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Dental Insurance for Retirees

November 6, 2012
Background

During the self-insurance fund update to Council on
  September 18, 2012, Council requested that staff look
  into whether or not pre-65 and post-65 retirees (and
  their dependents) could be offered dental insurance
  coverage through the current provider, Delta Dental
  Insurance Company.
Background

Council also requested that the impact of adding
  retirees to the dental plan be identified and to
  research the associated cost.

Presently the City covers 860 active employees/
  dependents at an annual cost of $157,070.

There are approximately 500 retirees who would be
  eligible to enroll if offered.
Background

As was reported in September, 2012, six of the eight
  cities who responded to our inquiry, offer dental
  insurance to their retirees. Only one city (Wichita
  Falls) provides any funding to the retiree cost for
  coverage.
Background

Delta Dental Insurance Company has affirmed that they
  will allow coverage in their plan for pre-65 and post-65
  retirees.

The next 4 slides reflect current premiums, and 3
  scenarios for retiree premiums.
Current Dental Premiums
Coverage          Employee Cost/Month         City Cost/Month
Employee Only            $0                       $15.22


Employee/Spouse          $20.36                   $15.22


Employee/Child           $29.34                   $15.22


Employee/Family          $49.70                   $15.22


(860 employees * $15.22 * 12 mo = $157,070)
Retiree Absorbs Entire Cost
Coverage          Employee Cost/Month             City Cost/Month
Employee Only               $0                          $15.22
Employee/Spouse             $20.36                      $15.22
Employee/Child              $29.34                      $15.22
Employee/Family             $49.70                      $15.22


Retiree Only                $17.96 *                    $0
Retiree/Spouse              $41.98 *                    $0
Retiree/Child               $52.58 *                    $0
Retiree/Family              $76.61 *                    $0
*premiums are 18% higher than total cost for active employees
(includes City cost and increase due to retiree status). There is no
increase to the City with this option.
City Absorbs Total Increase
Coverage          Employee Cost/Month            City Cost/Month
Employee Only             $0                         $16.74
Employee/Spouse           $20.36                     $16.74
Employee/Child            $29.34                     $16.74
Employee/Family           $49.70                     $16.74


Retiree Only              $0                         $16.74
Retiree/Spouse            $20.36                     $16.74
Retiree/Child             $29.34                     $16.74
Retiree/Family            $49.70                     $16.74
Employees and retirees pay identical premiums.
(860 + 500 covered * $16.74 * 12 mo = $273,197, for an increase
of $116,127)
Employees & Retirees Absorb Total Increase
 City Absorbs Cost for Extra Lives Covered
Coverage          Employee Cost/Month         City Cost/Month
Employee Only             $1.52                     $15.22
Employee/Spouse           $21.88                    $15.22
Employee/Child            $30.86                    $15.22
Employee/Family           $51.22                    $15.22


Retiree Only              $1.52                     $15.22
Retiree/Spouse            $21.88                    $15.22
Retiree/Child             $30.86                    $15.22
Retiree/Family            $51.22                    $15.22
Employees and retirees pay identical premiums. Increased City
cost for 500 extra participants = $91,320.
($91,320 + $157,070 = $248,390)
Council Direction

  Staff is seeking direction from the City
 Council on whether or not to offer dental
  insurance to retirees; and if so, which
   premium scenario should be utilized.


If approved, dental coverage will be offered
to retirees during open enrollment later this
     month, to become effective 1/1/13.

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San Angelo City Council November 6, 2012 Dental Insurance to Retirees

  • 1. Dental Insurance for Retirees November 6, 2012
  • 2. Background During the self-insurance fund update to Council on September 18, 2012, Council requested that staff look into whether or not pre-65 and post-65 retirees (and their dependents) could be offered dental insurance coverage through the current provider, Delta Dental Insurance Company.
  • 3. Background Council also requested that the impact of adding retirees to the dental plan be identified and to research the associated cost. Presently the City covers 860 active employees/ dependents at an annual cost of $157,070. There are approximately 500 retirees who would be eligible to enroll if offered.
  • 4. Background As was reported in September, 2012, six of the eight cities who responded to our inquiry, offer dental insurance to their retirees. Only one city (Wichita Falls) provides any funding to the retiree cost for coverage.
  • 5. Background Delta Dental Insurance Company has affirmed that they will allow coverage in their plan for pre-65 and post-65 retirees. The next 4 slides reflect current premiums, and 3 scenarios for retiree premiums.
  • 6. Current Dental Premiums Coverage Employee Cost/Month City Cost/Month Employee Only $0 $15.22 Employee/Spouse $20.36 $15.22 Employee/Child $29.34 $15.22 Employee/Family $49.70 $15.22 (860 employees * $15.22 * 12 mo = $157,070)
  • 7. Retiree Absorbs Entire Cost Coverage Employee Cost/Month City Cost/Month Employee Only $0 $15.22 Employee/Spouse $20.36 $15.22 Employee/Child $29.34 $15.22 Employee/Family $49.70 $15.22 Retiree Only $17.96 * $0 Retiree/Spouse $41.98 * $0 Retiree/Child $52.58 * $0 Retiree/Family $76.61 * $0 *premiums are 18% higher than total cost for active employees (includes City cost and increase due to retiree status). There is no increase to the City with this option.
  • 8. City Absorbs Total Increase Coverage Employee Cost/Month City Cost/Month Employee Only $0 $16.74 Employee/Spouse $20.36 $16.74 Employee/Child $29.34 $16.74 Employee/Family $49.70 $16.74 Retiree Only $0 $16.74 Retiree/Spouse $20.36 $16.74 Retiree/Child $29.34 $16.74 Retiree/Family $49.70 $16.74 Employees and retirees pay identical premiums. (860 + 500 covered * $16.74 * 12 mo = $273,197, for an increase of $116,127)
  • 9. Employees & Retirees Absorb Total Increase City Absorbs Cost for Extra Lives Covered Coverage Employee Cost/Month City Cost/Month Employee Only $1.52 $15.22 Employee/Spouse $21.88 $15.22 Employee/Child $30.86 $15.22 Employee/Family $51.22 $15.22 Retiree Only $1.52 $15.22 Retiree/Spouse $21.88 $15.22 Retiree/Child $30.86 $15.22 Retiree/Family $51.22 $15.22 Employees and retirees pay identical premiums. Increased City cost for 500 extra participants = $91,320. ($91,320 + $157,070 = $248,390)
  • 10. Council Direction Staff is seeking direction from the City Council on whether or not to offer dental insurance to retirees; and if so, which premium scenario should be utilized. If approved, dental coverage will be offered to retirees during open enrollment later this month, to become effective 1/1/13.