Page 340 - Budget Book FY2020-2021

Health Insurance Fund
Administration

www.mcallen.net/departments/benefits
Performance Measures Description:
Actual Goal Estimated Goal The Employee
FY 18-19 FY 19-20 FY 19-20 FY 20-21 Benefits
Department
Inputs: administers the
Number of Full Time Employees 6 6 6 6 benefit policies as
Department Administrative Expenditures $ 494,317 $ 518,375 $ 481,697 $ 524,521 part of the City's
Health Claims (Med & Rx) $ 12,968,381 13,200,738 $ 12,384,420 $ 13,000,000 compensation
Administration & Stop Loss Expenses $ 1,661,684 1,386,431 $ 1,780,675 $ 1,969,341 package to
Health Plan Net Fixed Costs $ 53 58 $ 58 $ 65 employees,
Avg # Health Plan Enrollees - Active 3,602 3,625 3,640 3,640 including
enrollment,
Avg # Health Plan Enrollees - Retirees > 65 47 40 45 40 changes, inquiries,
retirement
Avg # Health Plan Enrollees - Retirees < 65 149 158 160 160 investments,
Avg # Health Plan Enrollees - Cobra 15 10 14 13 collections and
Outputs: terminations of
coverages.
Number of Benefits Orientations Executed 4 4 4 4
Monthly Newsletter Executions 12 12 12 12
Host Annual Health Fair Yes Yes No Yes
Annual Yes Yes No 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% 7.00% 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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