HomeMy WebLinkAboutBPW-09-18-13-03 Setting Employee Health Premiums for 2014 RESOLUTION BPW-09-18-13-03
A RESOLUTION SETTING 2014 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 reward participation in sponsored activities that
promote individual and group wellness; encourage employees to consider a consumer-driven
health plan option and incent employee spouses to elect coverage through their own
employers.
NOW, THEREFORE, BE IT RESOLVED by the Carmel Board of Public Works and
Safety as follows:
Effective January 1, 2014, 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 the rates stated on Attachment A and Attachment
B shall be adjusted for participants of the City's wellness program, as outlined below:
1. The City has established a wellness program to complement its insurance plan. The
program is open to all full-time Active Employees and Common Council Members.
2. Participation in the wellness program is voluntary; there is no penalty for opting out.
3. Effective January 1, 2014, any Active Employee or Common Council Member who
participates in the 2014 wellness program shall be eligible for a $20 reduction to the
standard 2014 bi-weekly rates, as listed on Attachment A or Attachment B, as applicable,
as long as the participant continues to meet quarterly goals.
4. Active Employees and Common Council Members who do not participate in the wellness
program, or who do not continue to meet quarterly goals, will not be eligible for a rate
reduction. They will pay the standard rates listed on Attachment A or Attachment B, as
applicable.
BE IT FURTHER RESOLVED that participants who meet the stated requirements will
be eligible for the incentives 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.
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.
2. The City will make a contribution into the Health Savings Account (HSA) or give a
premium credit, as described below, for each Active Employee or Common Council
Member whose: (a) spouse is enrolled in a City plan in 2013; (b) spouse is eligible for
employer coverage through his or her own job or through a health insurance exchange;
and (c) spouse elects his or her employer coverage or coverage through a health insurance
exchange rather than City of Carmel coverage in 2014. The employee must provide
documentation of the other coverage and verify that he or she is not legally separated and
has not filed for divorce from the spouse to be eligible for this incentive.
a. For a participant enrolled in Plan A, a bi-weekly contribution into the Health Savings
Account (HSA) in the amount of $70.75 if the spouse opts out of both the City's
medical and dental plan, or $65.00 if the spouse opts out of the City's medical plan
but enrolls in the City's dental plan. There will be no contribution if the spouse opts
out of the City's dental plan only.
b. For a participant enrolled in Plan B. a bi-weekly premium credit in the amount of
$65.00 for medical insurance plus $5.75 for dental insurance if the spouse opts out of
both. If the spouse opts out of the City's medical plan, but enrolls in the City's dental
plan, the credit will be $65.00. There will be no premium credit if the spouse opts out
of the City's dental plan only.
The HSA contribution or premium credit will cease if the spouse re-enrolls in the City
plan, if the Active Employee or Common Council Member cancels his or her coverage or
if the employment relationship is terminated.
CITY OF CARMEL, INDIANA
By and through its Board of Public Works and Safety
James 0 rainard, Presiding Officer Date
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Mary Ann Burke, :oard Member Date
