State Employee Workforce, Compensation, Employment Levels & Health Insurance

Virginia Department of Human Resource Management

Virginia Governmental Employees’ AssociationSheraton Roanoke Hotel and Conference Center, Roanoke, Virginia

May 11, 2013

Workforce

May 9, 2013

Virginia Population andState Employment Levels

Virginia State Employment

Virginia Population

State Employees per Citizen

• 24% fewer employees per citizen in 2010 than in 1980

May 9, 20133

Executive Branch Full-Time EquivalentSalaried Employees

Change in salaried employees from 1999 to 2012: • 48.4% increase in Faculty• 1.4% decrease in Classified• 16.7% decrease in At-Wills

Source: DHRM Data Warehouse as June 30thMay 9, 2013

10,000 12,000 14,000 16,000 18,000 20,000

13,160

16,236 16,381 16,957

16,466 16,755

17,483 18,185 18,722

19,398 18,701 18,634

19,040 19,530

FacultyAs of June 30th

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

63,000 65,000 67,000 69,000 71,000 73,000

67,999 68,873

73,050 72,542

70,750 71,099 72,022 72,321 72,854 73,262

71,043

67,855 67,428 67,042

Classified EmployeesAs of June 30th

19992000200120022003200420052006200720082009201020112012200220240260280300320

299 302 295

271263 267

253269

285 287

265

239 244 249

At-Will EmployeesAs of June 30th

4

Classified Employees Demographics

35%Minority

65%Non-Minor-

ity

Race

46% Male

54% Female

Gender

9%Veteran

91%Non-Veteran

Veteran

Average 47 years

Youngest 18 years

Oldest 88 years

Age Average 12.1

yrs Longest 55.9

yrs ≥ 30 yrs service

8%

Service

Source: DHRM Data Warehouse as June 30, 2012May 9, 2013

5

Classified EmployeesTurnover

10.8% turnover rate 6807 employees

372755%

103315%

531

8%

272

4%

355

5%307

5%

5829%

0-5 yrs5-10 yrs10-15 yrs15-20 yrs20-25 yrs25-30 yrs30+ yrs

Turnover

Turnover by Years of Service

Retirement-in Lieu of LayoffResign-Military ServiceRetirement-Disability

Separation-Comp Limited ApptSeparation-Layoff

Separation-Layoff Leave ExpiredRemoved-Inability to Perform Duties

Resign-Ill HealthResign-Dissatisfied

DeathResign-School

Retirement-Enhanced Resign-Home Responsibilities

Separation-Long Term Disability Removed-Violation/Conduct

Resign-Leaving AreaResign-During Probation

Removed-Unsat Perf ProbationResign-Other

Resign-Better JobRetirement-Service

3613212837577487136159163181213

311319

421509

12171352

1500

Turnover Reason

Source: DHRM Data Warehouse as June 30, 2012May 9, 20136

Classified EmployeesWork/Life Balance

Telework24%

Eligible

76%Not Eligible

29%Telework

71%No Telework

46%Not Eligible 54%

Eligible

47%No AWS 53%

AWS

Alternate Work Schedule

24% of positions are eligible to telework, and 29% of eligible employees telework at least one day per week 54% of positions are eligible for an alternate work schedule,

and 53% of eligible employees have an alternate work schedule

Positions PositionsEmployees Employees

Source: DHRM Data Warehouse as June 30, 2012May 9, 2013

7

Compensation & Employment Levels

May 9, 2013

Classified EmployeesSalary & Pay Bands

Source: PMIS data as of December 31, 2012

Minimum Maximum Number Percent1 15,371$ 31,548$ 2,628 3.84%

2 20,082$ 41,214$ 9,541 13.93%

3 23,999$ 49,255$ 22,953 33.52%

4 31,352$ 64,347$ 17,313 25.28%

5 40,959$ 84,062$ 11,785 17.21%

6 53,510$ 109,818$ 3,635 5.31%

7 69,907$ 143,470$ 413 0.60%

8 91,324$ 187,430$ 194 0.28%

9 119,308$ MARKET 16 0.02%

EMPLOYEESBANDS RANGE Average Salary

$44,149 Median Salary

$39,307 Lowest Salary

$15,371 Highest Salary

$247,890

Source: PMIS data as of September 30, 2012

May 9,, 20139

Employee Salary by Region

Highest average salary is in Northern Virginia at $51,61016.9% higher than the statewide average

