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HomeMy WebLinkAboutItem 8.7 Establish Employee Health Care Benefits CITY OF DUBLIN L� AGENDA STATEMENT 1 " CITY COUNCIL MEETING DATE: March 26 , 1984 SUBJECT Establishment of Employee Health Care Benefits EXHIBITS ATTACHED Resolution Electing to be Subject to Public Employee ' s Medical and Hospital Care Act and Fixing the `1 Employer ' s Contribution COMMENDATrON Adopt Resolution FINANCIAL STATEMENT: Adequate funds for these benefits are included in the current budget . Maximum annual cost to the City approximately $19 , 775 . DESCRIPTION Background Staff has evaluated various opportunities to participate in Health Insurance Programs . The most effective method of providing health care benefits to City employees is through the Public Employee ' s Hospital and Medical Care Act . In establishing a health insurance package insurers look at the size and composition of the group to be insured. Given the small size of the city staff it is difficult to establish a comprehensive program at a competive rate. Therefore, staff recommends participating in the program coordinated by the California Public Employees Retirement System (PERS ) . This provides options to the employee which would otherwise be difficult to provide directly to a small group. The arrangement allows employees to have the option of selecting traditional indemnity coverage or a helth maintenance organization (HMO) , such as Kaiser . Requirements The legislation creating this program contains specific stipulations, which the City must follow. Included in the requirements are the following : a . All active and retired employees who are members of P. E.R.S. must given an opportunity to enroll in the qualified plan of their choice . b. The agency must contribute at least $16 . 00 per month toward the cost of both the active and the retired employee ' s premium. C. Agencies are required to contribute equally for retired and active employees . d . The City would contribute 3 percent of the total gross monthly premium of employees (active and retired) to the Employee Contingency Reserve Fend. This is used to reduce premiums , improve benefits or offset premium increases . The primary use is to offset the costs of retired .employees enrolled in the basic plans . The legislation creating this fund provides for it to be variable, but is shall not exceed 4 percent of the total monthly premium. e. The agency must pay . 5 percent of the total gross monthly premium to cover the administrative costs associated with the program. ---------------------------------------------------------------------------- COPIES TO: ITEM N0. AGENDA STATEMENT : Establishment of Employee Health Care Benefits Page 2 COSTS Currently P . E .R. S . offers three indemnity plans and four HMO plans in this area . The cost of insurance is shown below. PERS HEALTH PLANS INDEMNITY EMPLOYEE EMPLOYEE + 1 FAMILY First Farwest $ 80 . 00 $ 158 .00 $ 204 . 00 .Cal Western/Occidental 85 . 19 178 . 00 215 .97 Blue Cross/Blue Shield 100 . 26 198 . 26 236 . 79 H M 0 EMPLOYEE EMPLOYEE + 1 FAMILY Kaiser $ 55 . 29 $ 110 .58 $ 160 . 15 Health Plan America 80 . 60 161 .00 215 . 00 Take Care 81 . 00 160 .80 214 . 00 Foundation 85 . 00 174 .50 .222 .50 * Rates to change 7/1/84 The issue of cost containment in the provision of health benefits is an important consideration. The P . E.R. S . Health Benefits Division has advised _ the City that a comprehensive report has been submitted to the P . E.R. S . Board. The Board has indicated an interest in containing costs and the report indentifies key areas where this may be accomplished. One consideration is to offer a single indemnity plan. The report also identifies the fact that P . E .R. S . is a large group which should provide leverage in the insurance market . P . E.R. S. health plans now cover over 500 , 000 individuals . The options afforded by being a member of a large group are significant to small agencies such as Dublin. The proposed resolution establishes a maximum City contribution of' $199 per month . If an employee selected a plan with a higher premium, the difference would be paid by the employee through payroll deductions . It is anticipated that P . E.R.S . will receive a rate increase July 1, 1984 . At such time, Staff will evaluate the extent of the increase and may recommend an adjustment of the City contribution. It has been recognized that by participating in the plan the City becomes obligated to pay health insurance costs for employees who retire. The City must contribute at the same level as it provides to active employees . The City could terminate its obligation if at a future date the council chose to withdraw from the P . E .R. S . health plan . However , at the present this plan offers the most effective method of providing benefits. Staff will continue to monitor the provision: •:f health care benefits to assure that they are provided in a cost effective manner . Recommendation The following action is required to enroll the City in the P.E.R.S. Health Insurance Program. P . E.R.S . must receive the resolutions by April 10th for the coverage to be effective on May 1 , 1984 . It is recommended that the City Council adopt the "Resolution Electng To Be Subject to Public Employees ' Medical and Hospital Care Act and fixing The Employers Contribution. " RESOLUTION NO. - 84 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF DUBLIN -------------------------------------- ELECTING TO BE SUBJECT TO PUBLIC EMPLOYEES ' MEDICAL AND HOSPITAL CARE ACT AND FIXING THE EMPLOYERS' CONTRIBUTION WHEREAS, Government Code Section 22850 provides the benefits of the Public Employees ' Medical and Hospital Care Act to employees of local agencies contracting with the Public Employees ' Retirement System on proper application by a local agency; and WHEREAS, Section 22852 . 6 of the Act provides that a local contracting agency shall fix the amount of the employer ' s contribution; and WHEREAS, the City of Dublin, hereinafter referred to as Public Agency, is a local agency contracting with the Public Employees ' Retirement System; and WHEREAS, the Public Agency desires to obtain for its employees and annuitants the benefit of the Act and to accept the liabilities and. obligations of an employer under the Act and Regulations; NOW THEREFORE, BE IT RESOLVED that (a ) the Public Agency elects, to be subject to the provisions of the Act ; (b) the employer ' s contribution for each employee or annuitant shall be the amount necessary to pay the full cost of his enrollment, including the enrollment of his family members, in a health benefits plan or plans up to a maximum of $199 .00 per month plus administrative fees and Contingency Reserve Fund assessments; ( c) the City Council does hereby appoint and direct, . .Richard Ambrose, City Manager to file with the Board of Administration of the Public Employees ' Retirement System a verified copy of this Resolution, and to perform on behalf: of.-said Public -.Agency -all functions required of it under the Act and Regulations of the Board of Administration; : (d) coverage` under : the Act to be .effective on May 1 , 1984 . - PASSED, APPROVED AND ADOPTED this - 26th ..day of -March, 1984 . . - , AYES: NOES: ABSENT: Mayor ATTEST: City Clerk