Insurance Reform Pending

 

OPEA continues to be in contact with the leadership of the State Employees Health Insurance Review Working Group about changes that may be implemented this year in the state insurance plan.

 

“We are continuing to be involved in discussions with Senate and House leadership, as well other plan participant groups, to ensure any legislative changes are beneficial to state employees,” said OPEA Executive Director Sterling Zearley. “State employees need to have choice, affordable co-pays, as well as maintaining the current benefit allowance.”

 

A firm evaluating the state’s system of providing health insurance said the state doesn’t take advantage of cost savings that could come from a more competitive system. The report was the product of the State Employee Health Insurance Review Working Group which has been meeting since July ’09 in an effort to find efficiencies in the health insurance system.

 

The report concludes:

  • The functions of OSEEGIB and EBC should be integrated to form a new organization focused not only on the payment of health and other insurance claims but also on the wellness of the covered individuals.
  • With the merged agencies, one oversight board should be created that would include members from backgrounds including medical and employee benefits, as well as those from legal and fiscal backgrounds.
  • A stronger wellness component should be included, not only within HealthChoice consumers, but the with HMO plans as well.
  • The state employee benefit allowance, which is the average of all high-option plans, is artificially inflated by the more expensive HMO plans, which few state employees utilize.
  • More choice is needed in rural areas of the state.

 

The report also recommends reforming the way state employees can select health care coverage. Currently, employees are given a benefit allowance and can choose their health care provider from 11 plans that have contracts with the state. Employees are allowed to keep money that isn’t used to pay for benefits.

 

Scott Barger, Deputy Director of the Oklahoma Employees Association, said the organization has been working with legislative leaders to avoid a dramatic change in the benefit allowance.

 

"Changing the way the state employee benefit allowance is calculated could have a dramatic effect on state employees,” Barger said. “Some state employees take the lowest priced options to try and put additional cash compensation in their pocket to make their budgets work.”

 

"When we talk about changing the benefit allowance, we’ve got to talk about changing state employee compensation,” Barger concluded. “We haven’t had a pay raise since 2006. For some workers, the benefit allowance is a way to offset the increased cost of living.”

3 comments (Add your own)

1. Jim Darst wrote:
If changes are made in the benefits allowance then when would the changes be effective? July? October? , December?

What changes to retiree health benefits are on the table?

Tue, May 11, 2010 @ 1:19 PM

2. Budd Hoaas wrote:
This year I got an unexpected bump in drug costs because I can no longer receive a 90 day supply at the cost of a 30 day supply. I did not take the cheapest coverage but did not expect such a bump in drug costs. Needless to say I am not alone in this. Instead of paying $65.00 for a 90 day supply, I now pay $65.00 per month for a 30 day supply. So I now pay $520.00 more per year for medications in this range of which my wife and I have 6, no generics available. That is a $3,120.00 yearly increase in my medication costs. And that is only one tier. I guess I could order from Canada or India and save a lot.
Please get us help. I took a paycut and did not even get a kiss.

Sincerely,
Budd Hoaas

Tue, May 11, 2010 @ 1:36 PM

3. feeling Helpless wrote:
Co-pays are rediculous, I agree, I have had several friends who utilize the new Insure Oklahoma program through their private business and it suprised me employee's of small business seem to have better insurance options (Blue Cross) at a much lower out of employee cost for premiums, the reported co-pays are significantly less than I pay as an employee of the State. I guess I don't understnad from were I am standing. Great program just wish the State allowed us the same options.

I still have a hard time grasping the increase in medical costs at the same time I am facing a 9% decrease in my salary monthly (that %decrease is a real salary reduction and does not incluide all the medical increases I have already been facing) or possible termination due to our great legislature decisions to support tax credtis and reduce State government. You told us to go to college and get a degree (I did, and it costs allot of money and time) You told us if you give back by serving the State, "you won't be rich but we'll take care you" (21 years later) I am livng like I did in college barely making ends meet or at least financially feel much less secure than I did 15/20 years ago. Are the legislators getting a %9 decrease in their salary?

Fri, May 14, 2010 @ 8:40 AM

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