 2018
BCBS - OPTION 1 WITH 60% INCREASE
In-Network Benefits $2,500 Deductible Plan (OAP5 2.5K/20 B)$1,500 Deductible Plan (OAP5 1.5K/20 B)
Carrier Coinsurance 80%80%
Individual/Family Annual Deductible $2,500 / $7,500 $1,500 / $4,500
Individual/Family Annual Out-of-Pocket Max $6,600 / $13,200 (includes deductible, coinsurance & copayments)$4,500 / $9,000 (includes deductible, coinsurance & copayments)
Primary Care Provider Office Visit Copay
Specialist Care Provider Office Visit Copay
Hospital Emergency Copay $150, then 20% coinsurance (copay waived if admitted)$150, then 20% coinsurance (copay waived if admitted)
Urgent Care Copay $60 $60
In-Patient Facilities 20% after the deductible
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Coverage Type $2,000
Ded.
$1,500
Ded.
Monthly
Premium
Total Monthly
Cost
Tybee Monthly
Cost
Employee
Monthly Cost
Monthly
Premium
Total Monthly
Cost
Tybee Monthly
Cost
Employee
Monthly Cost
Employee Only 0 52 $ 618.37 $ - $ - $ - $ 690.11 $ 35,885.82 $ 35,885.82 $ -
Employee & Spouse 15 3 $ 1,298.58 $ 19,478.64 $ 15,168.64 $ 4,310.00 $ 1,449.23 $ 4,347.70 $ 3,033.73 $ 1,313.97
Employee & Child(ren)9 3 $ 1,205.82 $ 10,852.42 $ 8,451.14 $ 2,401.28 $ 1,345.73 $ 4,037.18 $ 2,817.05 $ 1,220.14
Family 5 2 $ 1,886.02 $ 9,430.08 $ 6,504.32 $ 2,925.76 $ 2,104.85 $ 4,209.70 $ 2,601.73 $ 1,607.97
$ 39,761.14 $ 30,124.10 $ 9,637.03 $ 48,480.40 $ 44,338.33 $ 4,142.07
$ 88,241.54 $ 74,462.43 $ 13,779.11
With a reduction in benefits as outlined above and a 60% increase in premiums, the total dollar increase for 12 months is $181,018.27 ($345,709.82 savings from the renewal). If City of
Tybee increased their contribution by 18.6% to keep the percentage of total dollars paid the same as current, the total dollar increase for 12 months to the City would be $152,809.69
(the employee deductions would fund the remaining $28,208.58).
$35 (1st 4 office visits; Deductible & Coinsurance after 4 visits)$45 (1st 4 office visits; Deductible & Coinsurance after 4 visits)
BCBS - OPTION 2 WITH 60% INCREASE
In-Network Benefits $2,000 Deductible Plan (OAP15 2K/30)$1,500 Deductible Plan (OAP14 1.5K/20)
Carrier Coinsurance 70%80%
City of Tybee
Medical Benefits & Premiums - BCBS Plan Alternate Option #2 with rates assuming 60% renewal increase
Effective January 1, 2018 - December 31, 2018
Primary Care Provider Office Visit Copay
Specialist Care Provider Office Visit Copay
Individual/Family Annual Deductible $2,000 / $6,000 $1,500 / $4,500
Individual/Family Annual Out-of-Pocket Max $6,600 / $13,200 (includes deductible, coinsurance & copayments)$6,600 / $13,200 (includes deductible, coinsurance & copayments)
In-Patient Facilities $750, then deductible & coinsurance $500, then deductible & coinsurance
Out-Patient Facilities $250, then deductible & coinsurance $250, then deductible & coinsurance
Hospital Emergency Copay $250, then 20% coinsurance (copay waived if admitted)$250, then 20% coinsurance (copay waived if admitted)
Urgent Care Copay $75 $75
Individual/Family Annual Deductible $4,000 / $12,000 $3,000 / $9,000
Individual/Family Annual Out-of-Pocket Max $19,800 / $39,600 (includes deductible, coinsurance & copayments)$19,800 / $39,600 (includes deductible, coinsurance & copayments)
Major Diagnostic Testing 30% after the deductible 20% after the deductible
Out-of-Network Benefits
Carrier Coinsurance 60%60%
Total Monthly Premium
Combined Total Monthly Cost
This is only an outline of coverage and rates; and is not considered binding. Please reference carrier contracts for full details. Should there be a discrepancy between this outline and any contracts, the
contracts will apply. Proposed carrier rates are estimated based on preliminary census submitted; firm rates are not set until final application is made with final census and effective date requested.
Rx Tier 4 Copay - Retail/Mail Order Not Covered Not Covered
Monthly Rates $2,000 Deductible Plan $1,500 Deductible Plan
Rx Tier 2 Copay - Retail/Mail Order $50 / $100 (After $1,500 Deductible has been met)$40 / $80 (After $250 Deductible has been met)
Rx Tier 3 Copay - Retail/Mail Order 20% to $350 Max (After $1,500 Deductible has been met)20% to $350 Max (After $250 Deductible has been met)
Pharmacy Benefits
Rx Deductible $1,500/Member $250/Member
Rx Tier 1 Copay - Retail/Mail Order $15 / $30 (No Deductible)$15 / $30 (No Deductible)
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