Title
Human Resources Department recommending the Board take the following actions regarding Health Plan Programs and Ancillary Employee Benefit Programs for the 2025 Plan Year:
1) Approve the proposed 2025 Retiree and COBRA health plan rate cards (Attachment A) based on the cost sharing of health premiums in the current Memoranda of Understanding with all bargaining units, the Salary and Benefits Resolution for unrepresented employees, and in accordance with the Patient Protection and Affordable Care Act; and
2) Delegate authority to the Human Resources Department to correct any minor clerical errors or adjustments, if necessary, to the approved health plan rate cards for the 2025 health benefits plan year, as needed.
FUNDING: Countywide cost, shared between the County Departments (General Fund and Non-General Fund) and employees.
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DISCUSSION / BACKGROUND
Health Plans
On August 27, 2024 (Legistar file 24-1397), the Board of Supervisors adopted the 2025 health plan rate cards for active employees, outside agencies whose benefits are administered through the County, and Operating Engineers, Local 3 (OE3)’s Health Trust plans for their members in our Trades and Crafts (TC) and Corrections (CR) bargaining units.
Medicare Retirees who are 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 August 27, 2024 with Legistar file 24-1397. As the KPSA and UHC rates have since been received, Human Resources is returning to the Board for the adoption of the 2025 Retiree rate card.
For the 2025 plan year, the following retiree Medicare Advantage supplement plans are scheduled to renew as follows:
KPSA 7.0% Increase
UnitedHealthcare 27.9% increase*
*Industry-wide, Medicare Advantage supplement plans are generally seeing large rate increases, mostly as a re...
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