Download - CITY OF LAREDO HUMAN RESOURCES DEPARTMENT By: Daniel E. Migura Jr. HEALTH & BENEFITS FUND
CITY OF LAREDOCITY OF LAREDOHUMAN RESOURCES DEPARTMENTHUMAN RESOURCES DEPARTMENT
By: Daniel E. Migura Jr.
HEALTH & BENEFITS FUNDHEALTH & BENEFITS FUND
Health and Benefits FundHealth and Benefits FundFY 08-09FY 08-09
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Projected Deficit = $ 2,965,976
If no action is taken our projected deficit for FY09-10 will be $5.8M
~As per Budget Health & Benefits Fund Summary
Deficit FactorsDeficit Factors
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Health & Benefits FundHealth & Benefits FundHistory and RecommendationsHistory and Recommendations1992-1996
$174.17
4*Had the rate increased by 35% the 1st time requested and 5% increments there after we would be at $330.27.
96-97 97-98 98-99 99-00 00-01 01-02 02-03 03-04City Monthly Contribution/EE
$151.06 $151.06 $121.00 $121.00 $133.09 $159.74 $191.70 $201.28
Fund Balance $7,936,556 $7,686,311 $6,251,362 $5,241,610 $1,639,348 $1,300,354 $1,017,534 $100,107Council Approved Increases
13.27%↓ No change 19.9%↓ No change 10%↓ 20%↑ 20%↑ 5%↑
HR Staff Recommendation*
35% Increase
04-05 05-06 06-07 07-08 08-09City Monthly Contribution/EE
$211.35 $232.50 $244.14 $249.14 $261.60
Fund Balance ($24,528) $364,331 $199,477 ($950,322) ($2,965,976)Council Approved Increases
5%↑ 10%↑ 5%↑ $5.00↑ (2%) 5%↑
HR Staff Recommendation*
35% Increase 35% Increase 0% 10% Increase 5% Increase
CURRENT BI-WEEKLYEmployer
ContributionEmployee
ContributionTotal
Regular Employee Only $120.74 $0.00 $120.74Regular Employee Family $234.13 $122.57 $356.70Police / Fire Employee Only $120.74 $0.00 $120.74Police / Fire Employee Family $238.72 $117.98 $356.70
10% INCREASE BI-WEEKLYEmployer
ContributionEmployee
ContributionTotal
Regular Employee Only $132.81 $0.00 $132.81Regular Employee Family $257.54 $134.83 $392.37Police / Fire Employee Only $132.81 $0.00 $132.81Police / Fire Employee Family $262.59 $129.78 $392.37
15% INCREASE BI-WEEKLYEmployer
ContributionEmployee
ContributionTotal
Regular Employee Only $138.85 $0.00 $138.85Regular Employee Family $269.25 $140.96 $410.21Police / Fire Employee Only $138.85 $0.00 $138.85Police / Fire Employee Family $274.53 $135.68 $410.21
20% INCREASE BI - WEEKLYEmployer
ContributionEmployee
ContributionTotal
Regular Employee Only $144.89 $0.00 $144.89Regular Employee Family $280.96 $147.08 $428.04Police / Fire Employee Only $144.89 $0.00 $144.89Police / Fire Employee Family $286.46 $141.58 $428.04
45% INCREASE BI-WEEKLYEmployer
ContributionEmployee
Contribution TotalRegular Employee Only $175.07 $0.00 $175.07Regular Employee Family $339.49 $177.73 $517.22Police / Fire Employee Only $175.07 $0.00 $175.07Police / Fire Employee Family $346.14 $171.07 $517.22
Proposed Medical Proposed Medical ContributionsContributions
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Proposed Medical ContributionProposed Medical Contributionfor Dependent Coveragefor Dependent Coverage
Contribution Difference Contribution Difference
10% $134.83 $12.26 $129.78 $11.8015% $140.96 $18.39 $135.68 $17.7020% $147.08 $24.51 $141.58 $23.6045% $177.73 $55.16 $171.07 $53.09
Current: $122.57
REGULAR
Current: $117.98
POLICE / FIREIncrease
Bi-Weekly Deductions
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Employer Contribution
Employee Contribution Total
Employer Contribution
Employee Contribution Total
Employee Only $120.74 $0.00 $120.74 Employee Only $261.60 $0.00 $261.60
Employee Family $234.13 $122.57 $356.70 Employee Family $507.26 $265.57 $772.83
Employer Contribution
Employee Contribution Total
Employer Contribution
Employee Contribution Total
Employee Only $134.04 $16.50 $150.54 Employee Only $290.42 $35.75 $326.17
Employee Family $134.04 $284.86 $418.90 Employee Family $290.42 $617.20 $907.62
Employer Contribution
Employee Contribution Total
