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Home My WebLink About08.a.1)a) Receive informational presentation on CalPERS health benefits program 8■ ■ central Contra costa Sanitary District ............................ March 16, 201 TO: HONORABLE BOARD OF DIRECTORS VIA. ROGER S. BAILEY, GENERAL MANAGER AIT SASAI I, DEPUTY GENERAL MANAGER.,j:;.,,. FROM. TEJI O'IIIIALLEY, HUMAN RESOURCES MANAGER SUBJECT: INFORMATIONAL ITEM -�-�- CALPERS HEALTH BEN FITS PROGRAM During the recent General Manager's State of the District presentation and in other forums, staff and bargaining unit representatives have raised questions regarding the cost of health care and other options that might be more cost effective to Central San. In response to these questions, vire have begun investigating other health care programs, and we have invited a representative from CaIPERS to provide a presentation on their Health Benefits Program. This is an informational presentation only. Staff is continuing to work with our benefits broker, Alliant, to review all available health plans to ensure that Central San is doing its due diligence when purchasing employee benefits. NAPOSUMBOard of DirectcrsSoard-Letters&Memos' 017\Heaith Benefits 03-16--2017.docx f _ y s •', r. s i ■r+ r r r• i r r ■r r r r• +r w X _ i 1 i 4•!/ 1 v� �•i i i i 1 i!1! w s r r• r++ � . . ..�... ��.�_ _ w�1+`i+1 ■ a�■it r ri - �� •••N i M i 1+♦r ► . Today's Agenda : • What i S the Public Employees Medical and Hospital Care Act (PEMHCA)? • Standard PEMHCA resolutions • Optional PEMHCA resolutions • Member Eligibility • Questions and answers session . CaIPERS z PEMHCA, what is it .? • Public Employees' Medical & Hospital Care Act (PEMHCA) • Legislation that: - Allows CaIPERS to offer health benefits to eligible employers - Mandates requirements for employers - Establishes eligibility criteria for employees and annuitants • Designed to provide a stable health benefits program for a long period of time 104x*0,,- CaIPERS 3 1 . 4 million members $8 billion annually 1 , 220 public agencies Zero broker fees Low 100% and administrative participation not commissions fee (0 .31 % ) required alifornia's aIPERS is e th largest risk pool Health Benefit Officer for retirees Ahk Access Live/ or Employer protection rule contribution Coverage orldwide o n 1St of the month coverage I Establishing a Health Contract with CaIPERS Employer eligibility • Eligibility process for newly contracting agencies - Agency completes the Applicant Questionnaire - The completed questionnaire is reviewed against criteria • When eligibility is established - Agency completes a resolution - A system administrator is chosen and passwords issued - myICaIPERS training for staff - Enroll employees .. CaIPERS 8 mill Year Minimum ER contribution for Actives 2010 $105000 2011 $108,00 2012 $112,00 2013 $115000 2014 $119800 2015 $122,00 2016 $125,00 WOF 4' t 1 E S Management 0 All t i Administrative Management Administrative Technicians Employees Technicians r • Contribution type • Equal - Employer contributions are the same for active employees and annuitants - Employer contributions must be at least the PEMHCA minimum - Once Equal, must remain Equal CaIPERS 1/ Contribution for Actives Years in PEMHCA Contribution for Retirees $500 1 $500 $500 2 $500 $500 3 $500 $500 4 $500 $500 5 $500 $500 6 $500 $500 7 $500 $500 8 $500 $500 9 $500 $500 10 $500 Example of Equal/ P MHCA Minimum Resolution a a Ak Increases are based on the consumer price index. These estimates are for illustrative purposes and are not guaranteed. Contribution Type • Unequal - Agency contributes different amounts for active employees and annuitants - Annuitants start at a lesser amount - Contribution for annuitants increases annually • Contribution * (Years * 5%) = Employer Contribution AOIROO.', CaIPERS do Contribution for Years in PEMHCA Contribution Contribution for Actives Percentage Retirees $500 1 0% $1 $500 2 5% $25 $500 3 10% $50 $500 4 15% $75 $500 5 20% $100 $500 6 25% $125 $500 7 30% $150 $500 8 35% $175 $500 9 40% $200 $500 10 45% $225 Contribution for Years in PEMHCA Contribution Contribution for Actives Percentage Retirees $500 11 50% $250 $500 12 55% $275 $500 13 60% $300 $500 14 65% $325 $500 15 70% $350 $500 16 75% $375 $500 17 80% $400 $500 18 85% $425 $500 19 90% $450 $500 20 95% $475 $500 21 100% $500 Contribution for Years in PEMHCA Contribution Contribution for Actives Percentage Retirees $125 1 0% $1 ,00 $128 2 5% $6,40 $131 3 10°/a $13-10 $135 4 15% $20,25 $139 5 20% $27,80 $143 6 25% $35,75 $146 7 30% $43,80 $150 8 35% $52-50 $154 9 40% $61 ,60 $158 10 45% $71 .10 Contribution for Years in PEMHCA Contribution Contribution for Actives Percentage Retirees $162 11 50% $81 .00 $166 12 55% $91 ,30 $170 13 60°/a $102.00 $174 14 65% $113-10 $178 15 70% %)124.60 $182 16 75% $136,50 $186 17 80% $148,80 $190 18 85% $161 ,50 $195 29 90% $175-50 $200 20 95% $190,00 $205 21 100% $205-00 120 Day Rule Vesting Less Than Half Time Survivor Use Work or Home Zip to Ah Determine Plan Availability own In-Network Medical Groups are � � ' I& � Determined by Each Carrier No Deductible or Coinsurance $15 per office visit $5 generic prescription HMO Plans - Contra Costa County • Anthem Blue Cross Select & Traditional • Blue Shield Access Plus • Health Net Smartcare • Kaiser • United Healthcare . CaIPERS Use Work or Home Zip to • � � Determine Plan Availability PERS Select- Available in CA PERS Care and PERS Choice- Nationwide & International -Copay • -Deductible -Coinsurance PPO Plans • PERS Choice • PERS Select • PERS Care A�,- CaIPERS Z3 Active Employee Eligibility You must currently be employed IL___ You must work at least half-time a You must have an appointment of more than 6 months y CaIPERS a� F amily Member Eligibility Spouse or Domestic Partner Children, Natural, Step, Adopted Disabled Dependent over age 26 Parent-Child Relationship . ►�- CaIPERS aS PEMHCA determi ration of Retiree Eligibility Permanently separate from Employer Retire within 120 dal Receive Monthly Warrant AM A*x.,... CaIPERS