Nassau County currently offers four (4) medical plans through Aetna; HNONLY2000 as the base plan and two (2) buy up plans; HNONLY 500 and OAMC (PPO). The fourth (4th) is an HSA plan HDHP HSA. The County currently contributes $1,500 into the employees HSA account for single coverage and $2,250 for dependent coverage. This is currently contributed biannually; 50% the first pay check in January and 50% the first pay check in July. Nassau County currently offers Dental DHMO and PPO plans through Humana Dental. Nassau County currently offers Vision through EyeMed. Nassau County currently offers through the Standard, Life and LTD plans.
With no plan changes, Aetna is offering a renewal of Health Insurance with a 15% increase. Humana is offering a renewal of PPO and DHMO Dental plan with a 7% increase with a two (2) year rate guarantee. EyeMed is in a rate guarantee until 01/01/2024. The Standard is offering 0% increase and a two (2) year rate guarantee.
The Bailey Group and the Insurance Committee met on June 24th, 2021 and July 12, 2021 to try and reduce future health care cost increases. The Insurance Committee recommends the following changes to provide a lower monthly cost option to employees: replace the current HNONLY 2000 plan with a Baptist/St. Vincent's restricted network with some changes to deductibles across all plans. These changes keep the physician visit co-pays and prescription co-pays the same.
The recommended plan modification is made solely in the context that the recognized savings to the County be used to reduce the dependent health insurance expenses for employees hired after 2005.
In addition, it was recommended to accept the flat renewal for The Standard Life Insurance/Disability for a two (2) year renewal, Humana Dental with a 7% increase and two (2) year renewal. As well as continue the existing agreement with EyeMed for vision insurance. Eyemed is in a rate hold until 2024.
During the Board of County Commissioners meeting held August 18, 2021, the BOCC directed staff to allocate additional funding to be used to increase the dependent health insurance expenses for employees hired after 2005 at 50% of dependent coverage, which is the same level as employees hired prior to 2005. This coverage increase would become effective January 1, 2022. |