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Report of the Montpelier City Council's Citizen Budget Review ...

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Health Benefits Subcommittee <strong>Report</strong>Jane Kast and Nolan LangweilThe <strong>City</strong> <strong>of</strong> <strong>Montpelier</strong> <strong>of</strong>fers a health benefits package similar to o<strong>the</strong>r comparable cities inVermont. Keep in mind, insurance premiums costs are <strong>the</strong> result <strong>of</strong> not just <strong>the</strong> benefitpackage <strong>of</strong>fered but also <strong>the</strong> overall loss experience <strong>of</strong> <strong>the</strong> insurance pool.Rising health care costs continue to burden both public and private employers (and <strong>the</strong>iremployees) continually applying pressures on budgets and bottom lines. The <strong>City</strong> <strong>of</strong><strong>Montpelier</strong>, like many o<strong>the</strong>r employers has tried to address this by adjusting <strong>the</strong> benefitpackage at least five times in <strong>the</strong> last ten years.2001 -The city paid 100% <strong>of</strong> health insurance premiums for a single-person plan, and 85% fortwo-person and family plans.2004 - The city increased premium cost sharing for two-person and family plans from 85% to82.5% (meaning <strong>the</strong> employees share <strong>of</strong> <strong>the</strong> premium increased from 15% to 17.5%)2007 - The city switched from Blue Cross Blue Shield <strong>of</strong> Vermont (BCBSVT) to CIGNA. Thecity also increased premium costs-sharing to 95% for a single person plan and 80% for twopersonand family plans.2010 – The city switched to a CIGNA high deductible health plan (HDHP) with deductibles <strong>of</strong>3,000 for individuals and $6,000 for families. The city also provided health reimbursementPage 45 <strong>of</strong> 88

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