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File #: 22-0636    Version: 1 Name:
Type: CM Action Item - Open & Responsible Government Status: Passed
File created: 7/11/2022 In control: Board of Commissioners
On agenda: 9/7/2022 Final action: 9/7/2022
Title: Request approval of 2023 premium rates for the Medical and Pharmacy, Dental and Vision Plans effective January 1, 2023.
Attachments: 1. Attachment I: Medical Premium Rates - Proposed, 2. Attachment II: Dental Premium Rates - Proposed, 3. Attachment III: Vision Premium Rates - Proposed, 4. Attachment IV: 2022 VS 2023 Medical Premium Rate Comparison, 5. Attachment V: 2022 VS 2023 Dental Premium Rate Comparison, 6. Attachment VI: 2022 VS 2023 Vision Premium Rate Comparison, 7. Attachment VII: Medical & Rx Plan Designs Comparison, 8. 2022-0636 Fulton County - 2023 Presentation- Renewal Summary_Fulton Edits 8.15.22


REQUESTED ACTION (Identify appropriate Action or Motion, purpose, cost, timeframe, etc.)

Request approval of 2023 premium rates for the Medical and Pharmacy, Dental and Vision Plans effective January 1, 2023.

REQUIREMENT FOR BOARD ACTION (Cite specific Board policy, statute or code requirement)
In accordance with Board Policy, benefit plan premiums are approved prior to the beginning of each plan year

STRATEGIC PRIORITY AREA RELATED TO THIS ITEM (If yes, note strategic priority area below)
Open and Responsible Government

All Districts ?
District 1 ?
District 2 ?
District 3 ?
District 4 ?
District 5 ?
District 6 ?


SUMMARY & BACKGROUND (First sentence includes Agency recommendation. Provide an executive summary of the action that gives an overview of the relevant details for the item.)

Scope of Work: Fulton County currently provides a combination of self-funded and fully-insured Medical & Pharmacy (Rx), Dental and Vision programs to approximately 4,700 employees, 3,400 retirees/beneficiaries, and their eligible dependents. Under a fully-insured funding arrangement, the insurance carrier pays claims from its own funds and sets premium rates to support expected claim payments. While under the self-funded arrangement, the carrier administers the plan, but claims are funded by the County. The Finance Department worked with Segal Consulting to complete the 2023 health plan renewals and premium rate projections. The 2023 funding projection and premium rates assumes no changes in benefit plan design or cost share for active employees and retirees/beneficiaries.
The funding rates for the self-funded plans require calculation using historical claims and enrollment data, to which actuarially sound methodologies and assumptions are applied, and costs and credits associated with administration of the plan are incorporated. Segal, our benefits con...

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