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Item B1County off Monroe ELj »moo � i G�, � BOARD OF COUNTY COMMISSIONERS /� ri � �� Mayor George Neugent, District 2 The Florida. Ke Sew', y i Mayor Pro Tern David Rice, District 4 ; -== :'„ j y Danny L. Kolhage, District I Heather Carruthers, District 3 Sylvia J. Murphy, District 5 County Commission Meeting July 25, 2017 Agenda Item Number: B.1 Agenda Item Summary #3206 BULK ITEM: No DEPARTMENT: Employee Services TIME APPROXIMATE: STAFF CONTACT: Maria Fernandez -Gonzalez (305) 292-4448 n/a AGENDA ITEM WORDING: Discussion and possible new direction to staff related to reconsideration of motions related to the County Health Plan by the Board of County Commissioners on June 20, 2017 ITEM BACKGROUND: On June 20, 2017, the Board of County Commissioners considered 40 options related to changes that could be made to improve the Health Insurance Fund to address a projected $3.3 Million shortfall expected to occur in 2018, which would bring the fund balance to less than 6 months reserve (the current minimum fund balance based on Board budget policy). One of the motions made by the commission on June 20, 2017 phased out the subsidy provided to retirees hired prior to 10/1/2001 (commonly known as the "rule of 70 employees") who are pre-65 over a 5 year period (20% per year). Currently, the subsidy allows this group to obtain County health insurance for the cost of the statutory health insurance subsidy provided by FRS. The health insurance subsidy is equal to $5 for each year of creditable service, with a minimum of 10 years and a maximum of 30 years. Commissioner Rice requested the Board reconsider the motion on 7/19/17. The Board voted to reconsider all of the motions made on 7/25/17 at the budget hearing. Attached are options developed based on various input from administrative staff or commissioners since 7/19/17. As a reminder, the Health Plan Advisory Committee (HPAC) voted for options: 2, 2A, 29, 30, 31, 18, 28, 9, 11, 32, 13, 15, 19, and 35. The recommendations the HPAC made equated to $2,375,558 of the requested $3,300,000 needed to balance the fund. The HPAC then voted to request the Board fund the remaining amount of $958,558 needed from Ad Valorem tax, Non -Ad Valorem, Enterprise, or Internal Funds. PREVIOUS RELEVANT BOCC ACTION: 5/10/17: BOCC considered the HPAC recommended changes for Health Plan and gave direction for consideration of Options. 6/20/17: BOCC voted on Options. 7/19/17: BOCC voted to reconsider Options from 6/20/17. CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: DOCUMENTATION: Exhibits with BOCC Changes from June 20 mtng Final REVISED BOCC Decision Options for 7-25-17 Final (MinuteTrac) FINANCIAL IMPACT: Effective Date: N/A Expiration Date: N/A Total Dollar Value of Contract: N/A Total Cost to County: Current Year Portion: Budgeted: Source of Funds: CPI: Indirect Costs: Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: Grant: County Match: Insurance Required: Additional Details: N/A If yes, amount: REVIEWED BY: Christine Hurley Skipped 07/20/2017 5:16 PM Budget and Finance Completed 07/20/2017 5:17 PM Cynthia Hall Completed 07/20/2017 5:19 PM Maria Slavik Skipped 07/20/2017 5:17 PM Kathy Peters Pending Board of County Commissioners Pending 07/25/2017 10:00 AM Monroe County Board of County Commissioners Illustrative Impact of Adding a Low Option Plan Effective January 1, 2018 Reflects All Changes to Current Plan That Were Voted For by a Majority of Commissioners on June 20, 2017 Feature Network I Non Networki Networkl Non Networki Network NonNetwork' Deductible''- Individual Deductible''- Family '' $400 $400 $800 $800 $400 ' $400 $2000 $4000 $4,000'SS $8,000';,' $800 '' $800 Mail Order Pharmacy Copays Generic $25 $37.50 (After Deductible for'HSA) Preferred Brand $125 $150 Nun Preferred Brand $225 $250 In addition to changes shown, 2018 plans would both include the following pharmacy changes: Select formulary Exclude OTC drugs Exclude CVS pharmacies Board also approved $75 smoker surcharge, dependent eligibility audit, and exploring a change in Medicare eligible retiree pharmacy coverage from RDS to EGWP Board approved $250 monthly stipend to Medicare eligible retirees who satisfy Rule of 70, phasing out subsidy for pre -Medicare retirees over 5 years, and phasing out subsidy for dependents of retirees over 3 years Exhibits with BOCC Changes from June 20 mtng Final Monroe County Board of County Commissioners OPTION 13 With All Plan i Modifications Approved by BOCC on 6/2012017' Illustrative Impact of Adding HSA Option Effective January 1, 2018 Assumes Current Plan with All Modifications remains in place at increased employee/retiree contribution rates Assumes HSA option added at employee contribution rates 10% below current