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Human Resources Department recommending the Board take the following actions regarding Health Plan Programs for the 2024 Plan Year:
1) Approve the proposed 2024 retiree, Affordable Care Act compliant plan, and Operating Engineers, Local 3 Health Trust health plan rate cards (Attachment A) based on the cost sharing of health premiums in the current Memoranda of Understanding with all bargaining units, and the Salary and Benefits Resolution for unrepresented employees; and
2) Grant Human Resources the authority to correct any minor clerical errors or adjustments, if necessary, to the approved health plan rate cards for the 2024 health benefits plan year, as needed.
FUNDING: Countywide cost, shared between the County Departments (General Fund and Non-General Fund) and participating retirees.
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DISCUSSION / BACKGROUND
Health Plans
On August 29, 2023, the Board of Supervisors adopted the 2024 health plan rate cards for active employees, outside agencies whose benefits are administered through the County, and COBRA continuation of coverage plans (Legistar #23-1481).
Medicare Retirees who are sixty-five (65) or older are eligible to purchase Medicare advantage supplement health plans through UnitedHealthcare (UHC) and Kaiser Permanente Senior Advantage (KPSA); the rates for the KPSA and UHC plans were not yet available to be presented to the Board on that date.
Further, the IRS had not yet announced the Affordable Care Act (ACA) affordability limit. The ACA affordability limit is the maximum amount that an employee can be required to pay for their share of the premium for employee-only coverage in an employer-sponsored health plan. Because the Blue Shield PPO 2000 ABHP High plan is the County’s ACA compliant plan, the employee/employer share of premium rates for that plan cannot be established until after the IRS announces the ACA affordability limit.
As the KPSA and UHC premium rates have since been released, and the IRS announced the 2024 ACA affor...
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