Title
Resolution approving the County’s Health, Life and Dental Insurance Plan for FY 2011.
Staff Summary
· Proposed co-pay, deductible, out-of-pocket and plan changes for Lake County’s medical insurance.
· Proposed co-pay and plan changes for Lake County’s prescription coverage.
· Proposed plan changes for Lake County’s dental insurance (see FY11 Health, Life and Dental Recommendations for details).
Body
WHEREAS, the Human Resources Department recommends a .75% change in employee cost sharing for health insurance premiums;
WHEREAS, the Human Resources Department recommends an office visit co-pay increase of $5 for HMO IL and HMO Blue Advantage plans, a specialist office visit co-pay increase of $10 for HMO IL and HMO Blue Advantage plans, a $50 increase for in-patient hospital co-pay for HMO IL and HMO Blue Advantage plans, an emergency room visit co-pay increase of $25 for PPO, HMO IL and HMO Blue Advantage plans and co-insurance for emergency room visits will change to 80% for the PPO plan;
WHEREAS, the Human Resources Department recommends that for the for the PPO plan in-network co-insurance will change to 80% and out-of-network co-insurance will change to 60%, in-network out-of-pocket max will change to $1,200 individual and $2,400 Family, out-of-network out-of-pocket max will change to $4,000 Individual and $8,000 Family, individual deductable will change to $450 in-network and $1,100 out-of-network and family deductable will change to $900 in-network and $2,200 out-of-network;
WHEREAS, the Human Resources Department recommends that for Medicare eligible retirees in the HMO IL and HMO Blue Advantage plans there will be a coordination of benefits with Medicare that will process claims in the same manner and in accordance with the same plan rules as for retirees that are under 65;
WHEREAS, the Human Resources Department recommends that preventive health benefits (as defined by the Secretary of HHS) will be paid without any cost-sharing (dedu...
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