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R-2016-093 2016-06-13RESOLUTION NO. R2016-93 A Resolution of the City Council of the City of Pearland, renewing the employee health insurance benefits for stop Toss and administration services with Cigna, renewing employee dental insurance with Aetna and renewing the employee vision plan benefits with Vision Benefits of American for fiscal year 2016-2017. BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PEARLAND, TEXAS: Section 1. That the City of Pearland has received proposals for employee benefit rates, attached hereto as Exhibit "A", and such rates have been evaluated. Section 2. That the City Council hereby renews the employee health insurance benefits for stop loss and administration services to Cigna in the amount described in exhibit "A", attached hereto and incorporated for all purposes. Section 3. That the City Council hereby renews its contract for employee dental insurance with Aetna. Section 4. That the City Council hereby renews its contract for employee vision plan benefits with Vision Benefits of America. PASSED, APPROVED and ADOPTED this the 13th day of June, A.D., 2016. ATTEST: YF'UNG L? ' F1NG, T Y SE' ' ETARY APPROVED AS TO FORM: DARRIN M. COKER CITY ATTORNEY TOM REID MAYOR ``‘%t1111111,,' Resolution No. R2016-93 Exhibit "A" IPS Advisors, LLP Exhibit "A" Corporate Benefits Consulting Goal to TWO Yaw tap.nee IMO NOIR June 13, 2016 111:1164 Insurance Planning Services ..,Heap You Uncover • Then Cover r Platt Retirement Plan Consulting choosing Your Company Retirement Plan Is a Big Decision • We Offer 8h{ Hey, City of Pearland Health Plan Renewal and Recommendations Presented By: Brent A. Weegar, MBA Brian Wilson Principal Account Manager IPS Advisors, LLP 10000 North Central Expressway, Ste. 1100 Dallas, Texas 75231 214-443-2400 (phone) 214-443-2424 (fax) www.ipsadvisors.com Table of Contents 1. Historical Claims Update II. Health Plan Renewal — Budget Projection III. Medical Renewal Rates & Plan Design Proposal IV. Recommendations Ips1 Health Plan - 2015-2016 Financials Month Oct -14 Enrollment 530 Medical 5501,557 Pharmacy 565,287 Administration 518,294 S •ec & A.. Premium Total Cost $48,972 $634,111 Nov -14 525 $365,032 564,263 518,127 548,510 $495,932 Dec -14 523 5426,424 $48,357 518,050 $48,325 5541,157 Jan -15 524 5368,364 539,774 518,073 548,418 5474,629 Feb -15 522 $637,016 559,475 517,997 $48,233 $762,720 Mar -15 526 5309,903 $78,203 518,130 548,602 5454,840 Apr -15 525 5404,808 $73,258 518,077 548,510 $544,653 May -15 529 5314,373 547,182 518,231 548,880 $428,666 Jun -15 536 5312,181 559,803 518,475 $49,526 5439,985 Jul -15 550 5368,369 $47,671 $18,943 550,820 $485,803 Aug -15 551 5358,941 561,042 518,977 550,912 5489,873 Sep -15 549 $343,235 556,680 518,910 550,728 5469,552 Total 533 $4,710,204 5700,996 5220,283 5590,436 56,221,919 Stop Loss 5161,629 Net cJakns $4,548,575 5700,996 5220,283 $ 29 5 Change (5156,536) (5193,787) (51,854) 5590,436 $6,,060060,, 290 Change -3.3% -21.7% -0.8% 55,684 (5346,493) ter CaPita $8,542 51,316 5414 1.0% -5.4% '% Change -1.1% -19.9% 51,109 511,381 Month Oct -15 Enrollment 558 Medical Pharmacy 1.4% Administration 3.3% Spec & Agg Premium -3„3% Total Cost 5391,442 540,049 519,161 553,981 5504,632 Nov -15 558 5325,577 $58,550 519,171 553,981 5457,279 Dec -15 561 5387,074 545,883 519,271 554,271 5506,500 Jan -16 559 5297,932 553,244 519,214 554,078 5424,468 Feb -16 557 5354,959 $73,611 $19,118 $53,884 $501,572 Mar -16 566 $375,763 571,455 519,419 554,755 $521,392 otal 560 52,132,746 5342,793 5115,354 $324,950 $2,915,843 • top Loss $ nnuallzed 54,265,493 $685,586 $230,709 $ Change ($283,082) (515,411) $10,426 5649,899 55,831,686 Change -6.2% -2.2% 4.7% 559,463 (5228,603) Caples 57,619 51,225 $412 10.1% -3.8% Change -10.8% -7.0% -0.4% 51,161 4.7% 510,417 -8.5% ips 1l AOV6OM Per Capita Medical Claims 510,000 59,000 58,000 $7,000 56,000 55,000 54,000 53,000 52,000 $1,000 50 $6,641 2011-2012 $7,368 2012-2013 $8,640 2013-2014 $8,542 2014 2015 Per Capita Medical Claims Medical Claims %A 2011-2012 56,641 2.5% 2012-2013 $7,368 10.9% 2013-2014 $8,640 17.3% 2014-2015 $8,542 -1.1% 2015-2016 Ann $7,619 -10.8% $7,619 2015 2016 Ann ips1 ADVKC t} Per Capita Rx Claims 51,800 $1,600 51,400 51,200 $1,000 5800 5600 $400 5200 50 $1,546 51,682 2011-2012 2012-2013 51,643 2013-2014 51,316 51,225 2014-2015 2015-2016 Ann Per Capita Rx Claims Rx Claims %A 2011-2012 51,546 11.7% 2012-2013 $1,682 8.8% 2013-2014 $1,643 -2.3% 2014-2015 51,316 -19.9% 2015-2016 Ann $1,225 -7.0% ips1 Total Per Capita Claims $12,000 - $10,000 • 58,000 - $6,000 • 54,000 - 52,000 - $0 $8,187 2011-2012 $9,050 2012-2013 $10,283 2013-2014 $9,858 $8,844 2014-2015 2015-2016 Ann Per Capita Total Claims Total Claims %/I 2011-2012 $8,187 4.1% 2012-2013 $9,050 10.5% 2013-2014 $10,283 13.6% 2014-2015 $9,858 -4.1% 2015-2016 Ann $8,844 -10.3% III. Medical Renewal Rates and Plan Design Discussion Projected Health Plan Costs—Total Cost Notes: *Total Cost = needed Employer and Employee revenue *Total Cost does not include Dental or Vision ips1 *DVrfO �, Actual 2014-2015 Annualized 2015-2016 Projected 2015-2016 Projected 2016-2017 Expected Claims (Med & Rx) $5,241,125 $4,951,078 $5,318,580 $5,763,121 Specific Stop Loss Premium $590,436 $649,899 $649,899 $657,058 Cigna Admin $220,283 $230,709 $230,709 $232,437 Health Care Reform Fees $75,008 $56,143 $56,143 $35,471 Less Rebates $41,935 -$74,758 -$74,758 -$74,758 Total $6,084,917 $5,813,071 1 $6,180,573 $6,613,329 $ Change from Prior Year n/a -$271,846 v $95,656 $432,757 % Change from Prior Year n/a -4.5% 1.6% 7.0% Per Capita Total $11,427 $10,384 $11,040 $11,684 % Change from Prior Year n/a -9.1% Tr 3. `' 5.8% Enrollment 533 560 560 566 Notes: *Total Cost = needed Employer and Employee revenue *Total Cost does not include Dental or Vision ips1 *DVrfO �, Projections - Assumptions ■ Annualized 2015 — 2016 ■ Annualized Claims = October 2015 — March 2015 ■ Projected 2015 — 2016 ■ Projected Claims = Last 24 months claims projected through 2016 fiscal year end (including trend) • 7.8% medical trend • 11.6% pharmacy trend ■ Projected 2016 — 2017 ■ Projected Claims = Last 24 months claims projected through 2017 fiscal year end (including trend) • 7.8% medical trend • 11.6% pharmacy trend • 0% increase in stop loss premiums • 0% increase in administration fees ■ $29 per member per year in 2016-2017 PPACA Fees Projected Health Plan Budget and Fund Balance Projected Enrollment Budget 2014-2015 Budget 2015-2016 Budget 2016-2017 Budgeted Employees 529 591 611 Per Capita Budget S12,383 $13,168 $11,684 % Change from Prior Year n/a 6.3% -11.3% Fund Balance as % of Total Cost 7.7 33.4- 29.0;, Projected Budgeted Cost $6,550,588 $7,782,288 $7,138,924 $ Change from Prior Year n/a $1,231,700 -$643,364 % Change from Prior Year n/a 18.8% -8.3% Projected Enrollment 533 560 611 Projected Total Cost $6,084,917 $6,180,573 $7,138,924 Fund Balance Increase/ Decrease $465,671 $1,601,715 $0 Cumulative Fund Balance $465,671 $2,067,386 $2,067,386 Fund Balance as % of Total Cost 7.7 33.4- 29.0;, Notes: Budgeted Cost = Needed Employee and Employer Revenues 2016-2017 Enrollment of 611 Employees = 648 total positions less 37 Opt Outs Target Fund Balance = 25% of Budgeted Cost ips1 Projected Health Plan Budget Employer and Employee Funding 1 Budget 2014-2015 Budget 2015-2016 Budget 2016-2017 Budgeted Employees 529 591 611 Total Budget $6,550,588 $7,782,288 $7,138,924 Budgeted Employee Funding $756,277 $1,072,402 $1,291,654 Budgeted Employet Funding $5,794,311 $6,709,886 $5,847,270 % Employer Funding 88% 86% 82% Notes: 2016-2017 Budget assumes Wellness Discount Program and 68% Dependent Funding implemented 2016-2017 Enrollment of 611 Employees = 648 total positions less 37 opt outs III. Medical Renewal Rates and Plan Design Discussion 2016 — 2017 Proposed Plan Design Plan Changes Specialty Drug Copay to be Increased from $100 to $125 Members may fill up to 90 day supply at retail a 3 x copay. Telemedicine added to HSA Plan at a $40 per visit cost to member. Ips1 ADVtSO S CIGNA HSA PLAN In Network Out of Network Kelsey Care 90 Kelsey Care 80 In Network Only In Network Only Plan Type Maximum Benefit Individual Deductible Family Deductible Ind. Coinsurance Limit (Not including ded.) Family Coinsurance Limit Coinsurance Physician and Provider Services - Office Visits PCP Office Visit Co -pay Urgent Care Copay Specialist Office Visist Co -pay Lab and X-ray Unlimited 52,500 $5,000 55,000 $10,000 Unlimited Unlimited n/a n/a n/a n/a $4,000 $8,000 80% 80% after ded. 58,000 516,000 52,000 $3,000 54,000 56,000 60% 60% after ded. 90% 525 $75 550 No Cost Share 80% 525 $75 550 No Cost Share 80% after ded. 80% after ded. 80% after ded. 60% after ded. 60% after ded. 60% after ded. At Facility 80% after ded. 60% after ded. 90% 80% Preventive Health Care Hospital Services Inpatient Hospital Stay Physician Fees for Surgery Outpatient Sugery MRI / CT Scan / PET Scan / Stress Tests Emergency Room Medical Supplies Prosthetic Devices Durable Medica! Equipment Assisted Care home Health Care Skilled Nursing Facility No Cost Share 80% after ded. 80% after ded. 60% after ded. 60% after ded. 60% after ded. No Cost Share 90% 90% No Cost Share 80% 80% 80% after ded. 80% after ded. 80% after 60% after ded. 60% after ded. 90% No Cost Share 80% No Cost Share ded. 5200 Copa 90% 5200 Copay 80% 80% 80% 80% 80% after ded. 80% after ded. 60% after ded. 60% after ded. 90% 80% after ded. 60% after ded. 80% after ded. 60% after ded. CIGNA 90% 90% Prescription Drugs: Generic (Tier 1) Name brand (Tier 2) Non -formulary (Tier 3) Speciality Drugs Mail order $15 after ded. None 535 after ded. None 550 after ded. None $125 after ded. None 2X None 510 540 $80 5125 2X 510 $40 $80 5125 2X Plan Changes Specialty Drug Copay to be Increased from $100 to $125 Members may fill up to 90 day supply at retail a 3 x copay. Telemedicine added to HSA Plan at a $40 per visit cost to member. Ips1 ADVtSO S Enrollment Profile 25 %ofTotal Enrollment Employee Only Employee + Spouse 44 Employe + Child(ren) 95 Employee + Family 144 • Employee Only Employee + Spouse Employe + Child(ren) Employee + Family Employee Enrollment % of Total 279 Total 562 49.6% 7.8% 16.9% 25.6% ips1 ♦DV'Y?