HomeMy WebLinkAboutResolution_BPW_09-16-20-02/Insurance_RatesInsurance Rate Resolution
RESOLUTION BPW 09-16-20-02 1
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A RESOLUTION SETTING 2021 CITY AND PARTICIPANT CONTRIBUTION 5
RATES FOR THE CITY OF CARMEL EMPLOYEE HEALTH BENEFIT PLAN 6
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WHEREAS, the City of Carmel operates the City of Carmel Employee Health Benefit 9
Plan (the “Plan”) to provide medical and dental benefits for its employees and retirees; and 10
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WHEREAS, the Board of Public Works and Safety, as Plan Administrator, is 12
responsible for ensuring adequate current and reserve funding for the Plan; and 13
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WHEREAS, the primary source of revenue for the Plan consists of bi-weekly employer 15
and participant contributions; and 16
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WHEREAS, it is imperative for Plan revenues to correspond with anticipated expenses; 18
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WHEREAS, the City wishes to encourage employees to enroll in the consumer-driven 21
health care plan. 22
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NOW, THEREFORE, BE IT RESOLVED by the Carmel Board of Public Works and 24
Safety as follows: 25
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Effective January 1, 2021, health insurance contribution rates for the City and for its Active 27
Employees will be as stated on Attachment A, for Common Council Members as stated on 28
Attachment B, for Retirees as stated on Attachment C and for COBRA participants as stated on 29
Attachment D, all incorporated herein by this reference. 30
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BE IT FURTHER RESOLVED that participants who meet the stated requirements will be 33
eligible for the incentive described below: 34
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1. The City will make a bi-weekly contribution into the Health Savings Account (HSA) of an 36
Active Employee or Common Council Member who is eligible for an HSA, in the following 37
amounts: 38
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a. $23.08 for employee only coverage 40
b. $30.77 for employee/spouse or employee child(ren) coverage 41
c. $38.47 for family coverage 42
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All City HSA contributions in 2021 shall be deposited to employee accounts at Indiana 44
Members Credit Union. 45
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A Retiree who elects to enroll in Plan A shall receive an equivalent amount by check, half in 47
February and half in August. 48
DocuSign Envelope ID: CB71D20A-F3C3-4312-A1E0-6304A79B9078
Insurance Rate Resolution
The HSA contribution amount will change if and when the participant’s level of coverage 49
changes, and contributions will cease if coverage is cancelled or, in the case of an Active 50
Employee or a Common Council Member, if the employment relationship is terminated. 51
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PASSED by the Board of Public Works and Safety of the City of Carmel, Indiana, this 55
____ day of _____________, 2020, by a vote of ______ ayes and ______ nays. 56
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CITY OF CARMEL, INDIANA 58
By and through its Board of Public Works and Safety 59
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___________________________________ 63
James Brainard, Presiding Officer 64
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Date: ______________________ 66
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___________________________________ 69
Mary Ann Burke, Board Member 70
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Date: ______________________ 72
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___________________________________ 75
Lori Watson, Board Member 76
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Date: ______________________ 78
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ATTEST: 82
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Sue Wolfgang, Clerk 85
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Date: ______________________ 87
DocuSign Envelope ID: CB71D20A-F3C3-4312-A1E0-6304A79B9078
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Not Present
9/16/2020
September16th
9/16/2020
9/16/2020
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Insurance Rate Resolution
Attachment A
ACTIVE EMPLOYEES
2021 BI-WEEKLY HEALTH INSURANCE RATES
SURCHARGES AND DISCOUNTS MAY BE APPLIED TO THE RATES BELOW
Plan A (HDHP)
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)
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%
DocuSign Envelope ID: CB71D20A-F3C3-4312-A1E0-6304A79B9078
Insurance Rate Resolution
Attachment B
COMMON COUNCIL MEMBERS
2021 BI-WEEKLY HEALTH INSURANCE RATES
SURCHARGES AND DISCOUNTS MAY BE APPLIED TO THE RATES BELOW
Plan A (HDHP)
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)
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%
DocuSign Envelope ID: CB71D20A-F3C3-4312-A1E0-6304A79B9078
Insurance Rate Resolution
Attachment C
RETIREES
2021 MONTHLY HEALTH INSURANCE RATES
SURCHARGES AND DISCOUNTS MAY BE APPLIED TO THE RATES BELOW
Plan A (HDHP)
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)
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%
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Insurance Rate Resolution
Attachment D
COBRA
2021 MONTHLY HEALTH INSURANCE RATES
SURCHARGES AND DISCOUNTS MAY BE APPLIED TO THE RATES BELOW
Plan A (HDHP)
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)
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%
DocuSign Envelope ID: CB71D20A-F3C3-4312-A1E0-6304A79B9078