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Ordinance No. 6,774Published In: THE BAYTOWN SUN 930923-1 Friday, October 1, 1993 Friday, October 8, 1993 ORDINANCE NO. 6774 • AN ORDINANCE ADOPTING A BUDGET FOR THE ENSUING FISCAL YEAR, BEGINNING OCTOBER 1, 1993, AND ENDING SEPTEMBER 30, 1994, IN ACCORDANCE WITH THE CHARTER AND ORDINANCES OF THE CITY OF BAYTOWN; AND PROVIDING FOR THE PUBLICATION AND EFFECTIVE DATE THEREOF. WHEREAS, the City Manager of the City of Baytown has submitted to the City Council a budget estimate of the revenues of said City and the expense of conducting the affairs thereof for the ensuing fiscal year, beginning October 1, 1993, and ending September 30, 1994, and which said estimate has been compiled from detailed information obtained from the several departments, divisions, and offices of the City containing all information as required by the Charter of the City of Baytown; and WHEREAS, the City Council has received said City Manager's estimate and held a public hearing thereon as provided by Section 44 of the Charter; and WHEREAS, after full and final consideration of the public hearing and after certain revisions to the proposed budget, it is the opinion of the Council that the budget as revised should be approved and adopted; NOW THEREFORE BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF BAYTOWN, TEXAS: Section 1: That the budget estimate of the revenues of the City of Baytown and the expenses of conducting the affairs thereof, for the ensuing fiscal year, beginning October 1, 1993, and ending September 30, 199.4, as finally submitted to the City Council by the City Manager of said City (a copy of which is on file in the City Clerk's office) be, and the same is in all things, adopted and approved as the budget estimate of all the current expenses as well as the fixed charges against said City for the fiscal year beginning on the 1st day of October, 1993, and ending September 30, 1994. Section 2: That the sum of TWENTY-THREE MILLION FOUR HUNDRED THIRTY-TWO THOUSAND SEVEN HUNDRED SIXTY-FIVE AND NO/100 DOLLARS ($23,432,765.00) is hereby appropriated out of the General Fund for the payment of Operating Expenses and Capital Outlay of the City Government. Section 3: That the sum of TWO MILLION FOUR HUNDRED SIXTEEN THOUSAND ONE HUNDRED SEVENTY-FOUR AND NO/100 DOLLARS ($2,416,174.00) is hereby appropriated out of the Solid Waste Fund for the Operating Expenses and Capital Outlay of the municipally owned Solid Waste Collection System. • Section 4: That the sum of THIRTEEN MILLION TWO HUNDRED EIGHTY --EIGHT THOUSAND ONE HUNDRED NINETY-ONE AND N0/100 DOLLARS ($13,288,191.00) is hereby appropriated out of the Waterworks and Sanitary Sewage System for operating costs and for the purpose of 930923-1a • paying the accruing interest and redeeming the Serial Bonds as they mature on the Waterworks and Sanitary Sewer Fund Debt Service Bonds. Section 5: That the sum of ONE MILLION ONE HUNDRED SIX THOUSAND THREE HUNDRED NINETY-SEVEN AND N0/100 DOLLARS ($1,106,397.00) is hereby appropriated out of the Municipal Garage Fund for the Operating Expenses and Capital Outlay for Municipal Garage Service System. Section 6: That the sum of FIVE MILLION TWENTY-THREE THOUSAND TWO HUNDRED FOUR AND N0/100 DOLLARS ($5,023,204.00) is hereby appropriated out of the General Fund Debt, Service for the purpose of paying the accruing interest and redeeming the Serial Bonds as they mature on the General Fund Debt Service Bonds. Section 7: That the City Manager is hereby authorized to transfer any unencumbered appropriation balance or portion thereof between general classifications of expenditures within an office, department or agency, in accordance with Section 68 of the Charter. Section 8: The City Manager shall have the authority to increase a department's line item budget by the amount equal to outstanding purchase orders as of September 30, 1993, to be appropriated out of the Fund Balance. Section 9: This ordinance shall be and remain in full force and effect from and after its passage and approval of the City Council, and it shall be published once each week for two (2) consecutive weeks in the official newspaper of the City of Baytown. INTRODUCED, READ and PASSED by the affirmative vote of the City Council of the City of Baytown, this the 23rd day of September, 1993. C. PETE C. AL ARO, Mayor ATTEST: i CL;;A�ft;GORE,. eClerk �WACIO RAMIREZ, SR , ity Attorney kgsU a-W9-23-"ad00BU aEr MEMORANDUM Sept. 23, 1993 IS TO: Missy Davidson, Human Resources Eileen Hall, City Clerk Monte Mercer, Director of Finance FROM: Bobby Rountree, City Manager SUBJECT: 1993-1994 Health Care Issue The 1993-1994 budget year was highlighted by the cost of health care and "Who should pay?" President Clinton revealed his National Health Care Plan on Wednesday, 22, 1993. The administration provided several options to the City Council regarding whether the employee and retiree should pay a portion of the health benefits, and if so, how much. The future liability to the City for retiree benefits was also discussed. The existing retirees felt they were "promised" that they would never have to pay for their health care. Documentation provided by the administration indicated differently. The final decision regarding health care for retirees and employees was: 1. As of October 1, 1993, the employee and retiree will begin paying $20.00 per month towards their health care benefits. This is in addition to the cost of the dependents. 2. The City will discontinue financial support of health care benefits for retired employees who are hired after October 1, 1993. Benefits will be offered in accordance with state law. This will eliminate the City's future financial liability regarding health care benefits for retirees who were hired after October 1, 1993. 3. Due to the uncertainty of the national health care program, the absence of any GASB requirements for cities, and a difficult budget year, action on establishing a fund to offset the future financial liability was postponed. This issue will continue to be worked this next year. In summary, health care costs and future liability issues are not going away. We will be addressing this subject each year during the budget session. Employees and retirees may be required to pay more for health care in future years. The health care pian will change as needed or required to keep it financially solvent. THIS MEMO IS BEING WRITTEN IN AN EFFORT TO DOCUMENT THE HEALTH CARE ISSUE FOR FUTURE REFERENCE. IT IS TO BE (1) ATTACHED TO ORDINANCE NO. 930923-1, WHICH ADOPTS THE 93-94 BUDGET, AND (2) ATTACHED TO THE MINUTES OF THE SEPTEMBER 23, 1993 COUNCIL MEETING, (3) AND FILED IN THE HUMAN RESOURCES DEPARTMENT. cm/memoslHealthCare MEMORANDUM September 13, 1993 0 TO: Mayor and Council Members FROM: Bobby Rountree, City Manager AR SUBJECT: Health Care Alternatives Ala Attached are several alternatives regarding Health Care Benefits. The alternatives are based on the proposed $43.70 per month employee/retiree cost which will generate a total of $319,884. The far right of each alternative indicates the monthly amount the City and the employee/retiree will contribute. The "Total Funds" is the amount the City will be required to contribute on an annual basis. Re -cap of health benefits funding: The City currently contributes $2,115,408; the employees/retirees currently contribute $327,957 for their dependent coverage. The budget proposes to fund the projected deficit in the following manner: City's Contribution * $345,461 Emp/Ret. Contribution * 319.884 $665,345 *Includes $59,500 proposed budget reduction Alternatives I, II & III - 2% salary increase effective 4-1-94 Alternatives 1V, V & VI - 2% salary increase effective 10-1-OW4?3 Alternatives VII, VIII, IX & X - No salary increase Alternative XI - City contributing total cost Alternative XII - Salary increase of $20.00 across the board cm/health/HealthCereAlter 0 0 City of Baytown Recap of Alternatives for Health Benefits RATE ADJUSTMENT REQUIRED General Water & City Employee/ Fund Sewer Sanitation I Cost Retiree Alternative 1 2% salary increase 4/1 0.0085 0.0129 0.0556 13.70 30.00 Alternative it 2% salary increase 4/1 0.0110 0.0163 0.0710 23.70 20.00 Alternative 111 2% salary increase 4/1 0.0136 0.0196 0.0864 33.70 10.00 Alternative IV 2% salary increase 10/1 0.0135 0.0212 0.0900 13.70 30.00 Alternative V 2% salary increase 10/1 0.0160 0.0246 0.1054 23.70 20.00 Alternative VI 2% salary increase 1011 0.0186 0.0279 0.1209 33.70 10.00 Alternative VII No salary increase 0.0086 0.0113 0.0519 33.70 10.00 Alternative VIII No salary increase 0.0061 0.0080 0.0365 23.70 20.00 Alternative IX No salary increase 0.0048 0.0063 0.0288 18.70 25.00 Alternative X No salary increase 0.0035 0.0046 0.0211 13.70 30.00 Alternative XI No salary increase 0.0112 0.0147 0.0673 43.70 0.00 Alternative XII Salary increase $20 ACB 0.0104 0.0137 0.0630 23.70 20.00 Altematiai._.::;= >: Cost of 2% salary increase for employees effective 4/1 City of Baytown Alternatives for Health Benefits General Water & Total City Employe Fund Sewer Sanitation Funds I Cost Retiree 113,500 30,480 6,420 150,400 Cost of supplementing health 79,495 16,858 3,931 100,284 13.70 30 Total Cost 192,995 47,338 10,351 250,684 Rate impact 0.0085 0.0129 0.0556 General Water & Total City Employee/ Alternative li:'.: `. Fund Sewer Sanitation Funds Cost Retiree Cost of 2% salary increase for employees effective 4/1 113,500 30,480 6,420 150,400 I Cost of supplementing health 137,521 29,163 6,801 173,484 23.70 20 Total Cost 251,021 59,643 13,221 323,884 Rate impact 0.0110 0.0163 0.0710 General Water & Total City Employee/ Alternative ill :- Fund Sewer Sanitation Funds Cost Retiree Cost of 2% salary increase for employees effective 4/1 113,500 30,480 6,420 150,400 'Cost of supplementing health I Total Cost Rate impact 195,546 41,468 9,670 246,684 33.70 309,046 71,948 16,090 397,084 0.0136 0.0196 0.0864 10 C Alfematiare t�f�_';!,' Cost of 20/0 salary increase for employees effective 10/1 Cost of supplementing health Total Cost Rate impact Alternative V Cost of 2% salary increase for employees effective 10/1 Cost of supplementing health Total Cost Rate impact Alternative VC::::>.. Cost of 2% salary increase for employees effective 10/1 Cost of supplementing health Total Cost Rate impact 0 City of Baytown Alternatives for Health Benefits General Water & Total City Employe Fund Sewer Sanitation Funds i Cost Retiree 227,000 60,960 12,840 300,800 79,495 16,858 3,931 100,284 13.70 306,495 77,818 16,771 401,084 0.0135 0.0212 0.0900 General Water & Total City Fund Sewer Sanitation Funds v Cost 227,000 60,960 12,840 300,800 137,521 29,163 6,801 173,484 23.70 364,521 90,123 19,641 474,284 0.0160 0.0246 0.1054 General Water & Total City Fund Sewer Sanitation Funds I Cost 227,000 60,960 12,840 300,800 195,546 41,468 9,670 246,684 33.70 422,546 102,428 22,510 547,484 0.0186 0.0279 0.1209 