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HomeMy Public PortalAboutAB01-130CITY COUNCIL City Of McCall AGENDA BILL 216 East Park Street Number AB 03-123 McCall, ID 83638 Date August 28, 2003 ITEM INFORMATION  SUBJECT: Origi nal Agenda Date & Bill No.    Department/Committee/Individual Initials Remarks  Health and Vision Insurance Policy Changes A Mayor / Council     P City Manager     P Finance Director/City Clerk  Originator   R Deputy City Clerk     O Community Development     V Police Chief     A Public Works     L Director of Golf & Parks Operations     COST IMPACT: $27,196 reduction in FY 2004 costs S Recreation Director    FUNDING SOURCE:  Airport Manager    FY 2004 Budget  Librarian    TIMELINE: Urgent  City Attorney      Other    SUMMARY STATEMENT: The Benefits Committee has been researching costs of healthcare insurance in an effort to reduce the rate of cost increases without significantly lowering the value of this employee benefit. The committee consists of employees from departments throughout the City and spouses of employees. With the assistance of our Health Care Broker Reiman & Associates, we sought and received alternative proposals. The number of options available to the City is limited by the participation of local physicians, leaving Blue Cross and Regence Blue Shield as the only viable options. However, the options available were reviewed, narrowed to twelve and then reviewed in detail by the Committee. After consideration of the company’s financial condition, rate setting methods and market trends, as well as the plan benefits and costs, the Committee makes a unanimous recommendation. to switch employee health insurance coverage from Regence to Blue Cross. The plan described in Attachment A as Option 2 (Column 4) provides the fewest changes to existing coverage and represents a cost increase of 35% rather than the 49% required by our existing plan. At the same time, the Committee reviewed options for continued Vision Care Insurance coverage. The current coverage through Pacific Vision allows the employee to choose vision coverage or an equivalent amount of cash deposited in a FSA account. However, there have been significant problems with the service provided by this company and there are questions about the long-term strength of the company. After extended discussion of three other alternatives, the Committee recommends a change to Vision Service for coverage outlined in the far right column of Attachment B. In addition to a decrease in the coverage for frames and contact lenses, this plan requires mandatory coverage of the employees, but allows optional coverage of dependents. In addition, the rate is guaranteed for two years. This change will increase the cost of coverage by $.48 per employee per month, an increase that is 50% lower than that required to maintain our past coverage.   SUMMARY STATEMENT: The Benefits Committee has been researching costs of healthcare insurance in an effort to reduce the rate of cost increases without significantly lowering the value of this employee benefit. The committee consists of employees from departments throughout the City and spouses of employees. With the assistance of our Health Care Broker Reiman & Associates, we sought and received alternative proposals. The number of options available to the City is limited by the participation of local physicians, leaving Blue Cross and Regence Blue Shield as the only viable options. However, the options available were reviewed, narrowed to twelve and then reviewed in detail by the Committee. After consideration of the company’s financial condition, rate setting methods and market trends, as well as the plan benefits and costs, the Committee makes a unanimous recommendation. to switch employee health insurance coverage from Regence to Blue Cross. The plan described in Attachment A as Option 2 (Column 4) provides the fewest changes to existing coverage and represents a cost increase of 35% rather than the 49% required by our existing plan. At the same time, the Committee reviewed options for continued Vision Care Insurance coverage. The current coverage through Pacific Vision allows the employee to choose vision coverage or an equivalent amount of cash deposited in a FSA account. However, there have been significant problems with the service provided by this company and there are questions about the long-term strength of the company. After extended discussion of three other alternatives, the Committee recommends a change to Vision Service for coverage outlined in the far right column of Attachment B. In addition to a decrease in the coverage for frames and contact lenses, this plan requires mandatory coverage of the employees, but allows optional coverage of dependents. In addition, the rate is guaranteed for two years. This change will increase the cost of coverage by $.48 per employee per month, an increase that is 50% lower than that required to maintain our past coverage.  RECOMMENDED ACTION: Approve switching from Regence Blue Shield to the Blue Cross plan as described in Option 2 (Column 4) of Attachment A. Change from Pacific Vision to Vision Service, Plan B as described in the far right column of Attachment B for employee vision insurance coverage.   RECORD OF COUNCIL ACTION  Meeting Date Action