HomeMy WebLinkAboutBPW 09-07-16-05 As Amended 2017 City Insurance Ratess•
RESOLUTION BPW-09-07-16-05
AS AMENDED
A RESOLUTION SETTING 2017 CITY AND PARTICIPANT CONTRIBUTION RATES
FOR THE CITY OF CARMEL EMPLOYEE HEALTH BENEFIT PLAN
WHEREAS, the City of Carmel operates the City of Carmel Employee Health Benefit
Plan (the "Plan") to provide medical and dental benefits for its employees and retirees; and
WHEREAS, the Board of Public Works and Safety, as Plan Administrator, is
responsible for ensuring adequate current and reserve funding for the Plan; and
WHEREAS, the primary source of revenue for the Plan consists of bi-weekly employer
and participant contributions; and
WHEREAS, it is imperative for Plan revenues to correspond with anticipated expenses;
and
WHEREAS, the City wishes to encourage employees to enroll in the consumer -driven
health care plan.
NOW, THEREFORE, BE IT RESOLVED by the Carmel Board of Public Works and
Safety as follows:
Effective January 1, 2017, health insurance contribution rates for the City and for its Active
Employees will be as stated on Attachment A, for Common Council Members as stated on
Attachment B, for Retirees as stated on Attachment C and for COBRA participants as stated on
Attachment D, all incorporated herein by this reference.
BE IT FURTHER RESOLVED that participants who meet the stated requirements will be
eligible for the incentive described below:
1. The City will make a bi-weekly contribution into the Health Savings Account (HSA) of an
Active Employee or Common Council Member who elects to enroll in Plan A, in the
following amounts:
a. $23.08 for employee only coverage
b. $30.77 for employee/spouse or employee child(ren) coverage
c. $38.47 for family coverage
A Retiree who elects to enroll in Plan A shall receive an equivalent amount by check, half in
February and half in July.
W;
The HSA contribution amount will change if and when the participant's level of coverage
changes, and contributions will cease if coverage is cancelled or, in the case of an Active
Employee or a Common Council Member, if the employment relationship is terminated.
CITY OF CARMEL, .INDIANA
By and through its Board of Public Works and Safety
mes Brainard, Presiding Officer'
Mary Y burke, Member
i
Lori S. Watson, ber
TTE
r
Christine S. Paul , Clerk -Treasurer
Date
r ,
Date
Vat 1t('0
Date
Date
V
Attachment A
ACTIVE EMPLOYEES
2017 BI -WEEKLY HEALTH INSURANCE RATES
SURCHARGES AND DISCOUNTS MAY BE APPLIED TO THE RATES BELOW
Plan A (HDHP)
Plan B (PPO)
Total Premium
City Portion
City %
Employee Portion
Employee %
Employee Only
$334.00
$285.00
85%
$49.00
15%
Employee/Spouse
$772.00
$660.00
85%
$112.00
15%
Employee/Child(ren)
$708.00
$605.00
85%
$103.00
15%
Employee/Family
$1,158.00
$990.00
85%
$168.00
15%
Plan B (PPO)
Dental
Total Premium
City Portion
City %
Employee Portion
Employee %
Employee Only
$393.00
$316.00
80%
$77.00
20%
Employee/Spouse
$908.00
$730.00
80%
$178.00
20%
Employee/Child(ren)
$834.00
$671.00
80%
$163.00
20%
Employee/Family
$1,362.00
$1,096.00
80%
$266.00
20%
Dental
Total Premium
