Minutes

Estimate Fall 2019

City of Nashua
H.S.A. vs HMO Claims

$25,000
$20,326 520,817
$18,239 $18,578 1,695 1,527
. 1,784 Enrolled Enrolled
$20,010 ae Enrolled "
¥ Te _Enrothend = we
$17,768
$15,009 ———— ae 330 aa
Enrolled Enrolled 14,763 $14,389
424 a
$10, Enrolled Enrolled
$5,000
$0 :
FYi7 F¥1e FY19 FYTD20
—H— PEPY HSA CLAIM COST -afh= PEPPY TRADITIONAL CLAIM COST
Notes:

1. HSA Claim Costs include the City's contribution to the employees’ HSA Funes.

FY20 Paid th ru March 24th Total Claims Paid to Date
30,000,000
eof Plan Total Claims Aveg.Claims/Employee
NP é /Employe 25,000,000
HOHP 6,965,180 10,675
HMO 21,233,021 14,735 | »9 090 000
POS 1,773,657 22,171
Grand Total 25,571,858 13,845 | 15,000,000
# of Employees by Plan 10,000,000
HOHP 615
HMO 1441 2,000,000 -
POS 80
0 »
Grand Total 2136 ADHP EMO P05
* 3-4 Months of Claims still Pending

Health Care Claims remain the largest challenge.

FY19 Claims Total FY19 Claims by Type
35,000,000

Type of Plan Total Claims Avg.Claims/Employee | 30,000,000
HDHP 6,119,217 15,414 95 000000 -
HMO 33,035,013 20,045; °°
POS 2,192,436 26,737 | 20,000,000
Grand Total 41,346,666 15,439 15,000,000

# of Employees by Flan 10,000,000
HOHP 397 5,000,000 {+
HMO 1648 0
POS 82 HDHP HMO POS
Grand Total 2127

Difference in AVG Clalms HMOVSHDHP $4,632 Estimated Savings with 1/2 HMO Population Changes to HDHP © $3,816,662.56

Current Challenges:

Fiscal 2021 proposed budget health care costs are up 3 million or 8.6%, after an increase of 3.3
million or 11% in Fiscal 2020. The chart below includes all costs including Dental, Administrative
costs & fees, Stop loss insurance, Health claims, and Wellness activities.

FY2021 Proposed Health
Care Changes
Unaffiliated Employees

March 31, 2020
Board of Aldermen Special Meeting
Proposed Ordinance - O-20-011

Board of Aldermen 3-31-2020 Page 44

President Wilshire
Anyone else? Could the Clerk please read the motion back, | think you have motion.

Susan Lovering, City Clerk

Board of Aldermen 3-31-2020 Page 43

Alderman Klee

Board of Aldermen 3-31-2020 Page 42

Board of Aldermen 3-31-2020 Page 41

President Wilshire

Thank you, anyone else care to weigh in on it.

Alderman Dowd

Board of Aldermen 3-31-2020 Page 40

Alderman Clemons