Retiree K] Retiree 10 AlternativeVi No employee salary increase Cost of supplementing health Total Cost Rate impact Alternative VIII No employee salary increase Cost of supplementing health Total Cost Alternative IX No employee salary increase Cost of supplementing health Total Cost Rate impact Alternative X No employee salary increase City of Baytown Alternatives for Health Benefits General Water & Total City Employe Fund Sewer Sanitation Funds I Cost Retiree 0 0 0 0 195,546 41,468 9,670 246,684 33.70 Total Cost79,495 195,546 41,468 9,670 246,684 173,484 23.70 0.0046 0.0211 0.0086 0.0113 0.0519 6,801 General Water & Total City Fund Sewer Sanitation Funds Cost 0 0 0 0 Total Cost79,495 108,508 137,521 29,163 6,801 173,484 23.70 0.0046 0.0211 0.0048 137,521 29,163 6,801 173,484 Water & Total City 0.0061 0.0080 0.0365 Funds I Cost General Water & Total City Fund Sewer Sanitation Funds 1 Cost 0 0 0 0 108,508 23,010 5,366 136,884 18.70 Total Cost79,495 108,508 23,010 5,366 136,884 0.0035 0.0046 0.0211 0.0048 0.0063 0.0288 �� General Water & Total City Fund Sewer Sanitation Funds I Cost 0 0 0 0 10 nployee/ Retiree Retiree 251 Retiree Cost of supplementing health 79,495 16,858 3,931 100,284 13.70 301 Total Cost79,495 16,858 i 3,931 100,284 j Rate impact 0.0035 0.0046 0.0211 �� City of Baytown Altematives for Health Benefits if <ative General Water & Total City Employee/ Aim XE " Fund Sewer Sanitation Funds Cost Retiree No employee salary increase 0 0 0 0 Cost of supplementing health 253,572 53,773 12,539 319,884 43.70 0 Total Cost 253,572 53,773 12,539 319884 Rate impact 0.0112 0.0147 0.0673 General Water & Total City Employee/ Altemative al Fund Sewer Sanitation Funds Cost Retiree Employee salary increase ($20 ACB) 99,880 21,181 4,939 126,000 Cost of supplementing health 137,521 29,163 6,801 173,484 23.70 20 Total Cost 237,401 50,343 11,740 299,484 Rate impact 0.0104 0.0137 0.0630 if GM Retirees To Be Charged For Insurance Plan to Cut Health Costs Would Raise Premiums For Certain Managers By JOSEPH B. WHITE Staff Reporter of Tex WA" SrRic r inuRNAL DETROIT — General Motors Corp., struggling to contain medical costs that average nearly $1,500 a vehicle, will for the first time charge retirees premiums for health insurance. And GM is raising the medical premiums it already charges many active management personnel. GM's decision to deduct as much as SI a month from salaried retiree pension I checks and as much as S25 more a month from active white-collar employees' pay- checks comes as the auto giant is girding for a battle over health-care costs with the United Auto Workers. The move also will reverberate in Washington, where the Clinton administration is gearing up to win passage of a national health-care program aimed at reining in medical -cost infla- tion. In the absence of a national health-care j I alternative, GM President John F. Smith Jr. has vowed that GM will press its 267,000 blue-collar workers to join GM's 73,000 U.S. salaried staffers in sharing the burden of I escalating health costs. GM took a S21 i billion charge in 1992 to reflect its massive j liability for retiree medical benefits. Its I continuing medical costs per vehicle are more than double those of rivals Ford Motor Co. and Chrysler Corp. But the UAW has vowed to fight any I assault on its medical benefits, which cover hospital charges from the first dol- lar. The UAW and GM will negotiate a new national labor agreement this fail, but only after the union reaches a pattern -setting I deal with Ford. If Ford abandons its effort to wring concessions from the UAW on f medical coverage, that would strengthen the union's hand going into talks at GM. Mr. Smith, meanwhile, risks undermin- ing morale among a salaried staff already ! besieged by three years of canceled bo- THE WALL STREET JOURNAL THURSDAY. SEPTEMBER 9. 1993 A3 ❑uses. repeated management shuffles and job cutbacks. GM's 102.000 salaried re- tirees are sure to protest GM's decision to start charging them premiums, which could be as high as 5107 a month for family coverage under a health maintenance or- ganization. I'm sure there are folks who are I unhappy with any increase, but it's still a very competitive package," a GM spokes- man said. GM's salaried retirees were warned last year that they could begin paying I premiums for health coverage. GM said in letters mailed earlier this weep that as of Jan. 1. 1994, an individual retiree on Medicare who also enrolls in an HMO will pay a maximum premium of $20 a month. ' A retiree not eligible for Medicare could pay a maximum of S39 a month for HMO coverage. A retiree with dependents and no Medicare could pay as much as 5107 a month for HMO coverage, or 531 a month for GM's regular "enhanced" insurance package. Active employees who select Ghi's "ba- sic" coverage won't pay a monthly pre- mium, but their annual deductibles and copayments could be as high as 52,500 for an individual and S5,000 for a family. In 1992, the maximum annual out-of-pocket payment for an individual was S750. GM salaried workers who enroll in a Preferred Provider Organization could pay maximum monthly premiums of 5160 a month for a family in 1994, up from a maximum of $140 now. Dental coverage, which had come without a monthly pre- mium, now will cost a white-collar worker with a family S5 a month. 0 City of Baytown Funding Alternatives for Health Benefits Increase property tax rate to $.74 per $100 0.003 Increase sanitation rate 0.014 Property & liability ins savings 67,486 2,601 29,163 4,200 137,521 29,163 6,801 1 Alternative II General Water & Fund Sewer Sanitation Housing Authority Funds for Capital acquisition Increase sanitation rate Property & liability ins savings 137,521 -5910 0 0.014 ` 7 '; 2,601 29,163 4,200 137,521 29,163 6,801 1 0 0 G MEMORANDUM September 7, 1993 TO: Mayor and Council Members FROM: Bobby Rountree, City Manager, SUBJECT: Health Care Plan The cost of health care is not only a current budgetary issue, but a future one as well. Although limited, the following plan will begin to address the issue. I have attached the August 18 memo "Health Benefit Issues" and will be referring to Issues 1, 2, 3 and 4. Proposed Plan: 1. Share the cost of the projected deficit for the 93-94 budget between the City, employees, and retirees. This will also establish an additional revenue stream for future funding (Issue No. 1). Discontinue City support of health care benefits for retired employees who are hired after October 1, 1993. Benefits will be offered in accordance with state law. This will eliminate the City's future financial liability regarding health care benefits for retirees who were hired after October 1, 1993 (Issue No. 4). The third element of this plan is the most difficult because of the future uncertainty. It addresses the existing employees and their health care benefits upon retirement (Issue Nos. 2 & 3). The "window" proposed under Issue No. 2 could be initiated or even expanded, but the cost to the employee cannot be guaranteed. At this time, I recommend that existing employees, upon retirement, continue to be treated as current retirees. However, we need to establish a process (similar to a retirement fund) by which funds are allocated on an annual basis to fund the future retiree health care costs. During the next year we will continue to work on a health benefit plan for current employees who may retire from the City. Action on these two issues can be postponed due to the uncertainty of the national health care program, the absence of any GASB requirements for cities, and a difficult budget year. The future financial liability still exists. 1rwr4w Page 2 In summary, the City can pay for the total cost of employee health benefits or the cost can be distributed equitably as possible among the City (taxpayers), the employees, and the retirees. Council must make that decision each year when adopting the budget. We need to remain competitive in the job market, but at the same time, be fiscally responsible. Health care costs and future financial liability issues are not going away. We will be addressing this subject each year during the budget process. The national health care program may or may not be in effect this next year. This too, will impact our costs. This proposed plan will not solve our health care problems, but it is a step in addressing the issue. Enclosure cm/cm/health/HeelthGueftn MEMORANDUM 0 August 18, 1993 TO: Mayor and Council Members FROM: Bobby Rountree, City Manager SUBJECT: Health Benefit Issues In an attempt to simplify a complicated subject, benefits into four issues. Although all are intertwined, haveseparated an be taken on lth care separately.n them Issue #1: Funding the proposed deficit - The City currently contributes $2,115,408; the employeesiretirees currently contribute $327,957 for their dependent coverage. The budget proposes to fund the projected deficit in the following manner: City's contribution $287,936 Employees' contribution 271,359 Retirees' contribution 101 $665,345 Disadvantages: - Retirees on fixed income required to contribute. Employees required to contribute without receiving a pay increase resulting in less take home pay. Low morale for employees. Advantages: - The cost increase is shared by all involved. Increase revenue stream to fund health care. Options: (1) Share the cost of the projected increase, as indicated, or some other combination. (2) City fund the total amount, which will require reducing the proposed budget or increasing revenue (tax or fee increase). Memorandum Page 2 Proposed Alternative for Issue #1: • I• I have identified three areas in the budget that can be eliminated: 1. Salary Study $25,000 2. Library literacy Program 14,500 (funded by CDBG) 3. Dispatch Recorder 20,000 $59,500 II. If the deductible is changed from $300 to $500 for the empioyees and the retirees, the estimated claims reduction would be $60,000. The total of I and II is $119,500. If the $119,500 is deducted from the empioyeesiretirees contribution, the monthly premium for all employees and retirees will be reduced to $35.50 monthly (pre-tax approximately $29.00). If the $300 deductible remains unchanged, the monthly premium for all employees and retirees will be $43,70 monthly (pre-tax approximately $35.00) Issue ,=2: Providing health care benefits for future retirees who are currently employed by the City. A "one-year window" has been proposed for those who are considering retirement prior to 10-1-94. They will be treated the same as current retirees. Disaavanrages: The City may lose experienced employees sooner than anticipated. Future financial liability will increase by allowing additional employees to retire under the existing system. Advanrages: Existing employees retiring prior to 10-1-94 will have an Opportunity to retire under the same program as the existing retirees. Issue =3: Current employees who retire after October 1, 1994, will pay the City contribution plus the employee contribution (currently monthly - $234 employee or $519 ernpioyee and dependant). 