west orange education association · health benefit contribution base salary year 4 percentage...

West Orange Education Association

Health Benefits ReviewWednesday March, 29 2017

& Thursday March, 30 2017

▶DIRECT ACCESS 10▶DIRECT ACCESS 20▶DIRECT ACCESS 30▶EPO

OVERVIEW OF CURRENT PLANS

▶Level of Benefit◦Single◦Parent/Child(ren)◦Member/Partner◦Family

OVERVIEW OF CURRENT PLANS

BOE PROPOSED PLAN

➢ DIRECT ACCESS 10/20

WOEA PROPOSED PLAN

➢HIGH DEDUCTIBLE HYBRID

▶ Deductible – Amount paid directly to providers prior to insurance coverage.

▶ In a High Deductible Health Plan, employees are responsible for deductible amount. After deductible is met, insurance benefits begin.

▶ Deductibles are very high◦ Single $2,500◦ Family $5,000

Advantages of a High Deductible

▶ In WOEA proposal, a high deductible…◦ Board of Education would cover 50% of the deductible

through an HRA (Health Reimbursement Account)⚫ Single $1,250⚫ Family $2,500

◦ Employees receive incentive stipend at the start of the plan year (July) for remaining 50%⚫ Single $1,250⚫ Family $2,500


▶ Under the WOEA proposal, members are NOT be responsible for ANY of the deductible.

▶ Risk involved with Incentive Stipend.▶ Lower cost plan▶ Similar level of benefit as Direct Access 10


Base Salary Year 4 PERCENTAGE

FAMILY COVERAGE Under $25,000 3.00%

$25,000 $29,999 4.00%$30,000 $34,999 5.00%$35,000 $39,999 6.00%$40,000 $44,999 7.00%$45,000 $49,999 9.00%$50,000 $54,999 12.00%$55,000 $59,999 14.00%$60,000 $64,999 17.00%$65,000 $69,999 19.00%$70,000 $74,999 22.00%$75,000 $79,999 23.00%$80,000 $84,999 24.00%$85,000 $89,999 26.00%$90,000 $94,999 28.00%$95,000 $99,999 29.00%

$100,000 $104,999 32.00%$105,000 $109,999 32.00%$110,000 Over 35.00%

Health Benefit Contribution

Health Benefit ContributionBase Salary Year 4 PERCENTAGE

MEMBER/PARTNER & PARENT/CHILD(REN) COVERAGEUnder $25,000 3.50%

$25,000 $29,999 4.50%$30,000 $34,999 6.00%$35,000 $39,999 7.00%$40,000 $44,999 8.00%$45,000 $49,999 10.00%$50,000 $54,999 15.00%$55,000 $59,999 17.00%$60,000 $64,999 21.00%$65,000 $69,999 23.00%$70,000 $74,999 26.00%$75,000 $79,999 27.00%$80,000 $84,999 28.00%$85,000 $89,999 30.00%$90,000 $94,999 30.00%$95,000 $99,999 30.00%

$100,000 Over 35.00%

Health Benefit ContributionBase Salary Year 4 PERCENTAGE

SINGLE COVERAGE Under $20,000 4.50%

$20,000 $24,999 5.50%$25,000 $29,999 7.50%$30,000 $34,999 10.00%$35,000 $39,999 11.00%$40,000 $44,999 12.00%$45,000 $49,999 14.00%$50,000 $54,999 20.00%$55,000 $59,999 23.00%$60,000 $64,999 27.00%$65,000 $69,999 29.00%$70,000 $74,999 32.00%$75,000 $79,999 33.00%$80,000 $84,999 34.00%$85,000 $89,999 34.00%$90,000 $94,999 34.00%$95,000 Over 35.00%

NJ Direct Access 10

Premium Costs for Current Plan 2016-2017

Level of Benefit Annual Premium CostMedical + Prescription

Single $11,531

Parent/Child(ren) $18,602

Member/Partner $21,850

Family $33,724

How Much You Contribute…TodayDirect Access 10

$50,000 $54,999 12.00%

Family Coverage Calculation

Salary Premium Percentage Contribution

$54,100 $33,724 12.00% $4,047

NJ Direct Access 10

Projected Premium Costs2017-2018


Single $12,737



Family $37,273

How Much You Contribute… Next Year

$50,000 $54,999 12.00%



$54,100 $37,273 12.00% $4,473

Increased Contribution$426

What happens next year with a higher percentage?


$56,200 $37,273 14.00% $5,218


Increased Contribution$1,171

WOEA High Deductible Hybrid



Single $8,230



Family $26,880

What happens next year, under the High Deductible Plan?


$56,200 $26,880 14.00% $3,763


DECREASED Contribution($284)

BOE Direct Access 10/20



Single $11,636



Family $34,017

What happens next year, under Direct Access 10/20?


$56,200 $34,017 14.00% $4,762



How Much You Contribute…Today

$95,000 $99,999 29.00%



$98,100 $33,724 29.00% $9,778



$101,500 $26,880 32.00% $8,602


DECREASED Contribution($1,176)



$101,500 $34,017 32.00% $10,885




Single Coverage Calculation


$54,100 $11,531 20.00% $2,306

$50,000 $54,999 20.00%



$56,200 $8,230 23.00% $1,893





$56,200 $11,636 23.00% $2,676






$94,100 $11,531 34.00% $3,921

$90,000 $94,999 34.00%



$96,200 $8,230 35.00% $2,880





$96,200 $11,636 35.00% $4,073




Parent/Child(ren) Coverage Calculation


$54,100 $18,602 15.00% $2,790

$50,000 $54,999 15.00%



$56,200 $13,224 17.00% $2,248





$56,200 $18,766 17.00% $3,190






$99,100 $18,602 30.00% $5,581

$95,000 $99,999 30.00%



$101,200 $13,224 35.00% $4,628





$101,200 $18,766 35.00% $6,568




Member/Partner Coverage Calculation


$54,100 $21,850 15.00% $3,278

$50,000 $54,999 15.00%



$56,200 $15,532 17.00% $2,640





$56,200 $22,042 17.00% $3,747






$99,100 $21,850 30.00% $6,555

$95,000 $99,999 30.00%



$101,200 $15,532 35.00% $5,436





$101,200 $22,042 35.00% $7,715



west orange education association · health benefit contribution base salary year 4 percentage...

Documents