Transcript Slide 1

2014 Insurance &
Wellness Benefits Committee
October 30, 2014
Vision
 VSP renewal change plan design -3%
 4-year rate lock
 Increase material copayment from $25 to $30
Coverage Type
Monthly Cost
VSP
2014
2015
Employee Only
$6.21
$6.04
Employee & Spouse
$3.72
$3.63
Employee & Child(ren)
$3.93
$3.83
Family
$10.14
$9.87
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Dental, Life, AD&D
 Guardian Dental, Life Insurance, AD&D
 No Plan Changes
 No Rate Changes
Coverage Type
Guardian Dental
Monthly Cost
2014
2015
Employee Only
$32.34
$32.34
Employee & Spouse
$30.80
$30.80
Employee & Child(ren)
$67.72
$67.72
$101.38
$101.38
Family
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Flexible Spending Account (FSA)
Medical & Dependent Care
 2015 FSA
 Guardian
 No Administration Cost
 Dependent Care
 Maximum Contribution $5000
 Health Care
 Maximum Contribution $2500
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HSA Contribution Limits
 2014 Contribution Limits
 Single $3,300
 Family $$6,550
 2015 Contribution Limits
 Single $3,350
 Family $6,650
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BJC Providers
 BJC Network (Blue Access Choice – BAC) Providers
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Barnes-Jewish Hospital
Barnes-Jewish St. Peters Hospital
Barnes-Jewish West Hospital
Boone Hospital Center
Christian Hospital
Missouri Baptist Medical Center
Missouri Baptist Sullivan Hospital*
Northwest Healthcare
Progress West Hospital
St. Louis Children’s Hospital
The Rehabilitation Institute of St. Louis
Washington University Physicians
* Missouri Baptist Sullivan Hospital also in the Non-BJC Network
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Non- BJC Providers
 Non BJC Network (Blue Preferred Select - BPS)
Providers
 Mercy Hospital - Washington
 Mercy Hospital – St. Louis
 Missouri Baptist Sullivan Hospital
 St. Luke’s Hospital
 St. Joseph Health Center
 St. Joseph Hospital West
 SSM St. Clare Health Center
This is not a comprehensive list. Visit Anthem.com for complete
provider directory.
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What Didn’t Change?
 $0 premium to employee for employee only
coverage
 BJC Network is still an option with no additional
cost to the employee.
 Per the survey results, if changes were to be
made, change the overall plan design.
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Medical Plans Benefit Changes
Base Plan
Employee
College
From $500 Single/$1,000 Family
Deductible
To $1,000 Single/$2,000 Family
$2,500 Single/$5,000 Family
From $10/$35/$60
Rx – Retail
Rx – Mail Order
To $15/$40/$75
From $20/$70/$120
N/A
To $30/$80/$150
N/A
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Medical Plans Benefit Changes
HSA Plan
Employee
College
From $2,500 Single/$5,000 Family
Deductible
To $2,600 Single/$5,200 Family
From $15/$30/$50
$5,000 Single/$10,000 Family
Rx – Retail
To $15/$40/$75
From $30/$60/$100
N/A
To $30/$80/$150
N/A
From $2,362.32 ($1962.32 per month)
Rx – Mail Order
To $2,000 ($166.66 per month)
HSA Annual College Contribution
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Medical Plans
2015 Medical Insurance Plan Costs
Premium Cost to the College
$1,072,592
HRA College Cost w/Administration Fee
$147,000
HSA College Contributions
$292,000
Non-BJC Network Discount College Contribution
Total
$20,400
$1,531,992
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Medical Plans
2015 Medical Insurance College Costs
Total College Cost
Total Number of Employees
Total Annual Cost
Projected Average Monthly Cost Per Employee
$1,531,992
207
$7,400.93
$616.74
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Medical Plans
2015 Reporting Calculations
Projected PSRS/PEERS - Base Plan
$557.57
Projected PSRS/PEERS – High Deductible Plan
$390.91
Projected PSRS/PEERS – High Deductible Plan –
ECC H.S.A. Contribution
$166.66
Total PSRS/PEERS – High Deductible Plan
$557.57
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Option 1
East Central College 2015 Rates
Option 1 - Proposed Rates at the 10/23/14 Committee Meeting
Anthem Premium and HRA Cost per Plan 2015
EE
Base Plan BJC