with retiree rates based on revised Board Subsidies 1. Illustrative 2017118 Contribution Rates and Enrollment Migration Employee Retiree - <65 Retiree - 65+ Dependent Blended Relative Values Current Plan 100% 100% 100% 100% 100% 1.000 High Option 60% 85% 79% 0.948 Low Option 20% 40% 15% 20% 21 % 0.795 Total 100% 100% 100% 100% 100% 0.924 of Buy -Up Cost Paid by Employee 50% Assumed Turnover 1 15% Assumed Selection Factor for HSA Migration 1 0.80 Exhibits with BOCC Changes from June 20 mtng Final Monroe County Board of County Commissioners OPTION 13 With All Plan i Modifications Approved by BOCC on 6/2012017' Illustrative Impact of Adding HSA Option Effective January 1, 2018 2. Illustrative Impact for 2017118 Fiscal Year Baseline Dual Option Projected Projected Projected Projected 2016117 2017118 2017118 Change I. Total Net Incurred Claims (1) $ 17,165,215 $ 18,264,281 $ 17,227,306 $ (1,036,975) II. Fixed Costs (2) a. BCBSFL 872,727 873,459 873,459 $ b. Envision 69,627 69,686 69,686 $ c. Internal Expenses 278,662 278,662 278,662 $ d. PPACA - PCOR Fee 5,621 5,621 5,621 $ e. PPACA - Transitional Reinsurance Fee 16,263 16,263 16,263 $ f. Other (GBS, Life, AD&D, EAP) 321,000 342,000 342,000 $ Total Fixed Costs 1,563,901 1,585,691 1,585,691 $ III. Total Incurred Plan Costs (2) $ 18,729,116 $ 19,849,972 $ 18,812,997 $ (1,036,975) IV. Revenue at Current and Adopted Level a. Contributions (4) $ 17,685,480 17,685,480 18,984,092 1,298,612 b. Interest (3) $ 35,086 35,086 35,086 - c. Other (3) $ 332,040 332,040 332,040 - Total Revenue $ 18,052,606 18,052,606 19,351,218 1,298,612 V. Surplus/(Deficit) $ (676,510) $ (1,797,366) $ 538,221 $ 2,335,587 VI. Employee/Retiree Contributions $ 2,917,296 $ 4,215,908 $ 1,298,612 VII. Net County Cost $ 16,932,676 $ 14,597,089 $ (2,335,587) Exhibits with BOCC Changes from June 20 mtng Final Monroe County Board of County Commissioners Illustrative Impact of Adding HSA Option Effective January 1, 2018 Development of Actuarial Rates PEPM Cost Excluding Internal Expenses, Life, AD&D, EAP, and GBS Fees PEPY Cost Excluding Internal Expenses, Life, AD&D, EAP, and GBS Fees Current OPTION 13 With All Plan i Modifications Approved by BOCC on 6/2012017' 2017/18 $985.39 $11,825 Enrollment Current After Actuarial Pricing Funding Funding plan (Modified under dual option) Migration Weight Weight Annual Monthly Employees Paying $25 Premium 725 493 1.00 1.00 $8,976 $748 Recent Hires Pay $50 mo prem 448 445 1.00 1.00 $8,976 $748 EMPLOYEE DEPENDENTS ONLY: Spouse Only 110 88 1.90 1.35 $12,117 $1,010 Spouse + 1 child 37 30 2.50 1.95 $17,502 $1,459 Spouse + 2 or more children 33 26 3.40 2.85 $25,581 $2,132 One child only 120 96 0.60 0.60 $5,385 $449 Two children only 80 64 1.20 1.20 $10,771 $898 Three children only 15 12 1.80 1.80 $16,156 $1,346 Four children only 3 2 2.40 2.40 $21,541 $1,795 Five+ children only 1 1 3.00 3.00 $26,927 $2,244 RETIREES ONLY: 10+ YRS <65 117 70 1.75 1.00 $8,976 $748 10+ YRS >65 296 252 0.90 0.90 $8,078 $673 Non Rule of 70 < 65 2 2 1.75 1.00 $8,976 $748 Non Rule of 70 65+ 3 3 0.90 0.90 $8,078 $673 Surviving Spouse < 65 3 2 1.75 1.35 $12,117 $1,010 Surviving Spouse >65 6 5 0.90 0.90 $8,078 $673 RETIREE DEPENDENTS ONLY: Spouse Only <65 34 20 1.90 1.35 $12,117 $1,010 Spouse only <65 + 1 child 2 1 2.50 1.95 $17,502 $1,459 Spouse only <65 + 2 or more children 1 1 3.40 2.85 $25,581 $2,132 Spouse Only >65 18 15 0.90 0.90 $8,078 $673 One child only 5 3 0.60 0.60 $5,385 $449 Two children only 4 2 1.20 1.20 $10,771 $898 Three children only 2 1 1.80 1.80 $16,156 $1,346 Four children only 0 0 2.40 2.40 $21,541 $1,795 Five+ children only 0 0 3.00 3.00 $26,927 $2,244 COBRA 0 0 1.50 1.50 $13,463 $1,122 Exhibits with BOCC Changes from June 20 mtng Final Monroe County Board of County Commissioners OPTION 13 With All Plan i Modifications Approved by BOCC on 6/2012017' Illustrative Impact of Adding HSA Option Effective January 1, 2018 Development of Actuarial Rates HDHP wi Enrollment Current After Actuarial Pricing Funding Funding th HSA Migration Weight Weight Annual Monthly Employees Paying $25 Premium 0 123 0.84 0.84 $7,527 $627 Recent Hires Pay $50 mo prem 0 111 0.84 0.84 $7,527 $627 EMPLOYEE DEPENDENTS ONLY: Spouse Only 0 22 1.59 1.13 $10,161 $847 Spouse + 1 child 0 7 2.10 1.64 $14,677 $1,223 Spouse + 2 or more children 0 7 2.85 2.39 $21,451 $1,788 One child only 0 24 0.50 0.50 $4,516 $376 Two children only 0 16 1.01 1.01 $9,032 $753 Three children only 0 3 1.51 1.51 $13,548 $1,129 Four children only 0 1 2.01 2.01 $18,064 $1,505 Five+ children only 0 0 2.52 2.52 $22,580 $1,882 RETIREES ONLY: 10+YRS <65 0 47 1.47 0.84 $7,527 $627 10+YRS>65 0 44 0.75 0.75 $6,774 $565 Non Rule of 70 < 65 0 0 1.47 0.84 $7,527 $627 Non Rule of 70 65+ 0 0 0.75 0.75 $6,774 $565 Surviving Spouse < 65 0 1 1.47 1.13 $10,161 $847 Surviving Spouse 65+ 0 1 0.75 0.75 $6,774 $565 RETIREE DEPENDENTS ONLY: Spouse Only <65 0 14 1.59 1.13 $10,161 $847 Spouse only <65 + 1 child 0 1 2.10 1.64 $14,677 $1,223 Spouse only <65 + 2 or more children 0 0 2.85 2.39 $21,451 $1,788 Spouse Only >65 0 3 0.75 0.75 $6,774 $565 One child only 0 2 0.50 0.50 $4,516 $376 Two children only 0 2 1.01 1.01 $9,032 $753 Three children only 0 1 1.51 1.51 $13,548 $1,129 Four children only 0 0 2.01 2.01 $18,064 $1,505 Five+ children only 0 0 2.52 2.52 $22,580 $1,882 COBRA 0 0 1.26 1.26 $11,290 $941 Resulting Annual Premiums 1 1 1,5911 1 1.317 1 $18,812,997 1$1,567,750 Exhibits with BOCC Changes from June 20 mtng Final FY 2018 Forecasts with Changes Approved by BOCC on June 20, 2017 Impact of Baseline FY 18 Illustrative Revised FY 18 Forecast Changes Forecast Projected Starting Fund Balance $7,595,391 $0 $7,595,391' Projected Revenue at Current Funding $18,052,606 $1,671,000 $19,723,606 Projected Claims $18,264,281 ($1,233,000) $17,031,281 Projected Fixed Costs $1,585,691 $0 $1,585,691 Projected Expenses $19,849,972 ($1,233,000) $18,616,972 Projected Gain/(Loss) ($1,797,366) $2,904,000 $1,106,634 Projected Closing Fund Balance Projected Target Fund Balance $5,798,025 $9,132,140 $2904,000 ($616,500) $8,702,025' $8,515,640' Projected Excess/(Shortfall $3,334,116 $3,520,500 $186,384 Impact of Illustrative Changes Change in Claims Change in Revenue Implement Dual', Option and Plan Changes ($1,037,000) $243,000' Dependent Eligibility Audit ($196,000) Smoker Surcharge ($75) $123,000' EGWP/PBM Improvements $0 $250,000' ,Increase > Retiree Premiums $0 $1,055,000 Total All Changes ($1,233,000) $1,671,000 Exhibits with BOCC Changes from June 20 mtng Final 6 Current Option 1 Comparison of Premiums, HSA Contributions, and Deductible Exposure Based on Rates Based on All Changes Voted for by Board on June 20, 2017 Active Employees (Hired Prior to 5/1/2012/Hired 5/1/2012 and Later) Retirees with Option 7Implemented Pre-65 Retirees with Option 7 A Implemented Retirees with Option 7 A MODIFIED Implemented Employee + KUIGo ueo on KUIGo on Rule o ueo ueo Kulao Kulao Kulao ueo ueo lu Employee + Employee + Employee + 2 Spouse + 2 Pre-65 Post-65 70 Pre-65 70 Post-65 With 25+ W/ 20-24 W/ 10-19 Non Rule With 25+ W/ 20-24 W/ 15-19 W/ 10-14 Non Rule of Employee Only Spouse Child Children Children Retirees Retirees Retirees Retirees YOS YOS YOS of 70 YOS YOS YOS YOS 70 2017 Premium $25/$50 $357/$382 $173/$198 $320/$345 $726/$751 $50-$150 $50-$150 $125-$150 $100-$120 $50-$95 $125-$150 $100-$120 $75-$95 $50-$70 Average $115 $88 $1,035 $621 $139 $111 $78 $1,035 $139 $111 $87 $58 $1,035 rermum or urren an $50/$75 $430/$455 $219/$244 $388/$413 $853/$878 $263 $423 $748 $673 $139 $187 $374 $748 $139 $187 $374 $561 $748 2018 Premium forHDHPwith HSA $0 $299 $133 $266 $631 $142 $315 $627 $565 $78 $157 $314 $627 $78 $157 $314 $470 $627 Monthly Premium Differenced. weer Current Plan and HDHP with HSA $50/$75 $131/$156 7$86/$111 $122/$147 $2221$247 $121 $109 $121 7$109 7$60 7$30 $60 $121 $60 $30 $60 $91 $121 Annual Premium Difference Between Current Plan and HDHP with HSA 00 900 $157 1878 $103 1335 146911769'. 2665 2965 $1,449 $1,304 $1,449 $1 304 724 $362 $725 $1 449 $724 362 725 $1.087 $1.449'. Annual Count Contribution to HSA $500 $1,000 $1,000 $1,000 $1,000 $500 $0 $500 $0 $500 $500 $500 $500 $500 $500 $500 $500 $500 o nua as van ge m with HSA $1,100/$1,400 $25781$2878 $2935/$2335 '.$2469f$2769 $3665/$3965 $1,949 $1 04 $1,949 $1,304 $1,224 $862 $1,225 $1,949 $1,224 $862 $1,225 $1,587 $1,949 Current Plan Deductible $400 $800 $800 $800 $800 $400 $400 $400 $400 $400 $400 $400 $400 $400 $400 $400 $400 $400 HDHP Deductible $2,000 $4,000 $4,000 $4,000 $4,000 $2,000 $2,000 $2,000 $2,000 $2,000 $2,000 $2,000 $2,000 $2,000 $2,000 $2,000 $2,000 $2,000 Increase in Deductible Exposure $1,600 $3,200 $3,200 $3,200 $3,200 $1,600 $1,600 $1,600 $1,600 $1,600 $1,600 $1,600 $1,600 $1,600 $1,600 $1,600 $1,600 $1,600 HDHP Annual Cash Advantage - Difference in Deductibles -$500/-$200 -$622/-$322 -$1,165/-$865 -$731/-$431 $465/$765 $349 't: $349 $349 "":"_ "'.' ".'», '.':' $349 Current Plan Max Out of Pocket $7,150 $14,300 $14,300 $14,300 $14,300 $7,150 $7,150 $7,150 $7,150 $7,150 $7,150 $7,150 $7,150 $7,150 $7,150 $7,150 $7,150 $7,150 HDH P Max Out of Pocket $6650 $13300 $13300 $13300 $13300 $6650 $6650 $6650 $6650 $6650 $6650 $6650 $6650 $6650 $6650 $6650 $6650 $6650 Chan a in Max Out of Pocket Exposure """° ""° :' ': °" "'° '•°"' HDHP Annual Cash Advantage - 1 Difference in Max Out of Pocket $1600/$1900 $3578/$3878 $3035/$3335 $3469/$3769 $4665/$4965 $2,449 $1,804 $2,449 $1,804 $1,724 $1,362 $1,725 $2,449 $1,724 $1,362 $1,725 $2,087 $2,449 Difference Reflects $250 subsidy ($673-$423) =250 a W 0 N M v LL C �c+ E 0 