|Manatee County Government Administrative Center Commission Chambers, First Floor 9:00 a.m. - October 9, 2018|
Agenda Item #27
2019 Employer Sponsored Medical and Dental Premiums
Briefing Provided Upon Request
Contact and/or Presenter Information
Kim Stroud-Division Manager-Employee Health Benefits/HR
Approval of 2019 premium rate changes reflected in Exhibit A - Active Medical, Dental and Cobra premium rates; Exhibit B - Prescription Coverage rates; and Exhibit C - Retiree premium rates and subsidies.
Annually, in conjunction with the new budget, the County Commission establishes premium rates for the self-funded health and dental plans and establishes rates and subsidies for the retiree medical programs.
YourChoice Health Plan-Active Employee Medical
As the Board is aware, the YourChoice Health Plan has been a nationally recognized health plan for its innovation, financial cost containment, and promotion of preventative care since its inception in 2006. For a period of 8 years, the plan experienced a negative trend while other employers were experiencing double digit cost increases. The performance of the plan has helped to delay the impact of the rising costs of healthcare and pharmaceuticals. However, as it has been described to the Commission in previous discussions, the growing costs of specialty medications, more advanced and costly medical interventions, the health issues associated with our aging population, and the increase in chronic conditions in our younger population have created the need to manage these costs via premium rate increases and other strategies.
We continue to see the desire of our employees to be enrolled in the Ultimate and Best Plan levels which offer the highest level of reimbursement. To maintain this type of health plan design which helps to provide the very best coverage for our employees and their families and is a significant recruitment and retention tool, a slight medical premium increase is necessary. It is recommended that both the employer (departments and constitutional agencies) as well as the employee experience a 4% increase in their share of the premiums.
Dental Coverage-Active and Retiree
The dental plan offered to employees and retirees is fully funded by the participants of the plan. Due to the plan’s performance and projections for 2019, the premiums for the dental plan will remain stable for 2019.
Prescription Coverage-Active and Retiree
The premium cost for the prescription coverage is part of the overall medical premium. The increase in the overall medical premium is in large part due to the prescription drug trend that is being felt nationwide. However, the benefit design (copays and coinsurance levels) for prescriptions will remain consistent for 2019. Some members of the plan will experience some shifts in the pharmaceuticals they use as more stringent managed care techniques are being applied to help contain some of the pharmacy costs by driving members to lower cost but just as effective equivalent medications. Additionally, in response to the opioid crisis in the nation, some members and their prescribers will experience tighter controls around the dispensing and justification for controlled substances.
Medical Plan Options-Retiree
Eligible Retirees of Manatee County Government and participating constitutional agencies can participate in 3 different plan options based upon their age.
County Attorney Review
Not Reviewed (No apparent legal issues)
Explanation of Other
Instructions to Board Records
Send copy of approved agenda item to Kim Stroud-Employee Health Benefits: firstname.lastname@example.org.
Cost and Funds Source Account Number and Name
Amount and Frequency of Recurring Costs
Attachment: 2019 Exhibit A-Active Med, Dental and COBRA.pdf
Attachment: 2019 Exhibit B-Prescription Coverage.pdf
Attachment: 2019 Exhibit C-Retiree Premiums.pdf