Network
$
647.84
EE
Health Savings Account
BJC Network
$
431.17
ES
$ 1,339.41
ES
$
849.07
EC
$ 1,211.58
EC
$
762.65
FAM
$ 1,844.85
FAM
$
1,160.01
EE
Base Plan Non BJC
Network
$
622.54
EE
Health Savings Account
Non BJC Network
$
404.01
ES
$
1,272.65
ES
$
EC
$
1,152.50
EC
$
715.57
FAM
$
1,747.27
FAM
$
1,089.11
796.81
Employee Premium Rate for Employee and Dependent Coverage 2015
Base Plan BJC
Network
-
Health Savings Account
BJC Network
College Contribution to
H.S.A or Dependent
Rate
$
-
166.67
Base Plan Non BJC
Network
EE
$
EE
$
EE
$
ES
$
691.57
ES
$
251.24
ES
$
EC
$
563.74
EC
$
164.82
EC
FAM
$ 1,197.01
FAM
$
562.18
FAM
-
College Contribution to
FSA or Dependent Rate *
$
25.30
Health Savings Account
Non BJC Network
College Contribution to H.S.A or
Dependent Rate**
$
EE
$
624.81
ES
$
200.83
$
504.66
EC
$
119.59
$
1,099.43
FAM
$
493.13
*Non BJC Discount
-
191.97
**H.S.A. or Dependent Rate contribution
includes the NonBJC discount and the H.S.A. Contribution
Employee Benefit Value to be recorded to PSRS/PEERS: $557.57 per month
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Option 2
East Central College 2015 Rates
Option 2 - Suggested Revised rates based on the feedback from the Committee
Please Note: These rates reflect an increase in the Dependent Premium Rates for the Base Plans and a decrease for the H.S.A. Plans
Anthem Premium and HRA Cost per Plan 2015
Health Savings Account
BJC Network
Base Plan BJC Network
Base Plan Non BJC
Network
Health Savings Account
Non BJC Network
EE
$
616.74
EE
$
449.74
EE
$
592.08
EE
$
425.08
ES
$
1,341.40
ES
$
861.08
ES
$
1,284.66
ES
$
808.82
EC
$
1,213.58
EC
$
774.66
EC
$
1,164.50
EC
$
727.56
FAM
$
1,846.86
FAM
$
1,172.00
FAM
$
1,759.28
FAM
$
1,101.10
Employee Premium Rate for Employee and Dependent Coverage 2015
Health Savings Account
BJC Network
Base Plan BJC Network
EE
$
EE
$
ES
$
724.66
-
ES
$
244.68
-
EC
$
596.84
EC
$
FAM
$
1,230.12
FAM
$
College Contribution
to H.S.A or
Dependent Rate
$
$
24.66
Health Savings Account
Non BJC Network
College Contribution to
H.S.A or Dependent
Rate**
$
$
EE
$
ES
$
667.92
ES
$
192.42
158.26
EC
$
547.76
EC
$
111.16
555.60
FAM
$
1,142.54
FAM
$
484.70
-
-
College Contribution
to FSA or Dependent
Rate *
EE
$
166.66
Base Plan Non BJC
Network
*Non BJC Discount
Employee Benefit Value to be recorded to PSRS/PEERS: $557.57 per month
-
191.32
**H.S.A. or Dependent Rate contribution
includes the NonBJC discount and the H.S.A.
Contribution
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W-2 Reporting Guidelines
 The Affordable Care Act requires employers to report the cost of
coverage under an employer-sponsored group health plan.
Reporting the cost of health care coverage on the Form W-2 does
not mean that the coverage is taxable. This reporting is for
informational purposes only and will provide employees useful
and comparable consumer information on the cost of their
health care coverage. Effective tax year 2012.
 In general, the amount reported should include both the portion
paid by the employer and the portion paid by the employee.
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PSRS/PEERS Reporting Guidelines
 Health Savings Accounts (HSAs)
 According to the PSRS/PEERS General Counsel, a contribution to a
Health Savings Account (HSA) on behalf of an employee is considered
to meet the definition of an “employer-paid insurance premium on
behalf of the member” and, therefore, is included in retirement
compensation. This usually happens with an employer offers a Health
Savings Account (HSA) plan in addition to the regular insurance plan.
The HSA premium is lower, and many times the employer makes a
contribution to the HSA that is the difference between the HSA
premium and the regular insurance premium amounts.
 Health Reimbursement Arrangement (HRAs)
 HRA’s, where an employer makes payments into a fund from which
employees can request reimbursement for the medical expenses are
not considered a part of retirement compensation since the member
does not keep any excess funds.
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Questions
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