City Portion
City %
Employee Portion
Employee %
Employee Only
$28.00
$21.00
75%
$7.00
25%
Employee/Spouse
$52.00
$39.00
75%
$13.00
25%
Employee/Child(ren)
$48.00
$36.00
75%
$12.00
25%
Employee/Family
$72.00
$54.00
75%
$18.00
25%
FA
Attachment B
COMMON COUNCIL MEMBERS
2017 BI -WEEKLY HEALTH INSURANCE RATES
SURCHARGES AND DISCOUNTS MAY BE APPLIED TO THE RATES BELOW
Plan A (HDHP)
Plan B (PPO)
Total Premium
City Portion
City %
Employee Portion
Employee %
Employee Only
$334.00
$252.00
75%
$82.00
25%
Employee/Spouse
$772.00
$582.00
75%
$190.00
25%
Employee/Child(ren)
$708.00
$534.00
75%
$174.00
25%
Employee/Family
$1,158.00
$874.00
75%
$284.00
25%
Plan B (PPO)
Dental
Total Premium
City Portion
City %
Employee Portion
Employee %
Employee Only
$393.00
$296.00
75%
$97.00
25%
Employee/Spouse
$908.00
$685.00
75%
$223.00
25%
Employee/Child(ren)
$834.00
$629.00
75%
$205.00
25%
Employee/Family
$1,362.00
$1,028.00
75%
$334.00
25%
Dental
Total Premium
City Portion
City %
Employee Portion
Employee %
Employee Only
$28.00
$21.00
75%
$7.00
25%
Employee/Spouse
$52.00
$39.00
75%
$13.00
25%
Employee/Child(ren)
$48.00
$36.00
75%
$12.00
25%
Employee/Family
$72.00
$54.00
75%
$18.00
25%
v
Attachment C
RETIREES
2017 MONTHLY HEALTH INSURANCE RATES
SURCHARGES AND DISCOUNTS MAY BE APPLIED TO THE RATES BELOW
Plan A (HDHP)
Plan B (PPO)
Total Premium
City Portion
City %
Retiree Portion
Retiree %
Employee Only
$724.00
$0.00
0%
$724.00
100%
Employee/Spouse
$1,673.00
$0.00
0%
$1,673.00
100%
Employee/Child(ren)
$1,534.00
$0.00
0%
$1,534.00
100%
Employee/Family
$2,509.00
$0.00
0%
$2,509.00
100%
Plan B (PPO)
Dental
Total Premium
City Portion
City %
Retiree Portion
Retiree %
Employee Only
$852.00
$0.00
0%
$852.00
100%
Employee/Spouse
$1,967.00
$0.00
0%
$1,967.00
100%
Employee/Child(ren)
$1,807.00
$0.00
0%
$1,807.00
100%
Employee/Family
$2,951.00
$0.00
0%
$2,951.00
100%
Dental
Total Premium
City Portion
City %
Retiree Portion
Retiree %
Employee Only
$61.00
$0.00
0%
$61.00
100%
Employee/Spouse
$113.00
$0.00
0%
$113.00
100%
Employee/Child(ren)
$104.00
$0.00
0%
$104.00
100%
Employee/Family
$156.00
$0.00
0%
$156.00
100%
V,
Attachment D
COBRA
2017 MONTHLY HEALTH INSURANCE RATES
SURCHARGES AND DISCOUNTS MAY BE APPLIED TO THE RATES BELOW
Plan A (HDHP)
Plan B (PPO)
Total Premium
City Portion
City %
Participant Portion
Retiree %
Employee Only
$738.00
$0.00
0%
$738.00
100%
Employee/Spouse
$1,706.00
$0.00
0%
$1,706.00
100%
Employee/Child(ren)
$1,565.00
$0.00
0%
$1,565.00
100%
Employee/Family
$2,559.00
$0.00
0%
$2,559.00
100%
Plan B (PPO)
Dental
Total Premium
City Portion
City %
Participant Portion
Retiree %
Employee Only
$869.00
$0.00
0%
$869.00
100%
Employee/Spouse
$2,006.00
$0.00
0%
$2,006.00
100%
Employee/Child(ren)
$1,843.00
$0.00
0%
$1,843.00
100%
Employee/Family
$3,010.00
$0.00
0%
$3,010.00
100%
Dental
Total Premium
City Portion
City %
Participant Portion
Retiree %
Employee Only
$62.00
$0.00
0%
$62.00
100%
Employee/Spouse
$115.00
$0.00
0%
$115.00
100%
Employee/Child(ren)
$106.00
$0.00
0%
$106.00
100%
Employee/Family
$159.00
$0.00
0%
$159.00
100%