0 0 Memorandum Page 3 Disadvantages: - The City could lose employees to other organizations who may have more beneficial retiree health benefit plan. Low morale for employees. Advantages: - Future financial liability will be reduced. Increase revenue stream to fund health plan. Issue #4: Employees hired after October 1, 1993, will be offered health benefits plan at cost upon retirement. Disadvantages: - Employee hiring and retention may suffer. Advanrages: - Future financial liability is eliminated. Summary - Issue #1 must be addressed. The projected deficit for 93-94 requires some method of funding. Issue #4 must be addressed. Future financial liability increases as long as the City funds or subsidizes the future retirees health benefits. Issue #2 & 3 - Action on these two issues can be postponed; however, the future financial liability still exists. The City's responsibility may change because of the uncertainty of the national health care program. (Refer to top of page 1-46 and page 1-54 of budget document.) Cmlemihe eitn/He alth9enlht Issues MEMORANDUM August 18, 1993 TO: Mayor and Council Members FROM: Bobby Rountree, City Manager/� Q� �\ SUBJECT: Health Benefit Issues In an attempt to simplify a complicated subject, I have separated the health care benefits into four issues. Although all are intertwined, action can be taken on them separately. Issue #1: Funding the proposed deficit - The City currently contributes $2,115,408; the employees/retirees currently contribute $327,957 for their dependent coverage. The budget proposes to fund the projected deficit in the following manner: City's contribution $287,936 Employees' contribution 271,359 Retirees' contribution 106.050 $665,345 Disadvantages: - Retirees on fixed income required to contribute. Employees required to contribute without receiving a pay increase resulting in less take home pay. Low morale for employees. Advantages: - The cost increase is shared by all involved. Increase revenue stream to fund health care. Options: (1) Share the cost of the projected increase, as indicated, or some other combination. (2) City fund the total amount, which will require reducing the proposed budget or increasing revenue (tax or fee increase). U Memorandum Page 2 Proposed Alternative for Issue #1: I. 1 have identified three areas in the budget that can be eliminated: 1. Salary Study $25,000 2. Library Literacy Program 14,500 (funded by CDBG) 3. Dispatch Recorder 20,000 $59,500 H. If the deductible is changed from $300 to $500 for the employees and the retirees, the estimated claims reduction would be $60,000. The total of I and II is $119,500. If the $119,500 is deducted from the employees/retirees contribution, the monthly premium for all employees and retirees will be reduced to $35.50 monthly (pre-tax approximately $29.00). If the $300 deductible remains unchanged, the monthly premium for all employees and retirees will be $43.70 monthly (pre-tax approximately $35.00) Issue #2: Providing health care benefits for future retirees who are currently employed by the City. A "one-year window" has been proposed for those who are considering retirement prior to 10-1-94. They will be treated the same as current retirees. Disadvantages: The City may lose experienced employees sooner than anticipated. Future financial liability will increase by allowing additional employees to retire under the existing system. Advantages: Existing employees retiring prior to 10-1-94 will have an opportunity to retire under the same program as the existing retirees. Issue #3: Current employees who retire after October 1, 1994, will pay the City contribution plus the employee contribution (currently monthly - $234 employee or $519 employee and dependant). 0 0 Memorandum Page 3 Disadvantages: - The City could lose employees to other organizations who may have more beneficial retiree health benefit plan. Low morale for employees. Advantages: - Future financial liability will be reduced. Increase revenue stream to fund health plan. Issue #4: Employees hired after October 1, 1993, will be offered health benefits plan at cost upon retirement. Disadvantages: - Employee hiring and retention may suffer. Advantages: - Future financial liability is eliminated. Summary - Issue -'1 must be addressed. The projected deficit for 93-94 requires some method of funding. Issue #4 must be addressed. Future financial liability increases as long as the City funds or subsidizes the future retirees health benefits. Issue =`2 & 3 - Action on these two issues. can be postponed; however, the future financial liability stili exists. The City's responsibility may change because of the uncertainty of the national health care program. (Refer to top of page 1-46 and page 1-54 of budget document.) zmtcmiheatth/HealthBenefitlssues MEMORANDUM August 18, 1993 TO: Mayor and Council Members FROM: Bobby Rountree, City Manager m SUBJECT: Health Benefits Communication In an effort to give Council examples of how health benefits are communicated to employees, the following historical information has been assembled: 1. Memo dated May 3, 1976, establishing times and dates for insurance meetings and stating booklets will be distributed. 2. City of Baytown Employee Handbook 1978 - TMRS and Supplemental Retirement document. Retiree insurance is not mentioned because it was not offered at that time. 3. Memo dated September 13, 1982, explaining $50.00 support for retiree insurance by the City. 4. City of Baytown Employee Handbook 1982 - Since booklets are not printed each year, you see handwritten the $50.00 for retiree insurance by the City. 5. Three letters dated October 12, Oct. 18, and Oct. 18, 1984 - Oct 12 - Announces that retirees will be treated the same as current employees and no longer have to pay the $19.07 amount towards their health insurance. Oct. 18 - Announces that those covered by medicare will no longer pay the $5.13 and that the current policy treats the retiree the same as current employees. • Oct. 18 - Retirees with dependent coverage, under the current new policy, treats retirees the same as employees and they will receive free personal coverage just like the employee. Memo Page 2 6. City of Baytown Benefit Plan 1990 - Top of third page outlines the • employers statement concerning modifying or terminating the plan. It appears that the council in 1984 opted to treat the retiree the same as the employee with regard to health insurance. The health insurance was paid for the employee, therefore it was paid for the retiree. It also appears that "plan changes may occur" has been communicated throughout the years. ankmM*nM /Haakh8*nC*nvn I• M E M 0 R A N D G M TO: ALL DEPARTMENT DIRECTORS Y -A PROMLARRY PATTERSON,,PERSONNEL DIRECTOR, SUBJECT:INSURANCE BOOKLET DISTRIBUTION DATE: MAY 3, 1976 The Massachusetts Mutual Insurance booklets are now ready for distribution. Distribution will be handled in group meetings by Dan Savage and/or myself with groups of employees. This type of distribution procedure will allow employees a chance to ask any questions they may have regarding insurance coverage. Attached is a schedule of times and places meetings will be held. Please ensure your employees are informed of these and have the opportunity to attend one. C AA-rK ...... . � TIME DAY DATE 2:00 Monday May 3 7:30 Tuesday May 4 11:00 Tuesday May 4 3:30 Tuesday May 4 7:00 Wednesday May 5 2:00 Wednesday May 5 7:30 Thursday May 6 7:30 Friday May 7 PLACE • Poiite,.Station Municipal Service Center Civic Center Building Parks & Rec. Work Shed Municipal Service Center City Hall Bldg., Conf. Rm. Municipal Service Center Municipal Service Center "Sens An SCPP[Zl EMLL RETTZOO r The Texas :anicipal Retirmmt System to which you wail contribute as a city employ" will help you provide for your old age or for dependmts Spon your death. The seems ltnnici_al Retirement Systas cost, on a monthly basis, is 5Z of your first $500 of Salary or $25.00. When you become eligible for retirement and apply for it, :he City of Baytown matches the total amount of your deposits on a two for one basis. Your monthly annuities upon retirement will be determined basad on your deposits and those matching funds. To be sl:gibls for service retirement. an employee must meet the following criteria: (1) 15 wars of service and 60 years of age; (2) 25 years of service and 30 years of age; (11) 28 years of service: or (4) 14 wars of service and 65 years of age. The City of Baytown offers a supplemental retirement plan for those employees who are noc eligible for TMS or wno wish to add to their retirement package. To enroll is chis plan, employees must be employed by the City of sa+toun for a period of ::x souths or more. Enrollment is conducted around Karen 1 0: eWA year. -ctner is:ormacion on the suppiamencal retirement Tian you should contact :he ?ersosnal Office. JOB RELIT_^_` ^'?QTS ARD wORRMAW S CO:PGA' A-104 An employee is�'%%rsd in .he line of duty &hail receive Workman's C:pensati=n benefits ci leave. Workman's Compensation benefits shall be euPPle- mnnted by -he Ci:7 as necessary to ensure that employees not employed as a Police Ota:ar orFi-efighter receive full salary for a period of sit months and s disabled e:,loyee vho is employed as a Police Officer or Firefighter receives salary for a period of one year. :"hereefter. mar supplemental benefits Stall be reduced as prescribed in the applicable progress. CLLSS1rT= ='T ?CBrTz"M Each posi:i:c of :i:y service is contained within the classification. pian. This plan stews a gonerai description of the position y duties, 4.:a1ifi:a:ioos. sed fob . -+'+ss. These do:__:.:_s allow each employee a better underatsmding of the required tasks o: :he_r p.ss:ico. _. also allows the supervisor such an uaderstaadig, thereby, s' _g supervision. These eiusif::szi: s also auov each employee a general source from which :o understand vase :sy must do concerning upgrading their shills and qualifica- tions to e --rants :teir p zootibility. PF4DBMC" Every zee ee;�i:yee shall to required to successfully =ylete a ;robatiorary period of tiz yrs. Depart==: ass =1 supervisors ah -11 use the probationary period :o closely observe s=.i evsi:=.e tte work and fitness of empicyees azz to enr=L-age a9.st- meats :::sit ,:-a and :!:e city service. Cnly those em-,ioyees who most aecoptab:e s:s_a=:s !uring probationary periods shall be retained it suc-1 positicz. An ampie}ee :___.r pr:bation shall have no right := appesi ezcet: :z he grouacs zroaibited by lav or RS def_=__ try _=e terser el. Civil strr :s .:ss. CITY OF BAYTOWN MEMORANDUM T0: Fritz Lanham, City Manager FROM: Richard Hare, Personnel Director S BJ: Health Insurance Support for Retirees D TE: September 13, 1982 REF: RH/335/82 With rising health care costs a significant factor in c r retirees' fixed budgets it becomes increasingly apparent t at assistance from the City would enhance their financial s atus. This type of support should be limited to those a ready participating in the current group policy contract d meeting the following criteria as a "retiree": An employee is eligible for retirement if the employee has completed at least 28 years of service with the City of Baytown, or 20 years of service and age 50, or 10 years of service and age 60 upon separation from City service. The criteria given is consistent with the eligibility riteria for the Texas Municipal Retirement System. Admini- tratively an employee presently participating in the health nsurance group policy would be eligible if they also meet he criteria stated above. Subsequently all individuals eparated from the City for retirement and meeting the criteria tated above would be eligible for health insurance support avments if they elect upon separation from the City to anticipate in the health insurance group policy. Over the next five years, given that all those presently mploved reached retirement age and retired according to he minimum criteria, a support payment .of $50 per retiree ould cost the City a total of $22,800 in FY87-88. This is ompared to an original cost of $4,200 in FY82-83. It is nlikely that participation will grow from 7 employees the irst vear to 38 in the fifth year. Most employees do not etire as soon as they meet the minimum requirement. A ore reasonable estimate would be 18 participants and a cost f $10,800. This represents an annual rate of growth of 21%. • •,, .,,,A t . _ _ J t 77 }}� r � � }a c t l.