•1 Full Time Employees 23 3 10 13 49 Current Subsidy Strategy — 70% Dependent Funding for Kelsey Care 80% Plan HSA Plan mployee + Spouse + Children + Famil Premium Contributions - Annual HSA Contributions (5500 Ind. / 51,000Fam.) otal Contributions - Annual Kelsey Care 80% City Contributions at 100% Full Time Employee Only and 70% Dependent Funding Employees Employee + Spouse + Children + Family emium Contributions - Annual 114 27 50 63 254 Kelsey Care 90% Full Time Employees mployee + Spouse + Children + Fami Premium Contributions - Annual 142 14 35 68 259 All Plans "Full Time Employees otal Contributions - All Plans — Annual 562 Medical Rate 5621 $684 5497 $1,120 5624,202 537,500 5661,702 City Contribution (5) 5573 5462 5335 5755 5511,839 537,500 5549,339 City Contribution Employee Contribution (%) (5) 92.3% 67.4% 67.4% 67.4% 82.0% 100.0% 83.0% 548 $223 $162 5365 5112,363 50 5112,363 'Total Em Con tri bu (5) 548 $271 5209 $412 Medical Rate $640 5706 $512 51,154 53,360,332 City Contribution City Contribution Employee Contribution (5) (%) (5) 5615 5494 $359 5808 52,861,539 96 1% 70.0% 70.0% 70.0% 85.2% 525 $212 5154 5346 5498,793 Medical Rate City Contribution City Contribution Employee Contribution (5) (%) (5) $663 $731 5531 51,196 5615 5494 5359 5808 92.8% 67.6% 67.6% 67.6% $48 5237 $172 5388 'Total Em Contnbu (5) 525 5237 $179 5371 'Total Em Contribt (5) 548 5285 5220 5436 loyee tion 53,382,574 52,805,351 82.9% 5577,224 Toto! Me cal Cost City Contribution (5) City Contribution Employee Contribution (`1) (5) 57,404,608 56,216,228 84.0% F 51,188, 380 Note: 'Total Employee Contributions will be discounted 525 per month for employee participation in annual physical program. The discounted rates represent no increase to employee contributions over 2015 - 2016 rates. "562 Employee Enrollment = July 2016 = includes active employees only and excludes retirees and COBRA participants 1 Proposed Subsidy Strategy — 68% Dependent Funding for Kelsey Care 80% Plan HSA Plan mployee + Spouse + Children + Family remium Contributions Annual SA Contributions (5500 Ind. / 51,000 Fam.) otal Contributions - Annual Full Time Employees 23 3 10 13 49 Medical Rate 5621 5684 $497 51,120 City Contribution (5) 5573 $445 5323 5728 City Employee Contribution Contribution (Y•) (5) 92.3% 65.0% 65.0% 65.0% 548 5240 5174 5392 'Total Employee Contribution (5) 548 $287 5222 5440 "Total Em Total Employee pntribut Contribution Change Change (5) _ ' (%) 50 O% $17 6% $12 6% 527 7% $624,202 5505,516 81.0% 5118,686 $37,500 537,500 100.0% 50 $661,702 5543,016 82.1% $118, 686 Kelsey Care 80% - City Contributions at 100`J Employee Only and 68% Dependent Funding Employee + Spouse + Children + Family Premium Contributions Annual Full Time Employees 114 27 50 63 City City Employee Medical Rate Contribution Contrbution Contribution (5) (Si 5640 5706 5512 51,154 5615 $480 5348 5785 96.1% 68.0% 68.0% 68.0% $25 5226 $164 5369 - •Total Employee al Em Total Employee Contribution trtbut Contribution (5) Change Change (%) 525 5251 5189 5394 50 514 510 $23 0% 6% 6% 6% 254 53,360,332 52,833,366 84 3% 5526,966 Ke'Sey Care 90% mployee + Spouse + Children + Famil • remtum Contributions - Annual Full Time Ern pfoyecs 142 14 35 68 259 A' Pans otal Contributions All Plans - Annual Chante From 70% De.endent 0•tion Chante From 70% Dependent 0.bon •••Full Time Employees 562 Medical Rate 5663 $731 5531 $1,196 53,382,574 City Contribution (5) 5615 5480 5348 $785 52,779,838 City Employee Contribution Contribution (%) (5) 92.8% 65.7% 65.7% 65.7% 