March 4, 2013 - Cabarrus County
March 4, 2013 - Cabarrus County
March 4, 2013 - Cabarrus County
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<strong>2013</strong> – 2014 Renewal Options<br />
Mark III Employee Benefits<br />
Current Renewal Option 1 Option 2<br />
CIGNA<br />
Self-funded OAP<br />
CIGNA<br />
Self-funded HSA<br />
CIGNA<br />
Self-funded OAP<br />
CIGNA<br />
Self-funded HSA<br />
CIGNA<br />
Self-funded OAP<br />
CIGNA<br />
Self-funded HSA<br />
CIGNA<br />
Self-funded HSA<br />
2012-<strong>2013</strong> Costs 2012-<strong>2013</strong> Costs <strong>2013</strong> - 2014 Costs <strong>2013</strong> - 2014 Costs <strong>2013</strong> - 2014 Costs <strong>2013</strong> - 2014 Costs <strong>2013</strong> - 2014 Costs<br />
In-Network In-Network In-Network In-Network In-Network In-Network In-Network<br />
OAP<br />
Health Savings<br />
Account<br />
OAP<br />
Health Savings<br />
Account<br />
OAP<br />
Health Savings<br />
Account<br />
Health Savings<br />
Account<br />
<strong>County</strong> Contribution to<br />
an HSA Account None $1,000 None $1,000 None $1,000 $1,000<br />
Coinsurance Limit<br />
Single $3,000<br />
Family $6,000<br />
Single $2,000<br />
Family $2,000<br />
Single $3,000<br />
Family $6,000<br />
Single $2,000<br />
Family $2,000<br />
Single $3,000<br />
Family $6,000<br />
Single $2,000<br />
Family $2,000<br />
Single $2,000<br />
Family $2,000<br />
Lifetime Maximum None None None None None None None<br />
Deductible - Individual $1,000 $1,500 $1,000 $1,500 $1,000 $1,500 $1,500<br />
Deductible - Family $3,000 $3,000 $3,000 $3,000 $3,000 $3,000 $3,000<br />
Office Visits to Your PCP $30 Copay Ded/Coinsurance $30 Copay Ded/Coinsurance $30 Copay Ded/Coinsurance Ded/Coinsurance<br />
Office Visit to a<br />
Specialist $60 Copay Ded/Coinsurance $60 Copay Ded/Coinsurance Ded/Coinsurance Ded/Coinsurance Ded/Coinsurance<br />
Wellness Benefits 100% 100% 100% 100% 100% 100% 100%<br />
Inpatient Hospital Care Ded/Coinsurance Ded/Coinsurance Ded/Coinsurance Ded/Coinsurance Ded/Coinsurance Ded/Coinsurance Ded/Coinsurance<br />
Outpatient Surgery Ded/Coinsurance Ded/Coinsurance Ded/Coinsurance Ded/Coinsurance Ded/Coinsurance Ded/Coinsurance Ded/Coinsurance<br />
Emergency Room Visit $150 Copay Ded/Coinsurance $150 Copay Ded/Coinsurance Ded/Coinsurance Ded/Coinsurance Ded/Coinsurance<br />
Urgent Care $60 Copay Ded/Coinsurance $60 Copay Ded/Coinsurance Ded/Coinsurance Ded/Coinsurance Ded/Coinsurance<br />
$150 Deductible<br />
Brand Only<br />
Prescription Drugs $5/$45/$60 - 2x Mail Ded/Coinsurance $5/$45/$60 - 2x Mail Ded/Coinsurance $5/$45/$60 - 2x Mail Ded/Coinsurance Ded/Coinsurance<br />
Benefit Percentage 80% 80% 80% 80% 80% 80% 80%<br />
Change N/A N/A 117.50% 117.50% 5.00% 5.00% 0.00%<br />
Dollars $1,365,790.42 $345,589.56 $0.00<br />
Attachment number 1<br />
6<br />
4-7<br />
Page 139
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