�� LTi � ,'�J'� .: l A � 1 � I � f� � �" • Life. insurance in an asanmt equal to your annual earnings adjusted to the nest lower multiple of $1,000.00 is included in the group policy at no cost to the apioyee. Details nay be obtained from the Personnel Office. Both the group hospitalization and life insurance cover the employee in eases of illness, accidents, or death, whether the employee is on or off the job. IMPLOyses who retire be" the option, at a cost to thmm, to continue tbeir group health insurance. Group life insurancs in the am of $3.000.00 is pro- sPbr the City. ,ti.e C �'` ar 1 f .e. , i1 t {� 4 o so.ov pus rro eFb ,SP [' ge0rV4-(,f(rj.,fv/a, A t4-. The Texas Municipal Retiremmnc System, to which you will contribute as a city employee, will hely you provide for your old age or for dependents upon your death. You contribute to the Texas Municipal Retirement System on a monthly basis S; of your gross salary. When you become eligible for retirement and apply for it, the City of Baytowe matches the total amount of your deposits on a two for one basis, your monthly annuities upon retirement will be deter- mined based on your deposits, these matching funds. and interest. To be eligible for service retirement, an employee must meet the following criteria: (1) 10 years of service and 60 vears of age; (2) 25 years of service and SO years of ago; (3) 2E years of service. JOE RELATED INJURIES AND WORKMAN'S CONFENSATION An eRlopea injured in the line of duty shall receive Workman's Coepeaaacion bsnsfits and injury leave. Workman's Compensation benefits shall be supple- mmeted by the City as meosssary to erasure that employees not employed as a Police Officer or Firefighter receive full salary for a period of six months and a disabled employee who is amPloyed as a Police Officer or Firefighter rmaives full salary for a pariod;of one year. Thereafter, any suppla�saCal benefits shall .,bee red ed as proscribed in the applicable programs. �( f «,4'-%U �LtsslFs fraTloN OF t c� CAft �,c,�.� C&OA, r� d"y mOCAU off" 464 Zaeh position of city service is contained within the classification plan. This plan allows a general description of the position by duties, qualifita- time. and job families. These definitions allow each employee a better understanding of the required tasks of their position. It also allows the supervisor such an understanding, thereby, enhancing supervision. These classifications also allow each eaployse a general source from which to understand what they mast do concerning upgrading their skills and qualifiea- tisns to enhance their promotibility. PRORATION Every new employee shall be required to successfully complete a probationary period of six months. Department heads and supervisors shall use the probationary period to closely observe and evaluate the work and fitness of employees and to encourage adjust- ments to their jobs and the city service. Only those employees who meet accept- able standards during probationary periods shall be retained in such position. An employee failing probation shall have no right of appeal except on the grounds of discrimination prohibited by law or as defined by the Personnel/ Civil Service rules. PERFORMANCE EVALUATION Each employee shall receive periodic performance evaluations. :hese evalua- tions will usualiv be on an annual basis. Performance evaluations are designed to help supervisors and eeplovees measure how well work is being performed and to provide a tool for management decisions regarding merit increases, training, assignment. promotion, and retention of employees. Every emplovea will receive a copy of their performance evaluation and be allowed an opportunity to discuss October 12, 1984 • The City Council has recognized the plight of many of our retirees which have found it difficult to maintain their health insurance coverage even with the advantage of being in the city health insurance pool. For the last several years, the city has paid $50 each month toward your health insurance coverage. This left a remainder of $19.07 for you to pay. This year the cost for health insurance is going up to $88 per month. The City Council felt the $38 monthly premium that you would have to pay was too great and has now adopted a new policy. All retirees presently in our shall now be accorded the benefit as current employees. Ray anything for your coverage. benefit will be welcomed by in our plan. health insurance plan same health insurance You no longer have to We are sure that this all retirees presently The basic health insurance plan remains the same and we will update you concerning any changes that may occur in the near future. Best regards, Richard Hare Personnel Director RH:sk 0 October 18, 1984 The City Council has approved a new policy regarding retiree health insurance benefits. Prior to this year, the council authorized the payment of $50 per month to offset health insurance cost of retiree's presently in our plan. In your case because of your coverage under medicare, the $50 per month was adequate to cover supplemental health insurance with Prudential, however, with the new rates you would have to pay $5.13 per month to continue supplemental coverage. This was unacceptable to the City Council, therefore, they adopted our current new policy which treat retirees presently in our plan the same as current employees. You will continue to pay nothing for your health insurance coverage. Best regards, Richard Hare Personnel Director RH:sk • October 18, 1984 The City Council recognizing the increasing cost to retired employees to cover their dependents and themselves for health insurance, have changed their health insurance benefit. Previous to this change, the city supplemented your coverage by $50 per payment. This left a remainder of $141.66 ner month to be covered by the employee or $118.53 if the employee was also under medicare. The health insurance re -rate would have resulted in a 20% cost increase to the retirees. This was unacceptable to the City Council. The current new policy treats retirees the same as employees for health insurance coverage. Now, all retirees presently under our health insurance plan will receive freepersonal covera a and will 12ay only 20% of the cost of covering their dependents. This cost will remain $29.42 per month from October 1984 through Seotember 1985. We should receive payment no later than the first week of each month. You can prepay your premium if you wish. Best regards, Richard Hare Personnel Director RH:sk 0 GROUP BENEFITS PLAN • 0 0 City of Baytown intends the plan to be permanent, but since future conditions affecting your employer cannot be anticipated or foreseen, City of Baytown reserves the right to amend, modify or terminate the plan at any time, which may result in the termination or modification of your coverage. Expenses incurred prior to the plan termination will be paid as provided under the terms of the pian prior to its termination. Special Situation, Extension Of Coverage If a dependent child is physically or mentally handicapped on the date coverage would otherwise end, the child's eligibility will be extended for as long as the handicap continues, and the child continues to qualify for coverage in all aspects other than age. The plan may require you at any time to obtain a physician's statement certifying the physical or mental handicap. If a physician certifies that a person is totally disabled on the date coverage would otherwise end, expenses directly relating to the disabling condition will continue to be eligible for consideration until the earliest of the date the total disability ends, the date maximum benefits have been paid, the date following 90 days of extended benefits, the date the person becomes covered under another group health plan or the date the plan ends. 4 0 MEMORANDUM August 11, 1993 TO: Mayor and Council Members FROM: Bobby Rountree, City Manager 13 SUBJECT: Health Benefit Options I. 1 have identified three areas in the budget that can be eliminated or postponed. The funds from these areas can be applied to the health benefits cost of the non-exempt employees, fire fighters, and patrol officers. This will reduce the monthly cost from $42.00 to $21.00 (pre-tax $17.00), thus giving the employees on the lower end of the pay scale some relief to the increased costs. The exempt employees and higher ranked police and fire employees will continue to pay the $42.00 per month. Areas eliminated or postponed: 1. Salary Study $25,000 2. Library Literacy Program 14,500 (funded by CDBG) 3. Dispatch Recorder 20,000 $59,500 11. If the deductible is changed from $300 to $500 for the employees and the retirees, the estimated claims reduction would be $60,000. If this amount were applied to the retirees monthly premium, it would be reduced from $100 per month to $45.00 per month per retiree. III. If the deductible is changed from $300 to $500 and the $60,000 claims reduction is added to $59,500 budget eliminations, it will total $119,500. If the $119,500 is deducted from the employees/retirees contribution, the monthly premium for all employees and retirees will be $35.50 (pre-tax approximately $29.00) Item III is more equitable for all employees and retirees; however, Items I & 11 provide additional relief to the employees on the lower end of the pay scale and the retirees. c m/cmi b ua getiH eaithOptiona • MEMORANDUM MAYOR AND CITY COUNCIL FROM: BOBBY ROUNTREE, CITY MANAGER e:1I SUBiE—CT: HEALTH BENEFITS INFORMATION AUGUST 9, 1993 I. The following is a summary of the Employee/Retirees health benefits: _. Change from traditional benefit plan to a managed care program utilizing a Preferred Provider tiTetwork (PPO) contracted wit"" C:,st Care. Benefits are paid at 80%s for "in network" services and 60% for "out of network" services. 