82.2% 548 5251 5182 $411 5602,736 City Total Medical Cost Contribution (5) 57 404,608 50 0.0% 56,156,220 f SE -0.008! City Contribution ((%) 83.1% Employee Contribution (5) 51 248,389 560,008 5.0% Note: *Total Employee Contributions will be discounted 525 pe month for employee participation in annual physical program. ••Total Contribution change represents change from 70% Dependent Option •••562 Employee Enrollment = July 2016= includes active Employees only and excludes retirees and COBRA participants •Total Employee Contribution (5) 548 5299 5230 $459 •Total Employe'Total Employee ntribut Contribution Change •. 'Change IS) ) 50 514 510 523 0% 5% 5% 5% ips{i • • • Full Time Employees 562 23 3 10 13 49 Proposed Subsidy Strategy — 62% Dependent Funding for Kelsey Care 80% Plan HSA Plan Full Time Employees mployee + Spouse + Children + Famil IrrargrirMrag otal Contributions - Annual Kelsey Care 80% • City Contributions at 100°° Full Time Employee Oily and 62% Dependent Funding Employees City City Medical Rate Contribution Contribution (5) (%) Employee Contribution (5) 5621 5684 5497 51,120 5624,202 537,500 5661,702 5573 $404 $293 $661 5489,978 537,500 5527,478 92.3% 59.0% 59.0% 59.0% 78.5% 100.0% 79.7% 548 $281 $204 5459 5134,224 50 5134,224 City City Medical Rate Contribution Contribution (5) (°•) Employee Contribution (5) mployee 114 $640 5615 +Spouse 27 5706 5437 + Children 50 $512 5318 • Family 63 51,154 5716 Premium Contributions Annual 254 53,360,332 52,748,847 Kelsey Care 90% Full Time Employees mployee • Spouse + Children + Family remium Contributions - Annual 142 14 35 68 259 96.1% 62.0% 62.0% 62.0% 81.8% 525 $268 5195 $439 5611,485 •Total Employee Contribution (5) 548 5328 5251 5507 Otal Employee •• tnbut Change (5) 50 558 542 595 Total Employee Contribution Change 0% 21% 20% 23% •Total Employee Contribution (5) 525 5293 5220 5464 $0 556 $41 $92 Total Employee Contribution Change (%) o% 24% 23% 25% City City Medical Rate Contribution Contribution (5) (;) Employee Contribution (5) 'Total Employee Contribution (5) $663 5731 $531 $1,196 5615 $437 5318 5716 92.8% 59.9% 59.9% 59.9% 548 5293 5213 5480 548 5341 5261 5528 Employee ontnbution Change - 50 556 $41 592 Total Employee Contribution Change • i) 0% 20% 19% 21% 53,382,574 52,703,300 79.9% 5679,274 All Plans otal Contributions All Plans - Annual Chante From 70%De•endent O•tion Chane From 70% De. • ndent O.tion City City Total Medical Cost Contribution Contribution (5) (Y.) 57,404 608 50 0.0% $5,979 625 5236,603) -3.8% 80.8% mptcyee Contribution (5) 51,424,983 5236,603 19.9% Note: 'Total Employee Contributions will be discounted 525 per mon h for employee par icipation in annual physical program. "Total Contribution change represents change from 70% Dependent Option •"562 Employee Enrollment = July 2016- includes active Employees only and excludes retirees and COBRA participants 2016 — 2017 Recommendations Health Plan Renewal Renewal with Cigna is recommended for the 2016 plan year. Cigna's renegotiated renewal represents a -8.1% decrease in the City's maximum annual funding liability including no increase in administrative and stop Toss fees. Further, IPS is recommending a -11.3% decrease to the per capita budget for the FY 2017 due to claims results and replenishment of recommended reserve levels. Health Plan Design As part of this package, the City offers a Kelsey -Seybold ACO plan that is designed, especially over time, to