Lowest average salary is in Southside Virginia at $38,46112.9% lower than the statewide average

Source: PMIS data as of December 31, 2012

CHARL

OTTESV

ILLE

NOVA

OTHER

RICHMOND

ROAN

OKE

SOUTH

SIDE V

IRGINIA

SOUTH

WEST

TIDEW

ATER

WINCHES

TER

$0 $10,000 $20,000 $30,000 $40,000 $50,000 $60,000

$40,953 $51,610

$40,976 $44,635 $43,682 $38,461 $39,975 $40,666 $41,664

Average Salary

4%2707

9%598730

%20,308

6%4108

10%

6320

9%5846

13%6881

1%607

18%12,172

Charlottesville Northern Virginia

Richmond RoanokeSouthside Virginia

Southwest Virginia

Tidewater WinchesterOther

May 9, 201310

Salary compression New employees demand market rate State salaries on average are below market New hires potentially paid more than

experienced employees Lack of funding to address the issue

Salary inequities

State Employee Salary ComparisonPay Compression

May 9, 201311

State Employee Salary Comparison

96 99 02 05 08 1101234567

StateLinear (State)MarketLinear (Market)

Market Increases

Perc

ent

Incr

ease

96 98 00 02 04 06 08 10 1201234567

StateLinear (S-tate)CPILinear (CPI)

Perc

ent

Incr

ease

CPI Increases

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

90

110

130

150

170

190Federal State Local Private

Source: Appropriation Acts, Bureau of Labor Statistics

State employee salary increases lag in all comparisons

Market Consumer Price Index Private Sector Federal Local

May 9, 201312

State dropped below the locality average in

FY 08

Source: DHRM survey

State Employee Salary ComparisonSelected Localities

BASE SALARY INCREASES

Locality FY-04 FY-05 FY-06 FY-07 FY-08 FY-09 FY-10 FY-11 FY-12

Richmond City 3.00% 3.00% 3.00% 3.00% 3.00% 3.00% 0.00% 0.00% 0.00%

Charlottesville 3.50% 3.00% 4.00% 4.00% 4.00% 4.00% 0.00% 2.00% 0.00%

Montgomery County 2.50% 5.50% 4.80% 2.50% 6.77% 5.50%  N/A 0.00% 3.00%

Fairfax County 4.00% 4.32% 4.37% 4.40% 4.98% 4.98%   N/A 0.00% 2.00%

Chesterfield County 2.50% 4.00% 3.00% 4.00% 5.25% 4.00% 0.00% 0.00% 2.00%

Norfolk 4.00% 4.00% 4.00% 4.50% 4.50% 3.50% 0.00% 0.00% 0.00%

Chesapeake 3.00% 3.00% 4.00% 4.00% 4.50% 4.50% 0.00% 1.50% 1.50%

Augusta County 4.00% 4.00% 4.00% 3.83% 3.06% 3.06%   N/A 0.00% 0.00%

Locality Average 3.31% 3.85% 3.90% 3.78% 4.51% 4.07% 0.00% 0.44% 1.06%

State Employees 2.25% 3.00% 4.40% 4.50% 4.00% 0.00% 0.00% 5.00% 0.00%

May 9, 201313

State Employee Salary ComparisonPrivate Sector Salary

On average, State salaries for selected occupations are 19.49% below Private Industry

In 2008, JLARC found State salaries 12% below market

By the end of 2013, State salaries will be 26.3% below market due to cumulative market movements