2. Current employees will be required to contribute $42.00 per month for Health Benefits (approximately $33.00 pre-tax basis). Dependent coverage will remain the same. 3. City's contribution to the dental coverage will be eliminated. Employees may choose a PPO plan offered, or stay with existing plan and pay the full cost of $10.22 per month. 4. S. Existing retirees and those who retire prior to 10/1/94 tone year window) will contribute $100.00 per month. Co -payments will be reduced in future years as follows: IN NETWORK 19X/90748 /20 19/25 199/30 Current employees who total of the employee active employee rate - OUT OF NETWORK 1993/94 60/40 1994/95 55/45 1995/96 50/50 retire after 10/1/94 will pay the and City's contribution, of an currently $234.00 per month. • _ . Future retirees =red after 10/1/93 will be allowed to continue on the City's coverage but will pay the full premium costs. Benefits and cost are subject to change in the future. II. Brief history of retiree benefits: October 1981 - Retirees allowed to continue coverage at their expense. (Prior to the date, retiree coverage not offered.) October 1982 - Retiree coverage supplemented by the City at a flat rate of $50.00 per month. October 1984 - Retiree coverage paid for by the City at look level. III. The following is a listing of area cities and cities near Baytown's size: Cities that do not pay for retiree health benefits: Killeen Bryan College Station Abilene Odessa Beaumont Bellaire McAllen Galveston League City Pasadena✓ Webster Mont Belvieu Cities who share health benefits costs with retirees: Midland Carrollton Richardson Tyler La Porte ✓ Cities who pay for retiree health benefits: Deer Park'/ *Victoria Longview *Nov. 1 - will share benefit costs. cm/cm/budget/HealthBenefits • • I:ig M: : ;��#w THE PURPOSE OF THIS SECTION IS TO DISCUSS THE HEALTH CARE PLAN CHANGES AND COST FOR THE CITY, EMPLOYEE, RETIREES AND FUTURE RETIREES. FEC. It is no secret that America faces a health care crises. State and federal lawmakers are flooded with demands to fix the health care system. There is no quick fix or easy solutions. The City of Baytown has always offered the traditional health care benefits to its employees and retirees. In some of my discussions with local hospital administrations, I was told that traditional plans like the city's are "paying for everyone else". In other words, most companies are going to managed care programs of some type, and those who do not, are supplementing those who do. A study indicates that companies in Houston with traditional health care insurance pay 28% higher premiums than the national average. Although only an example, this is indicative of the health care cost in our area. Currently, the city contributes $2,115,408 annually for employee/dependent and retiree/spouse coverage. The employees and retirees contribute $327,957. This totals $2,443,365. If the proposed plan changes are implemented, our projected medical claims for 93-94 are . The reasons for the increase include escalating medical costs, increased number of c dims users, a large number of catastrophic claims hi Y g p (high risk pregnancies, kidney transplant, heart and lung conditions, and several long term cancer cases, etc.) In an effort to resolve this issue, several members of the staff and I have done extensive research and review of our program and other types of programs. We have met with and discussed options with: 1. First Health - The Health Care Affordable Network who is the PPO Network for the Goose Creek School District; Q - 2. Cost Care Network - Exxon's PPO Network; , 3. Memorial Healthnet - San Jacinto Methodist Hospital PPO Network; 4. BayCoast Medical Center and San Jacinto Methodist - We have met with both administrators and staff, listened to their proposals, and discussed their role in the City's program. PAt r - party administrators: First Health Boon -Chapman Emperion PALICO Provident ;�G , Healthcare Affordable Cost Care Emperion Managed Health Care CAPP Care After thorough review of our benefit needs, services provided and cost consideration, we are recommending the services of Cost Care (Exxon's current PPO Network). The most cost efficient way to utilize Cost Care is to pair their service with claims administration/payment by Philadelphia American Life Insurance Company (PALICO). The Cost Care Network includes San Jacinto Methodist, BayCoast Hospital, as well as 27 additional hospitals in the Houston area. Most importantly, Cost Care includes six (6) of the top ten hospitals utilized by City employees. The employeeiretiree may continue to use his/her family physician. The network is utilized at the point of referral to a specialist or hospitalization. Therefore, the employees are not in most cases, required to change physicians in the event their family physician is not in the network. The Cost Care Network currently provides the following: 1. The employeetretiree may continue to use his/her family physician; 2. The employee/redree may choose either of Baytown's San Jacinto Methodist or BayCoast Hospitals; Other Major Houston area hospitals include: Texas Children's Hospital Sunbelt Regional Medical Center Diagnostic Center Hospital Humana Hospital - Clear Lake St. Joseph Hospital Women's Hospital of Texas St. Luke's Hospital Bayshore Medical Center M.D. Anderson Memorial NW, SE, SW & NE University of Texas Medical -Galveston 3. There are over 800 Specialty Physicians participating in the Cost Care Network. 1-42 Any specialist used by the employeelredree not currently in the network will have an opportunity to become a member of the network through a recommendation process, provided the doctor agrees to contract discounts. ._. cuRRENT' .YEE RATES The current employee will be responsible for a portion of the premium. The chart below indicates the employee and City contribution. f EMPLOYEE EMPLOYEE EMPLOYER EMPLOYER PRESENT PROJECTED PRESENT PROJECTED �,yr !A` q� Ake, COST COST COST COST _ vr" E[ OWYEE ONLY $ 0.00 $ 42.00 $160.00 $192.00 EV1P, 1-2 DEP $82.50 $124.50 $362.72 1394.72 - EMP, 34 DEP $86.64 $128.64 $362.72 $394.72 EMP, 5+ DEP $90.76 $132.76 $362.72 $394.72 The pre-tax payment of premiums offsets the stated cost from the real cost. The true cost to employees because of the preferred tax treatment is reduced. Example: $42 premium = approximately $33 real cost in the 20% tax bracket PLAN CHANGES Implementation of Preferred Provider Organization (PPO) network.. PPO referral is initiated with specialists referral and hospital admission. Primary care (family) physicians services are not affected. • • Benefits are paid at 80% of reasonable and customary charges for "in network" services Benefits are paid at 60% for "out of network" services Per hospital admission deductible for "out of network" provider - $300 1-43 • A Mail Service Prescription Drug Program will be implemented on a cast -neutral basis. The Mail Service Program will allow for employees to order up to a 90- day aday supply of maintenance medication with a minimal co -payment. Maintenance medications are drugs taken on a regular or long-term basis. A few examples of maintenance medications are those for high blood pressure, arthritis, heart conditions, and diabetes. The Mail Service Prescription Drug Program represents a positive step toward effective health care cost management while providing a quality prescription program for employees and their dependents without having any impact on the plan. Eligibility and payment services will be provided by PALICO and will require no involvement from the City of Baytown. • The City funding for dental coverage will be eliminated. Two separate plans will be offered: 1) If an employee chose to remain on the City's present dental plan the full premium would be paid by the employee. Cost are as follows: 2) Denticare pian is a PPO network same type as the health plan. Denticare offers approximately the same coverages at a discounted rate of 25 % less than Usual and Customary charges. Employees must seek service from dentist participating in the Network. At present time their are only two Baytown dentists in the network. Cost for the Denticare plan is listed below: EMPLOYEE ONLY $ 5.50 EMP, 1-2 DEP $ 16.50 EMP, 34 DEP $ 23.50 EMP, S+ DEP $ 28.50 1-44 EMPLOYEE EMPLOYEE EMPLOYER EMPLOYER PRESENT PROJECTED PRESENT PROJECTED COST COST COST COST EMPLOYEE ONLY $ 0.00 $10.22 $10.22 $ 0.00 EMP, 1-2 DEP $15.66 $25.88 $10.22 $ 0.00 EMP, 34 DEP $16.44 $26.66 $10.22 $ 0.00 EMP, S+ DEP $17.24 $27.46 $10.22 $ 0.00 2) Denticare pian is a PPO network same type as the health plan. Denticare offers approximately the same coverages at a discounted rate of 25 % less than Usual and Customary charges. Employees must seek service from dentist participating in the Network. At present time their are only two Baytown dentists in the network. Cost for the Denticare plan is listed below: EMPLOYEE ONLY $ 5.50 EMP, 1-2 DEP $ 16.50 EMP, 34 DEP $ 23.50 EMP, S+ DEP $ 28.50 1-44 • 1 114 24 4.13 DQ1 DI j V k7l Currently there are 85 City of Baytown retirees under the existing health benefits plan. Forty-eight of these are under age 65 and not yet eligible for Medicare coverage. This group represents a sizable financial liability to the plan. The liability is twofold; 1) Claims Costs and 2) Future Liability. 1) CLAIMS COST Of the $2,861,784 of claims paid during the previous 12 months (medical claims only), the average monthly claim cost per retiree under 65 amounts to $1,045 while the average monthly claim cost per active employee amounts to $356. Of the $1,447,035 claims paid during the first 6 months of the 1992193 policy year (medical claims only), claims totaling 5410,283 were paid on behalf of retirees under 65. The retirees under 65 represent 7% of the total covered under the plan and over 28 % of the claim dollars for this 6 month period. 