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4.0. SR 12-06-1999 rei ----'\) ( ); trl{ Item #4. MEMORANDUM TO: Mayor & City Council Pat Klaers, City ~ December 6, 1999 FROM: DATE: SUBJECT: Discuss City Contribution to Employee Health Insurance . The city has 64 employees covered under the Blue CrosslBlue Shield insurance policy. In 2000 the medical coverage will be offered by the Medica policy. This excludes the police union employees who are covered under a separate program. Of these 64 employees, currently 40 have employee only coverage, 13 have family coverage, and the remaining 11 have either employee/child or employee/spouse coverage. These numbers will change for 2000 and it is anticipated that approximately 20 employees will select family, spouse, or child coverage. The city currently contributes $355 per month toward the insurance for each employee. All employees get their insurance paid by the city, but the single coverage employees do not use all of the funds made available by the city, while the other three coverage groups have to contribute in order to pay the full premium. The city really has two different issues to look at with its insurance and benefits program. One issue is to begin offering cafeteria type benefits whereby employees can select the benefits they desire from a menu of selections. The other issue is dealing with the high cost of family insurance premIums. I think everyone is somewhat familiar with the cafeteria program. Under this program employees have a certain amount of money available to them and they select their insurance plan and anything else that can be fit under the maximum figure set by the city. This can include disability insurance, additional life insurance, or, in some cases, getting the extra available dollars in additional wages. . 13065 Orono Parkway · P.O. Box 490. Elk River, MN 55330. TDD & Phone: (612) 441-7420. Fax: (612) 441-7425 . . . Employee Health Insurance December 6,1999 Pae-e 2 of3 A cafeteria program was proposed to the City Council by an employee committee in 1990, and was again presented to the council in 1994. Both times the proposal was rejected by the council. I recommended the City Council vote against both proposals based mainly on cost. For example, the difference between what the city offers (based on $355/month) and the cost of single coverage insurance amounts to about $96 per month times 12 months times 40 employees, or $46,000. This amount could be even higher if more employees are selecting single coverage and the city contribution amount increases. While this is expensive to the city, I believe we need to move toward something on this order to be able to attract and retain quality employees and to improve employee morale. This is somewhat an acknowledgment that it is a much different employee market in 2000 than it was in 1990 or 1994. An employee committee needs to work on this and present a recommendation to the council in the not too distant future. Dealing with the rising cost of family medical insurance premiums is very difficult. In spite of changing providers, the city premium for family coverage is again going up dramatically for 2000. We experienced similar increases in 1989 and in 1994. If nothing is done for our employees that have family insurance coverage, they will see a minimum of an extra $79 being taken out of their check for insurance. This is not unlike the $90 per check increase the family coverage employees saw in 1994. (In some cases this $79 per check figure is higher because of the deductible plan that the employee chose in 1999.) The easy solution for the City Council is to give more money so that the employee selecting family coverage will not have to pay as much out of each paycheck. However, the city has to look at the cost of this easy solution. For example, assume the city offered an extra $100 per month for a contribution of $455 in 2000. There will be about 20 employees with family, spouse, or child coverage that will realize this benefit and this will cost the city about $24,000 (20 employees x $100 x 12 months = $24,000). Additionally, the city will see a number of single coverage employees switch to either family or employee/child or employee/spouse coverage as it will be cheaper with the city than where they are currently getting this insurance. The difference between the single insurance policy and a $455 city contribution is $196 per month and if only 10 employees made an insurance policy switch, this would amount to an extra $23,000. By adding these together it is conceivable that the solution of offering an extra $100 per month for insurance could cost the city about $47,000. (However, the city will have some additional expense regardless, assuming a "typical" contribution increase is made by the city.) . . . Employee Health Insurance December 6, 1999 PalZe 3 of 3 In addition to costing the city more money, it should also be acknowledged that in 1989 and 1994 the City Council did not do anything special or unusual for the employees that had family coverage and who saw substantial increases in their premiums. The