Source: PMIS 9/1/12, Towers Watson, August 2012

Occupation Private State Deviation Industry Attorney $ 114,140.29 $ 59,485.80 -91.88% Internal Auditor $ 72,891.06 $ 49,604.20 -46.95% Truck Driver, Light $ 28,435.74 $ 20,679.74 -37.51% Yard Laborer/Janitorial Supv $ 44,463.16 $ 34,148.18 -30.21% Staff RN $ 62,561.11 $ 48,637.85 -28.63% Secretary $ 38,672.61 $ 30,668.60 -26.10% Architect $ 82,205.15 $ 65,282.79 -25.92% Maintenance Electrician $ 48,392.47 $ 39,206.66 -23.43% Chemist $ 67,935.58 $ 55,628.25 -22.12% Employee Training Specialist $ 55,242.65 $ 45,623.05 -21.08% Cook $ 29,883.38 $ 24,959.06 -19.73% Mail Clerk $ 32,365.05 $ 27,198.53 -19.00% Marketing Specialist $ 51,378.80 $ 43,195.63 -18.94% Social Worker (MSW) $ 54,172.47 $ 45,570.93 -18.88% Accountant $ 52,423.08 $ 45,443.54 -15.36% HR Admin Supv $ 70,417.24 $ 62,014.10 -13.55% Generic Engineer Supv $ 107,435.41 $ 95,450.70 -12.56% Security Guard, Unarmed $ 28,332.34 $ 25,179.18 -12.52% Systems Analysis Supv $ 85,514.04 $ 80,164.82 -6.67% Data Base Administrator $ 92,235.21 $ 86,959.21 -6.07% Cashier $ 31,537.83 $ 29,951.70 -5.30% Environmental Engineer $ 65,660.72 $ 63,187.92 -3.91% Laboratory Aide $ 28,096.91 $ 29,235.68 3.90% Medical lab Tech $ 41,640.03 $ 44,420.24 6.26% Physical Therapist $ 72,465.78 $ 79,570.91 8.93%

May 9, 201314

Pay Ranking of States

Source: 2011 Bureau of Labor Statistics data based on payroll records of what is actually paid out to employees as reported quarterly to employment commissions

State

Federal Government State Gov Local Gov Private Industry

Agv Annual Pay

State Ranking

Agv Annual Pay

State Ranking

Agv Annual Pay State Ranking Agv Annual Pay

State Ranking

State Avg as % of

Private Avg State

Ranking

      Alabama

74,979 4 47411 25 36611 31 40103 35 118% 14

      Alaska

71,784 10 53216 11 44528 14 48199 13 110% 27

      Arizona

67,791 26 50402 18 41858 19 44091 19 114% 21

      Arkansas

62,231 39 41478 41 34022 42 36801 46 113% 23

      California

73,068 6 63566 2 54915 3 54345 5 117% 18

      Colorado

71,933 9 51868 15 41736 20 49245 12 105% 34

      Connecticut

70,340 14 63259 3 51132 8 62031 2 102% 38

      Delaware

63,695 34 50086 19 47480 11 50535 8 99% 41

      Florida

68,518 22 43141 34 45198 12 41377 30 104% 35

      Georgia

69,895 18 39948 46 36777 30 45580 17 88% 49

      Hawaii

69,803 20 43064 35 55999 2 39838 37 108% 29

      Idaho

62,051 40 39857 47 31161 49 35406 47 113% 24

      Illinois

71,342 11 61710 4 45050 13 50921 6 121% 9

      Indiana

65,010 31 42580 37 35751 38 40272 33 106% 33

      Iowa

59,641 47 57921 7 36181 36 38554 42 150% 1

      Kansas

61,811 42 47474 24 31783 48 40507 32 117% 17

      Kentucky

59,711 45 42332 38 36343 35 39323 39 108% 31

      Louisiana

65,422 30 46972 28 36346 34 42458 23 111% 26

      Maine

66,408 27 40876 44 34983 40 37389 45 109% 28

      Maryland

93,068 1 48610 22 50578 9 50620 7 96% 44      Massachusetts

72,999 7 58345 6 51952 6 60196 3 97% 43

      Michigan

69,880 19 55342 8 43548 17 45285 18 122% 6

      Minnesota

66,063 28 55325 9 41504 21 48091 14 115% 20

      Mississippi

63,039 35 40835 45 32148 47 34217 50 119% 13

      Missouri

62,438 38 38041 50 36165 37 41723 28 91% 47

May 9, 201315

Pay Ranking of States Virginia Pay

Ranking• 2nd in Federal

Government same as 2010

• 9th in Private Industry down from 8th in 2010

• 25th in Local Government down from 23rd in 2010

• 33rd in State Government down from 32nd in 2010

• 48th in State average as a percent of Private average same as 2010

Source: 2011 Bureau of Labor Statistics data based on payroll records of what is actually paid out to employees as reported quarterly to employment commissions