2) FUTURE LIABILITY Continuing to provide retiree medical benefits carries a future liability. The real cost for claims over the remainder of each retiree's life time is $564,722 which in today's dollars would require the City to invest $207,257 per retiree in an annuity to pay for future medical costs. These figures are derived actuarially assuming a retiree age of 58 and life expectancy of 84 years. Similar calculations would have to be made for each current retiree and each future retiree if the City continues to pay for the retiree medical coverage. The City has utilized a pay as you go philosophy in paying retiree health benefits. This philosophy recognizes expenses when they are paid, rather than at the time the liability is incurred. In order to properly fund the retiree health benefit cost, monies would need to be budgeted each year the employee works, similar to a pension fund. j a- L r 1 1 h i mandates for measurement of the obligation and accrual of cost during tilt .irking life cf the employee. The GASB (Governmental Accounting Standards Board) has deferred adoption of mandates similar to FASB 106 until other reporting issues have been fully addressed. GASB is expected to adopt these similar guidelines in the near future. Regardless of the time frame for adoption of these accounting deadlines, the important issue is having the resources necessary to pay our bills. FJM" IlITG RFTYRY-MR: • RATES FOR EXISTING RETIREES (and existing employees who retire prior to 10-1-94) RETIREE RETIREE EMPLOYER EMPLOYER PRESENT PROJECTED PRESENT PROJECTED COST COST COST COST UNDER 65 REr $0.00 $100.00 $160.00 $509.28 1-2 DEP S82.50 $182.50 $362.72 $1018.56 OVER 65 RET $ 0.00 $100.00 $160.00 -0- 0- 1-2 1-2 DEP $82.50 $182.50 $362.72 -0. • Spouse of existing retiree will continue to be eligible for City of Baytown health benefits -- (premium paid by retiree) until spouse is eligible for medicare. At the time the -spouse is eligible for medicare, the City will discontinue tion. Retiree must remain on the City's coverage to maintain spouse's coverage until spouse reaches age 65 and is medicare eligible. • If the spouse of a retiree becomes widowed, the spouse continues at same premium payment of a retiree only rate. • Active employees with dependent coverage will be allowed to continue this coverage upon retirement. No dependents will be added after the active employee retires. In the case of two employees that are married to each other and they both retire, one may be added as a dependent. If an active employee chooses to leave City employment before being vested and their spouse is a retiree of the City they will be eligible to be covered under the retiree's health plan as a dependent. -46 is 0 • Reduce co -payment for existing and future retirees and spouses as follows: IN NETWORK OUT OF NETWORK 1993/94i 80/20 1993/94 60/40 1994/95-. 75/25 1994/95 55/45 1995/96 70/30 1995/96 50/50 F07'URE RETiRF.FC, hired prior to 10/1/93 (Current Employees) • RATES FOR FUTURE RETIREES, hired prior to 10/1/93 Current employees retiring after 10-1-94 below the age of 65 with minimum of 10 years of City of Baytown service will remain eligible for the City's health benefits coverage by paying the total of the employee and City's contribution. (Retiree true premium $609 vs active $234 and with retiree true dependent cost $1,218 vs active $519). They will be allowed to remain on the plan if they so elect for payment of the full active employee rate. RETIREE RETIREE EMPLOYER EMPLOYER TOTAL PRESENT PROJECTED PRESENT PROJECTED RETIREE COST COST COST COST COST RETIREE ONLY $ 0.00 $ 42.00 $160.00 $192.00 $234.00 RETREE +DEP $82.50 $124.50 $362.72 $394.72 ;519.22 • Reduce co -payment for existing and future retirees and spouses the same as existing retirees, • If the spouse of a retiree becomes widowed, the spouse continues at same premium payment of a retiree only rate. • Active employees with dependent coverage will be allowed to continue this coverage upon retirement. No dependents will be added after the active employee retires. In the case of two employees that are married to each other and they both retire, one may be added as a dependent. If an active employee chooses to leave City employment before being vested and their spouse is a retiree of the City they will be eligible to be covered under the retiree's health plan as a dependent. age 65. If the retic - _hat reaches age 65 opts off the City's plan and doesn't continue to pay the premium, the spouse will be dropped from coverage. FUTURE , hired after 10/1/93 Upon retirement employees hired after 10/1/93 will be eligible to continue medical coverage under the City's plan in accordance with State Law which allows the City to charge the actual cost. MEDICAL DISABILITY RETIREES: (Usually young in age with dependent families) Under the age of 65 will retain same benefits as active employees until age 65 is attained. cw=aP cvHealdmn Revised 7/28M 1-48 •. ir maimliolvaa%do=1i a Unfunded retiree health benefit liabilities up 81 %: GAO e•. me companies not funder companies eliminate b he Gene estimates piover reti. :,ow total billion for 5155 billion GE1SEi- -The cost of ucai benefits that Have promised, but , is rising even as continue to cut or 'ai Accounting Office hat unfunded em- ee health liabilities $412 billion—S257 ctive employees and for retirees. That's an 81% increase from total liability of $227 billion— including $127 billion in un- funded benefits for active em- plovees and $100 billion for re- tirees—in 1988. Rising health costs contributed to that increase, as did more early retirees and longer life ex- pectancy, noted Donald C. Snvder. an assistant director in the GAO's human resources divi- sion. "Because early retirees (under This article is an accurate description of the retiree health care dilemma. 4 K1 • Business Insurance 7-19-93 age 65) are not yet eligible for Medicare. employers pay three to four times more for their health care than for retirees" covered by Medicare. the report noted. Relatively few employers have taken the drastic step of termin- ating retiree health benefits. The GAO. citing several consultant surveys, estimates that up to 3% 1 of emoiovers have terminated benefits for current retirees and 3% to 5% have done so for future Continued on page 20 GAO repvrt- Continued f rom page 2 retirees. But nearly 70% of empiorers either have or pian to in the next year raise retiree premium con- tributions or otherwise alter their retiree health pians, accor- ding to a forthcoming report from A. Foster Higgins & Co. And another recent survey of 216 plans found that half are in- creasing retiree contributions. That study, by William M. Mercer Inc.. indicated that 34% of retirement plans now have tighter eligibility standards, while 26% have caps on company contributions. Mercer concluded that future retirees stand to lose the most - from an overall cutback in em - plover -provided retirement plans. Approximately 22`.'a of re- tiree health plans in the study have done away with coverage for at least some future retirees and/or their spouses. Retiree benefit cuts generally have passed court muster. the GAO noted. Courts generaily have given emoiovers a green I light to alter or terminate retiree health care benefits as long as they had reserved the right to do so in plan documents. Employers' freedom to cut benefits means retiree health i benefits are not secure, the GAO said. "Our review of available data and health benefit consul- tant studies showed that retiree health benefits are not secure under the present employer- 1 based system because under cer- tain circumstances they can be changed whenever and as em- ployers deem necessary," the re- port said. As Congress considers various health reform proposals. it. should pay particular attention to retirees. especially those under 65 not vet eligible fort, Medicare. who could lose their coverage, the report added. The Clinton administration. as part of its still -evolving reform proposal. has been examining what emoiovers` responsibilities will be to provide health care coverage to retired workers. No final decisions have been made. Copies of 'Retiree Health Plans: He Benefits Not Secure Under Emaiover-Based System. are avatiable from the U.S. Gen. eral Accounting Office. P.O. Bos 6015. Gaithersburg, Md. 20877, 202-275-6241. The rust conn :s free: additional copies are S2 each. Checks should be maae out to the Superintendent of Docu- ments. Soectiv report :Vo. GAO/ HRD-93-12!. Shifting Burden AG=10" too a a- -1 A►N1f,�aeallaaftalal�fbatw M i caesaltm4 �e■Ai� #atllhl � Stosw M sem' ing not�Stl rile linmatialfwlramaaantpteysse� . Raised Raised Imxessed *""a" tfmWayees *MIND"" copayment tee portion of deductible for health that premium insurance payment SOUITS: Fluatneaa d Legal ReMnS mc...Aaditan. Conn. Health care benefits for retirees are eroding in many ways and at a considerable pace, according to a telephone survey of 1,057 employee aencnt managers and 200 employees by Newark. N.J.-based account- MIZ firm KPMG Peat Marwick. In recent years, many employers have terminated retiree medical 'enefits, the survey finds. Specifically, the percentage of mid-size e•npiovers i those with 200.999 workers I offering retiree health bene - its fell from 44 percent in 1991 to 37 percent in 1992. while the :ercentage of large employers (1.000-4.999 workers) offering retiree coverage deciined from 56 percent to 52 percent. In contrast. retiret coverage remained constant at 72 percent among "jumbo" empiover those with -4.000 or more workers). In addition to cutting benefits. employers are limiting their heals] benefits liability by tightening eligibility standards. For example, th- -eport says, many emplovers have begun implementing length-oi service requirements. or increasing the minimum years of servic nplovees must have before they can receive benefits. _ _AEAU OF NATIONAL AFFAIRS. INC.. wasntnaton. Q.C. 20037 ..r -AA 1 Samat>±TMA ; I A/49.2 A *=W News Repw PeM6 Aad Their slobs iaOgton. EixidaaodFaesaeier IiFJICrB•81�13is�Mpt♦ttwe 1 aataataastti�pn. 11101Z an how d sa9s�tlsvaataa: ! 1[mttr, ewmao.et"U"I a as%n no year. 111133110t as 111 rota m Ise0. foots. ow I a am peew 011-131,91ltltr "A aid 11511ft 1 empblleea 1111bei Par 1IN — s for alepm- f dinar' tare, bops for a Inioar limb 1 ka 1193 reap Ihis rnr't M�pba. Prorate erapbytsa' btenh red eters befr 1 efll matt were up an a"" s m in the I lean erand sept- 36. rommrea with a 4.4961 rite the wenoafs rear. tare Labor Depart• f fent urs. Nabow food eatx= mmma I of 12% to 13% thrum 199& but bm" for I swtpedMt nses milli. RaOWW emp wm I to bete pal prermmba. a Teau Icon axe- 1 PW trammed Its CM ria! to 9% to 1492 !tam I 1L5% Ib 1991. and sen toil meeaae m 1993. C=qftu Sam's haaUhq==W M -r eluate pe+aaed bt f9� gad � bd rt 7 ! 'pfeatame" to say da tinct spool a 11 loader aoeoal. sw Ufa dsarmr idm ffaprte. I I1 NErIr CRUGES ata is teen rot maywa as aasrear. tilalhC rtes vW tote! arms tW hail d the 138 slSmbtsa atatfgsd sraeeti�eas 1 Gbueesl m PI "'e compelr■tl"Esia i swdftm Ailleiiinr In *=a Vans t sat year. t+tfq► us stn t>tiaaps !atom I p mmkwby lhllaotiat amptmm: f ITS arw alio rrm mmt ON as 0% Will I teats! swum or INTO Pmers s. About I Iss pmmat no Ptatdeat elect aeon ata WE am IbOI I will raft! OM M laza sed lift emebyea' bMthe mm In a aepum ommy of 134 =eoui ea by I wanni m WIIDam lienar. 