2024 Health Insurance Plan and Costs – Estimated vs Actual

Validating Actual vs Projected Costs.  The actual costs (vice what was briefed) need to come from the accounting system.

Coverage.   Why is the health insurance benefit available for part-time employees, e.g., councilmen and commissioners?

Oct 24, 2023. Health Insurance Options.   Are plans available from the Affordable Care Act a more cost-effective option?  Eliminate the county-provided health insurance benefit, and increase salaries to cover the cost of employees selecting their own plans.

    • What is being provided by the other 92 counties in Indiana?

Oct 18, 2023.  County Commissioner Meeting Notes – Oct 18, 2023.  (includes audio). All three commissioners were present – Sanders, Pittman, Wolpert (1).   Local GOP leadership – Robyn Rosenberg Bowman also present.  (1) Wolpert received 7 of the 11 votes by GOP precinct chairs to fill the vacancy left by Chuck Braden.

There were several handouts (a good thing) including projections on costs (see below).  Little time was spent reviewing the handouts to gain an understanding of all the costs, options, and risks.

I reviewed the information presented and developed the attached spreadsheet.    “Appears”s the projected total cost to the county per employee is $17K.  This does not include fixed costs (I assume this includes administrative-related costs).

Also, the self-insured option at 17K does not include any additional costs as a result of the risk of the county being self-insured.  If there is anyone that has serious medical issues, costs to the county can increase.

I have shared the spreadsheet with county officials for their feedback.

The So What?  The government’s cost of defined plans available to State employees runs about 20K per employee. It has been stated that the defined benefit plans were twice as expensive to the county – this does not appear to be the case any longer.

See defined benefit plans, Indiana State Personnel Department – Health Plan Rates at: https://www.in.gov/spd/benefits/plan-rates/

2024 Health Insurance Plans and Costs – Employee and Employer – Handouts 

March 2020 – Councilman Jim Kemp. The estimated deficit projected for June at over 1 million dollars <-1, 350,145.00>   Kemp completed an analysis on the state of the Health Fund. The recent changes to the benefit package prevented the deficit from being even higher. PDF – Kemp health fund deficit

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