improve wellness, emphasize prevention, and reduce costs for all parties. In addition, a Health Savings Account Plan is offered for those employees who wish to opt out of the KelseyCare plan. The Health Savings Account Plan is designed so that participants become educated consumers and stewards of their health care dollars. The City's health insurance plan design is substantially in line with benchmarks and no significant adjustments are recommended at this time. IPS did evaluate Copay and Out of Pocket adjustments but overall cost savings was minimal at this time as claims trends continue to show moderation. Prescription Plan Design The City has recently implemented Step Therapy, Prior Authorization and Dispensed as Written penalties to manage drug trend escalation and high cost specialty drugs. For FY 2016 it is recommended that the City consider adjustments to the specialty copay level $100 to $125 Copay and consider 90 day supply dispensing at retail. Overall, IPS projects that these changes would save the City approximately 1.4% on drug spend or $11,854. 20 ■ ' IIADVKORS 2016 — 2017 Recommendations Contributions The City currently funds 100% to Employee and 70% to dependents for the base Kelsey -Care plan. The City has evaluated options to reduce dependent subsidies to a public sector benchmark of 62% to the base Kelsey -Care plan. IPS is recommending a mufti -year strategy for dependents subsidy reductions and a move from 70% to 68% for the FY 2017. Health Care Reform The City of Pearland is currently meeting all required components of the employer mandate including 30 hour eligibility, minimum value and affordability provisions. The City will continue to pay the Transitional Reinsurance Fee and PCORI fee for FY2017. Last, it is important to note that the next major provision of health care reform, the "Cadillac Tax" has been delayed until 2020. Health and Wellness Employees were informed last plan year that they would need to complete a wellness physical this current year in order to eligible for the 'wellness' discount in this upcoming plan year. In keeping with that, IPS and Staff are recommending adding $25 a month to the employee contribution for those that have not completed their wellness visit this year. As a future strategy, we are recommending increasing this amount to $50 for FY 2018 and adding that same expectation to spouses currently on the plan. If approved, spouses on the plan would be told this plan year that they must attend their wellness visit in order to have the fee waived in the following plan year. ips (1 ♦DVt1011 2016 — 2017 Recommendations Telemedicine A lower cost option for care that is a viable consideration is telemedicine. This program can provide 24/7/365 access to a physician specializing acute conditions. The service is designed to treat conditions such as cold, flu, bronchitis, allergies, respiratory infections and much more. Medications may also be prescribed. The service provides a lower cost and more convenient care for common medical conditions. It is recommended to offer telemedicine to the HSA plan through Cigna's MD Live Program. The cost for Cigna's administration will be $294 annually to the City. The Cost for a visit to the member will be $40 per visit. Currently, Cigna does not offer a Telemedicine option for Kelsey Care members, however we have been told by Kelsey Care that it is expected to be an offering in FY2018. Dental The dental plan