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A-4. FY 2009-10 HEALTH INSURANCE PROGRAM RATES & RECOMMENDATIONS 1. Approve the health benefit products and plan design changes for the Employee Health Insurance program as defined by the CIGNA HealthCare of AZ, Walgreens Health Initiatives, Magellan Behavioral Health, Inc., and EyeMed Vision Care, contracts and/or plan documents. The benefit offerings will provide Maricopa County employees with six different medical plan options and three pharmacy plan options, allowing them to choose coverage that strikes a balance between health benefit coverage and amount of payroll deductions. Health benefit plan elections will be in force from July 1, 2009 through June 30, 2010. 2. Continue to support program management modifications that advocate the following: • Encourage healthy behavior change through incentive-based lower premiums • Remove and/or reduce barriers to preventive car e • Improve employee health status through Wellness Initiative s 3. Continue to support the payment of health benefit-related contracts through the collection of premiums, including, but not limited to, actuarial consulting services, COBRA (Consolidated Omnibus Budget Reconciliation Act) administrative costs, Flexible Spending Account (FSA) administrative costs, and health care data aggregation services. 4. Continue to support wellness health initiatives through the collection of premium that will be used for such initiatives including, but not limited to, disease management such as diabetic management programs, anti-obesity programs, and tobacco cessation programs; preventive programs, such as on-site mammography, cholesterol and glucose screening, adult immunizations, health risk assessments and various wellness incentives and programs. 5. Approve the Maricopa County employee health benefit rates for July 1, 2009 through June 30, 2010 for active employees. See rate exhibit as on file in the Office of the Clerk of the Board. To help encourage employee healthy behavior changes and improve employee health status, pay period incentives will continue to be implemented for employees who voluntarily participate in the Health Risk Assessment and/or Biometric Screening. The pre-Medicare retirees and Medicare-eligible health benefits rates for July 1, 2009 through June 30, 2010 will be submitted separately to the Maricopa County Board of Supervisors. (C-35-09-004-M-00)

Vote: approved

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17. FY 2009-10 HEALTH INSURANCE PROGRAM RATES 1. Approve the Health Benefits rates for active employees, the pre-Medicare retiree health benefit rates and Medicare-eligible rates for July 1, 2009 through June 30, 2010. Rate Sheet available in the Office of the Clerk of the Board. Included in the Health Benefit rates are the premium for the medical, pharmacy, behavioral health, vision, contract administration and CIGNA incentive components. 2. Approve the Maricopa County full-time and part-time employer health benefit rates for July 1, 2009 through June 30, 2010 for active employees. 3. Approve funding for the FY 2009-10 employer health benefit rates as follows: a. Charge departmental budgets for employees enrolled in health insurance plans at a total amount not to exceed the FY 2008-09 levels. b. Fund the difference between the FY 2009-10 adopted employer benefit rates and the amount charged to departments (i.e. the FY 2008-09 rates) from the Benefits Trust (685) fund balance. Based on current enrollment, this is estimated to be $11,561,247 for FY 2009-10. This action constitutes a planned spend-down of the Benefits Trust fund balance. The FY 2009-10 health insurance program recommendations and active employee rates were approved by the Board of Supervisor on December 17, 2008 (C-35-09-004-M-00) The Rate Sheet on file illustrates the monthly total and employer cost for the health benefit rates for active employees, pre-Medicare retirees and Medicare-eligible retirees. For pre-Medicare retiree monthly rates and Medicare-eligible retiree monthly rates, the cost is completely funded by the retiree. There is no employer contribution towards the monthly cost. On December 17, 2008, the FY 2009-10 health insurance program recommendations and active employee rates were approved by the Board of Supervisors (C-35-09-004-M-00). (C-35-09-005-M-02)