N N C 7 7 E O L CD 0 t U U U O m t r to r t x w r c m E c� r r Q Exhibitswith BOCC Changesfrom June 20 mtng Final Development of County Retiree Subsidies Projected 2016/17 Annual Expense 1 $18,729,116 CY 2017 Rates Future County Retiree Subsidies Employee Enrollees Tier Weight Actuarial Rate Contribution County Subsidy CY 2018 CY 2019 CY 2020 CY 2021 CY 2022 Employees Paying $25 Premium 616 1.00 $721.54 $25 $696.54 Recent Hires Pay $50 mo prem 556 1.00 $721.54 $50 $671.54 EMPLOYEE DEPENDENTS ONLY: Spouse Only 110 1.35 $974.08 $332 $642.08 Spouse + 1 child 37 1.95 $1,407.00 $480 $927.00 Spouse + 2 or more children 33 2.85 $2,056.38 $701 $1,355.38 One child only 120 0.60 $432.92 $148 $284.92 Two children only 80 1.20 $865.85 $295 $570.85 Three children only 15 1.80 $1,298.77 $443 $855.77 Four children only 3 2.40 $1,731.69 $591 $1,140.69 RETIREES ONLY: 10+ YRS <65 (1) 117 1.00 $721.54 $115 $606.54 $485.23 $363.92 $242.62 $121.31 $0.00 10+ YRS >65 296 0.90 $649.38 $88 $561.38 $250.00 $250.00 $250.00 $250.00 $250.00 Non Rule of 70 Retirees < 65 2 1.00 $721.54 $1,035 ($313.46) $0.00 $0.00 $0.00 $0.00 $0.00 Non Rule of 70 Retirees 65+ 3 0.90 $649.38 $621 $28.38 $0.00 $0.00 $0.00 $0.00 $0.00 Surviving Spouse < 65 (2) 3 1.35 $974.08 $332 $642.08 $417.35 $192.62 $0.00 $0.00 $0.00 Surviving Spouse 65+ 6 0.90 $649.38 $559 $90.38 $0.00 $0.00 $0.00 $0.00 $0.00 RETIREE DEPENDENTS ONLY: Spouse Only <65 (2) 34 1.35 $974.08 $332 $642.08 $417.35 $192.62 $0.00 $0.00 $0.00 Spouse only <65 + 1 child (2) 2 1.95 $1,407.00 $480 $927.00 $602.55 $278.10 $0.00 $0.00 $0.00 Spouse only <65 + 2 or more children (2) 1 2.85 $2,056.38 $701 $1,355.38 $881.00 $406.61 $0.00 $0.00 $0.00 Spouse Only >65 18 0.90 $649.38 $559 $90.38 $0.00 $0.00 $0.00 $0.00 $0.00 One child only (2) 5 0.60 $432.92 $148 $284.92 $185.20 $85.48 $0.00 $0.00 $0.00 Two children only (2) 1 4 1 1.20 $865.85 1 $295 1 $570.851 $371.05 1 $171.26 1 $0.00 1 $0.00 1 $0.00 Total Exposure 2,163 Rate per Unit of Exposure $721.54 Total Annual Funding $18,729,127 $2,917,296 Annual Active Funding $14,623,299 $2,044,692 Annual Retiree Funding $4,105,828 $872,604 (1) Subsidy for Pre-65 retirees is reduced by 20% per year (2) Subsidy for dependents of retirees decreased by 35%, in 2018, 70% in 2019, and eliminated in 2020 $15,811,831 $12,578,60-1 WINKI&I Exhibits with BOCC Changes from June 20 mtng Final Development of Projected Retiree Premiums 2018 Retiree Premium Development Note: Retirees who satisfy the Rule of 70 but leave the plan prior to being Medicare eligible are still eligible to receive the $250 monthly subsidy when they become eligible for Medicare Current Retiree Projected Retirees Actuarial Rate County Subsidy Retiree Premium Modified HDHP with Modified HDHP with Modified HDHP with Modified HDHP with Contribution Current Plan HSA Current Plan HSA Current Plan HSA Current Plan HSA RETIREES ONLY: 10+ YRS <65 (Average rate) $115 70 47 $747.97 $627.23 $485.23 $485.23 $262.74 $142.00 10+ YRS >65 (Average rate) $88 252 44 $673.17 $564.51 $250.00 $250.00 $423.17 $314.51 Non Rule of 70 Retirees < 65 $1,035 2 0 $747.97 $627.23 $0.00 $0.00 $747.97 $627.23 Non Rule of 70 Retirees 65+ $621 3 0 $673.17 $564.51 $0.00 $0.00 $673.17 $564.51 Surviving Spouse < 65 $332 2 1 $1,009.76 $846.76 $417.35 $417.35 $592.41 $429.41 Surviving Spouse 65+ $559 5 1 $673.17 $564.51 $0.00 $0.00 $673.17 $564.51 RETIREE DEPENDENTS ONLY: Spouse Only <65 $332 20 14 $1,009.76 $846.76 $417.35 $417.35 $592.41 $429.41 Spouse only <65 + 1 child $480 1 1 $1,458.54 $1,223.10 $602.55 $602.55 $855.99 $620.55 Spouse only <65 + 2 or more children $701 1 0 $2,131.71 $1,787.60 $881.00 $881.00 $1,250.71 $906.60 Spouse Only >65 $559 15 3 $673.17 $564.51 $0.00 $0.00 $673.17 $564.51 One child only $148 3 2 $448.78 $376.34 $185.20 $185.20 $263.58 $191.14 Two children onll 1 $295 2 2 $897.56 1 $752.67 $371.05 1 $371.05 $526.51 $381.62 Total $872,604 $4,088,171 $1,808,522 $2,279,649 Retiree Increase $1,407,045 9-Month Increase $1,055,284 2019 Retiree Premium Development Assumed Premium Rate Increase 1 7.0% Projected Retirees 2018 Retiree Contributions 2019 Actuarial Rate 2019 Cou ty Subsidy 2019 Retiree Premium Modified HDHP with Modified HDHP with Modified HDHP with Modified HDHP with Modified HDHP with Current Retiree Contribution Current Plan HSA Current Plan HSA Current Plan HSA Current Plan HSA Current Plan HSA RETIREES ONLY: 10+ YRS <65 $115 70 47 $262.74 $142.00 $800.33 $671.13 $363.92 $363.92 $436.41 $307.21 10+ YRS >65 $88 252 44 $423.17 $314.51 $720.29 $604.02 $250.00 $250.00 $470.29 $354.02 Non Rule of 70 Retirees < 65 $1,035 2 0 $747.97 $627.23 $800.33 $671.13 $0.00 $0.00 $800.33 $671.13 Non Rule of 70 Retirees 65+ $621 3 0 $673.17 $564.51 $720.29 $604.02 $0.00 $0.00 $720.29 $604.02 Surviving Spouse < 65 $332 2 1 $592.41 $429.41 $1,080.44 $906.03 $192.62 $192.62 $887.82 $713.41 Surviving Spouse 65+ $559 5 1 $673.17 $564.51 $720.29 $604.02 $0.00 $0.00 $720.29 $604.02 RETIREE DEPENDENTS ONLY: Spouse Only <65 $332 20 14 $592.41 $429.41 $1,080.44 $906.03 $192.62 $192.62 $887.82 $713.41 Spouse only <65 + 1 child $480 1 1 $855.99 $620.55 $1,560.64 $1,308.71 $278.10 $278.10 $1,282.54 $1,030.61 Spouse only <65 + 2 or more children $701 1 0 $1,250.71 $906.60 $2,280.93 $1,912.73 $406.61 $406.61 $1,874.32 $1,506.12 Spouse Only >65 $559 15 3 $673.17 $564.51 $720.29 $604.02 $0.00 $0.00 $720.29 $604.02 One child only $148 3 2 $263.58 $191.14 $480.20 $402.68 $85.48 $85.48 $394.72 $317.20 Two children only $295 2 2 $526.51 $381.62 $960.39 $805.36 $171.26 $171.26 $789.13 $634.10 Total $872,604 $2,279,649 $4,374,329 $1,509,370 $2,864,959 Retiree Increase $1,992,355 Exhibits with BOCC Changes from June 20 mtng Final Development of Projected Retiree Premiums 2020 Retiree Premium Development Assumed Premium Rate Increase 7.0% 11 Current Retiree Projected Retirees 2019 Retiree Contributions 2020 Actuarial Rate 2020 Cou ty Subsidy 2020 Retiree Premium Contribution High Option Low Option High Option Low Option High Option Low Option High Option Low Option High Option Low Option RETIREES ONLY: 10+ YRS <65 $115 70 47 $436.41 $307.21 $856.35 $718.11 $242.62 $242.62 $613.73 $475.49 10+ YRS >65 $88 252 44 $470.29 $354.02 $770.71 $646.30 $250.00 $250.00 $520.71 $396.30 Non Rule of 70 Retirees < 65 $1,035 2 0 $800.33 $671.13 $856.35 $718.11 $0.00 $0.00 $856.35 $718.11 Non Rule of 70 Retirees 65+ $621 3 0 $720.29 $604.02 $770.71 $646.30 $0.00 $0.00 $770.71 $646.30 Surviving Spouse < 65 $332 2 1 $887.82 $713.41 $1,156.07 $969.45 $0.00 $0.00 $1,156.07 $969.45 Surviving Spouse 65+ $559 5 1 $720.29 $604.02 $770.71 $646.30 $0.00 $0.00 $770.71 $646.30 RETIREE DEPENDENTS ONLY: Spouse Only <65 $332 20 14 $887.82 $713.41 $1,156.07 $969.45 $0.00 $0.00 $1,156.07 $969.45 Spouse only <65+ 1 child $480 1 1 $1,282.54 $1,030.61 $1,669.88 $1,400.32 $0.00 $0.00 $1,669.88 $1,400.32 Spouse only <65 + 2 or more children $701 1 0 $1,874.32 $1,506.12 $2,440.60 $2,046.62 $0.00 $0.00 $2,440.60 $2,046.62 Spouse Only >65 $559 15 3 $720.29 $604.02 $770.71 $646.30 $0.00 $0.00 $770.71 $646.30 One child only $148 3 2 $394.72 $317.20 $513.81 $430.87 $0.00 $0.00 $513.81 $430.87 Two children only $295 2 2 $789.13 $634.10 $1,027.62 $861.74 $0.00 $0.00 $1,027.62 $861.74 Total $872,604 $2,864,959 $4,680,528 $1,228,638 $3,451,890 Retiree Increase $2,579,286 2021 Retiree Premium Development Assumed Premium Rate Increase 1 7.0% Current Retiree Projected Retirees 2020 Retiree Contributions 2021 Actuarial Rate 2021 Cou ty Subsidy 2021 Retiree Premium Contribution High Option Low Option High Option Low Option High Option Low Option High Option Low Option High Option Low Option RETIREES ONLY: 10+ YRS <65 $115 70 47 $613.73 $475.49 $916.29 $768.38 $121.31 $121.31 $794.98 $647.07 10+ YRS >65 $88 252 44 $520.71 $396.30 $824.66 $691.54 $250.00 $250.00 $574.66 $441.54 Non Rule of 70 Retirees < 65 $1,035 2 0 $856.35 $718.11 $916.29 $768.38 $0.00 $0.00 $916.29 $768.38 Non Rule of 70 Retirees 65+ $621 3 0 $770.71 $646.30 $824.66 $691.54 $0.00 $0.00 $824.66 $691.54 Surviving Spouse < 65 $332 2 1 $1,156.07 $969.45 $1,236.99 $1,037.31 $0.00 $0.00 $1,236.99 $1,037.31 Surviving Spouse 65+ $559 5 1 $770.71 $646.30 $824.66 $691.54 $0.00 $0.00 $824.66 $691.54 RETIREE DEPENDENTS ONLY: Spouse Only <65 $332 20 14 $1,156.07 $969.45 $1,236.99 $1,037.31 $0.00 $0.00 $1,236.99 $1,037.31 Spouse only <65+ 1 child $480 1 1 $1,669.88 $1,400.32 $1,786.77 $1,498.34 $0.00 $0.00 $1,786.77 $1,498.34 Spouse only <65 + 2 or more children $701 1 0 $2,440.60 $2,046.62 $2,611.44 $2,189.88 $0.00 $0.00 $2,611.44 $2,189.88 Spouse Only >65 $559 15 3 $770.71 $646.30 $824.66 $691.54 $0.00 $0.00 $824.66 $691.54 One child only $148 3 2 $513.81 $430.87 $549.78 $461.03 $0.00 $0.00 $549.78 $461.03 Two children only $295 2 2 $1,027.62 $861.74 $1,099.55 $922.06 $0.00 $0.00 $1,099.55 $922.06 Total $872,604 $3,451,890 $5,008,161 $1,058,319 $3,949,842 Retiree Increase $3,077,238 Exhibits with BOCC Changes from June 20 mtng Final 10 Development of Projected Retiree Premiums 2022 Retiree Premium Development Assumed Premium Rate Increase 7.0% 11 Current Retiree Projected Retirees 2021 Retiree Contributions 2022 Actuarial Rate 2022 Cou ty Subsidy 2022 Retiree Premium Contribution High Option Low Option High Option Low Option High Option Low Option High Option Low Option High Option Low Option RETIREES ONLY: 10+ YRS <65 $115 70 47 $794.98 $647.07 $980.43 $822.17 $0.00 $0.00 $980.43 $822.17 10+ YRS >65 $88 252 44 $574.66 $441.54 $882.39 $739.95 $250.00 $250.00 $632.39 $489.95 Non Rule of 70 Retirees < 65 $1,035 2 0 $916.29 $768.38 $980.43 $822.17 $0.00 $0.00 $980.43 $822.17 Non Rule of 70 Retirees 65+ $621 3 0 $824.66 $691.54 $882.39 $739.95 $0.00 $0.00 $882.39 $739.95 Surviving Spouse < 65 $332 2 1 $1,236.99 $1,037.31 $1,323.58 $1,109.92 $0.00 $0.00 $1,323.58 $1,109.92 Surviving Spouse 65+ $559 5 1 $824.66 $691.54 $882.39 $739.95 $0.00 $0.00 $882.39 $739.95 RETIREE DEPENDENTS ONLY: Spouse Only <65 $332 20 14 $1,236.99 $1,037.31 $1,323.58 $1,109.92 $0.00 $0.00 $1,323.58 $1,109.92 Spouse only <65+ 1 child $480 1 1 $1,786.77 $1,498.34 $1,911.84 $1,603.22 $0.00 $0.00 $1,911.84 $1,603.22 Spouse only <65 + 2 or more children $701 1 0 $2,611.44 $2,189.88 $2,794.24 $2,343.17 $0.00 $0.00 $2,794.24 $2,343.17 Spouse Only >65 $559 15 3 $824.66 $691.54 $882.39 $739.95 $0.00 $0.00 $882.39 $739.95 One child only $148 3 2 $549.78 $461.03 $588.26 $493.30 $0.00 $0.00 $588.26 $493.30 Two children only $295 2 2 $1,099.55 $922.06 $1,176.52 $986.60 $0.00 $0.00 $1,176.52 $986.60 Total $872,604 $3,949,842 $5,358,747 $888,000 $4,470,747 Retiree Increase 1 $3,598,143 Exhibits with BOCC Changes from June 20 mtng Final 11 Option 7A - Scaled Subsidy for Rule of 70 Retirees Based on Years of Service - Current Plan Pre 65' Enrollees 117' FY 18 Actuarial Rate $748 25% Actuarial Rate $187 ' 50%Actuarial Rate $374 Option 7A Modified - Scaled Subsidy for Rule of 70 Retirees Based on Years of Service with 4 Service Bands For Current Plan Pre 65' Enrollees 117' FY 18 Actuarial Rate $748 25%Actuarial Rate $187 50%Actuarial Rate $374 75%Actuarial Rate $561 9-Month Exhibits with BOCC Changes from June 20 mtng Final 12 Options naand 7c'Current Retiree Premium Formula with Contributions Increased for Inflation for Current Plan Option 7B - Retiree Premiums Increase by 3% per Year Current Retirees 2017 Retiree Contribution 2018 Retiree Contribution 2019 Retiree Contribution 2020 Retiree Contribution 2021 Retiree Contribution 2022 Retiree Contribution RETIREES ONLY: Option 7C - Retiree Premiums Increase by 8% per Year Current Retirees 2017 Retiree Contribution 2018 Retiree Contribution 2019 Retiree Contribution 2020 Retiree Contribution 2021 Retiree Contribution 2021 Retiree Contribution RETIREES ONLY: Exhibits with BOCC Changes from June 2OmtngFinal 13 Monroe County Board of County Commissioners 2018 Option 7 Pre-65 Retiree Pay Actuarial Rate' Adjusted Total Annual Contributions * $161,460 $1,130,220 $827,976 $317,029 $265,956 Increase in Retiree Contributions $968.760 $666.516 T155.569 $104.496 2019 10+YRS <65 Current 117 $115' 117 $1,035 117 $800'' 117 $436 70 $436 HDHP 47 $307 1 Total Monthly EE Contributions $13,455 $121,095 $93,639 1 $51,060 $44,988 Total Annual EE Contributions $161,460 $1,453,140 $1,123,663 $612,720 $539,851 Increase in Retiree Contributions $1,291,680 $962,203 $451,260 $378,391 2020 10+YRS <65 Current 117 $115'' 117 $1,035 117 $856'>s 117 $614 70 $614 HDHP 47 $475 1 Total Monthly EE Contributions $13,455 $121,095 $100,193 $71,806 $65,309 Total Annual EE Contributions $161,460 $1,453,140 $1,202,315 $861,677 $783,710 Increase in Retiree Contributions 1,291,680 $1,040,855 $700,217 $622,250 2021 10+YRS <65 Current 117 $115 117 $1,035 117 916a 117 795 70 795 HDHP 47 $647 1 Total Monthly EE Contributions $13,455 $121,095 $107,206 1 $93,013 $86,061 Total Annual EE Contributions $161,460 $1,453,140 $1,286,471 $1,116,152 $1,032,731 Increase in Retiree Contributions $1,291,680 $1,125,011 $954,692 $871,271 2022 10+YRS <65 Current 117 $115' - 117 $1,035 117 $980> 117 $980 70 $980 HDHP 47 $822 1 Total Monthly EE Contributions $13,455 $121,095 $114,710 $114,710 $107,272 Total Annual EE Contributions $161,460 $1,453,140 $1,376,524 $1,376,524 $1,287,265 Increase in Retiree Contributions 1,291,680 $1,215,064 $1,215,064 $1,125,805 Exhibits with BOCC Changes from June 20 mtng Final 14 cn rNNNbrNNN �C7Z0 �C CD CD CD CD CD 0 w t� w w s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 s9 coJ�oco wcoJ�J�c�,c�,tuc�,wcoot��o�ocoJJo�c�,�oo��wco�o�oc�,�o�oo�oJ�o � wcococ�, c�,w��c�,o�owt�owo�coc�,wo�coc�,�o�o��o��o�wt�o�c�,c�,co�ot�o�J �. wcot�o�� se se se se ��oo��o��o�wt�wo�oowoi�� oo��ococo�oo�cococo� JJo�c�, �w�t�cot�o�wJ�o�JcncoJc�,JJ'—'c�,t�t�c�,J�Jo�co�ooJwcow��:� t�oo�J �o�owoJwoJt�wco�,wco�cococo�o� n �,wwot�ot�t�jWX cJl Ip � 1-- o w o . C� J t� w �o J � o J � � ,c cc o co ,c ,c w C, w C� J ice, w cp tj . '0 co - co �,c t�j c-h J c-h w �,c co co w c-h — �,c cc N N o t-h w o �c 00 0 N �c 00 C1 CO w �c 0 co � J w J O J J J J co N w w X C� � �c � o� N� N w� c-h �c �o0000J �00C�C� J oo t�jt�jJ �,ot�jw t�jo�XItj �--4C� — oo�wJJc-, �wwcoJJ� NIC-1= '. wcoo�o ,00i�i�w��o��,o�-,A'00 '�o�o�co�ww—�,cX �oo��,��o .