Under the Township’s health care plan in 2020, a Township employee with a family of four pays $16.68/month in total for medical, prescription, dental, and vision coverage. Supervisor Savoie has argued that this isn’t too generous because they have a high deductible plan ($5,000/employee/year). What he doesn’t tell you is that we, the taxpayers, pay the first $3000 of the deductible for each employee into an HSA (Health Savings Account) that is tax-free to the employees. Employees pay only the last $2000 – should they need it. So, in total, Township taxpayers actually pay 99% of Township employees health care costs!
If that wasn’t generous enough, did you know residents pay 100% of Township retirees and their spouse’s healthcare costs for life. Yes, just put in 25 years working for the Township and you get health care for life at no cost other than Medicare. At age 65, the Township covers retiree’s and spouse’s supplemental Medicare plan.
In 2011, Michigan passed a state law, 2011 Public Act 152, that attempts to limit the amount that public employers (such as Bloomfield Township) pay toward employee medical benefit plans. In January 2019, the Township Board hired a health care consulting firm, Manquen Vance, to study the Township’s health care costs. Consultants from Manquen Vance presented findings at the November 25 Board of Trustees meeting.
The law provides three options for public employers to choose annually. The cost estimates were provided by Manquen Vance and are for an employee with family coverage (medical, prescription, dental, and vision):
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“80%/20%” Option – which limits a public employer’s share of total annual health care costs to not more than 80%. This means the Township taxpayers would pay 80% and the Township employees would pay 20% of their health insurance costs. This is pretty standard in the private sector. Under this option, a Township employee with a family would pay $441/month (20%) and taxpayers would pay the balance of $1,764/month/employee family (80%). Overall, employees would contribute $1.01M/year and taxpayers would contribute $4.39M/year.
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“Hard Caps” Option – the State Treasury annually sets the cap amount based on a formula. If medical, prescription, or HRA rates exceed this cap, the employee pays the contribution. If the rates fall under the cap, there is no employee contribution (100% taxpayer funded). This would limit the taxpayer’s burden for total annual health care costs based on coverage levels. Under the “hard caps” option, a Township employee with a family would pay $658/month while taxpayers would pay the balance of $1,547/month/employee family. Overall, employees would contribute $1.62M/year and taxpayers would contribute $3.86M/year.
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“Opt Out” Option – allows a local government to exempt itself from the requirements of the Act by an annual 2/3 vote of the governing body. This “opt out” option allows a local government to do what it wants in terms of paying for healthcare programs. Under this option, a Township employee with a family would pay $16.68/month while taxpayers pay the balance of $2,188/month/employee family. Overall, employees would contribute $0.04M/year ($42,764K/year to be more precise) and taxpayers would contribute $5.45M/year.