Factors Considered
- Forecasted increase in healthcare cost vs. what increase in cost the companies are willing/able to pay require adjustments in benefits and/or cost sharing.
- No elimination of benefits for any member.
- Fairness and choice are the keywords in approach to healthcare benefits.
- Members should decide which level of coverage they wish to receive and pay a premium share based on that level of coverage.
- Bad habits cost more in benefits. (high subsidized group)
- Uninsured spouses cost more in benefits. (high subsidized group)
- Family coverage at 25 hour ave. (high subsidized group)
- Maintain the Early Retirement Incentive Program (ERIP).
Adjustment to Benefits January 1, 2015
- Participants elect which benefit plan they choose to be in for next plan year based on the current eligibility guidelines.
- Only on each enrollment period thereafter could participants switch benefit plans and only within the eligibility guidelines.
- If no election of benefit level is made at enrollment default to Plan C.
- Change Plan A Inpatient hospital coverage to 90%.
- Change Plan C office visits to $15/$20.
- Change Plan A prescription benefits to match Plan B and C.
- ERIP windows, one four month window (January, February, March, April) and one three month window (August, September, October).
- Grandfathered participants with family coverage eligibility working less than 32 hour average would only be eligible for employee plus coverage under Plan C or B.
- Spousal coverage (with no spousal employer coverage) would be a paycheck deduction forwarded to the fund.
- Draw reserves to estimated 4 months as of 5/31/2016.
- Union to determine additional benefit changes to meet contribution rates.
Premium Share
- NS = EMPLOYEE THAT DOES NOT SMOKE
- SM = EMPLOYEE THAT SMOKES
- SP = PREMIUM FOR SPOUSE WITH NO EMPLOYER PROVIDED INSURANCE
- NS = EMPLOYEE THAT DOES NOT SMOKE
- SM = EMPLOYEE THAT SMOKES
- SP = PREMIUM FOR SPOUSE WITH NO EMPLOYER PROVIDED INSURANCE
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