family coverage employees today are not necessarily the same ones as in 1989 or 1994, and while no one will feel bad about fellow employees receiving a positive financial benefit from the City Council today, there will, nonetheless, be some employees who will regret that they also didn't get a similar break five or ten years ago. Finally, a solution of providing an extra $100 or so per month for the family coverage employees may have a morale impact on the employees who have single coverage. By this I mean that for a number of years the single coverage employees have felt like they have made compromises to help the employees with family coverage by accepting higher co pays and even switching plans so that the financial impact on the family coverage employees would be less. In this regard the single coverage employees have consistently "taken less and paid more" and now the City Council will be providing additional help for the family coverage employees and nothing for the single coverage employees. However, this "nothing" may change dramatically if the City Council also decides to pursue a cafeteria benefits program, as this program will have a positive impact on single insurance coverage employees. I believe the best course of action for the city is to not make any dramatic changes in our contribution to the city insurance packages and also to seriously explore offering cafeteria benefits for all employees. Over the last nine years the city has averaged an increase of $15 in its additional contribution to the employee insurance package. In comparison to the group 6 metro cities, we are slightly low in our per month contribution amount. A mid point type of solution is for the City Council to deviate from this past practice and increase its contribution to $45 for 2000. This would make our contribution amount $400 per month and this would be on par with the group 6 metro cities. . MONTHLY INSURANCE BENEFITS Current 2000 Sample Contribution City Contribution $ 355.00 $ 355.00 $ 370.00 $ 400.00 Life Insurance 4.63 4.63 4.63 4.63 Dental Insurance 19.50 20.25 20.25 20.25 Balance Available for Health Ins. 330.87 330.12 345.12 375.12 Single Health 194.32 234.25 234.25 234.25 Balance Avail. for Additional Health Ins. 136.55 195.87 110.87 140.87 Optional Additional Health 1. Employee & Children 408.08 389.90 389.90 389.90 Balance Paid by Employee 77.21 59.78 44.78 14.78 2. Employee & Spouse 446.95 442.70 442.70 442.70 Balance Paid by Employee 116.08 112.58 97.58 67.58 3. Family 582.97 739.50 739.50 739.50 Balance Paid by Employee 252.10 409.38 394.38 364.38 Family Dental all paid by employee even if not all City Contribution is spent. 1999 Family Dental - $33.79; 2000 Family Dental- $32.60 Blue Cross & Blue Shield Blue Choice Plan and Medica Elect used for comparison. . Medica Choice was used for employee only comparison. . Employee Employee Change in Employee Cost & Children & Spouse ~ NO INCREASE IN CITY CONTRIBUTION From Blue Choice to Medica Elect (17.43) (3.50) 157.28 From Blue Choice to Medica Choice 26.02 45.70 239.38 From BCBS $200 to Medica Elect** 43.50 63.31 244.65 From BCBS $200 to Medica Choice** 87.70 116.23 327.50 INCREASE CITY CONTRIBUTION TO $370 From Blue Choice to Medica Elect (32.43) (18.50) 142.28 From Blue Choice to Medica Choice 11.02 30.70 224.38 From BCBS $200 to Medica Elect** 29.25 49.06 230.40 From BCBS $200 to Medica Choice** 72.70 98.26 312.50 INCREASE CITY CONTRIBUTION TO $400 From Blue Choice to Medica Elect (62.43) (48.50) 112.28 From Blue Choice to Medica Choice (18.98) 0.70 194.38 From BCBS $200 to Medica Elect** (0.75) 19.06 200.40 From BCBS $200 to Medica Choice** 42.70 68.26 282.50 *AII include a dental insurance increase of $0.75. * *Not an accurate comparison because the employee was exposed to substantial deductible payments under the BCBD $200 ded. plan. rCI ---'\) ( )j tl~ Item #4. River MEMORANDUM TO: Mayor & City Council " Lori Johnson, Finance Director A~ FROM: DATE: December 6, 1999 SUBJECT: City Contribution to Employee Insurance . The City Council briefly discussed cafeteria plans when the health and dental insurance contracts for non-union employees were renewed on November 22. As requested I am providing some very general information to the council on cafeteria plans so that the council will have a better understanding of a full cafeteria plan. This issue has come to the council two times in the past. It has not been implemented due mainly to the costs associated with the program. However, due to the tight employment market, it may be something the council would like to explore as part of its effort to retain and attract quality employees. This is one of the items the benefits committee will be exploring along with other benefits issues. Several employees who are interested in serving on the benefits committee have already contacted me. I feel it is important for the employees to have a good understanding of the costs associated with the benefits that the city provides and to understand how the insurance renewal process works and how premiums are determined. Benefits are a considerable part of employee compensation so it is to everyone's benefit to provide employees the benefits they need and want within the city's budget. Finally, attached is a spreadsheet showing the monthly insurance benefit costs for both the city and employee depending on the type of coverage elected. The information includes the change in health and dental insurance as approved at the November 22 meeting. Also, the sample contributions of $370 or $400 per month are based on information from the city administrator's memo. . 