HomeMy WebLinkAboutItem 06.h
Date: Item No.
Resolution Approving 2019 Insurance Rates with HealthPartners
Proposed Action
Staff recommends adoption of the following motion: Move to approve for the health and dental
insurance rates for 2019.
Overview
The City entered into a two-year agreement with HealthPartners for 2018 and 2019. HealthPartners
had offered a guaranteed rate cap of 9% for 2019.
In September, the Insurance Committee met with NFP to review a summary of the claims utilization
and rate increases for 2019 health and dental plans with HealthPartners. HealthPartners evaluates the
claims paid year-to-date and estimated additional claims for the balance of the year based on our
history. Revenue (premiums) are compared against expenses (claims, administrative costs, and taxes).
This evaluation results in an increase of 4.1% for the HRA/VEBA medical plan and 4.9% for the H.S.A.
medical plan. The dental insurance increase for 2019 is 4%.
Staff is recommending approval of the attached rate structure for 2019.
Primary Issues to Consider
• What are the health and dental plan designs?
• How is the cost share determined?
Supporting Information
• 2019 Health and Dental Insurance Information
• Resolution approving Health and Dental Insurance rates for 2019.
Financial Impact: $
Budgeted: Y☒ N☐ Source:
Related Documents: (CIP, ERP, etc.):
Envision Lakeville Community Values: Good Value for Public Services
Report Completed by: Tammy Schutta, Human Resources Manager
October 1, 2018
71,000 – 2019 Employer contribution increase.
General Fund
2019 Health and Dental Insurance Information
What are the 2019 health plan designs?
• High deductible HRA/VEBA (62 employees currently enrolled)
• High deductible HSA (131 employees currently enrolled)
Annual Deductible – In Network
• HRA/VEBA deductibles are $2,500 per person and $5,000 per family
• HSA deductibles are $2,700 per person and $5,400 per family
Annual Out-of-Pocket Max – In Network
• HRA/VEBA maximum is $3,500 per person and $6,000 per family
• HSA maximum is $3,600 per person and $6,200 per family
The employee will pay an additional 20% of cost of care after the annual deductible is
met until they meet the out-of-pocket maximum.
Prescription Drugs – Formulary
• HRA/VEBA requires a co-pay of $15 for generic, $30 for brand and $60 for non-
preferred drugs.
• HSA does not include prescription drug coverage until after the deductible is met.
Cost share
The base plan (HSA) provides minimum essential coverage at the lowest cost; therefore
rates are determined off of this plan. Employer premiums are established by providing
100% of the single coverage and splitting the cost of the increase with employees for
the coverage tiers that include spouse and/or dependent. Once these employer dollar
values are established, they are applied to the HRA/VEBA plan.
What is the 2019 dental plan design?
The City contributes 100% of the cost for single coverage. Any additional costs for
dependents are paid by the employee. The plan provides up to $1,500 of coverage for
in-network expenses each as follows:
• Diagnostic and preventive – paid at 100%
• Basic services – paid at 80%
• Crowns – paid at 50%
CITY OF LAKEVILLE
RESOLUTION NO. ____
Resolution Approving Employee Health and Dental Insurance Rates for 2019
WHEREAS, the City Council will establish insurance plans that will be provided; and
WHEREAS, the City Council will establish the costs the City will pay for employee and
dependent coverage under City group health and dental insurance programs; and
WHEREAS, the City Council chooses to promote employee wellness;
NOW, THEREFORE, BE IT RESOLVED the City Council of the City of Lakeville approves a
Multiyear agreement with HealthPartners to bring consistency and predictability to the costs of
providing health insurance for our employees and their families.
NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Lakeville that the
following monthly cost responsibility be approved for the HealthPartners health insurance plans
(A) and Health Partners dental insurance plan (B) effective January 1, 2019:
A. Health Ins. MONTHLY PREMIUM COSTS
Employee Employer Total Premium VEBA/HSA Funds
High Deductible/VEBA
Employee 47.54 593.08 640.62 160.00
EE + Child(ren) 506.00 772.78 1278.78 185.00
EE + Spouse 541.20 838.69 1379.89 185.00
Family 635.83 1049.65 1685.48 205.00
High Deductible/HSA
Employee 0.00 593.08 593.08 160.00
EE + Child(ren) 411.10 772.78 1183.88 185.00
EE + Spouse 438.80 838.69 1277.49 185.00
Family 510.75 1049.65 1560.40 205.00
The 2019 VEBA and HSA funding will be deposited in two installments. The first six months of
funding will be deposited in January and the second six months of funding will be deposited in
July. Deposits for new employees will be prorated.
ADOPTED by the Lakeville City Council this 1st day of October 2018
______________________________
Douglas P. Anderson, Mayor
_________________________________
Charlene Friedges, City Clerk
B. Dental Ins. MONTHLY PREMIUM COSTS
Employee Employer Total Premium
Employee 0.00 51.55 51.55
EE + 1 41.50 51.55 93.05
Family 101.29 51.55 152.84