association january 7, 2016 what’s on the horizon for state employee benefits?
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HB 1 State contribution: 9.5%, up from 7.5%; continued agency contribution: 0.5%HB 9Employee contribution: 9.5%, up from 6.9%
Offset by 2.5% pay increaseElimination of 90-day waiting period for new employees
Retirement Contribution increases for better financial health
Changes achieve near actuarial soundness with no
additional reduction in benefits.
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HB 1 Full funding for insurance programs in FY16-17
Increase in Plan Year 2016 premiums, to offset rising health costs No plan design changes
Health Insurance Full funding
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HB 3307TRICARE supplemental plan, available now through Discount Purchase Program
Not administered by ERSHB 966Consumer-directed health plan, available Sept. 1, 2016
Optional alternative to HealthSelect of Texas and HMOs Lower premium Much higher deductibles Education campaign on the way
Health Insurance More choice
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Consumer-Directed Health Plan (CDHP)Two Components
Consumer-Directed Health PlanMore member responsibility
High-deductible Health Plan (HDHP)High deductiblePossibly lower premium contributions
Still paid 100% / 50% by the statePreventive services paid at 100%
Not including RxPPO plan administered by
UnitedHealthcare in PY17In-network benefits
Health Savings Account (HSA)Funds for eligible health expenses only
Including dental and visionTax benefitsInvestment options for someContribute only when enrolled in HDHPPortableState contributionAdministrator TBD
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ACA Health Coverage Reporting Forms 1095-B and 1095-C
Form 1095-B: verification of member’s medical coverageERS communicating with members about form and reportingNon-MA health plans mailing forms by January 31Members report information on 2015 tax filings
Form 1095-C: verification of employer’s offer of medical coverageEmployers are responsible for Form 1095-CEmployers can designate ERS as Designated Governmental Entity (DGE) for
reporting one part; ERS reports this part on Form 1095-B, Part IV
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Qualified transportation fringe benefit, regulated by IRS Two types of pre-tax accounts
Parking, at/near work/transit for qualified transit or vanpool $15 - $250 monthly, debit card or claims filing
Transit, for eligible mass transit (bus, train, subway) or vanpool expenses $15 - $130 monthly, debit card only
Enrollment began January 1, 2016 Month-to-month benefit Administered by ADP
Commuter Spending Accounts (CSAs)Tax savings on qualified commuting expenses
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Bid for providers underwayExpect to offer it Sept. 1, 2016 (enrollment this summer)
Until then, discounts available through HealthSelect of Texas and HumanaDental plans
Vision InsuranceFrequently requested by members