File #: 19-1145    Version: 1
Type: Agenda Item Status: Approved
File created: 7/18/2019 In control: Board of Supervisors
On agenda: 8/6/2019 Final action: 8/6/2019
Title: Human Resources Department recommending the Board take the following actions regarding Health Plan Programs and Ancillary Employee Benefit Programs for the 2020 Plan Year: 1) Approve the proposed 2020 health plan rate cards (Attachment A) based on the cost sharing of health premiums in the current Memorandum 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 (ACA); 2) Authorize the Director of Human Resources, or designee, to execute health and benefit program contract renewals subject to approval by County Counsel; and 3) Grant Human Resources the authority to correct any minor clerical errors or adjustments, if necessary, to the approved health plan rate cards for the 2020 health benefits plan year, as needed. FUNDING: County-wide cost, shared between the County Departments (General Fund and Non-General Fund) and employees.
Attachments: 1. A - 2020 Published Rate Cards 8-6-19, 2. B - 2020 Master Rates 8-6-19, 3. C - 2020 Renewal Financial Summary 8-6-19
Related files: 18-1292, 18-1423, 20-1072, 19-1184, 19-1226, 19-1366
Title
Human Resources Department recommending the Board take the following actions regarding Health Plan Programs and Ancillary Employee Benefit Programs for the 2020 Plan Year:
1) Approve the proposed 2020 health plan rate cards (Attachment A) based on the cost sharing of health premiums in the current Memorandum 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 (ACA);
2) Authorize the Director of Human Resources, or designee, to execute health and benefit program contract renewals subject to approval by County Counsel; and
3) Grant Human Resources the authority to correct any minor clerical errors or adjustments, if necessary, to the approved health plan rate cards for the 2020 health benefits plan year, as needed.

FUNDING: County-wide cost, shared between the County Departments (General Fund and Non-General Fund) and employees.
Body
DISCUSSION / BACKGROUND
Health Plans
The County of El Dorado (County) has participated in the California State Association of Counties-Excess Insurance Authority (CSAC-EIA) since 2012. As a member of this organization the County has successfully controlled costs of the health plans offered through CSAC-EIA on a year-over-year basis since 2012. The plans are scheduled to renew as follows:
· Blue Shield PPO 200 2.1% increase
· Blue Shield PPO 1350 ABHP 1.8% increase
· Blue Shield PPO 2000 ABHP (ACA Plan) 1.6% increase
· Kaiser HMO 5.9% increase
· Kaiser ABHP 5.9% increase

Flexible Spending Arrangement (FSA) and Health Savings Account (HSA)
· Health Care Reimbursement Account (HCRA) No change
· Dependent Care Reimbursement Account (DCRA) No change
· Health Savings Account (HSA) ...

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