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City says family premiums could fall under proposed plan structure
Summary
Higginbotham told council that the most affordable family premium under the current structure is $673 per month and that the proposed design would lower that to about $427 a month; council members sought clarification on employee monthly costs and coinsurance changes.
During Q&A, Higginbotham provided examples of employee monthly costs and said the most affordable family rate in the current program is $673 per month and that the proposed structure would lower that to $427 monthly. "The most affordable family rate today for an employee is $673 a month. That will go down to $427 a month with this new structure," Shana Miller told the council.
Council members pressed for exact comparisons by plan type (employee-only, employee-plus, family) and for details on coinsurance and out-of-pocket maximums; the broker said coinsurance on some plans would move to an 80/20 split (employee responsible for 20%), an increase in value compared with the prior HMO 70/30 arrangement for some employees. The broker also said there are 14 employees currently on the HSA plan, which factor into projected cost impacts.
