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Health Insurance Fund
Administration
www.mcallen.net/departments/benefits
Performance Measures Description:
Actual Goal Estimated Goal The Employee
FY 17-18 FY 18-19 FY 18-19 FY 19-20 Benefits
Department
Inputs: administers the
Number of Full Time Employees 5 6 6 6 benefit policies as
Department Administrative Expenditures $ 436,190 $ 545,975 $ 445,297 $ 520,938 part of the City's
Medical Claims Expenses $ 10,516,301 9,250,000 $ 455,274 $ 9,940,738 compensation
Prescription Expenses $ 2,963,461 2,720,000 $ 3,334,000 $ 3,260,000 package to
Health Plan Revenues $ 1,246,425 1,828,655 $ 1,275,684 $ 1,386,431 employees,
Health Plan Cost Per Employee $ 7,918 6,167 $ 7,812 $ 7,778 including
Health Plan Cost per Member $ 3,962 3,043 $ 3,950 $ 3,932 enrollment,
Health Plan Net Fixed Costs $ 49.22 68.00 $ 53.00 $ 58.16 changes, inquiries,
Avg # Health Plan Enrollees - Active 3,632 3,709 3625 3625 retirement
investments,
Avg # Health Plan Enrollees - Retirees > 65 150 55 40 40 collections and
terminations of
Avg # Health Plan Enrollees - Retirees < 65 49 155 158 158 coverages.
Avg # Health Plan Enrollees - Cobra 13 14 10 10
Outputs:
Monthly Newsletter Executions 12 12 12 12
Annual Yes Yes Yes Yes
Screenings Conducted
Flu Shots Conducted Annually Yes Yes Yes Yes
Wellness Programs Executed (Percentage)
80% 80% 80% 80%
EAP Utilization (%) 5.00% 5.00% 5.00% 5.00%
Conduct Annual Highly Compensated Benefits Yes Yes Yes Yes
Discrimination Testing
Review of Affordable Care Act Regulation Yes Yes Yes Yes
Compliance
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 Yes Yes Yes Yes
Compliance Review
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