2M nue uwv a ll fednoe emvwrw sum beelfHa in lei. I A mace 4% VW Iris Ieem. An oruer podds ie>aoasowbr0ltte CWILmoeed r lest ala Sean !wire N1111eee ofaa waw epiplorea: 48% report dadia- H tn- mum tett Year• down trumns 1111991. Rtoeidec that a CIT.Wo I W0= d 25v W or mm seal mda bum Im aneffla able b IUMM tl lmleeea fad thea dem Me bill ttbo t' that: (1) a reclt+ee vft is eftdie for heft twiram it, mn'ao emp ow is hoc ettoble (2) the t Nw= I=i be MMMUM U ,em 3tlatj pry for the wyaW (4) the am mor toric' list mpmm to Mir., if (5) the toy msr awe the n the a =ai cost a( the temee s heahh Mrlk!= sad (6) a can thx v'Ida stlbtatusWiv sirm or hear nmee hunt olmmv from the bill's PrOVOOOL .Z-15 -43 Pi7 I gg 200001 6, Edllo"•Cw MO NOW Aa "M 1" L Ss" AMOOMMO PWOOMr Mos ShOmM, Ed for M WmMaM MwiWV EdNor Tsoulass.l6Nca Ed dor Hea-1-th care alliance welcome first step. THE NEW FOUND ALYUNCE between President Bill Clinton and the country's governors is welcome, if for no other reason than because the White House door was closed for so long. But we hope that Mr. Clinton, and frankly Mrs. Clinton as well. is not just making noises of friendliness to his former gubernatorial colleagues and is truly serious about trying to straighten out America's health-care mess. Health care is at the top of everyone's agenda these days, and states have been trying to deal with the problem: of cost and care for many years. Medicaid alone has been. ova vhelming state gov- ernments. From a 6% share of state spending in 1980, the oast of Medicaid has increased to 14% of the budgA 4n.1991 and is projected MNItl�'Qir�'isatlh�- to be 2M by i99b. Mr. Clinton cer- 1 op,oe.rwryaws tainly Imows . about that, having been a g-Mernar• mrech longer than he has been a president. As we have' often noted, it is the states and the counties that are Wilkohm P ��WNIOf feeling the. massive budgetary pinch sosniting from a morass of �• reguiatims _and an inarticulate vi- saxt of what health can should be and whom it should serve. Mr. Clinton took a long stride in trying to ww with states by announc- ing that conditions for federal health waivers needed for state pro- grams will be loosened And Mrs. Clinton added three governors to her task force to help. What the president and Mrs. Clinton's task force should do next is watch what is happening beyond the Beltway where a number of programs may portend the future. Health-care reform is happening in the states: Florida, Georgia, Minnesota, Pennsylvania. Oregon and Vermont among others, have plans ranging from insurance regulation to managed cue, rationing and state -funded insurance. • if the Clintons want to get ahead on this issue, the place to look is outside Washington. D.C. Keeping an eye on the states that are moving ahead should be first priority. �-sr Post Retirement Healthcare Liabilities Estimated as of 12/1992 • Co. Name # at Actives # of Retirees Retsree Health Obrication Obligation Per EE American Brands 39,900 Not Rep $275,400,000 $6,892 Ameritech 76,967 49,900 $2,500.000.000 $19,7061 Arco 27,700 Not Rep $600,000,000 $21,6611 Armco 9.200 15,700 $700,000,000 $28,1121 AT&T 317,100 138,500 $6;000,000,000 $13,1691 Atlantic Ener 2,0;32 Not Rep $100,000,000 $49,213 Baltimore Gas & Elec 9,000 Not Rep 5900,000,000 533,339 Bell Atlantic 75,700 Not Rep $7,5501000,000 $20,476 Beg South 96,084 39,500 $2,000,000,000 $14,751 Boeing 159,100 Not Rep $1200,0001000 $7,5421 CaterpHim Inc 38,669 Not Rep $2.400,000,000 562,065 � Comsat 1,645 414 $40,300,000 $19,5731 Can Edison 19,087 Not Rep $600,000,000 $31,4351 Contin Bank 4,500 Not Rep $87,000,000 519,3331 Dow Chem 62,200 Not Rep $9501000,000 $15,2731 DuPont 133,000 Not Rep $4.000,000,000 $30,075 Enron Corp 7,000 Not Rep $94,000,000 $13,4291 Exxon 101,000 Not Rep $1,000.000,000 $9,9011 Gen Electric 284,000 165,000 $2,700,000,000 $6,013 Gen Motors 531,000 Not Rep $22,200,000,000 $41,808 GTE 162,000 Not Rep $3.100,000,000 $19,136' IBM 344,396 60,905 $2,200,000,000 $5x428 Long Island Light 6,600 2.100 $3501000,000 $40,230' Mobil 67,000 Not Rep $600.0001000 $8,015' Monsanto 39,281 18;000 $1,200,000,000 $20,049 NW Nat Gas 1,276 Not Rep $8.000,000 $6,270 NYNEX 89,900 Not Rep $5,000,000,000 $59,595 Occidental Petroleum 24,700 Not Rep $600,000,000 $24291 Owens Coming 17,300 Not Rep $344,000.000 $19,884 Pacific Gas & Elec 26,700 Not Rep $1,200,000,000 $441944 Pacific Telesis 71,877 40.000 $2,540,000,000 $22,346 PepsiCo 338,000 Not Rep $700,000,000 $2,071 Pub Ser Co of Colamdo 6,565 2,375 $145,000,000 $16219 Rockwell 87,004 Not Rep $1.50010001000 $17,241 Sears 413,500 Not Rep $2,540,000,000 $6,046 Southern Cos 30,402 Not Rep $700,000.000 $23,025 southwestBell 61,200 Not Rep $3,000,000,000 $49,020 Texas Utilities 15,262 Not Rep $310,000.000 $20,312 TRW 71,300 Not Rep $750,000.000 510,519 US West 65.829 Not Re $3,000.000.000 S45,573 , Avo Obligation Resorted Per Emotovee 517,707 41 . . Pr Post Retirement Heaitbeate Liabilities (Estimated as of 1211992 Co. Name * of Actives # of Refinws Retinae Health ObIloation Obligation Per EE American Brands 39,900 Not Rep $275,000,000 $6,892 Ameritech 76,967 49,900 $2,500.000AW $19,706 Arca 27,700 Not Rep $600,0001000 $21,661 Armco 9,200 15,700 5700.000A00 $28,112 AT&T 317,100 136,500 $6,000,000,000 $13,169 Atlantic Ener 2,032 Not Rep $100,0001000 $49,215 Baltimore Gas & Elec 9,000 Nat Rep =00,000x000 $33,335 Beit Atlantic 75,700 Nat Rep $1,550.000,000 $20,476 Bell South 96,084 39,500 $2.000,000,000 $14,751 Boeing 159,100 Not Rep ;7.200,000,000 $7,542 Caterpillar, [no 38,669 Not Rep $2,400,000,000 $62,065 Comsat 1,645 414 $40,300,000 $19,573 Can Edison 19,087 Not Rep $600,000,000 $31,435 Contin Bank 4,500 Not Rep $87,000,000 $19,333 Dow Chem 62200 Not Rep $950,0001000 $15,273 DuPont 133,000 Not Rep $4,000,000,000 $30,075 Enron Corp 7,000 Not Rep $94,000,000 $13,429 Exxon 101,000 Not Rep $11000000,000 $9,901 Gen Electric 284,000 165,000 $2,700,000,000 A13 Gen Motors 531,000 Not Rep $22,200000,000 $41,808 GTE 162,000 Not Rep $3,100,000,000 $19,136 IBM 344496 60,905 $2,200,000,000 $SAM Long Island Ught 6400 2,100 $350,000,000 $40,230 Mobil 67200 Not Rep $600.000,000 $8A15 Monsanto 39,281 18,000 $1,200,000AW $20" NW Nat Gas 1,276 Not Rep $8,000,000 $6,270 NYNEX 83$W Not Rep $5,000,000000 $59,595 Occidental Petroleum 24,700 Not Rep 56001000,000 $24,291 Owers Coming 17,300 Not Rep 5344,000,000 $19,884 Pacific Gas & Elec 25,700 Not Rep $1,200,000,000 $441944 Pacific Telesis 71,877 40,000 $2,500,000.000 $22,346 PepsiCo 338,000 Not Rep $7000001000 $2,071 Pub Ser Co of Colarado 6,565 2,375 $145,000,000 $16,219 Rockwell 87,004 Not Rep $11500,0001000 $17,241 Sears 413,500 Not Rep $2,500,000,000 $6,046 Southern Cos 30,402 Not Rep $700,000.000 $23,025 i Southwest Bell 61,200 Not Rep $3,000,000,000 $49,020 i Texas Utilities 15,262 Not Rep $310,000,000 $20,312 TRW 71,300 Not Rep $750,000.000 S10,519 US West 65.829 Not Re $3,000.000,000 $45.573 Ava Obligation Retorted Per Emolovee 517.707 0 ftW aY6 Edl 4n4Ch t 91■ who ftew r ftW& Bohm AssocM Plat w Mwamb■4 Edlor � /111■ssa. Manpiq Edlor TW =Mss4 Wsws Edbr Health care alliance welcome first step. THE NEW FOUND ALIJMC'E betanin President Bili Clinton and the country's governors is welcome, if for no other reason than because the White House door was closed for so long. But we hope that Mr. Clinton, and frankly Mrs. Clinton as well, is not just malting noues of friendliness to his former gubernatorial colleagues and is truly serious about trying to straighten out America's health-care mess. Health care is at the top of everyone's agenda these days, and states have been trying to deal with the problems of cost and care far many years. Medicaid alone has been ova whelming state gov- ernments. From a 6% share of state spmding in 1980, the cost of Medicaid has increased to 14% of the budget in 1991 and is projected . NNab1to be 28% by 1995. Mr. Clinton on% - WP everpm t tainly kwm . about that, having been a governor. much longer than he has been a president. As aro haver often noted, it is the states and the counties that are i feeling the massive budgetary 0001 =-.40ofW pinch resulting from a morass of regulations.and an ils■rticuis vi- sion of what health care should be and wham it should serve. Mr. Clinton took a long stride in trying to woeic with states by announc- ing that conditions for federal health waivers needed for state pro- grams will be loosened. And Mrs. Clinton added three governors to her task force to help. ; What the president and Mm Clinton's task force should do ne=t is watch what is happening beyond the Beltway where a number of programa may portend the future. - Health-care reform is happening in the states: Florida, Georgia, Minnesota, Pennsylvania. Oregon and Vermont amon others, have plans ranging from insurance regulation to managed care, rationing . and state -tended insurance. If the Clintons want to get ahead on this issue, the place to look is outside Washington. D.C. Keeping an eye on the states that are • moving ahead should be fust priority. • Shifting Burden Aoeomme lea aaaManaaa95aeaFad��aaaalaaaalar[fhera m a eaanlaafa� 110WI a $nell- my am **$ Moa r GWM": Reis" Raised Inmasdd a11p1oYM *111""yees efnpforeea cos"Ment fee porden of deductible for neaftn the premum insttanet payment =aunx: auf,n*n & Loam Reoons inc..:Aaeapn. Conn. Heal h care benenrs for retirees are eroding in many ways and at a considerable pace. according to a telephone survev of 1.057 employee benefitmanagers and 200 empiovees by Newark. N.J.-based account- ing fir, KPMG Peat Marwick. In recent years. many employers have terminated retiree medical .-enefit . the survey finds. Specifically. the percentage of mid-size e:npiov rs (those with 200-999 workers ot3ering retiree health bene. -its fell from 4d percent in 1991 to 37 percent in 1992, while the ,ercen ge of large ernpiovers (1.000-4.999 workers) offering retires' Covera a declined from 56 percent to 52 percent. In contrast. retires zoveratre remained constant at 72 percent among "jumbo" empiover! those ith 5.000 or more workers). In a dition to cutting benefits, employers are limiting their heald aencfi liability by tightening eligibility standards. For example. thr ,eport says, many employers have began implementing length-oi *ervice rea_uirements. or increasing the minimum vears of servic nploy es must have before they can receive benefits. .AEAU PF NATIONAL AFFAIRS. INC.. Wasnlnoton. O.C. 20037 IA�it ri st' , orna IbraeMm-T WA = l Z%4.2 A SpocW Nawa R"wt ae Paola . Aadiles3o6a�fD�cef1, FifllfiaafatiFacaoeiae >�JtL'i'H•E�11aOtfapereaaet aa0artmebafl�aea taa�ere_i111e r Rata■fa1�Ya.. rata fou"O M tmaa as f wdamm fir r was= axe OWN r amw•tm�■e 1 KmEnhum memwW�eo)t f!