Employer Contribution
Employee Contribution Total
Employee Only $108.46 $47.31 $155.77 Employee Only $235.00 $102.51 $337.51
Employee Family $108.46 $336.46 $444.92 Employee Family $235.00 $728.99 $963.99
Employer Contribution
Employee Contribution Total
Employer Contribution
Employee Contribution Total
Employee Only $185.00 $25.00 $210.00 Employee Only $400.83 $54.17 $455.00
Employee Family $185.00 $125.00 $310.00 Employee Family $400.83 $270.83 $671.66
LISD
WEBB COUNTY
UISD
LISD
WEBB COUNTY
BI-WEEKLY MONTHLYCity of Laredo
UISD
City of Laredo
Rate ComparisonRate Comparison
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Medical Claims Budget SummaryMedical Claims Budget Summary Budgeted vs. Actual Budgeted vs. Actual
Fiscal Year Budgeted Actual VarianceFY 03-04 $9,027,338 $9,690,796 ($663,458)FY 04-05 $10,966,017 $11,315,197 ($349,180)*FY 05-06 $8,849,908 $8,305,059 $544,849FY 06-07 $7,500,000 $8,845,954 ($1,345,954)FY 07-08 $8,925,000 $10,562,834 ($1,637,834)
**FY 08-09 $9,921,638 $8,526,495 $1,395,143
**Estimated Medical Claims for FY 08-09 = $11,500,000.
*STARTED WITH BCBSTX
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Prescription Utilization SummaryPrescription Utilization SummaryOctober 2008 – June 2009 October 2008 – June 2009 (9 Months)(9 Months)
DRUG TYPE RX FILLED % of RX PAID
Generic 18,086 63.10% $350,318
Multi-Source Brand 744 2.60% $99,740
Single- Source Brand 9,813 34.30% $1,516,280
Summary 28,643 100.00% $1,966,338
FY 08-09 Budgeted $2,200,000 Estimated $3,300,000
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Generic drugs are chemically and therapeutically equivalent to the corresponding brand-name drug, but are available at a lower price.
Multi-source brand-name drugs are available from more than one manufacturer and have at least one generic equivalent alternative available.
Single-source brand-name drugs are available from only one manufacturer and are patent protected. No generic equivalent is available.
Medical & Prescription Claims Summary Medical & Prescription Claims Summary October 2008 – June 2009 October 2008 – June 2009 (9 months)(9 months)
Active
Employees Retirees Cobra Totals
Employee Only $4,604,792 $1,554,004 66,541 6,225,337
Dependents $5,024,948 $290,389 973 5,316,310
Total Claims $9,629,740 $1,844,393 67,514 11,541,647
Head Count 2351 (87%) 355 (13%) 4 (0%) 2710 (100%)
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Catastrophic Cases SummaryCatastrophic Cases SummaryOctober 2008 – June 2009 October 2008 – June 2009 (9 months)(9 months)
Medical Claims $50,000+ Medical Claims $50,000+
Employee 7 $ 699,769EE Dependent 10 $1,716,769Retiree 6 $ 486,057Retiree Dependent 2 $
154,386COBRA 1 $ 50,162
Total 26 $3,107,143
* There has been a total of 3 deaths of the above catastrophic cases.
* EE= Employee
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Catastrophic Cases Historical SummaryCatastrophic Cases Historical Summary
Fiscal Year # of Claims Over $50,000 # of Claims of $100,000 Total PaymentsFY 06-07 19 6 $2,182,977FY 07-08 27 7 $2,498,538FY 10/01/08-06/31/09 26 8 $3,107,143
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Funding & Cost Reduction Funding & Cost Reduction RecommendationsRecommendations
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Funding & Cost Reduction Recommendations Funding & Cost Reduction Recommendations ContinuedContinued
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Staff Recommendations Staff Recommendations ContinuedContinued
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On August 10, 2009 the City Council Health & Benefits Committee unanimously voted to accept all Health & Benefits plan modifications and a 10% rate increase recommendation as presented by staff.
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SummarySummary
Any Questions
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