State

Federal Government State Gov Local Gov Private Industry

Agv Annual Pay

State Ranking

Agv Annual

Pay State

Ranking

Agv Annual

Pay State

Ranking

Agv Annual

Pay State

Ranking

State Avg as % of

Private Avg State

Ranking

      Montana

61,288 44 41608 40 34639 41 34518 49 121% 10

      Nebraska

61,857 41 45907 30 37188 29 37567 44 122% 7

      Nevada

64,835 32 49004 21 51831 7 41657 29 118% 15      New Hampshire

72,204 8 47332 26 40789 22 47642 15 99% 40

      New Jersey

74,714 5 65688 1 57751 1 56885 4 115% 19

      New Mexico

68,663 21 47151 27 35520 39 38674 40 122% 8

      New York

70,576 12 54952 10 53571 5 63081 1 87% 50      North Carolina

63,024 36 44846 32 38978 26 41933 27 107% 32

      North Dakota

58,059 50 45455 31 33217 45 42098 26 108% 30

      Ohio

70,073 16 53053 12 42217 18 42244 25 126% 4

      Oklahoma

64,135 33 39743 49 33932 43 40157 34 99% 42

      Oregon

67,995 24 43027 36 44134 16 42421 24 101% 39      Pennsylvania

68,054 23 53028 13 44518 15 46662 16 114% 22

      Rhode Island

77,023 3 61448 5 53970 4 43532 20 141% 2      South Carolina

61,803 43 42151 39 38004 28 37734 43 112% 25

      South Dakota

58,753 48 41212 42 30023 50 35086 48 117% 16

      Tennessee

70,325 15 40900 43 36578 33 42622 22 96% 45

      Texas

69,910 17 46579 29 40295 24 49534 11 94% 46

      Utah

62,541 37 47690 23 32490 46 39937 36 119% 12

      Vermont

65,763 29 49010 20 36588 32 39502 38 124% 5

      Virginia

85,306 2 44163 33 39980 25 50261 9 88% 48

      Washington

70,441 13 51341 17 48261 10 49827 10 103% 37      West Virginia

67,910 25 39831 48 33662 44 38565 41 103% 36

      Wisconsin

59,654 46 52945 14 38869 27 40627 31 130% 3

      Wyoming

58,384 49 51485 16 40662 23 42911 21 120% 11

May 9, 201316

Legislative UpdateSalaries

2% increase in payroll tax on January 1, 2013 2% base salary increase to eligible salaried state

employees on July 25, 2013 Contingent on revenue estimates Must have received at least “Contributor” rating for the

performance cycle October 25, 2011 through October 24, 2012

Compression pay increase on July 25, 2013 for employees with 5 or more years of continuous service, capped at 30 years of service

$65 per full year of service $70 per full year of service for DSP sworn employees

Salary range changes 2% increase to the minimum 7% + $1,950 increase to maximumSource: Appropriation Acts

May 9, 201317

Legislative UpdateState Employee Compensation

Comprehensive review of compensation Compression, Recruitment and retention, Hiring practices, Strategies to minimize future disparities

Priorities Public Safety Deputy Clerks in District Courts

Study Timeline Initial recommendations and findings due November 1, 2013 Study completed by June 30, 2014

Work Group Representatives Money Committee staff Executive Secretary of Supreme Court, DHRM, DPB, others as needed

18

Legislative UpdateOther Legislative Action

Human Capital Report Reporting changed from annually to monthly

Annual statement of total compensation required for each classified employee

New requirement

19

20

May 9, 2013

Health Care ReformAffordable Care Act (ACA)

$9.5 million minimum in estimated additional costs

Reduces annual contribution to Medical Flexible Reimbursement Account from $5,000 to $2,500

Requires publishing of electronic Summary of Benefits and Coverage for all plans

Expands the definition of full-time employee for health care purposes

Provides coverage to all employees that work on average 30 or more hours per week

