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an increase is justified. Ms. Boyll indicated this decision would be made by the <br />BOCC. <br />o Ms. Boyll reviewed the minutes from the June 18, 2019 reminding staff that <br />associated with the approval of a two year phase in was a warning that additional <br />increased funding may be necessary. <br />High Deductible Health Plan <br />Staff was also directed to provide information regarding a High Deductible Health Plan Option <br />(HDHP). A typical HDHP providing for an actuarial benefit of 78.1% would be: <br />Cost•Sharing a Member's Responsibility <br />CalendarjYear Deductible kW) <br />Employee <br />Single/Family <br />10/1/20 Silver <br />In -Network (INN) <br />Out -of -Network <br />$1,312.50 <br />$1,400/$2,800 <br />$2,800/$5,600 <br />$706.00 <br />Coinsurance <br />_ _.. J <br />Member •a s afteriCalendar Year DED <br />In -Network <br />Out -of -Network <br />30% <br />40% <br />Calendar Year Out of Pocket,Maximum <br />Single/Family <br />A <br />In -Network <br />Out -of -Network <br />$6,000/$12,000 <br />$12,000/$24,000 <br />Prescri.tion Dru•s <br />RX AdministeredLthrough RX Benefits <br />Generic <br />30% <br />Preferred Brand Name <br />30% <br />Non -Preferred Brand Name <br />30% <br />There are no copays under a HDHP. After the member meets the deductible, the member would <br />pay 30% of in -network costs and 40% of out of network costs up to the out of pocket maximum. <br />The out of pocket maximum is $6,000 for single and $12,000 for family. Because the actuarial <br />value of the HDHP is so close to the Premier Silver Plan which is at 79.8%, the premiums would <br />be as follows compare to the recommended 10/1/2020 Premier Silver Plan premiums: <br />Employee Clinic Information <br />There has been discussion about employee clinics and reference made to other employers who <br />have onsite employee clinics. There are a variety of different clinic models that could be pursued <br />if it were determined that funding a clinic is feasible and would meet BCC goals and objectives. <br />There are various employee clinic models that employers can choose to implement. Lockton has <br />provided a high level overview of clinic considerations (attached). Essentially there are three <br />clinic administration options: <br />• Partner with a third party to provide medical professionals and manage delivery of <br />services. <br />• Contract directly with outside medical professionals. <br />• Hire healthcare professionals as employees of the company to deliver services. <br />69 <br />Employee <br />Family <br />10/1/20 Silver <br />$715.00. <br />$1,312.50 <br />10/1/20 HDHP <br />$706.00 <br />$1,295.00 <br />Employee Clinic Information <br />There has been discussion about employee clinics and reference made to other employers who <br />have onsite employee clinics. There are a variety of different clinic models that could be pursued <br />if it were determined that funding a clinic is feasible and would meet BCC goals and objectives. <br />There are various employee clinic models that employers can choose to implement. Lockton has <br />provided a high level overview of clinic considerations (attached). Essentially there are three <br />clinic administration options: <br />• Partner with a third party to provide medical professionals and manage delivery of <br />services. <br />• Contract directly with outside medical professionals. <br />• Hire healthcare professionals as employees of the company to deliver services. <br />69 <br />