13065 Orono Parkway · P.O. Box 490 · Elk River, MN 55330 · TDD & Phone: (612) 441-7420 · Fax: (612) 441-7425 . MONTHLY INSURANCE BENEFITS Current 2000 Sample Contribution City Contribution $ 355.00 $ 355.00 $ 370.00 $ 400.00 Life Insurance 4.63 4.63 4.63 4.63 Dental Insurance 19.50 20.25 20.25 20.25 Balance Available for Health Ins. 330.87 330.12 345.12 375.12 Single Health 194.32 234.25 234.25 234.25 Balance Avail. for Additional Health Ins. 136.55 95.87 110.87 140.87 Optional Additional Health 1. Employee & Children 408.08 389.90 389.90 389.90 Balance Paid by Employee 77.21 59.78 44.78 14.78 2. Employee & Spouse 446.95 442.70 442.70 442.70 Balance Paid by Employee 116.08 112.58 97.58 67.58 3. Family 582.97 739.50 739.50 739.50 Balance Paid by Employee 252.10 409.38 394.38 364.38 Family Dental all paid by employee even if not all City Contribution is spent. 1999 Family Dental - $33.79; 2000 Family Dental - $32.60 Blue Cross & Blue Shield Blue Choice Plan and Medica Elect used for comparison. . Medica Choice was used for employee only comparison. . Employee Employee Chang~ in Employ~e Cost & Children & Spouse Earl:lWt NO INCREASE IN CITY CONTRIBUTION From Blue Choice to Medica Elect (17.43) (3.50) 157.28 From Blue Choice to Medica Choice 26.02 45.70 239.38 From BCBS $200 to Medica Elect** 43.50 63.31 244.65 From BCBS $200 to Medica Choice* * 87.70 116.23 327.50 INCREASE CITY CONTRIBUTION TO $370 From Blue Choice to Medica Elect (32.43) (18.50) 142.28 From Blue Choice to Medica Choice 11.02 30.70 224.38 From BCBS $200 to Medica Elect** 29.25 49.06 230.40 From BCBS $200 to Medica Choice** 72.70 98.26 312.50 INCREASE CITY CONTRIBUTION TO $400 From Blue Choice to Medica Elect (62.43) (48.50) 112.28 From Blue Choice to Medica Choice (18.98) 0.70 194.38 From BCBS $200 to Medica Elect** (0.75) 19.06 200.40 From BCBS $200 to Medica Choice** 42.70 68.26 282.50 *AII include a dental insurance increase of $0.75. * *Not an accurate comparison because the employee was exposed to substantial deductible payments under the BCBD $200 ded. plan. HR UPDATE Public Sector Benefit Trends roviding a good employee benefits package has long been touted as an attractive feature of public employment. While a comprehensive benefits package is a selling point for public sector jobs, it no longer has the impact that it once did. Today's work- force is making it clear that basic bene- fits are still needed, but flexible benefits are what is really desired. As the employment market becomes tighter, cities are looking for new ways to attract and retain qualified employ- ees. Current public sector employees are interested in those programs and policies that allow employees to deter- mine for themselves what is best for them. The following are some of the programs enabling greater flexibility in today's public sector workplace: Paid time off. In the past, a typical paid time off package consisted of va- cation time, sick leave, and perhaps some paid leave to be taken in specific situations (funeral leave, military leave, maternity leave, etc.). Actions taken in recent years by both federal and state government including the Americans with Disabilities Act, the Family and Medical Leave Act, and the Minnesota Parental Leave Act, have caused many cities to revise and rethink their leave plans. In addition, employers are being challenged by employees wanting increased flexibility in the use of their paid time off. As a result, a common trend is for the employer to combine different kinds of paid time off and provide one kind of leave called "flex leave" to be used for any reason that an employee would need to be out of the office. Telecommuting. Telecommuting has become an accepted way of work ing for many public and private sector organizations. The most common form of telecommuting consists of an office employee working a couple of days SEPTEMBER 1999 By Tracie Chamberlin each week at home and reporting to the office the remainder of the week. Most telecommuters use the telephone to keep in touch with the office and other external contacts. The popular theory in support of telecommuting is that it eliminates wasteful commuting time and permits a better, more flexible balance of work and personal time. Telecommuting is also a tool used to retain the expertise of employees who are in need of a more flexible schedule. The consensus among those who have participated in a telecom- muting program is that it makes life a little easier for workers and a little harder for supervisors. "As the employment market becomes tighter, cities are looking for new ways to attract and retain