of benefits and funding structures are in line with benchmarking and are currently in a 2 year rate guarantee. The City renews its dental insurance 10/1/17. Vision The vision plan of benefits and funding structures are in line with benchmarking and are currently in a 2 year rate guarantee. The City renews its vision insurance 10/1/17. Life and Disability The City renews its Life and Disability program and the RFP the RFP for these coverages was released on May 19th and is due June 14th. Presentation of results for council approval will be made at a later date. 051 TRUST RESPONSIVE BUILDERS ACCOUNTABLE City of Pearland Benefits Survey FY 2016 Benefit Plans Survey Results Summary RESULTS ORIENTED pearlandtx.gov Survey Respondents • 253 employees completed the survey • 65.61 °/0 Male, 34.39 % Female • Majority of respondents have been with the City betweenl-9 years of service • 80 % on Kelsey Care Plan 90/10 or 80/20 • 11% on HSA Plan TRUST RESPONSIVE BUILDERS ACCOUNTABLE RESULTS ORIENTED 0 a.J p,44 ei0 pearlandtx.gov Kelsey Care Plans • Kelsey overall 3.5 satisfaction rating • 25% of employees surveyed stated they had a difficult time finding a doctor or setting an appointment • 30% of employees surveyed had a difficult time getting an appointment with a Specialist • On average it is over a 3 week wait to see an Specialist TRUST RESPONSIVE BUILDERS ACCOUNTABLE RESULTS ORIENTED %1 T l 1, A pearlandtx.gov HSA Plan • Only 6% feel they don't understand how HSA plans work • Employees are neutral on the HSA plan • Over half of the employees with the HSA plan contribute to their account • 3 out of 4 employees would like the City to contribute more toward the HSA plan TRUST RESPONSIVE BUILDERS ACCOUNTABLE RESULTS ORIENTED I . A �f1 'Rlf pearlandtx.gov Medical Plan Customer Service • 84% of the employees who were surveyed have used their medical plan in the last 12 months but, only half have use their medial plan customer service • Out of the 84% only 21°/o were unhappy with the customer service they received TRUST RESPONSIVE BUILDERS ACCOUNTABLE RESULTS ORIENTED Ot 's , n • t s, H pearlandtx.gov Pharmacy Program • Out 67% of employees who have used the pharmacy program in the last 12 months only 3% are unsatisfied • Only 8% have used the Mail Order service TRUST RESPONSIVE BUILDERS ACCOUNTABLE RESULTS ORIENTED pearlandtx.gov Dental Plan • 68.14 % satisfied with current dental plan Aetna Dental TRUST RESPONSIVE BUILDERS ACCOUNTABLE RESULTS ORIENTED • Yes • No G I t k pearlandtx.gov Vision Plan • 55.95 °A satisfied with current vision plan TRUST RESPONSIVE BUILDERS ACCOUNTABLE Vision Benefits of America RESULTS ORIENTED ■ Yes No 0� `Sl. i8�a pearlandtx.gov Wellness • 75% indicated they have participated before, with 52% indicating they participated this year. • Over 50% said they would participate if they received financial rewards or days off and 10% indicated they would not participate • General comments for free membership to the recreation center TRUST RESPONSIVE BUILDERS ACCOUNTABLE RESULTS ORIENTED C• 'S r I pearlandtx.gov Overall Census • There were many comments indicating employees would prefer another PPO option other than the HSA plan as well as more coverage under both the Dental and Vision Plan • Overall employees understand their benefits and increasing their pay is more important than paying for better bene RESPONSIVE TRUST BUILDERS ACCOUNTABLE RESULTS ORIENTED iI 7 fia♦ pearlandtx.gov