Department: Human Resources and Risk Management
Department Head/Elected Official: Shain Carrizal
Regular or Supplemental RCA: Regular RCA
Type of Request: Financial Authorization
Project ID (if applicable): N/A
Vendor/Entity Legal Name (if applicable): N/A
MWDBE Contracted Goal (if applicable): N/A
MWDBE Current Participation (if applicable): N/A
Justification for 0% MWDBE Participation Goal: N/A - Goal not applicable to request
Request Summary (Agenda Caption):
title
Request for approval of changes to health and related benefits effective January 1, 2025 including (1) implementing the KelseyCare ACO as a plan offering to employees, (2) modifying the premium structure with a self plus child(ren) tier, and (3) adopting Option 3 for premium rates charged to employees and retirees.
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Background and Discussion:
The Base and Plus PPO medical plans would continue to be offered to employees and retirees in 2025 with no changes to the benefit plan designs. It is recommended that the KelseyCare ACO also be offered to employees with a plan design similar to the Plus PPO plan. Humana's Medicare Advantage Prescription Drug (MAPD) plan was approved by Commissioners Court on June 25, 2024 and will be offered to retirees and their spouses who are Medicare eligible.
To align with other organizations and compliment Harris County as a family-friendly employer, it is recommended that the benefits premium structure be modified by changing the "self + child" tier to "self + child(ren)". The "self + 2 or more" tier would change to "self + family".
Three options are provided for employee and retiree premium rates for medical, dental, and vision for 2025:
Option 1
- No changes to current employee and retiree premiums for the Base and Plus PPO plans
- KelseyCare ACO premiums equivalent to Base PPO plan premiums
- MAPD plan premiums - no cost for the retiree and full MAPD premium for eligible spouses
Option 2
- Same as Option 1 but increase Plus PPO plan premiums 6% for em...
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