City of Covington Employee Health Benefits November 16, 2010.
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City of Covington Employee Health Benefits November 16, 2010
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Transcript of City of Covington Employee Health Benefits November 16, 2010.
City of CovingtonEmployee Health Benefits
November 16, 2010
City of CovingtonHealth Care Plan Cost Summary
Health Plan Unit Cost
$11,597 $11,685 $12,712 $12,885$14,532
$20,101 $18,867
$0
$5,000
$10,000
$15,000
$20,000
$25,000
Unit Cost $11,597 $11,685 $12,712 $12,885 $14,532 $20,101 $18,867
2005/2006 2006/2007 2007/2008 2008/2009 2009/2010 2010/2011 2010/2011
• Unit cost projection for 2010/2011 (red) based on 4 months of data with 14% medical trend.• Unit cost projection for 2010/2011 (yellow) based on 4 months of data with 14% medical trend less claims above 50% of specific deductible.
# Enrolled(avg.)
390 386 374 380 380 369
Total Cost $4,522,723 $4,510,315 $4,754,159 $4,896,323 $5,522,107 $7,417,129
369
$6,962,109
Projected
City KY Govt. Ben. Survey
2010
$14,532 $10,028
Kentucky Government Benefits Survey (2010)Annual Unit Cost Comparison to City of Covington (2009/2010*)
* Last complete plan year; KY Govt. Ben. Survey unit costs based on participants’ last complete plan years.
City
KY Govt. Ben.
Survey2010
Single $530 $411
Employee/Child $686
Employee/Spouse
$808
Family $1,432 $1,176
Kentucky Government Benefits Survey (2010)Monthly Total Premium Comparison to City of Covington (2009/2010)
• Two-tier premium equivalents used to illustrate what the City’s premiums would equate to on a fully-insured basis
City Police
City Fire
CityAFSCME
City Managemen
t
KY Govt. Ben. 2010
Employee Deductible
n/a n/a n/a n/a $2,000
Family Deductible
n/a n/a n/a n/a $4,000
Coinsurance n/a n/a n/a 80%/20% 80%/20%
Office Visits $15 $15 $15 $15 $20
Emergency Room Visits
$75 $75 $75 $75 $150
Employee out-0f-pocket max.*
n/a n/a n/a $1,000 $3,000
Family out-of-pocket max.*
n/a n/a n/a $2,000 $6,000
Prescriptions $50/$50 $50/$50 $50/$50 $50/$50 $10/$30/$60
Kentucky Government Benefits Survey (2010)
* Out-of-pocket maximum includes deductible
City Police
City Fire
CityAFSCME
City Managemen
t
KY Govt. Ben.
Survey2010
Single $18 $54 n/a $26 $36
Employee/Child $54 $54 n/a $26 $92
Employee/Spouse
$54 $54 n/a $26 $136
Family $54 $54 n/a $26 $180
Kentucky Government Benefits Survey (2010)Monthly Employee Premium Comparison to City of Covington
City Polic
e
City Fire
CityAFSCME
City Mgmt.
Govt.A
Govt. B
Govt.C
Plan 1
Govt. C
Plan 2
Govt. D**
Govt. E
Number Enrolled 369 351 171 278 88 235
Employee Deductible
n/a n/a n/a n/a $2,000 $2,000 $1,000 $250 $2,000 $750
Family Deductible
n/a n/a n/a n/a $4,000 $4,000 $2,000 $500 $4,000 $1,500
Coinsurance (%) n/a n/a n/a 80/20 n/a n/a 80/20 80/20 n/a 85/15
Office Visits $15 $15 $15 $15 $20 $25 $25 $25 $15 $15
Emergency Room Visits
$75 $75 $75 $75 $100 $100 $125 $125 $100 $100
Employee out-0f-pocket max.*
n/a n/a n/a $1,000 $2,000 $2,000 $3,000 $1,750 $2,000 $1,500
Family out-of-pocket max.*
n/a n/a n/a $2,000 $4,000 $4,000 $6,000 $3,750 $4,000 $2,250
Monthly Premiums Single EE/C EE/S Family
$18$54$54$54
$54$54$54$54
n/an/an/an/a
$26$26$26$26
$41$80$87
$130
$25$53$58$75
$16$35$41$50
$28$60$72$104
$80$145$170$259
$25$80$80$80
Kentucky Government Benefits Survey (2010)Governments A-E include the following: Cities of Florence and Newport,
Kenton County Fiscal Court, Boone County Fiscal Court, and Sanitation District No. 1
*Out-of-pocket maximum includes deductible**Govt. D has two plans, but the second plan only has two enrollees so was not included in this summary
City of Covington Claims Cost Distribution
42%
28%
30%
Employee Claims
Spouse Claims
Dependent Claims
Benchmark: Employee Claims greater than 62% and Spousal Claims less than 26%
Claims Utilization Per Employee Per Year
44.87
2924.7
0
10
20
30
40
50
2010 City of CovingtonProjection
2009 Municipal Block 2009 MedBen Block
Deductible and Coinsurance to Plan Cost
2.46%
11% 11%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
City of Covington Municipal Block MedBen Block
