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HomeMy WebLinkAboutMinutes - Minutes - City Council - Meeting Date: 5/30/2000 (3) * PLEASE NOTE: Since the Glendale City Council does not take formal action at the Workshops, Workshop minutes are not approved by the City Council. MINUTES CITY OF GLENDALE CITY COUNCIL WORKSHOP May 30, 2000 1:30 p.m. PRESENT: Mayor Scruggs, Vice Mayor Eggleston, and Councilmembers Goulet, Lieberman, Martinez, and Samaniego. ABSENT: Councilmember McAllister ALSO PRESENT: Martin Vanacour, City Manager; Ed Beasley, Assistant City Manager; Peter Van Haren, City Attorney; and Pamela Oliveira, City Clerk. 1. HEALTH CARE INTERNAL SERVICE FUND CITY STAFF PRESENTING THIS ITEM: Ms. La Verne Parker-Diggs, Human Resources Director; and Mr. Art Lynch, Finance Director. The renewal of the employee benefits program for the 1999-2000 plan year resulted in a rate increase that was shared between the City, employees and retirees. After discussion of the benefit renewal issues with the Mayor and City Council, direction was provided for staff to examine health care benefit costs and to examine health care strategies for present and future years. At today's workshop, staff presented a plan to assist in funding future health care cost increases. Based on this direction, an actuarial study was conducted to determine projected costs of the current medical, dental and vision benefits over periods of three, five and ten years. The purpose of the actuarial study was to help the City obtain a clearer picture of anticipated cost fluctuations and to project funding levels necessary to meet the future of health care costs. (In addition, stabilizing the annual changes for the City of Glendale and its employees was of vital importance.) Actuarial study projections were prepared based on the development of (1) employee and retiree population; (2) changes in inflation affecting health care costs; (3) utilization of the benefit plans; and (4) cost sharing strategies between the employer and the employees. 1 The results of the actuarial study have provided the City of Glendale with a framework for developing a long-range health care plan including cost and funding issues. Key recommendations of the plan focus on (1) addressing and studying health care cost increases, (2) reviewing the employee/employer cost sharing for cost increases facing the City, (3) methodologies for developing a financial model that smoothes necessary health care increases over multiple years, (4) pursuing strategies to reduce prescription drug costs, examining the rate structure to determine where it should be modified, (5) evaluating benefit provider policies and procedures for opportunities to reduce costs over time, and (6) using remaining benefit contributions to build savings in a separate fund. Various policy issues were also examined, including comparing the level of employer funding to other comparable Arizona cities. Results showed that Glendale was in the middle of the range. The determination to utilize the actuarial services of William M. Mercer, Inc. was made since they had a vast knowledge of City of Glendale healthcare issues. On January 12, 2000, the results of the actuarial study were presented to the Management Team. At the February 3, 2000 meeting, the Employee Health Care Task Force reviewed the results of the actuarial study. As part of developing a funding strategy to prepare for future costs, the committee recommended the establishment of the employee Health Care Internal Service Fund. Benefit premiums not utilized to pay claims or administrative fees would go into the fund. The Committee also agreed to identify and implement opportunities for reducing benefit plan costs. At the March 17, 2000 Employee Health Care Task Force meeting, the committee approved revisions to the medical plan that resulted in no rate increase for the 2000- 2001 plan year. With Council direction through budget adoption, the $250,000 initially proposed for rate increases for the 2000-2001 plan year could be deposited into an employee Health Care Internal Service Fund for use in stabilizing future rates. Finance staff did preliminary work to create a Health Care Internal Service Fund to begin tracking costs on July 1 , 2000 and to earmark the use of health care money. This fund was incorporated into the structure of the proposed 2000-2001 budget considered by Council for adoption. The results of the actuarial study were reviewed and analyzed by the City's employee benefits staff, the finance and budget directors, executive management team and the Employee Health Care Task Force during several meetings. Funding the Health Care Internal Service Fund requires that additional money for this Internal Service Fund be derived from unused benefit premiums contributed by the employees and the City. After the claims and administrative fees for each plan year have been finalized, any unused premiums would remain in the Health Care Internal Service Fund. 2 This item was presented to Council for review and a request to provide staff direction as outlined. Vice Mayor Eggleston asked for an explanation of the employee Health Care Internal Service Fund. Mr. Lynch explained that money used for premium payments would be placed into a separate account, which cannot be used for other general fund expenses. He stated that this money would only be used to settle the payment of claims or premiums associated with the City's medical policy. He noted that any amount left over would remain in the fund so that, when premiums increase, the amount of increases that would be necessary from an appropriations standpoint would be smaller. Vice Mayor Eggleston asked if the premiums with Blue Cross/Blue Shield fluctuate a lot. Mr. Lynch stated that, although they do fluctuate somewhat, Human Resources personnel have worked hard to negotiate rates that help reduce costs. Vice Mayor Eggleston asked if buying prescriptions through the mail would be encouraged. Mr. Lynch stated that part of the Healthcare Committee's strategy was to enhance the education process so people know that they can get a volume of medication at a cheaper price by utilizing mail order services. Ms. Lupe Sierra, Employee Benefits Manager, noted that cost saving measures like the mail order program result in savings to both the employee and the City. She stated that they had already received comments regarding the ease of use and cost effectiveness of the program. Councilmember Lieberman attested to the savings that can be realized utilizing the mail order program. He asked Mr. Lynch if they foresaw a day when the employee would be asked to contribute directly into the program as well. Mr. Lynch stated that the anticipated funding through unused premiums would not be large dollar amounts, especially initially. He said that there could be a time when an employee would have to contribute. Councilmember Lieberman noted that there have been unbelievable changes in terms of the Internet over the past eight years. He asked if they would include increases in their budget or assess employees with a surcharge as the remaining balance deteriorates. Mr. Lynch stated that they are currently funding those additional costs through a combination of general fund monies and employee increases. Councilmember Martinez asked if the monies would earn interest if expenses were not at the projected rate. Mr. Lynch replied that they would. He stated that the real benefit is being able to identify cost trends and excess monies to ensure that they work specifically to offset the employee and employer portions of health care costs. Councilmember Goulet asked if other cities were establishing similar accounts to control funds. Mr. Lynch replied that the City of Glendale is ahead of some of the other municipalities. Dr. Vanacour asked if they were close to what the Council would like to see. Mayor Scruggs expressed her appreciation for the information she had received from Mr. Charlie McClendon, Budget Director, with regard to questions she had. She expressed her opinion that it was an appropriate way to move forward. 3 Mr. Van Haren introduced Tamica Stone, the new Assistant City Attorney. Dr. Vanacour introduced Mr. Mark Burdick, an intern on loan to the City Manager's Office from the Fire Department.. ADJOURNMENT The meeting was adjourned at 2:15 p.m. 4