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D.12
To: In-Home Supportive Services Public Authority
From: David Twa, County Administrator
Date: December  4, 2018
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: In-Home Supportive Services Public Authority Employee Resolution No. 2018/593, which Supersedes Resolution No. 2016/603
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On:   12/04/2018
APPROVED AS RECOMMENDED OTHER
Clerks Notes:

VOTE OF SUPERVISORS

AYE:
John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor
Contact: Lisa Driscoll, County Finance Director - 335-1023
cc: Robert Campbell, County Auditor-Controller     Dianne Dinsmore, Human Resources Director     Mary Ann McNett Mason, Chief Assistant County Counsel     Gail Strohl, Chief Executive Officer, CCERA     Kathy Gallagher, EHSD Director    
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED:     December  4, 2018
David Twa,
 
BY: , Deputy

 

RECOMMENDATION(S):

ADOPT attached Resolution No. 2018/593, which replaces and supersedes Resolution No. 2016/603, regarding compensation and benefits for employees of the In-Home Supportive Services Public Authority (IHSS PA).

FISCAL IMPACT:

The IHSS Public Authority currently has fifteen employees, twelve of which enroll in County health plans. The estimated annual cumulative cost of this action for the twelve employees is $13,000 for FY 2018/19; $39,000 for FY 2019/20; $63,000 for FY 2020/21; and $84,000 for FY 2021/22. For the 2020 year and beyond, projections are based on current enrollment and an average eight percent medical inflation cost each year. The out-year on-going annual cost is $94,000.

BACKGROUND:
BACKGROUND: (CONT'D)
    The IHSS-Public Authority employees' benefits have historically been linked to the resolution providing benefits for unrepresented management and exempt employees of Contra Costa. The Board of Supervisors adopted Resolution No. 2018/563, which provides for enhanced healthcare benefit subsidies for specified active unrepresented management employees on December 4, 2018. This Resolution, No. 2018/593, provides for the same benefits for IHSS/PA employees.

      
    The Resolution is modified in the following ways:

    1. Section 2.10 Health Plan Coverages has been amended to update the lists of providers and health plans and address the availability of any replacement plans selected by the County and the Joint Labor Management Benefits Committee.
    2. Section 2.17 Medical Plan Cost Sharing for Active Employees on and after January 1, 2019was amended to provide that for 2019 plan year, at least all premium increases for active employees will be paid by the County. In 2020, the County will move to a percentage-based cost sharing approach for these medical premium subsidies. The County will pay up to 75% of the medical plan premium (by tier) for the second lowest priced non-deductible HMO plan, for all medical plans for the Employee only and Employee + 1 dependent tiers. This same formula will apply for the employee + 2 or more dependents tier, except that the County’s subsidy percentage will be up to 76.5%. In 2021, the County will pay up to 78.5 % of the medical plan premium (by tier) for the second lowest priced non-deductible HMO plan, for all medical plans and for all tiers, except as specified. Beginning in 2022 and thereafter, the County will pay up to 80% of the medical plan premium (by tier) for the second lowest priced non-deductible HMO plan, for all medical plans and for all tiers, except as specified.
    3. Section 2.12 Retirement Coverage, subsection (a) (4) has been added to specify when employees who were eligible for County retiree health/dental plan monthly premium subsidies immediately prior to entering an unrepresented classification may retain eligibility for such subsidies.
    4. Section 2.14, Health Plan Coverages and Provisions, subsection (a) was revised to state which employees are eligible for health coverage under Section 2 Health, Dental, and Related Benefits. Section 2.14, subsection (e) was amended to provide for annual County contributions to a Health Savings Account for active employees enrolled in a specified high deductible health plan and who have an HSA.
    5. Section 2.15 Family Member Eligibility Criteria, subsection (b) “Dental Insurance” was amended to update the eligibility requirements for dependent dental insurance.
    6. Section 11 Special Benefit for Permanent Employees Hired on and after January 1, 2009, subsection (A) was modified to state which employees are eligible for the benefit.
    7. Non-substantive modifications to names of County benefits, departments, job titles, and classification codes, to grammar, and/or updates to marital terminology were made to sections 2.12, subsections (b) (4), (c); 2.13, subsection (a); 2.16, subsection (b); section 5; and section 10.

    CONSEQUENCE OF NEGATIVE ACTION:

    If the action is not approved, eligible, active unrepresented employees will not have access to enhanced healthcare benefit subsidies.

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