Vote: approved

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30. HEALTH INSURANCE, PHARMACY, BEHAVIORAL HEALTH, LIFE INSURANCE, AND SHORT TERM DISABILITY BENEFIT RECOMMENDATIONS FOR PART-TIME EMPLOYEES FOR FY 2014-15 Approve the following, which amend the referenced agenda items approved by the Board of Supervisors on December 11, 2013: 1. Amend the Maricopa County Benefits Plan (Fourth Amendment and Restatement, approved in C-39-14-019-2-00) to add a part-time employee class which will be eligible for benefits in the Maricopa County Employee Health/ Pharmacy/ Behavioral Health (C-39-14-019-2-00), Vision (C-39-14-015-2-00), Dental (C-39-14-014-2-00), Life Insurance (C-39-14-016-2-00), Flexible Spending Account (C-39-14-018-2-00) and Short Term Disability (C-39-14-018-2-00) programs; with the definition of “employee” amended to include an employee whose standard weekly hours are 19 hours or greater. The amendment is outlined in Exhibit A. 2. Approve the definition of a part-time employee for Benefit Administration purposes, including the applicability of premium contribution rates, as one in which standard weekly hours are 19 hours or greater but less than 30 hours. 3. Approve the premium contribution rates for part-time active employees (defined in Item No. 2 above) enrolled in the Maricopa County Employee Health, Vision and Dental programs as outlined on Exhibit B, Exhibit C and Exhibit D, and authorize all necessary administrative steps to effectuate such changes. It is recommended that Maricopa County benefit programs be offered to part-time active employees to be consistent with the practices of other local governments. (C-39-14-027-2-00)

Attachments (4)

Vote: approved

Item Text

16. HEALTH INSURANCE, PHARMACY AND BEHAVIORAL HEALTH RATES AND PLAN CHANGES FOR FY 2015-16 1. Approve the health benefit plan design changes for the Employee Health Insurance Program for the plan year from July 1, 2015 through June 30, 2016 as outlined on the attached Exhibit A. 2. Approve the pharmacy benefit plan design changes for the Employee Pharmacy Insurance Program for the plan year from July 1, 2015 through June 30, 2016 as outlined on the attached Exhibit A. 3. Approve the behavioral health benefit plan design changes for the Employee Behavioral Health Insurance Program for the plan year from July 1, 2015 through June 30, 2016 as outlined on the attached Exhibit A. 4. Approve the Maricopa County Employee and Employer Health Benefit rates for active employees for July 1, 2015 through June 30, 2016, as outlined on the attached Exhibit B and authorize all necessary steps to effectuate such changes. 5. Approve the Maricopa County Benefits Plan (Fifth Amendment and Restatement) document effective July 1, 2015, attached as Exhibit C, which governs how employee health and welfare benefits (such as medical, pharmacy, behavioral health, etc.) are administered. This document supersedes all previous plan documents. New or amended features shall be as follows: • References to “Retirees” and the definition of “Retiree” shall be removed to reflect recent changes and developments. Effective July 1, 2013, Benefits ceased to be offered to retirees, per previous Board action (C-39-14-019-2-00); although then-current enrolled retirees were allowed to stay enrolled in the Plan. No retirees are currently enrolled in the Maricopa County Benefits Plan; therefore, references to “retirees” in the Plan are no longer necessary. • The definition of “Benefits Purchase Order” shall be amended to include the following language: “Social Security Numbers or IRS-issued Tax Payer Identification Numbers may be required from Employees, Dependents and COBRA Beneficiaries in order to comply with the terms of the [Internal Revenue] Code (as defined below) and/or other state or federal law, as well as provide for the orderly and efficient operation of the Benefit Plans.” • The definitions of “Dependent” and “Employee” shall be amended for consistency and clarity in the administration of the benefit plans. • Section 4.8, relating to cessation of participation in the Plan, shall be amended to change the effective date of benefits termination from the “last day of the pay period in which benefits ineligibility occurs,” to the “last day of the month in which benefits ineligibility occurs.” • Sections 5.1, relating to Benefit Purchase Orders, shall be amended to reflect that dual coverage is prohibited. New subsection 5.1(d) shall read: “Dual enrollment is prohibited. Participants who have more than one source of eligibility for enrollment in the Benefit Plans (called ‘dual eligibility’) are limited to one enrollment.” • Section 5.9, relating to Approved Leave Without Pay, shall be amended to reflect the terms of benefits continuation for employees who are in or come in to Unpaid Status while on an approved leave of absence. In conjunction with amending this section, the following definition of “Unpaid Status” shall be added to the Plan: “An Employee who is not receiving any earnings from the County or pay from other sources via the County payroll system, such as vacation or sick leave.” This section shall also address continuation of benefits for employees on military service leave or leave under the Family and Medical Leave Act. The attached Exhibit B illustrates the monthly total cost, employee cost and employer cost for the benefit rates. The Maricopa County Benefits Plan document (Exhibit C) governs basic issues of plan eligibility, enrollment and payroll withholding pursuant to the Internal Revenue Code. The document does not define specific benefit programs, which are adopted annually by the Board of Supervisors in separate actions. (C-39-15-016-2-00)

Attachments (3)