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�i <br />Elk River --�- <br />Municipal Utilities UTILITIES COMMISSION MEETING <br />TO: <br />FROM: <br />ERMU Commission <br />Mark Hanson — General Manager <br />MEETING DATE: <br />AGENDA ITEM NUMBER: <br />November 14, 2023 <br />5.07 <br />SUBJECT: <br />Health Insurance Update <br />ACTION REQUESTED: <br />Approve the 2024 ERMU employee benefits offering including a continued employer <br />contribution to health savings accounts. <br />BACKGROUND: <br />Three years ago, ERMU moved to a health savings account (HSA) qualifying, high deductible <br />health insurance plan (HDHIP). With the move to HDHIP, the Wage & Benefits Committee <br />recommended that ERMU provide an 85% employer paid contribution to premiums and an <br />employer funded HSA in an amount that equates to 85% of an employee's deductible. At the <br />time of this change, it was agreed, the Commission would review the employer HSA <br />contribution annually. <br />DISCUSSION: <br />Through the benefits renewal process, we learned our current health insurance company (Blue <br />Cross Blue Shield) would be increasing rates by 5.5% along with increasing member deductibles. <br />As part of our benefit broker's regular process, our group was reviewed by other top health <br />insurance companies in the small group market. In doing so, an insurer (HealthPartners) was <br />found with a similar plan design and a smaller increase to 2023 rates at 4.3% and no increase to <br />member deductibles ($2,500 for single and $5,000 for family coverages). <br />Additionally, because we currently have HealthPartners for dental insurance, bundling our <br />health insurance with them will decrease our group's family dental rates by 25%. There will be <br />no other changes to ERMU's benefit offerings for 2024. <br />Staff recommends maintaining the original Wage & Benefit Committee recommendation of an <br />employer provided HSA contribution of 85%. The contribution is $2,125 for single coverage and <br />$4,250 for family coverage. The 2024 monthly premiums for medical coverage are $114 for <br />single, $228 for single +1, and $346 for family coverage. <br />Page 1 of 1 <br />102 <br />