HomeMy WebLinkAboutResolutions - 2014.05.15 - 21335MISCELLANEOUS RESOLUTION #14115 May 15, 2014
BY: HUMAN RESOURCES COMMITTEE - JOHN SCOTT, CHAIRPERSON
IN RE: HUMAN RESOURCES DEPARTMENT OPEN ENROLLMENT MODIFICATIONS FOR 2015
To the Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
WHEREAS the Federal Affordable Care Act of 2010 (ACA) contains a multitude of requirements
with various effective dates ranging from 2010 through 2018; and
WHEREAS the County has been steadfast in monitoring, researching and implementing the
provisions of the ACA as required by law; and
WHEREAS for large employer self-funded medical plans such as Oakland County's, the ACA
requires that beginning in 2015 employee out-of-pocket maximums for medical, dental, prescription and
vision coverage be combined and coordinated between insurance carriers; and
WHEREAS beginning in 2015 out-of-pocket maximums will be limited to $6,600 for single
coverage and $13,200 for two person or family coverage; and
WHEREAS dental and vision plans can be considered excepted from this requirement if
employees have the option of opting out of coverage.
WHEREAS our Dental coverage is already "excepted" because employees have the ability to opt-
out of dental coverage; and
WHEREAS in order for the County's Vision coverage to be "excepted" from this ACA requirement
it must also have the same option for employees to be able to opt-out if they so desire; and
WHEREAS the County Executive recommends that the Board of Commissioners approve the
option of allowing employees to opt-out of vision coverage if they so choose; and
WHEREAS the other change the County Executive is recommending for 2015 Open Enrollment is
to require employees that have dependents on the County's medical plans to confirm each year during
Open Enrollment whether or not their dependents (spouse and/or children) are still eligible for coverage;
and
WHEREAS the County recently conducted a Dependent Eligibility Verification audit; and
WHEREAS the audit garnered the desired results of validating eligible dependents and removing
non-verified dependents; and
WHEREAS by requiring a proactive confirmation of dependents, we hope to alleviate the need to
conduct an annual audit; and
WHEREAS this will require that employees log into the Open Enrollment website and check a box
confirming eligibility or indicating changes in status that would result in removal from coverage; and
WHEREAS failure to confirm eligibility will result in the removal of such dependents from
coverage, but will not change any other benefit elections; and
WHEREAS confirmation statements will be sent to employees indicating continued eligibility or
removal of dependents; and
WHEREAS employees will be offered a final chance to confirm eligibility during the appeal
period prior to the changes going into effect with the new plan year in January; and
WHEREAS individuals removed from coverage will be offered the option of continuing coverage
at their own expense through COBRA.
NOW THEREFORE BE IT RESOLVED that the Board of Commissioners authorizes, effective
January 1,2015, the option for employees to opt out of Vision coverage if they wish to do so.
BE IT FURTHER RESOLVED that there will be no monetary incentive to opt out of vision
coverage.
BE IT FURTHER RESOLVED that employees who have dependents on the County's medical
plans will be required to attest to their continued eligibility in order for the dependents to remain on the
plan each year.
Chairperson, on behalf of the Human Resources Committee, I move the adoption of the foregoing
resolution.
HUMAN RESOUR6ES COMMITTEE
HUMAN RESOURCES COMMITTEE:
Motion carried unanimously on a roll call vote.
Resolution #14115 May 15, 2014
Moved by Crawford supported by McGillivray the resolutions (with fiscal notes attached) on the Consent
Agenda be adopted (with accompanying reports being accepted).
AYES: Dwyer, Gingell, Gosselin, Hatchett, Hoffman, Jackson, Long, Matis, McGillivray,
Middleton, Quarles, Runestad, Scott, Spisz, Taub, Weipert, Woodward, Bosmc, Crawford. (19)
NAYS: None. (0)
A sufficient majority having voted in favor, the resolutions (with fiscal notes attached) on the Consent
Agenda were adopted (with accompanying reports being accepted).
V/4/7 y
1 HEREBY APPROVE THIS RESOLUTION
CHIEF DEPUTY COUNTY EXECUTIVE
ACTING PURSUANT TO MCL 45.556A (7)
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, Lisa Brown, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and
accurate copy of a resolution adopted by the Oakland County Board of Commissioners on May 15, 2014,
with the original record thereof now remaining in my office.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County of Oakland at
Pontiac, Michigan this 15th day of May 2014.
Lisa Brown, Oakland County