ESBD_360338_1716477845223_Attachment M - PY 2024 Retiree Rates.pdf

PDF 142 KB Posted

Attached to
RFP 2024-P11 Employee Group Health, Dental, and Employee Assistance Plans
Solicitation number
RFp2024-P11
Issued by
Hays County, Texas

About this file

This document is an attachment to a Request for Proposal (RFP) for Employee Group Health, Dental, and Employee Assistance Plans issued by Hays County, Texas. The RFP seeks proposals from qualified companies to provide a comprehensive package including Medical, Pharmacy, Dental, and Employee Wellness/Assistance Plan. Hays County is looking to partner with insurance companies to achieve competitive long-term and stable financial success while offering a robust benefits package. The selected plan is intended to be implemented effective January 1, 2025, with open enrollment starting October 1, 2024.

The attachment provides details on the 2024 retiree medical and dental premium rates for United Healthcare plans, including the Choice Plus (Plan 1), Choice (Plan 2), and Choice Plus High Deductible Health Plan with Health Savings Account (Plan 3). The premiums vary based on the retiree's years of service, with reduced rates for those with at least 15 or 20 years of service. The attachment also includes information on the County's Tobacco User Fee policy and the availability of tobacco cessation assistance through the United Healthcare Quit 4 Life program.

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Other files

File Type Posted
ESBD_360338_1716477848050_Attachment K - Medical Disruption File.xlsx XLSX spreadsheet
ESBD_360338_1716477854452_Attachment L - Rx Usage for Disruption and pricing April 2023-March 2024.xlsx XLSX spreadsheet
ESBD_360338_1716477846456_Attachment N - PY 2024 Funded Insurance Rates.pdf PDF
ESBD_360338_1717797769305_Attachment S - DHMO Fee Schedule.pdf PDF
ESBD_360338_1716477843854_Attachment G - Hays County Structure.pdf PDF
ESBD_360338_1717797769699_Attachment R - Dental PPO Summary of Benefits.pdf PDF
ESBD_360338_1716477849668_Attachment A - Response Forms.xlsx XLSX spreadsheet
ESBD_360338_1716477845643_Attachment H - March 2024 Invoice with Counts.pdf PDF
ESBD_360338_1717797768907_Addendum 1 - RFP 2024-P11.pdf PDF
ESBD_360338_1716477853396_Attachment B - Hays County Census (April 2024).pdf PDF
ESBD_360338_1716477849236_Attachment P - 2024 Medical Renewal.pdf PDF
ESBD_360338_1717797770098_Attachment B - Hays County Census (April 2024) Excel.xlsx XLSX spreadsheet
ESBD_360338_1716477847667_Attachment Q - 2024 Dental Renewal.pdf PDF
ESBD_360338_1716477852919_RFP 2024-P11 Employee Group Health, Dental and Employee Assistance Plans.pdf PDF
ESBD_360338_1717797768324_Attachment I - Updated - Additional Supporting Claims and Enrollment Information.xlsx XLSX spreadsheet
ESBD_360338_1716477846068_Attachment O - Stop Loss amendment (2024).pdf PDF
ESBD_360338_1716477847276_Attachment D.3 - Large Loss Claim Payments CY 2021-March 2024.pdf PDF
ESBD_360338_1716477844264_Attachment D.1 - Aggregate Stop-Loss 2021-March 2024.pdf PDF
ESBD_360338_1716477853901_Attachment E - Deer Oaks EAP Utilization.pdf PDF
ESBD_360338_1716477843084_Attachment I - Additional Supporting Claims and Enrollment Information.xlsx XLSX spreadsheet
ESBD_360338_1716477846878_Attachment D.2 - March 2024 invoice with counts.pdf PDF
ESBD_360338_1716477844656_Attachment J - Dental PPO and DHMO Disruption Information.xlsx XLSX spreadsheet
ESBD_360338_1716477852456_Attachment F - Hays County SBCs 2022-2024.pdf PDF
Show all 23

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Text version

HAYS COUNTY

Retiree

Plan Year 2024 Medical and Dental Premiums

United Healthcare – Choice Plus (Plan 1)

Retiree Paying 100% of Monthly

Premium (Retired prior to 10/01/02)

Retiree Paying 25% of Premium (at least 15 years of service)

Retiree Paying 15% of Premium

(20 or more years of service)

Retiree Only: $991.60 $247.90 $148.74 Retiree + Spouse $1349.11 $605.41 $506.25

Retiree + Child(ren) $1252.49 $508.79 $409.63 Retiree + Family $1631.05 $887.35 $788.19

United Healthcare – Choice (Plan 2) IN-NETWORK Retiree Paying

100% of Monthly Premium (Retired prior to 10/01/02)

Retiree Paying 25% of Premium (at least 15yrs of service)

Retiree Paying 15% of Premium

(20 or more years of service)

Retiree Only: $969.38 $242.35 $145.41 Retiree + Spouse $1159.48 $457.45 $360.51

Retiree + Child(ren) $1140.48 $438.45 $341.51 Retiree + Family $1294.38 $592.35 $495.41

United Healthcare – Choice Plus High Deductible Health Plan w/ H.S.A. (Plan 3)

Hays County’s contributes $83.33 per month to H.S.A.

Retiree Paying

100% of Monthly Premium (Retired prior to 10/01/02)

Retiree Paying 25% of Premium (at least 15yrs of service)

Retiree Paying 15% of Premium

(20 or more years of service)

Retiree Only: $944.38 $236.10 $141.66 Retiree + Spouse $1116.38 $408.10 $313.66

Retiree + Child(ren) $1100.38 $392.10 $297.66 Retiree + Family $1224.38 $516.10 $421.66

United Healthcare – Dental Plans (DENTAL PPO & Texas DHMO)

DENTAL PPO

Retiree Pays Full Premium

TEXAS DHMO

Retiree Pays Full Premium Retiree Only: $33.74 $33.74

Retiree + Spouse $58.24 $36.58 Retiree + Child(ren) $53.24 $38.72

Retiree + Family $85.24 $52.16

2024 Tobacco User Fee The Hays County Tobacco Use Policy and Certification was effective January 1, 2015. This policy applies only to county employees (not spouses or family members) enrolled in a Hays County Group Health Plan. The monthly Tobacco User Fee is $30 for employees certified as a tobacco user.

Employees are not required to sign a new certification unless their status changed from the previous certification. Hays County will continue to rely on the honor system when employees self-report. Hays County offers tobacco cessation help through United Healthcare Quit 4 Life program.

HAYS COUNTY
United Healthcare – Choice Plus (Plan 1)
United Healthcare – Dental Plans (DENTAL PPO & Texas DHMO)

File details come from the government source that posted it. Updated .