HomeMy WebLinkAboutMINUTES - 11172015 - D.14RECOMMENDATION(S):
CONFIRM executed contract renewals with the Non PERS Health Plans for both two and three tier rate structures for
the period January 1, 2016 through December 31, 2016; and ACKNOWLEDGE negotiated tier structures by
bargaining group for the 2016 plan year.
FISCAL IMPACT:
This report is for informational purposes only and has no specific financial impact. The fiscal impact of subsidy
changes for each Memoranda of Understanding was included in each associated Board action. For a report of
contract renewal including fiscal impact, please refer to Board Order of August 25, 2015. If all employees and
retirees were in either the two- or three-tier rate structure, it is assumed that total costs would be the same.
BACKGROUND:
Insurance coverage is an important benefit and a valuable recruitment and retention tool. To ensure that high quality
insurance is available for Contra Costa County's eligible employees, the County contracts for group health, dental and
life insurance as well as computer vision care coverage on an annual basis with a number of carriers/providers. The
County has negotiated insurance and coverage contracts for calendar year January 1 through December 31, 2016. In
order to ensure uninterrupted coverage for eligible enrolled members (eligible active employees, retired employees
and survivors of retired employees) the authorization from the Board of Supervisors to renew insurance coverage was
adopted by the Board of Supervisors on August 25, 2015.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD
COMMITTEE
Action of Board On: 11/17/2015 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor
Contact: Lisa Driscoll, County Finance
Director (925) 335-1023
I hereby certify that this is a true and correct copy of an action taken and entered on the
minutes of the Board of Supervisors on the date shown.
ATTESTED: November 17, 2015
David J. Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Ann Elliott, Employee Benefits Manager, Harjit S. Nahal, Assistant County Auditor, County Counsel
D.14
To:Board of Supervisors
From:David Twa, County Administrator
Date:November 17, 2015
Contra
Costa
County
Subject:Confirmation of Contract Renewals with the Non PERS Health Plans by Tier
BACKGROUND: (CONT'D)
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New for the 2016 Plan year, the Board of Supervisors also authorized a new High Deductible Health Plan
(HDHP). This new group health insurance plan begins calendar year January 1, 2016 and was offered to eligible
county employees during open enrollment in 2015 for plan year 2016. Offering this coverage helps the County
have available a low cost health insurance plan that provides minimum essential health benefits as specified in the
Affordable Care Act and meets the coverage requirements in the law.
The County is able, for 2016, to offer employees, retirees and survivors a number of health insurance plans at
rates that will increase below or slightly above the amount that Buck Consultants has identified as the national
rate increase averages. Carriers have documented their proposed rate increases or decreases based on actual
experience in providing coverage to enrollees/members during 2015. All health insurance contracts continue to
offer essential health benefits and coverage compliant with the requirements of the Affordable Care Act (ACA).
Attached is a one-page report that lists both the two- and three-tier rate structures by plan for active employees for
the 2016 Plan year. Eligibility for enrollment was determined by negotiated contract (Memorandum of
Understanding). All retirees are in the two-tier rate structure for the 2016 Plan year. The following is a summary
of tier by bargaining unit/group:
Bargaining Unit/Group Two-Tiers Three-Tiers
AFSCME, Local 512 X
AFSCME, Local 2700 X
California Nurses' Association X
CCC Defenders' Association/Attorneys Unit X
CCC Defenders' Association/Investigators' Unit X
CCC Deputy District Attorneys' Association X
IFPTE/ALF-CIO, Local 21 X
Local 1 X
Physicians & Dentists Organization of CC X
Probation Peace Officers' Association X
SEIU, Local 1021 X
Unrepresented, Classified and Exempt X
Western Council of Engineers X
It should be noted that all employees covered by CalPERS PEMHCA plans have been in three-tier rate structures
for many years.
ATTACHMENTS
2016 Premium Rates by Tier Structure