Insurance
Committee
2016-17
May 9, 2017
Medical Renewal Projection
Projected Reserve Balance
PY 17 Projected Funding
PY17 Funding + Reserve
$
$
$
2,215,324
21,164,161
23,379,485
PY18 Projected Expenses
PY18 Required Reserve
PY 18 Funding + Reserve
$
$
$
22,135,236
3,095,900
25,231,137
Projected Required Increase
(+7.9%)
$
(1,851,652)
Plan Year 2016-17
Premiums
May 23, 2017
Plan Design Change Options
Increase deductibles
*Note:
$100 x2 Family
$200 x2 Family
$300 x2 Family
$316,051
$629,214
$945,265
Illustrated deductibles assume corresponding increase on the out-of-network benefit relative to OON multiplier.
Increase OOP Max
$500 x2 Family
$1,000 x2
Family
$1,500 x2
Family
$75,063
$133,074
$170,188
*Note: Illustrated out-of-pocket maximums assume corresponding increase on the out-of-network benefit relative to OON
multiplier.
Note: illustrated savings calculations assume static enrollment and does not
account for enrollment behavior as a result of premium changes.
Medical Premiums
High Option
Base Option
CDHP Option
2016-17
Premiums
2017-18
Premiums
Individual Only
$
$
Individual/Spouse
$ 1,485.14
$ 1,583.16
Individual Children
$ 1,269.80
$ 1,353.61
Individual Family
$ 2,060.03
$ 2,195.99
Individual Only
$
$
Individual/Spouse
$ 1,124.90
$ 1,199.14
Individual Children
$
964.20
$ 1,027.84
Individual Family
$ 1,553.47
$ 1,656.00
Individual Only
$
442.69
$
Individual/Spouse
$
929.68
$ 1,030.09
Individual Children
$
796.79
$
Individual Family
$ 1,283.77
696.31
535.76
742.27
571.12
490.50
882.84
$ 1,422.42
Dental Premiums
Aetna Dental
2016-17
Premium
Individual Only
$
38.40
Individual/Spouse
$
74.11
Individual /Child(ren) $
85.77
Individual/Family
Family Dental Service Individual Only
Cigna Dental
2017-18
Premium
$
38.40
$
74.11
$
85.77
$
$
119.67
53.33
$
$
119.67
53.97
Individual/Spouse
$
Individual /Child(ren) $
90.80
108.06
$
$
91.89
109.36
Individual/Family
Individual Only
Individual/Spouse
Individual /Child(ren)
$
$
$
$
134.99
16.93
30.90
35.99
$
$
$
$
136.61
16.93
30.90
35.99
Individual/Family
$
53.81
$
53.81
Vision Premiums
2016-17
Premium
2017-18
Premium
Individual Only
$ 7.56
$ 8.24
Individual/Spouse
$15.74
$17.16
Individual /Child(ren)
$14.81
$16.14
Individual/Family
$22.99
$25.06

Assumptions

$100 Deductible Increase across all plans

Unbalanced rate increase


High and Base: 6.6%

CDHP: 10.8%
District Contribution Rate Increase

High, Base and CDHP EE only: 7.5%

CDHP (ES, EC, EF): 12%
District Contributions Base, High and
CDHP EE only (Proposed)
7.5% increase
Full
Half
2016-17
2017-18
2016-17
2017-18
If no medical or
Individual only
medical elected
$567.00
$609.00
$283.50
$304.50
If Individual/Spouse
medical elected
$804.00
$864.00
$402.00
$432.00
If
Individual/Children
medical elected
$661.00
$710.00
$330.50
$355.00
If Individual/Family
medical elected
$1,059.00
$1,138.00
$529.50
$569.00
District Contributions CDHP (Proposed)
12% increase
Full
Half
2016-17
2017-18
2016-17
2017-18
If Individual/Spouse
medical elected
$804.00
$900.48
$402.00
$450.00
If
Individual/Children
medical elected
$661.00
$740.32
$330.50
$370.16
If Individual/Family
medical elected
$1,059.00
$1,186.08
$529.50
$593.04
Out of Pocket Examples
Individual
Enrollments
CDH, Aetna PPO,
Vision
CDH, Family
Dental, Vision
CDH, Cigna HMO,
Vision
Base, Aetna PPO,
Vision
Base, Family
Dental, Vision
Base, Cigna HMO,
Vision
High, Aetna PPO,
Vision
High, Family
Dental, Vision
High, Cigna HMO,
Vision
16/17 Monthly
EE out of pocket
17/18 Monthly
Monthly Difference Annual Difference
EE out of pocket
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$14.72
$8.24
($6.48)
($77.81)
$29.65
$23.81
($5.84)
($70.13)
$0.00
$0.00
$0.00
$0.00
$175.27
$179.38
$4.11
$49.34
$190.20
$194.95
$4.75
$57.02
$153.80
$157.91
$4.11
$49.34
Out of Pocket Examples
Family
Enrollments
CDH, Aetna PPO,
Vision
CDH, Family Dental,
Vision
CDH, Cigna HMO,
Vision
Base, Aetna PPO,
Vision
Base, Family Dental,
Vision
Base, Cigna HMO,
Vision
High, Aetna PPO,
Vision
High, Family Dental,
Vision
High, Cigna HMO,
Vision
16/17 Monthly EE
out of pocket
17/18 Monthly EE
out of pocket
Monthly
Difference
Annual
Difference
$367.43
$381.07
$13.64
$163.64
$382.75
$398.01
$15.26
$183.07
$301.57
$315.21
$13.64
$163.64
$637.13
$662.30
$25.17
$302.08
$652.44
$679.24
$26.79
$321.52
$571.27
$596.44
$25.17
$302.08
$1,143.68
$1,202.30
$58.61
$703.27
$1,159.00
$1,219.24
$60.23
$722.71
$1,077.83
$1,136.44
$58.61
$703.27
BOE Recommendations

Section 125




Move from ASIFlex to BeneFlex
Dental-ASO

Remain with Aetna

Increase annual max from $1,000 to $1,500

No change to premiums or benefits/copays
Family Dental Services

Increase premiums by 1.2%

No changes to benefits/copays
Vision

Remain with EyeMed

9% increase to premiums

No change to benefits/copays
BOE Recommendations

Medical Premiums


Medical Plan Design Changes


To be determined by the Committee
To be determined by the Committee
Pharmacy

Variable Copay Program

Out of Pocket Protection Plan
Meeting Schedule

Thursday, June 1:


BOE Work Session
Thursday, June 15:

BOE Presentation and Adoption