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ARDEN HILLS SPECIAL CITY COUNCIL WORK SESSION – OCTOBER 13, 2014 7 <br /> <br />policy allows employees that select single insurance coverage to place the balance of the insurance <br />payment that the City provides into an authorized deferred compensation program. <br /> <br />Staff reviewed a chart illustrating the costs of coverage to employees per month for medical and <br />dental since 2004 as well as the City’s contribution amount. It was noted that the City has offered <br />a co-pay plan (BCBS Aware Gold), but to reduce costs, the City tried a $300 deductible plan in <br />2007 and the high deductible plan with an HSA in 2008. Employees have had their choice of two <br />plans since 2007. In 2009, the Council only allowed Benefit Parity if employees took the high <br />deductible plan option to encourage employees to move from the co-pay plan to the high <br />deductible plan. By 2013, all employees had switched to the high deductible plan and the City <br />discontinued the co-pay plan and replaced it with another high deductible plan that had an <br />embedded deductible amount for families. This plan had a much higher deductible for both single <br />and family. Dental insurance is through Health Partners and in 2008 the City changed from <br />single/family to single/single plus one/family which helped lower those costs. All union <br />employees are on the union plan for medical and dental and pay the same whether they have <br />single or family coverage. <br /> <br />Director of Finance and Administrative Services Iverson explained that once the City offered <br />the high deductible plans, the City was successful in reducing premium increases dramatically. <br />The Council only allowing Benefit Parity if employees took the high deductible option was a big <br />factor in shifting employees away from the co-pay plan. Some years (especially 2009, 2012, and <br />2013) the City only received rate increases as a result of a State Statute that governed small group <br />plans. As a result, Lakes Country, the cooperative the City belongs to, gave the City dividends <br />back since rates could not be lowered. The City received $24,288.74 in 2010 based on our 2009 <br />claims history; $18,373.97 in 2011 based on 2010 claims history; and $9,118.73 in 2013 based on <br />2012 claims history. The City received a decrease in rates for 2011 as the cooperative went out for <br />bids and was able to reduce costs based on the City’s favorable claims history. While Lakes <br />Country would like to see these funds distributed back to the employees on the plan, the City <br />chose to put these monies aside to be used for wellness activities as these savings, or the reduced <br />usage, was a direct result of wellness activities the City instituted in 2009 and employees <br />managing their health care. Those funds have also been used to offset the City’s share of <br />insurance increases when levy limits were effective. Experience has shown that people use health <br />services differently if they are on a co-pay plan versus a high deductible plan. The end result is <br />lower rates based on usage history. <br /> <br />Director of Finance and Administrative Services Iverson reported that surveys from <br />surrounding employers (both large and small) show that the City of Arden Hills has had one of the <br />most favorable experiences with health care costs. Most cities have been fighting double digit <br />increases for many years. The surveys also show that the amount of monthly City contribution to <br />employees range from $700 - $1,000. The City currently provides $699.61 per month per full- <br />time employee for benefits (pro-rated for permanent part-time employees). Salary and benefits are <br />looked at together when doing compensation packages so while some cities are rich in salaries, <br />others are rich in benefits, and benefits play a key part in the recruitment of employees. The City’s <br />compensation study is taking into account both salary and benefits as a total package for the <br />comparisons being made. The City’s Benefit Parity approach is a common program for cities. <br /> <br />