�c�c oo� I'o — coop -3C o00XW o�oo�Jw wwwc -k- ,c co —w- roc-,co t�j ��Ic�o�wo�t�jo��Icot�jo� --4 Attachment: Exhibits with BOCC Changes from June 20 mtng Final (3206 e Discussion on the County's Group Health A Prescription Plan II Monroe County Board of County Commissioners Analysis of Historical Medical Claims by Enrollment Category Tier I Item 1 2013/14 2014/15 2015/161 Totals Employees Enrollees 1,603 1,593 1,581 4,777 Claims $ 6,561,414 1 $ 6,921,075 $ 7,666,159 $ 21,148,648 PEPM $ 341.10 $ 362.06 $ 404.08 $ 368.93 Spouses Enrollees 325 329 341 995 Claims $ 2,173,991 $ 3,159,472 $ 3,216,021 $ 8,549,484 PEPM $ 557.43 $ 800.27 $ 785.93 $ 716.04 Children Enrollees 442 452 470 1,364 Claims $ 933,266 1 $ 811,289 $ 1,693,130 $ 3,437,685 PEPM $ 175.96 $ 149.57 $ 300.20 $ 210.02 Total Enrollees 2,370 2,374 2,392 7,136 Claims $ 9,668,671 1 $ 10,891,836 $ 12,575,310 $ 33,135,817 PEPM $ 339.97 $ 382.33 $ 438.10 $ 386.96 Tier Factors Employee 1.003 0.947 0.922 0.953 Spouse 1.640 2.093 1 1.794 1.850 Children 0.518 0.391 0.685 0.543 Exhibits with BOCC Changes from June 20 mtng Final 16 Benefit and Contribution Changes OPTIONS FOR FY 2018 % c, E E 2 < 0 > 0 > 0 > 0 R 0 > 0 0 >0 1W On A� 0 0 U) LLI < LLI (9 < Y z LLI LLI z < C) 0 0 61 C) 0 0 ITEMS APPROVED BY BOCC ON 6-ZO-17 Outstanding Items Not Valued 39. Request Clerk audit claims processing (Kolhage requested Madlok do this) 42. Retain expert assistance for assisting medicare eligible retirees to find subsidies and to assist employees w benefit choices related to High Deductible vs. High Ben Ian 18A. All Spouses of employees or retirees access to coverage through his/her own employer are me igi e or County Insurance ZA, Increase U,gent Care c.pay from $ZS 1. $50 3A. Add $100 har.a deductible limited to Wo per famil y De 19. Conduct pendent Elfg1bilitV Audift (estimated 4% of Dependent cl. Irms) 22, Increase brand drug copays FROM $50/$90 W $605100 (30 day) and $150/$250 NU day) 29, Change PCP, Behavioral Health and Pre/Post Natal Cam CopaiV FROM $25 to $30 30, Add $10 copay for Independent Clinical Lab (Quest) 31. Increase Generic Drug CGPaV to $15 34. Adopt'..Envision select Formulary 36. Exclude Drugs available Over-the-COUnter (OTC) 40. Exclude EVS from network for all prescriptions Subtotal - Impact of Projected Claim Costs $1,233,10100 $1,722,000 $1,843,101010 $1,972,000 $2,110,101010 $2,101,116 4A, Provide . Flat $250 Subsidy to Medicare Eligible Retirees ($697 $2S0 = $447) $850,000 $1,297,000 $1,471,000 $1,658,000 $1,858,000 $1,251,116 6. Reduce subsidy for Dependents of Any Retirees over 3 years $105,000 $320,000 I$485,000 $543,000 $606,000 $1,146,116 7. Reduce subsidy for Rule of 70 Pre-65 Retirees by 20% each year, over 5 years $104,000 $378,000 $622,000 $871,000 $1,126,000 $1,042,116 11 Dual Option HSA with LOW option (employees and retirees paying $D); (dependents pay len) HIGH option (employees and retirees pay MORE monthly to stay on rich plan) $244,000 I $490,000 $668,000 I $858,000 $1,061,000 $798,116 15. Change Medicare Retiree Drug Coverage from RIDS to EGWP $250,000 $250,000 $250,000 $250,000 $250,000 $548,116 28. Add $75 per month smoker surcharge $123,000 $164,000 $164,000 $164,000 $164,000 $425,116 41. Establish Acturial Sound Retiree Rate for insurance after retirement instead of retiree paying department rate $1,000 $4,000 $8,000 $429,116 Subtotal -Impact of Employee/Retiree Funding Changes $1,672,000 $2,097,000 $3,661,000 $4,340,000 $5,073,000 1 Combined Impact of All Benefit and Revenue Changes $2,905,000 $4,619,000 $5,504,000 $6,320,000 $7,183,000 $429,116 Combined impact of All Benefit and Revenue Changes plus benefit of increased impact on surplus $3,521,500 $5,480,000 $6,425,500 $7,306,000 $8,238,000 Alternatives to Option 7 1 Pre-65 Retirees Only) 7A �5c 374;led Subsidy to, R. [a of 7D Retiree, (FIRS - v 25 yos; 25% actuarial rate w ZD-Z4 ym $187; 50% actuarial rate w - 1D-19 yas $1(35,000 $154,000 $170,000 $187,000 $205,000 1 7A ,,,,, ,IFC�14,cl =$187; 50% .15-19Ys = $374,75A � 10- t, us = ,71� Icalel sul,d, for 111, 11711 lialinee, (F11 � 11 , 1111.01 $121000 , $178,000 $195,000 $214,000 $234,000 1 7B Reduce subsidy for Rule af70 Retirees by 3% per year $3,000 $10,000 $15,000 $21,000 $27,000 1 Attachment. REVISED DODO Decision Options for 7-25-17 Final (MinuteTraq) (3206. Discussion on the County' s Group Health & Prescription 7C Reduce'subsdy for Rule cfeby 8%per year RULEDITEMS 70 Retires .- 1 -17 $9,000 $2T,000 '.$42,000 $59,000'. $77,000 13A, Dual Option HSA11,111OW option (employees and rethees pay!ng$0); hdepandents paylessj HIGH option (employees, retirees, etirees and dependentsa SAME rates monihl [o staY on doh Ian $464,120 $648,144 '.