Applies to employers with 50 or more employees Becomes effective January 1, 2014

21

May 9, 2013

Health Care ReformFull-Time Employment Status Provides employers options for

measuring the 30 or more hours, on average, per week

PERIOD DATES

Measurement Period 3 months up to 12 months

Administrative Period Up to 90 days

Stability Period No shorter than measurement period

22

May 9, 2013

Dates selected by the State Employee Health Plan to determine full-time employment status

State Employee Health PlanFull-Time Employment Status

State Employee Health PlanPERIOD INITIAL DATES

Measurement Period(also called “Look Back” Period)

May 1, 2013 to April 30, 2014

Administrative Period (includes Open Enrollment)

May 1, 2014 to June 30, 2014

Stability Period(same as Health Plan Year)

July 1, 2014 to June 30, 2015

23

May 9, 2013

State Employees Working 30+ HoursImpact on Health Plan

Incomplete data to determine impact of 30 or more hour rule on state health plan eligibility

24

May 9, 2013

State Employees Working 30+ HoursState Wage Employment Survey

Sent out a Wage Employment Survey ~ 200 agencies surveyed 158 agencies responded 7,386 wage employees met the 30+ hours criteria

Top 10 agencies with 30+ hour employees responding to date

Agency

Number 30+

Wage Employee

sVCCS 1,479VCU 883ABC 605NSU 504DCR 500CNU 483VEC 433W&M 331

DBHDS 317DMV 200

25

May 9, 2013

State Employees Working 30+ HoursFiscal Impact of Eligibility

Considered several options Reviewed the fiscal impact

Options for Employees Working 30+ Hours Per Week Estimated Cost/Penalty

Scenario 1 All Part-time Employees work <30 hours per week on average per year $0

Scenario 2 Provide Basic Benefits to 30+ Hour Part-Timers, including Dependents $110 million

Scenario 3 Provide Basic Benefits to 30+ Hour Part-Timers only, no Dependents $61 million

Scenario 4 Do Not Provide Basic Benefits to 30+ Hour Part-Timers $113 million

26

May 9, 2013

State Employee Health PlanEligibility Decision

Employment Status

Weekly Hours WorkedToday

Hours Worked on July 1, 2014

Full-Time Salaried 32 or more 30 or more

Part-Time Salaried 20 to 31 20 to 29

Wage 1500 per year, with exceptions

Avg 29 hours,No exceptions

Governor selected Scenario 1 capping all wage employees at 29 hours on average per week over a year

Does not apply to teaching hospitals

Eligible for Health Plan

Eligible for Employer

Contributions

Yes Yes

Yes No

No No

IRS Guidance Needed “Hours Paid” versus “Hours

Worked” Adjunct Faculty Seasonal Employees Variable Hour Employees

May 9, 2013 9

Health Benefits

FY 2012Health Plan Enrollment

2429727.1%

34703.9%

1317714.7%

25,26728.1%

42494.7%

1874520.9%

COVA Care and COVA ConnectFY 2012

BasicBasic + Out of NetworkBasic + Expanded Dental Basic + Vsn, Hrng & Exp. DentalBasic + Out of Network and Expanded DentalBasic + All

101,954 employees eligible for state health benefits

92,482 employees enrolled in all plans 207,197 members enrolled in all plans

8,085 8%

2,2022%

0%

9,4729%

COVA Care

81,56580%

Kaiser Perma-nente HMO Waived Coverage

COVA HDHP589

COVA Connect

Health Plan Enrollment

FY 2012

TRICARE

May 9, 2013 29

FY 2012 Cost Trends

Total program expense increased 3.5% in FY 12 $883.3 million total claims paid in FY 12 6.7 million total claims processed

FY 08 FY 09 FY10 FY11 FY12

-10%

-5%

0%

5%

10%

15%

Health Benefits Expense Year to Year

Claims Administration Total

2008 2009 2010 2011 2012$700

$800

$900

$1,000

Health Benefits Expense 2008-2012

(in millions)

Claims Administration

$885.1$858.4

$914.3 $910.7$942.6

May 9, 201330

FY 2012 Total Cost Per Employee $13,249 total cost per employee in FY 12 4.2% increase in FY 12 from prior year

