1998 health care rates are adopted for endowed faculty and staff

Through an analysis of last year's health care costs to Cornell, and using the guiding principles for determining health care changes that were adopted several years ago, the 1998 health care rates for endowed faculty and staff have been determined.

The new rates increase single coverage biweekly by $1.09 in Managed Choice and $1.37 in the 80/20 Plan. Family coverage increases biweekly by $2.30 in Managed Choice and $2.77 in the 80/20 Plan.

"We are definitely making strides in containing the health care costs," said Mary George Opperman, associate vice president for human resources. "The introduction of Managed Choice has helped, to be sure, and I believe that people are much more actively involved in managing their own health care and using the preventive services available. But our costs continue to rise faster than the national average, and they represent a larger and larger portion of the total compensation package."

The rates for 1998 represent the final phase of a gradual move toward a premium cost-sharing model that was developed in 1994. In that model, the university made a commitment to assume 90 percent of the cost of the health-care premiums for single coverage and 75 percent of the cost for family coverage. Faculty and staff assume the remaining 10 and 25 percent, respectively. Because the university is self-insured, the biweekly health care contribution rates represent a percentage of the total projected costs of health care for the coming year.

"The cost of health care for Cornell faculty and staff in 1998 will reflect a model widely used across the nation," Director of Benefit Services Paul Bursic said. "Getting to this point has been a four-year sojourn. The university has strategically moved toward this goal, taking incremental steps each year since 1994."

Cornell's endowed health-care options include enrollment in either the Endowed 80/20 Health Care Program or the Managed Choice Health Care Program. The chart below illustrates 1998's costs for both options and compares them to those for 1997.

"The university is committed to providing a quality, well-rounded benefits package and to its goal of realizing the guiding principles governing the pricing of Cornell's health care options," Opperman said. (See guiding principles, below.) "We must continue to seek ways to offer high quality health care at affordable prices," she added.

This year's open enrollment period begins Nov. 1 and ends at 5 p.m. on Dec. 5, 1997. Open enrollment materials have been sent to home addresses. Bursic said it is important for each faculty and staff member to read and respond to the materials. By law, changes in health insurance coverage and enrollment in Select Benefits can only happen during this annual enrollment period. Changes made during open enrollment are effective for the paychecks of Jan. 8, 1998, for non-exempt employees and Jan. 15, 1998, for exempt employees.


Principles guide pricing of health care options

Here are the guiding principles, established in 1994, that are the basis for the 1998 rate development in Cornell's endowed health-care program.



Calendar Year 1998 Endowed Health Plan

Rate Structure Current
Rates
Rates for
Calendar
Year '98

Employee Biweekly Premiums
80/20 Plan
Single $9.49 $10.86
Family $55.44 $58.21
Dual Eligibility* $29.25 $30.27
Managed Choice
Single $6.96 $8.05
Family $49.25 $51.55
Dual Eligibility* $25.98 $26.81

Deductibles (individual/family) (individual/family)
80/20 Plan $250/500 same
Managed Choice (in-network) $0/$0 same
Managed Choice (out-of-network) $250/750 same

Out-of-Pocket Maximums (individual/family) (individual/family)
80/20 Plan $1,500/$3,000 same
Managed Choice (in-network) $1,000/$2,000 same
Managed Choice (out-of-network) $2,500/$5,000 same

*Dual eligibility applies when both spouses or same-sex partners are working in an endowed
department in a benefits eligible position and enrolled in family coverage.

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