<mas tats Ymr. t� a � alae r4 t9R Oools famR t a oast WE Ptertaar paha ad &alma; I ampmyan"NOFay WWf alar doper r dMW esm hopes for a salaller almb I Ia = than thea yearn 11'b0as. Prinae a mea' he m and ouW dear I elft moo[ were UP as a"e tRe 5.2% In We I Dear eadad sept. 30. comoeed with a 6.4%1 rise We OMWOM year. she labor Defan meat says. Nabrsm food erseeos misdates i of 12% to 13% Wfo= in& Oat boon tar 1 sU19106 t MW 111ff Rsomnas 40Wyees i to tWIP WY PreffUeU. a irons toad oxo- i PaaY frWWW its mat me m 5% to 1992 from i 1L3% In 1991. Lod sen somaenem 1993. tamrtpbell Sam's heoo m•1 4 MIM P00011 ct M ad 1!p but u= '" to smY loft ort spurn rs i lender eaaont. sap la Boa dyasor 1{1QM= CRUGM an in Mm for mow—InnUnYear. EilaOsr Oasta wW tarda male dq aaY d the Loa a>tmbaa eatieYnd btaa gets 1 0=91 ao rAMk Lbmpanalr mace 1 oplibat adlta = Ir laaftalt 1tm I tllam "W. fib► ser, 92 dmp ban I 0maaway ttbt I 1 afmraEspr: I tf% 921 alta rememmt pias aha us ww i ahaaae ltdsllma Or lana ptaalaatL about I 15% WNW that Ply C lame am I the flew fn,04lm Wtv axe 0 fl- Tears 1 aadilftemsbfeee' heanbmats. In a ttperare shady of 179 mmaamea by moaol W WUM Hader. 2591 am Wer WW teduoe emompee m= ttmof3e bs 1991. ! A aeaat 4% WdI Incase Ween. Aa earn pOtld5%e®eaotnM0btMCWP.9taouee i Mot 0% 51sm bmlth Wee t fsaro Imb 1papla1 4596 report doeb*ft t W green Wfa year. down tram ns la 1991. PVVft drat aC r.VM a ulmm at 25.= or mltatt: Ad mm: hmft , m mnae t 2bie 14 amm ftd Baled and di* dwmtlea111. The bili abo =_ V that (1) a teener wild is dple for h6m aQalnme meoulD Ex empiow is not 40G (2) the core =M be mamm (3 record shag pay for the cow.. (4) the lily MW A mmu ged supplement Wmage, d (5) the sus m v corm we re the =W cost of the lessee's beaith Warm and (6) a sty that tildes =StardLafly SITMor D=ff MWU health f7 Vffl fZe is Qt from the bill's ptvvmont ■ ■ w .Ir g% v ■ i��..� Zff=gar Unfunded retiree health benefit liabilities By JERRY GEISEL HNGTON—The cost of -e: medical benefits that companies have promised. but not funded, is rising even as companies continue to cut or eliminate benefits. 'l'he General Accounting Office estimates that unfunded em- piover retiree health liabilities now total $412 billion -5257 billion for active employees and 3155 billion for retirees. That's an 81% increase from total liability of $227 billion— including $127 billion in un- funded benefits for active em- ployees and $100 billion for re- tirees --in 1988. Rising health costs contributed to that increase, as did more early retirees and longer life ex- pectancy, noted Donald C. Snvder. an assistant director in the GAO's human resources divi- sion. "Because early retirees (under This article is an accurate description of the retiree health care dilema. 9/ Business insurance 7-19-93 up 81 %: GAO age 65) are not yet eligible for Medicare, employers pay three to four times more for their health care than for retirees" covered by Medicare. the report noted. Relatively few employers have taken the drastic step of termin- ating retiree health benefits. The GAO. citing several consultant surveys. estimates that up to 3`ro 1 of emniovers have terminated benefits for current retirees and 3% to 5% have done so for future Continued on page 20 GAO report Contmued from pave 1 retirees. But nearly 70% of empioyers either have or plan to in the next year raise retiree premiumco tributions or otherwises, their retiree health pLana ding to a forthcoming report from A. Foster Higgins & Co. And another recent survey of 216 pians found that half are in- creasing retiree contributions. That study, by William M. Mercer Inc., indicated that 34% of retirement plans now have tighter eligibility standards, while 26% have caps on comoany contributions. Mercer concluded that future retirees stand to lose the most - from an overall cutback in em - plover -provided retirement j plans. Approximately 22% of re- tiree health plans in the study have done away with coverage for at least some future retirees andlor their spouses. Retiree benefit cuts generallv { have passed court muster. the GAO noted. Courts generally have given empiovers a green light to alter or terminate retiree health care benefits as long as they had reserved the nght to do so in plan documents. Employers' freedom to cut benefits means retiree health i benefits are not secure. the GAO said. "Our review of available data and health benefit consul- tant studies showed that retiree t health benefits are not secure under the present empiover- F based system because under cer- tain circumstances they can be changed whenever ana as em - plovers deem necessary," 'he re- port said. As Congress considers various health reform proposais. it, should pav oarticuiar attention i to retirees. especially those under 65 not yet eligible fort Medicare. who could lose their coverage, the report added. The Clinton administration. as part of its stili-evoivuig reform proposal. has been examining what emniovers' responsibilities will be to provide health care coverage to retired workers. No final decisions have oeen made. s Copies of "Retiree Health Plans: Health Benefits Not Secure Under Emviover-Based Sustem. are avatiaole front the U.S. Gen- eral Accounting Office. P.O. Bos 60I5. Gaithersburg, .lid. 208 202-275-6241. The itrst cop M, free: additional costes are a_ each. Checks should be maae oui to the Supennrenaertt of Docu- ments. Specify report No_ GAO: HRD-93-I25. age 65. If the retiree that reaches age 65 opts off the City's plan and doesn't continue to pay the premium, the spouse will be dropped from coverage. RET M.. hired after 10/1/93 • Upon retirement employees hired after 1011/93 will be eligible to continue medical coverage under the City's plan in accordance with State Law which allows the City to charge the actual cost. DISABILITY RETIREES: (Usually young in age with dependent families) • Under the age of 65 will retain same benefits as active employees until age 65 is attained. -W=bt*eVNaWMM Revised 7128/93 • 1-48 • Reduce co -payment for existing and future retirees and spouses as follows: ! IN NETWORK OUT OF NETWORK 1993/941 80/20 1993/94 60/40 1994/9, 75/25 1994/95 55/45 1995/96 70/30 1995/96 50/50 1~'[TI'M RETMEES, hired prior to 10/1/93 (Current Employees) • RATES FOR FUTURE REMM, hired prior to 10/ 1/93 Current employees retiring after 10-1-94 below the age of 65 with minimum of 10 years of City of Baytown service will remain eligible for the City's health benefits coverage by paying the total of the employee and City's contribution. (Retiree true premium $609 vs active $234 and with retiree true dependent cost $1,218 vs active $519). They will be allowed to remain on the plan if they so elect for payment of the full active employee rate. RETIREE RETIREE EMPLOYER EMPLOYER TOTAL PRESENT PROJECTED PRESENT PROJECTED RETIREE COST COST COST COST COST RETIREE ONLY $ 0.00 $ 42.00 $160.00 $192.00 $234.00 RF'P[RFF. +DEP $82.50 $124.50 $362.72 $394.72 $519.22 • Reduce co -payment for existing and future retirees and spouses the same as existing retirees. • if the spouse of a retiree becomes widowed, the spouse continues at same premium payment of a retiree only rate. • Active employees with dependent coverage will be allowed to continue this coverage upon retirement. No dependents will be added after the active employee retires. In the case of two employees that are married to each other and they both retire, one may be added as a dependent. If an active employee chooses to leave City employment before being vested and their spouse is a retiree of the City they will be eligible to be covered under the retiree's health plan as a dependent. 0 CJ mandates for measurement of the obligation and accrual of cost during the working He cf the employee. The GASB (Governmental Accounting Standards Board) has deferred adoption of mandates similar to FASB 106 until other reporting issues have been fully addressed. GASB is expected to adopt these similar guidelines in the near future. Regardless of the time frame for adoption of these accounting deadlines, the important issue is having the resources necessary to pay our bills. * V 19 D1 RATES FOR EXISTING RETIREES (and existing employees who retire prior to 10-1-94) Spouse RETIREE RETIREE EMPLOYER EMPLOYER PRESENT PROJECTED PRESENT PROJECTED COST COST COST COST UNDER 65 RET $ 0.00 $100.00 $160.00 $509.28 1-2 DEP $82.50 $182.50 $362.72 $1018.56 OVER 65 RET $ 0.00 $100.00 $160.00 -0- 0- 1-2 DEP 1.2 $82.50 $182.50 $362.72 -0- 0 - Spouse of existing retiree will continue to be eligible for City of Baytown health benefits --- (premium paid by retiree) until spouse is eligible for medicare. At the time the -spouse is eligible for medicare, the City will discontinue tion. Retiree must remain on the City's coverage to maintain spouse's coverage until spouse reaches age 65 and is medicare eligible. • If the spouse of a retiree becomes widowed, the spouse continues at same premium payment of a retiree only rate. • Active employees with dependent coverage will be allowed to continue this coverage upon retirement. No dependents will be added after the active employee retires. In the case of two employees that are married to each other and they both retire, one may be added as a dependent. If an active employee chooses to leave City employment before being vested and their spouse is a retiree of the City they will be eligible to be covered under the retiree's health plan as a dependent. 1-46 RE 11 BENEF115 Currently there are 85 City of Baytown retirees under the existing health benefits plan. Forty-eight of these are under age 65 and not yet eligible for Medicare coverage. This group represents a sizable financial liability to the pian. The liability is twofold; 1) Claims Costs and 2) Future Liability. 1) CLAIMS COST Of the $2,861,784 of claims paid during the previous 12 months (medical claims only), the average monthly claim cost per retiree under 65 amounts to $1,045 while the average monthly claim cost per active employee amounts to $356. Of the $1,447,035 claims paid during the first 6 months of the 1992/93 policy year (medical claims only), claims totaling $410,283 were paid on behalf of retirees under 65. The retirees under 65 represent 7% of the total covered under the plan and over 28 % of the claim dollars for this 6 month period. 2) FUTURE LIABILITY Continuing to provide retiree medical benefits carries a future liability. The real cost for claims over the remainder of each retiree's life time is $564,722 which in today's dollars would require the City to invest $207,257 per retiree in an annuity to pay for future medical costs. These figures are derived actuarially assuming a retiree age of 58 and life expectancy of 84 years. Similar calculations would have to be made for each current retiree and each future retiree if the City continues to pay for the retiree medical coverage. The City has utilized a pay as you go philosophy in paying retiree health benefits. This philosophy recognizes expenses when they are paid, rather than at the time the liability is incurred. In order to properly fund the retiree health benefit cost, monies would need to be budgeted each year the employee works, similar to a pension fund.