2008 2009 2010 2011 2012$0

$2,000

$4,000

$6,000

$8,000

$10,000

$12,000

$14,000

National and State Average Annual Cost Per Employee

2008 2009 2010 2011 2012$0

$5,000

$10,000

$15,000 Total State Health Benefits Cost Per Employee*

Employer Cost (includes premium)Employee Cost (includes out-of-pocket and premium)

76%

$11,757

$12,468 $12,314 $12,709 $13,249

78%

22%

78%

79%

21%

78%

22%

79%

21%

79%

21%

May 9, 201331

FY 2012Cost Drivers

Expensive procedures Treatment of chronic conditions Prescription drug therapy cost Employee lifestyle Average employee age

<1 1-11 12-17 18-29 30-39 40-49 50-59 60-64 65+$0

$200 $400 $600 $800

$1,000 $1,200 $1,400

05,00010,00015,00020,00025,00030,00035,00040,000

808

21,202

14,247

24,526

20,991

29,824

37,253

17,712

6,411

Medical Expense by Age(COVA Care Per Member)

January 2010 - December 2011

Cost Per Member Per Month Ending Member Count

$0.00

$5.00

$10.00

$15.00

$20.00

$25.00

$30.00

•Joint Degeneration

•Coronary Artery Disease

•Hypertension •Diabetes •Hyperlipidemia •GERD

Plan Paid PMPM PPO Norm PMPM

2012 Lifestyle ImpactPlan Per Member Per Month

Plan

Pai

d PM

PM

Body Mass Index <30.0

Cholesterol <240

Blood Pressure <140/90

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

66%

87%

73%

64%

80%

81%

62%

90%

75%

59%

94%

66%

71%

73%

87%

65%

71%

63%State Employee Health Measures

National Average 2012 2011 2010 2009 2020 National GoalSources: CommonHealth biennial health checks of select employee groups and Healthy People 2020

April 18, 2013 32

FY 2012Top Ten Claims Expense

“Top Ten” Claims ExpenseMedical

ProceduresChronic

ConditionsPrescription

Drugs1. Musculoskeletal

1. Coronary artery disease

1. Nexium (stomach acid)

2. Neoplasms (tumors) 

2. Breast cancer2. Enbrel

(rheumatoid arthritis)

3. V-Codes (health services

not classified as disease or injury)

3. Cerebrovascular disease

3. Humira (rheumatoid arthritis)

4. Circulatory 4. Diabetes4. Crestor

(high cholesterol)

5. Ill-defined symptoms (undetermined causes)

5. Hypertension 5. Singulair

(asthma/allergy)

6. Digestive 6. Lung cancer 6. Cymbalta

(depression)

7. Genitourinary 7. Skin cancer7. Copaxone

(multiple sclerosis)

8. Accidental injury 8. Obesity8. Atorvastatin

Calcium (high cholesterol)

9. Nervous system/sense organs

9. Oral cancer9. Lipitor

(high cholesterol)

10. Respiratory 10. Substance abuse10. Amblify

(depression)

47.3% ofAll Claims Expense

6.7% ofAll Claims Expense

5.0% ofAll Claims Expense

Note: These areas may not be mutually exclusive

$533 million of total plan expense

59% of total plan expense

Obesity related Diabetes Coronary artery disease Hypertension Musculoskeletal disorders Digestive disorders

High cost specialty drugs required Rheumatoid arthritis Multiple sclerosisMay 9, 2013 33

Legislative Update - COVA CarePlan Design Recommendations Increase the Emergency Room Co-pay

Change Establish a Retail Maintenance Network

Item Plan Design Change Savings Status

1 Emergency Room -co-pay

Increase co-pay from $125 to $150

$0.9 million Adopted

2Mandatory Retail Maintenance Network –No co-pay change

Mandatory Mail/Retail Maintenance Network with 90 day Retail co-pay equal to 2 times the 30 day retail