$693,514 3. Add$100 pharmacy deductible per individual $162,366 $215,947 $218,106 37. All amployass pay the same ($75/month) $402,300 $536,400 $536,400 38. Charge $200 monthly premium for each employee, retiree, and dependent $1,850,787 $2,467,716 $2,467,716 38A. Charge greater of current premium and $200 monthly premium for each employee, retiree, and dependent $2,149,695 $2,866,260 $2,866,260 613No subsidy for Dependents ofAny Retirees lrule of 70 retiree dependents and non rule of 70.retiree dependents) (with the exception of Rule of 70 retirees who retired prior to I/1/18 whose spouses will remain subsidized at the overall dependent subsidy rate) $55,674 $109,152 $154,620 6A 40%I Subsidy for Dependents of Retirees l Excluded Medicare Eligibles c ses) $134,325 $187,585 r.$200,716 6C 40% subsidy for Dependents of AnyR trees (rule of 70 retiree dependents and non -rule of 70 retiree dependents) (with the aexception of Rule of 70 retirees who retired prior to 11/ 1 /18 whose spouses will remain subsidized at 60% dependent subsidy te) $39,366 $75 708 '.$107,988 18 Spouses of Retirees pay 10051 of Actuarial Rate if Spouse has Access to Coverage Through His/Her Own Employer. $13,662 $18216 '$18,216 7 Nosu6sdymrPre55.Retirass $1,311728 $1881,827 $1,960055 7A Scaled Subsidy for Rule of 70 Retreas {$141 w25 yns, $2D0 w2D 24 yns, $40uw 1D 19 yns) $772119 $1128,572 $1,221540 8 Pre 6S ReL rees Pay 50%of Actuar al'.Rate 1 $621 033 $867,272 '.$927,981 '48,Provitlea$200 Subsidy to Medicare Eligible Retirees ($697- $20D= $497) $979,743 $1,494,972 $1,695,532 '. 1. Increase Deductible from$400/$800 to$600/$1200 $282,831 $376,165 $381,808 2. Increase Specialist copay from $25 to $50 $84,849 $112,849 $113,978 23. Increase specialty drug copay to 25% to maximum of$300 $16,438 $22,955 $24,562 5 Reset Dependent Contributions ibutions from 40%to 50%of Actuarial Rate at Current Hgher Costs $373,230 $521 216 $557 701 10 Reset Dependent Coitrbutons from 40%to 60% of Actuaral Rates $599,868 $837716 $896356 9. Active Employees Pay $5D/75 for Employae Coverage $263,025 $349,823 ;$349,823 24, Increase active EEcontributmn3from $PSy$50 toS65/$95 Ila% of actuarlsl value) $442,440 $617,867 <$661,118 4. Charge Full Annual amount of Health Insurance to Medicare Eligible Retirees 1$697) $1,312,500 $1,750XID $1,750,D00 '.. 11. set Premium for Retiree Only Cnveraga to a Flat$2DO for Rule of 70 Retirees '.. $272,025 $361,793 '..$361,793 17, Increase Retiree Contributions to a flat$150 for Rule of 70 Retirees $204,750 $273,000 '..$273,000 25, Increase Retiree Contributions to 20%of Actuarial Value for Role of70 Retirees {$207<65,$1396511 $124,96+3 $174,510 '..$186,726 26, Change Retiree Contributions to $150 for 10 20 YOS and $50 fdr 20+ YOS for Rule of 7D Retirees $4W,870 $64,997 '.. $64,997 16, Di-Mmue Dependent Subsidy for employees hired after10/1117 $139,209 $590,866 I$997,202 32, Reduce Dependent Subsidy for Future Hl2s tp 50% $36,706 $155,795 ',$262,934 12, Dual Option H5A $729,734 $1,Dl9,D73 $1,D90,08 14, Dual Option like MCSB $573,964 $801,541 $857,649 33, Dual Option with HRA{Assume same plan design as HSA optionl12) $760,335 $1,D61,08 $1,136,135 20, Mandatory Generic Pharmacy Benefit $24,709 $34,506 $36,921 21. Expanded Mandatory Step Therapy $16 473 $23,004 $24 614 35, Mandatory 90-day Scripts for Maintenance with Narrower 90-day Retail Network (Walgreens only) $142,920 $199,587 $213,559 Attachment. REVISED BODO Decision Options for 7-2 -17 Final (MinuteTrag) (3206. Discussion on the County's Group Health & Prescription FY 2018 Forecasts with Changes Approved by BOCC on June 20, 2017 With Option 6 Forecast Assuming HPAC Recommendations with the following additional Options. Eliminate Option 11 Add Option 7A over 5 years Add Options 4A, 41, 28 @ $100, 34, 36, 18A Impact o Baseline FY 18 Illustrative Revised FY 18 Forecast Changes Forecast Projected Starting Fund Balance $7,595,391 $0 $7,595,391 Projected Revenue at Current Funding $18,052,606 $1,773,000 $19,825,606 Projected Claims $18,264,281 ($1,135,000) $17,129,281 Projected Fixed Costs $1,585,691 $0 $1,585,691 Projected Expenses $19,849,972 $1,135,000 $18,714,972 Projected Gain/(Loss)( $1,797,366 $2,908,000 $1,110,634 Projected Closing Fund Balance Projected Target Fund Balance $5,798,025 $9,132,140 $2,908,000 $567,500 $8,706,025 $8,564,640 Projected Excess/(Shortfall)( $3,334,116 $3,475,500 $141,384 Pre 65- Rule of 70 Retiree Rates With Option 7A Phased in Over 5 Years Without Option 6 mpact o Baseline FY 18 Illustrative Revised FY 18 Forecast Changes Forecast $7,595,391 $0 $7,595,391 $18,052,606 $1,640,561 $19,693,167 $18,264,281 ($1,135,000) $17,129,281 $1,585,691 $0 $1,585,691 $19,849,972 $1,135,000 $18,714,972 $1,797,366 $2,775,561 1 $978,195 $5,798,025 $9,132,140 $2,775,561 $567,500 $8,573,586 $8,564,640 $3,334,116 $3,343,061 $8,945 20171 2018 2019 2020 2021 2022 25+ YOS $139 $139 $139 $139 $139 $139 20-24 YOS $111 $127 $147 $174 $206 $246 10-19 YOS $78 $137 $207 $290 $384 $493 Projected FY with HPAC modified 2018 July 25 2017.xlsx 13 7/25/2017