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Our actual Health Plan experience through March 2021 indicates the following: • Employee & Retiree enrollment averages 1,672 members • Average of 3,675 individuals are insured under the group medical plan • 23.6% of members are enrolled in the Premier Silver Plan and 76.4% are enrolled in the Premier Gold Plan • 27 high cost claimants over $50K totaling $3.3M in claims during the first 6 months of the plan year • Stop Loss reimbursement of $17,639 resulting in net claims of $3.25M for 27 high cost claimaints • The Premier Silver Plan is performing well and the Premier Gold Plan is running at a loss. • Overall plan performance is 91.2% during the first six (6) months of the plan year. However, the ongoing expenses related to high cost claims are expected to impact the plan over the next six (6) months and it is anticipated we will end the plan year on budget. The Self -Insurance Fund balance through March 2021 indicates the fund balance history and actual fund balance as of March 31, 2021 as listed below: E�aF Year End IFunc19 Ba[ancye H�st►y; September 30, 20.1 S pternber 30, 2019 September 30, 2020 $13,148,724 $12,197,911 $12,807,209 Fund i3acance Change Through 2ndl Quarter Fir 20%21 September 30,2020: T March 31,2021. Inc./Dec. % Inc./Dec.. $12;8.07,209 $13,500,112 $692,903 SA1% Funding for the health plan is provided by employer, employee, and retiree contributions to the plan as well as OPEB funding. While it is projected we will end the current plan'year on budget, projections indicate additional funding of $1,561,000 will be required for the plan year beginning October 1, 2021. This increase is based on a 5.5% medical trend, a 10% pharmacy trend, increase in stop loss premiums, and increase administrative costs (ASO) fees. The projections assume $1,830,000 in pharmacy rebates. Funding requirements for FY21/22 are projected at $25,186,000. Medical and Pharmacv Administration The County plan has an existing Administrative Services Agreement (ASO) with Florida Blue. This agreement was entered into on June 5, 2018 and is for a period of five (5) years expiring on September 30, 2023. The current Pharmacy Benefit Administrator (PBA) is RXBenefits and the Pharmacy Benefit Manager (PBM) is Express Scripts. Lockton has completed PBM marketing for the upcoming plan year. Nine (9) proposal were reviewed and analyzed. The analysis included comprehensive financial comparison using Lockton's proprietary repricing model utilizing our claims data, pricing guarantees, bidding terms, clinical programs, formularies, pharmacy networks, mail order and g— g