$10.4 million Rejected

May 9, 201334

Year End BalancesHealth Insurance Fund

2009 2010 2011 2012 2013$0

$40,000,000$80,000,000

$120,000,000$160,000,000$200,000,000$240,000,000

Health Insurance Fund Year End Balances

FY 2009 - 2013

FY 2009 – $228.4 million at year end FY 2012 – down 70 percent to $69.4

million FY 2013 – projected at $6.3 million

May 9, 201335

HIF Line of Credit Contingency Reserve – covered under Line of

Credit $76 million for Active Employees to be included in Line of

Credit Incurred But Not Reported (IBNR) – rebuild over

5 years with unfunded balance included in Line of Credit

$91 million IBNR for Active Employees $17.5 million to be funded the first year $74 million to be included in Line of Credit

Line of Credit – increase to $150 million from $50 million

May 9, 201336

Options Employee Health Plans COVA Care (PPO) COVA HealthAware (CDHP) COVA HDHP Kaiser Permanente (HMO in NOVA) TRICARE Supplement

May 9, 201337

New Wellness EngineMyActiveHealth

Applies to both COVA Care and COVA HealthAware

Includes a Health Assessment survey Premium reduction of $17/$34 per month if complete Health

Assessment between May 1 and May 24, 2013 Continue premium reduction if complete biometric screenings

between August 1 and October 31, 2013 Tracks activity with Web-based portal

Disease Management (e.g. Diabetes, COPD, Asthma, CHF) Smoking Weight Management Nutrition Maternity Management Bariatric Surgery Pre-education Physical Activity

Allows employees to customize their portalMay 9, 201338

New CDHPCOVA HealthAware

Uses co-insurance rather than co-payments Provides for a Health Reimbursement Arrangement (HRA)

Rewards employees $600 on July 1, 2013 Rewards spouses $600 on July 1, 2013 Rewards employees up to $150 for 3 “do-rights”

1. Annual Exam2. Dental Exam3. Flu Shot4. Tracker utilization of 3 times per month per quarter

Rewards spouses up to $150 for 3 “do-rights”1. Annual Exam2. Dental Exam3. Flu Shot4. Tracker utilization of 3 times per month per quarter

May 9, 201339

Summary BenefitsPlan Comparison

In-Network Benefits COVA Care COVA HealthAware COVA HDHP

Premium Rewards $17/$34 $17/$34 $0

Deductible $225/$450 $1,500/$3,000 $1,750/$3,500

Out-of-Pocket Maximum $1,500/$3,000 $3,000/$6,000 $5,000/$10,000

OOP – Pharmacy included No Yes Yes

OOP – Dental included No No No

Health Reimbursement Account (HRA) No $600 Employee/

$1,200 Employee & Spouse No

“Do-Rights” No Up to $150/$300 No

Plan Design Generally Co-payments 80%/20% Co-insurance 80%/20% Co-insurance

Wellness & Preventive 100% 100% 100%

Annual Vision Exam No 100% No

Annual Hearing Exam No 100% No

Expanded Dental Yes Yes Yes

Expanded Vision Yes Yes No

Expanded Hearing Yes No No40

41

FY 2014 Premium Rewards

MONTHLY PREMIUMS Employee Only

Employee Plus One

Employee Plus Two Or More

Health Care Plan Reward Earner Employee

Employee or

Spouse

Employee and

Spouse

Employee or

Spouse

Employee and Spouse

COVA Care

Employee Premium $72 $164 $164 $220 $220

Rewards -$17 -$17 -$34 -$17 -$34

Employee Premium with Rewards $55 $147 $130 $203 $186

COVAHealthAware

Employee Premium $26 $78 $78 $93 $93

Rewards -$17 -$17 -$34 -$17 -$34

Employee Premium with Rewards $9 $61 $44 $76

$59

Resources Health Benefits Plan Decision Assistant

www.alexforcova.com Resources to help employees manage their health

www.myactivehealth.com/COVA Department of Human Resource Management

http://www.dhrm.virginia.gov Annual Compensation Report

http://www.dhrm.virginia.gov/reports/AnnualSalaryReport2012.pdf Annual Health Benefits Report

http://www.dhrm.virginia.gov/hbenefits/ohbcommunications/reports/annualreport2012.pdf

Review of State Employee Health Insurance Fund http://www.apa.virginia.gov/reports/HealthInsuranceFundSR2011.pdf

May 9, 201342