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was $4,944,077. The move to Express Scripts and RX Benefits administrative services has <br />generated a 20.8% overall pharmacy savings (cost avoidance) although overall pharmacy claims <br />continue to rise year after year. <br />Plan Financial Performance <br />The plan's financial performance since FY2010 is reflected below. Based on actuarial projections, <br />current funding is not sufficient to maintain the status quo and changes will be needed. Increases <br />in premiums and plan design modifications will be required for the upcoming FY2019/20 to fund <br />the health plan and cover the cost of medical and pharmacy benefits to covered members in the <br />upcoming plan year. <br />$3,000,000 <br />$2,000,000 <br />$1,000,000 <br />-$1,000,000 <br />-$2,000,000 <br />-$3,000,000 <br />Health Program Net Revenues <br />FY10 - FY19 Projected <br />2010 2011 2012 2013 2014 2015 2016(1) 2017 2018(2) 2019(3) <br />$1\761`58 <br />\`\�:\y$1•2 <br />�� <br />\ \\•• <br />0;30259331336' <br />�\'''\',. ♦ <br />• ;�� <br />$933,336 <br />` , •� <br />♦• <br />\♦ <br />\ <br />\\ <br />\��\ <br />♦` <br />♦ <br />'��� <br />\�� • <br />`. \. <br />\\� \ <br />$2;385;234 <br />R. ` <br />♦\`\� �\` <br />\`.\ <br />`\ �� <br />\\ \ <br />\ <br />` \\ <br />iJJiek <br />iii <br />, <br />\111., <br />,,,,,‘, <br />$JJ�i <br />\ <br />\ `♦ <br />\, <br />"���\\$1; <br />... <br />�`` <br />\ <br />\\ `\``� <br />\'\ <br />7547\ <br />�O <br />0 442 <br />;9\; <br />` �� <br />\♦\ <br />\ <br />\ <br />. \\. <br />\` <br />\ <br />`.\\ ''' \\\\ <br />L. <br />\‘‘\\* <br />��\ <br />c��zA.,5, <br />:ham\ s • <br />\\\ <br />Funding for the health plan is provided by employer, employee, and retiree contributions to the <br />plan as well as OPEB funding. As of March 2019, the current plan year is running at a deficit and <br />this trend is expected to continue into next year. Therefore, additional funding and plan changes <br />will be needed to continue to provide affordable, competitive, and sustainable benefits for <br />covered members. <br />Affordable <br />Indian River County has maintained a two tier premium for single and family coverage and <br />maintains affordable premiums for both tiers of coverage. There is a strong provider network <br />and network discounts through Florida Blue are good. The pharmacy benefit is administered by <br />RXBenefits and the current PBM is Express Scripts. Members have a Targe network of <br />pharmacies nationwide to obtain medications. <br />177 <br />