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Lori Watson :o.rd Member Date
ATTEST: \A„ _e / - ,.._,
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Diana Cordr. , IAMC, Clerk-Treasurer Date
Attachment A
ACTIVE EMPLOYEES
2014 BI-WEEKLY HEALTH INSURANCE RATES
SURCHARGES AND DISCOUNTS MAY BE APPLIED TO THE RATES BELOW
Plan A(HDHPI
Total Premium City Portion City% Employee Portion Employee%
Employee Only $278.00 $236.00 85% $42.00 15%
Employee/Spouse $642.00 $546.00 85% $96.00 15%
Employee/Child(ren) $590.00 $502.00 85% $88.00 15%
Employee/Family $964.00 $819.00 85% $145.00 15%
Plan B (PPOI
Total Premium City Portion City% Employee Portion Employee%
Employee Only $327.00 $262.00 80% $65.00 20%
Employee/Spouse $755.00 $607.00 80% $148.00 20%
Employee/Child(ren) $694.00 $558.00 80% $136.00 20%
Employee/Family $1,134.00 $912.00 80% $222.00 20%
Dental •
Total Premium City Portion City% Employee Portion Employee%
Employee Only $23.00 $17.25 75% $5.75 25%
Employee/Spouse $43.00 $32.25 75% $10.75 25%
Employee/Child(ren) $40.00 $30.00 75% $10.00 25%
Employee/Family $60.00 $45.00 75% $15.00 25%
Attachment B
COMMON COUNCIL MEMBERS
2014 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 $278.00 $208.50 75% $69.50 25%
Employee/Spouse $642.00 $481.50 75% $160.50 25%
Employee/Child(ren) $590.00 $442.50 75% $147.50 25%
Employee/Family $964.00 $723.00 75% $241.00 25%
Plan B(PPO}
Total Premium City Portion City % Employee Portion Employee%
Employee Only $327.00 $245.25 75% $81.75 25%
Employee/Spouse $755.00 $566.25 75% $188.75 25%
Employee/Child(ren) $694.00 $520.50 75% $173.50 25%
Employee/Family $1,134.00 $850.50 75% $283.50 25%
Dental
Total Premium City Portion City% Employee Portion Employee%
Employee Only $23.00 $17.25 75% $5.75 25%
Employee/Spouse $43.00 $32.25 75% $10.75 25%
Employee/Child(ren) $40.00 $30.00 75% $10.00 25%
Employee/Family $60.00 $45.00 75% $15.00 25%
Attachment C
RETIREES
2014 MONTHLY HEALTH INSURANCE RATES
SURCHARGES AND DISCOUNTS MAY BE APPLIED TO THE RATES BELOW
Plan A(HDHP).
Total Premium City Portion City% Employee Portion Employee%
Retiree Only $603.00 $0.00 0% $603.00 100%
Retiree/Spouse $1,391.00 $0.00 0% $1,391.00 100%
Retiree/Child(ren) $1,279.00 $0.00 0% $1,279.00 100%
Retiree/Family $2,089.00 $0.00 0% $2,089.00 100%
Plan B(PPO1
Total Premium City Portion City% Employee Portion Employee%
Retiree Only $709.00 $0.00 0% $709.00 100%
Retiree/Spouse $1,636.00 $0.00 0% $1,636.00 100%
Retiree/Child(ren) $1,504.00 $0.00 0% $1,504.00 100%
Retiree/Family $2,457.00 $0.00 0% $2,457.00 100%
Dental
Total Premium City Portion City% Employee Portion Employee%
Retiree Only $50.00 $0.00 0% $50.00 100%
Retiree/Spouse $94.00 $0.00 0% $94.00 100%
Retiree/Child(ren) $87.00 $0.00 0% $87.00 100%
Retiree/Family $130.00 $0.00 0% $130.00 100%
Attachment D
COBRA
2014 MONTHLY HEALTH INSURANCE RATES
SURCHARGES AND DISCOUNTS MAY BE APPLIED TO THE RATES BELOW
' Plan A(HDHP)
Total Premium City Portion City% Employee Portion Employee
Retiree Only $616.00 $0.00 0% $616.00 100%
Retiree/Spouse $1,419.00 $0.00 0% $1,419.00 100%
Retiree/Child(ren) $1,305.00 $0.00 0% $1,305.00 100%
Retiree/Family $2,131.00 $0.00 0% $2,131.00 100%
Plan B(PPO1
Total Premium City Portion City% Employee Portion Employee%
Retiree Only $724.00 $0.00 0% $724.00 100%
Retiree/Spouse $1,669.00 $0.00 0% $1,669.00 100%
Retiree/Child(ren) $1,535.00 $0.00 0% $1,535.00 100%
Retiree/Family $2,507.00 $0.00 0% $2,507.00 100%
Dental
Total Premium City Portion City% Employee Portion Employee%
Retiree Only $51.00 $0.00 0% $51.00 100%
Retiree/Spouse $96.00 $0.00 0% $96.00 100%
Retiree/Child(ren) $89.00 $0.00 0% $89.00 100%
Retiree/Family $133.00 $0.00 0% $133.00 100%