NISD Employee Medical Plan State of the Medical

NISD Employee Medical Plan

State of the Medical Plan O Increase costs due: O High claimants O Rising cost of Health Care (15% annually) O Increasing Prescription costs (35% annually) O Affordable Care Act requirements O Conservative approach to increasing premiums and district contribution

Affordable Care Act O ACA Transition Fee: $86, 456 November 2014 ($63 per covered plan participant) O ACA Transition Fee: $60, 000 November 2015 ($40 per covered plan participant) O Unlimited wellness compared to $400 maximum

2015 -2016 Recommendations O Increasing the district contribution from $260 to $275 O Increase district contribution by $15 O Net impact to district funding $270, 000

2015 -2016 Recommendations O Core Plan changes: O Add $300 medical deductible for individual O Add $600 medical deductible for family O Increase maximum out of pocket from $4, 000 to $6, 000 for individual O Increase maximum out of pocket from $8, 000 to $12, 000 for family O Increase prescription deductible from $100 to $250 O Increase retail generic from the greater of $5 or 30% to the greater of $10 or 30% O Increase retail brand from the greater of $35 or 30% to the greater of $45 or 30% O Prior authorization for all compound medication over $150

2015 -2016 Recommendations O Basic Plan changes: O Increase maximum out of pocket from $4, 000 to $6, 000 for individual O Increase maximum out of pocket from $8, 000 to $12, 000 for family O Increase retail generic from the greater of $5 or 30% to the greater of $10 or 30% O Increase retail brand from the greater of $35 or 30% to the greater of $45 or 30% O Prior authorization for all compound medication over $150

2015 -2016 Recommendations O HDP Plan changes: O Increase maximum out of pocket from $4, 000 to $6, 000 for individual O Increase maximum out of pocket from $8, 000 to $12, 000 for family O Increase retail generic from the greater of $5 or 30% to the greater of $10 or 30% O Increase retail brand from the greater of $35 or 30% to the greater of $45 or 30% O Prior authorization for all compound medication over $150

Comparison of District Contributions

NISD Benefits compared to TRS Benefits

Strategic Alignment Strategic Goals II: Northwest ISD will recruit, develop, retain, and recognize an exceptional, highly motivated staff to optimize student engagement and learning; Strategic Goal IV: Northwest ISD will provide premier facilities and support systems that enhance a positive learning environment and foster student and community pride.

Questions O The board will be asked to consider the recommendations during the May 26, 2015 Board Meeting