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6. LMC Survey City Co Sch Provide Ins Summary2014 Health Insurance Survey Summary: Cities, Counties and Schools Does your local government provide a health insurance plan to some or all of its employees? Yes No Counties 98% 2% Cities 70% 30% Schools 98% 2% Which of the following best describes your plan? (insurance providers) The plan is self-insured: your organization funds the claims of your employees, even if you contract with a third party to make the payments. The plan is fully-insured: you contract with an insurance provider such as Health Partners (and pay a monthly premium) and they both fund and pay the claims. The plan is purchased from and administered by a service co-op. Counties 29% 23% 48% Cities 5% 62% 32% Schools 14% 20% 65% If your plan is self-insured, who is your carrier or plan administrator? (insurance providers) Blue Cross Medica HealthPartners Preferred One Other Counties 66% 4% 7% 14% 9% Cities 67% 14% 14% 3% 3% Schools 68% 3% 15% 5% 9% Do you provide cash in lieu for employees who decline coverage? (insurance providers) Yes No Counties 10% 90% Cities 22% 78% Schools 9% 91% If YES, what is the average monthly amount of cash given to an employee? (insurance providers) < $200 $201-500 $501-1000 $1000+ Counties 40% 20% 30% 10% Cities 30% 49% 22% 0% Schools 38% 44% 19% 0% Please list both the employee and employer monthly premiums for the plan covering the majority of employees (average shown): (insurance providers) Employee for single plan Employer for single plan Employee for family plan Employer for family plan Counties $46 $691 $632 $1616 Cities $77 $524 $375 $1050 Schools $156 $788 $1119 $1319 For the above plan, what is the individual deductible for the plan covering the majority of employees? (insurance providers) $0-500 $501-1000 $1001-2000 $2001-3000 $3001-4000 More than $4000 Counties 14% 7% 17% 31% 14% 10% Cities 27% 8% 23% 25% 7% 4% Schools 25% 13% 25% 15% 5% 2% Please rank on a scale of 1-4 what you see as the biggest barrier to sustaining your health plan outside of costs (1 being the biggest barrier, 4 being the smallest barrier): (ranked #1) (insurance providers) Employee knowledge and engagement in their health care Collective bargaining agreements Health care provider issues - e.g. employee access to network price competition State and federal laws - e.g. aggregate value Counties 35% 29% 8% 28% Cities 20% 19% 15% 45% Schools 29% 29% 14% 30% Which one of the following is your most important partner in managing your health plan? (insurance providers) Broker/Consultant Service Coop Health Plan Provider Employees Counties 32% 45% 22% 2% 0% Cities 41% 26% 18% 2% 12% Schools 12% 29% 29% 29% 0% How would you describe employees’ knowledge of what drives their health care costs? (insurance providers) Very good Good Fair Poor Counties 6% 24% 71% 0% Cities 9% 45% 46% 0% Schools 5% 27% 67% 0% Do you have a labor/management or employee committee that studies employee benefit issues? (insurance providers) Yes No Counties 81% 19% Cities 30% 70% Schools 58% 42% If public sector organizations were to collaborate on health care costs, please rank the following on a scale of 1-5 in terms of what would be the most helpful to your organization (with 1 being the most helpful and 5 being least helpful): (all respondents) (ranked #1) Model wellness program Bargaining strategies with union Legislative changes Bargaining clout with insurance companies or health care providers in the region Counties 10% 13% 18% 53% Cities 7% 5% 18% 54% Schools 8% 17% 22% 47% Rank on a scale of 1-8 the following employee health plan subjects in terms of your interest in receiving information on them in the future (ranked #1, all respondents) How to work with health care providers Wellness programs How to engage employees/unions Affordable care act Retiree health care How to use the MNSure exchange How to self insure Counties 18% 10% 27% 33% 1% 0% 4% Cities 20% 9% 14% 27% 6% 6% 10% Schools 8% 6% 15% 55% 5% 4% 2%