qualified employees." Flexible work schedules. Flexible work schedule programs vary greatly among those cities that have chosen to implement them. Such schedules range from longer work days, which result in shorter work weeks, to flexible arrival and departure times, as well as many other options developed to meet the specific needs of employee and employer. A flexible work schedule is sometimes used to meet needs that may arise in conjunction with the Americans with Disabilities Act and the Family and Medical Leave Act, etc. Similar to telecommuting, flexible work schedules provide employees . th a greater opportunity to balance wor and personal time. aJeteria plans. Cafeteria plans are pular because they allow employees to design individualized benefit pro- grams that suit their own needs. They MINNESOTA CITIES allow employees to choose between cash and a variety of employer-pro- vided benefits without having to include the value of their chosen ben- efits as taxable income. For example, an employee with a working spouse may opt out of the health insurance plan if his or her spouse has a better health plan. The extra cash, which then becomes available, could be used to establish a reimbursement account for uninsured health expenses or for child care costs, etc. Cafeteria plans can also be used to close the gap between the employer contribution for single coverage versus family cover- age. Each employee receives the same dollar amount to use in designing his or her benefits program. While cafete- ria plans are increasing in popularity, employers need to be aware that the mere fact that a benefit is offered under a cafeteria plan does not make the ben- efit exempt from taxation. To qualifY for tax exempt status, a benefit program must comply with the rules of IRS Code Section 125. The trends discussed in this article provide a mere glimpse of the benefit programs being implemented in an effort to meet employees' increased desire for flexibility in the workplace. The issue of achieving an acceptable balance between work and personal time has become big enough to cause some employees to decide not to work at all if they can't achieve a balance with their employer. Of course, not all cities can feasibly offer these kinds of benefit programs. However, being aware that increased flexibility in the workplace is the way of the future will better enable you to discuss the issue with employees when it does come up in your city. ... Tracie Chamberlin is human resources representative with the League if Minnesota Cities. 45 . . . . . . . . . . FULL CAFETERIA PLANS . . Presented . By YVONNE JOHNSON VICE PRESIDENT, DCA STANTON GROUP September, 1999 . . . . . . . . . . . FULL CAFETERIA PLANS With the cost of medical coverages increasing dramatically, employers are seeking a way to offer more affordable and varied benefits to their employees. One vehicle widely used to deliver this is through the use of a Full Cafeteria Plans. The following information will assist you in determining if this option is appropriate for your organization. . . FULL CAFETERIA PLANS · Full Cafeteria Plans are designed to comply with the requirements of IRS Code Section 125. · These plans offer significant choices in the types and levels of coverage available to employees. · Allows employees to create a benefit package that more closely meets their individual needs. · Enables employers to finally tackle the issue of "How much overall do I pay my employees?" . FULL CAFETERIA PLANS Advantages · Better meets the needs of today' s diverse workforce · Empowers employees to make more informed personal benefit decisions · Takes advantage of pretax funding · Increases employee appreciation . ') . FULL CAFETERIA PLANS Advantages, continued · Offers a vehicle where by employers can offer a wider variety of benefits at no additional cost. · Allows employers to get a better handle on future funding . FULL CAFETERIA PLANS Disadvantages · Can be complex to implement · Employees are often suspicious · If employer contributions are not equal for all groups, this may need to be addressed · May have to change vendors if benefit options are not available from current carriers . ~ -) . FULL CAFETERIA PLANS What types of benefits are typically included? · Health and accident coverage, including medical, vision, prescription drugs, dental, long and short- term disability, and AD&D (code sections 105 and 106) · Group term life insurance (code section 79) · Dependent daycare (code section 129) · Cash . FULL CAFETERIA PLANS A cafeteria plan must offer a choice between cash and non-taxable benefits. . 4 . FULL CAFETERIA PLANS Why should an employer offer a full cafeteria Plan? · Fix annual bene tits costs to an annual contribution · . Introduce new benefits at no cost to the employer · Control which benefits are offered · Incent employees into more cost effective plans by controlling the price of certain benefits . FULL CAFETERIA PLANS Contributions · Nonelective employer contributions · Pretax employee contributions · After-tax employee contributions · A combination of any or all of the above . ::>