Adopted Budget FY 2018-2019

Health Insurance Fund
Administration
www.mcallen.net/departments/benefits
Performance Measures
Inputs:
Actual Goal Estimated Goal
FY 16-17 FY 17-18 FY 17-18 FY 18-19
Number of Full Time Employees 5 6 6 6
Department Administrative Expenditures $ 453,822 $ 449,605 $ 449,114 $ 524,641
Medical Claims Expenses 7,973,128 8,395,000 8,470,079 9,250,000
Prescription Expenses 2,338,428 2,270,000 2,313,148 2,720,000
Administration & Stop Loss Expenses 1,949,198 1,731,432 1,822,536 1,828,655
Health Plan Cost Per Employee 7,275 6,825 6,795 6,167
Health Plan Cost per Member 3,516 3,242 3,344 3,043
Health Plan Net Fixed Costs 75 77 77 68
Avg # Health Plan Enrollees - Active 3,689 3,740 3,673 3,709
Avg # Health Plan Enrollees - Retirees > 65 56 57 56 55
Description:
The Employee
Benefits
Department
administers the
benefit policies as
part of the City's
compensation
package to
employees,
including
enrollment,
changes, inquiries,
retirement
investments,
collections and
terminations of
coverages.
Avg # Health Plan Enrollees - Retirees < 65 140 183 151 155
Avg # Health Plan Enrollees - Cobra 17 20 26 14
Outputs:
Number of Benefits Orientations Executed
6 4 4 4
Host Annual Health Fair/ Screenings Yes Yes Yes Yes
Flu Shots Conducted Annually Yes Yes Yes Yes
Wellness Programs Executed (Pecentage)
40% 65% 65% 80%
EAP Utilization (%) 2.31% 4.57% 5.00% 5.00%
Conduct Annual Highly Compensated
Benefits Discrimination Testing
Review of Affordable Care Act Regulation
Compliance
Yes Yes Yes Yes
Yes Yes Yes Yes
Civil Service - Number of Entry Level Exam
Opportunities 2 2 2 2
Civil Service - Number of Promotional Exam
Opportunities 6 6 6 6
Effectiveness Measures:
Pass the Discrimination Testing Review Yes Yes Yes Yes
Pass the Affordable Care Act Regulation
Compliance Review
Yes Yes Yes Yes
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