State Employee Workforce, Health I nsurance & Compensation Virginia Department of Human Resource Management House Appropriations Compensation & Retirement Subcommittee General Assembly Building, Richmond, Virginia January 17, 2013
Workforce
Virginia Population and State Employment Levels Virginia Population • 24% fewer employees per citizen in 2010 than in 1980 Virginia State Employment State Employees per Citizen January 2013 3
Executive Branch Full-Time Equivalent Salaried Employees Classified Employees Change in salaried employees As of June 30th from 1999 to 2011: 74,000 73,262 73,050 72,854 72,321 72,542 72,022 72,000 71,099 71,043 70,750 70,000 • 44.7% increase in Faculty 68,873 67,999 67,855 68,000 1.0% decrease in Classified 67,428 • 66,000 18.4% decrease in At-Wills • 64,000 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Faculty At-Will Employees As of June 30th As of June 30th 19,398 20,000 19,040 320 18,722 18,701 302 18,185 299 18,634 295 17,483 300 18,000 287 16,957 285 16,755 16,381 16,466 16,263 280 271 269 267 265 16,000 263 253 260 244 14,000 239 13,160 240 12,000 220 10,000 200 1999200020012002200320042005200620072008200920102011 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Source: DHRM Data Warehouse as June 30th January 2013 4
Classified Employees Demographics Gender Race Veteran 9% 35% 46% 65% 91% Veteran 54% Minority Male Non- Non- Female Minority Veteran Age Service Average 12.1 yrs Longest 55.9 yrs ≥ 30 yrs service 8% Source: DHRM Data Warehouse as June 30, 2012 January 2013 5
Classified Employees Turnover Turnover Turnover Reason Retirement-Service 10.8% turnover rate 1500 Resign-Better Job 1352 Resign-Other 6807 employees 1217 Removed-Unsat Perf Probation 509 Resign-During Probation 421 Resign-Leaving Area 319 Removed-Violation/Conduct 311 Turnover by Separation-Long Term Disability 213 Resign-Home Responsibilities Years of Service 181 Retirement-Enhanced 163 Resign-School 159 Death 136 Resign-Dissatisfied 582 0-5 yrs 87 Resign-Ill Health 9% 74 5-10 yrs 355 Removed-Inability to Perform… 307 57 5% 5% Separation-Layoff Leave Expired 272 10-15 yrs 37 Separation-Layoff 4% 28 15-20 yrs Separation-Comp Limited Appt 531 3727 21 8% Retirement-Disability 55% 20-25 yrs 13 Resign-Military Service 6 25-30 yrs 1033 Retirement-in Lieu of Layoff 3 15% 30+ yrs Source: DHRM Data Warehouse as June 30, 2012 January 2013 6
Classified Employees Work/ Life Balance 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 Telework Alternate Work Schedule 24% 29% 47% Eligible Telework 53% No AWS 71% 46% AWS 54% No Telework Not Eligible 76% Eligible Not Eligible Positions Employees Positions Employees Source: DHRM Data Warehouse as June 30, 2012 January 2013 7
Health Benefits
FY 2012 Health Plan Enrollment 101,954 employees eligible for state health benefits 92,482 employees enrolled in all plans 207,197 members enrolled in all plans COVA Care and COVA Connect Health Plan Enrollment FY 2012 FY 2012 COVA HDHP 589 18,745 TRI CARE 1% 24,297 20.9% Kaiser Permanente 41 Waived Coverage 27.1% 0% HMO 2,202 4,249 2% 4.7% 9,472 COVA 9% Connect 8,085 3,470 25,267 13,177 8% 3.9% 28.1% 14.7% Basic Basic + Out of Network COVA Care 81,565 Basic + Expanded Dental 80% Basic + Vsn, Hrng & Exp. Dental Basic + Out of Network and Expanded Dental Basic + All January 2013 9
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 Health Benefits Expense Year to Year Health Benefits Expense 2008-2012 (in millions) 15% $1,000 10% $942.6 $914.3 $910.7 $885.1 5% $900 $858.4 0% FY 08 FY 09 FY10 FY11 FY12 $800 -5% $700 -10% 2008 2009 2010 2011 2012 Claims Administration Total Claims Administration January 2013 10
FY 2012 Total Cost Per Employee $13,249 total cost per employee in FY 12 4.2% increase in FY 12 from prior year 7 National and State Average Annual Cost Per Employee Total State Health Benefits Cost Per Employee* 8 $14,000 $15,000 $ 13,249 % $ 12,709 7 $ 12,468 $ 12,314 $12,000 $ 11,757 21% $10,000 21% 22% 21% 22% $10,000 $8,000 $6,000 78% 79% 78% 79% 79% $4,000 $5,000 $2,000 $0 2008 2009 2010 2011 2012 $0 State Employer Cost $9,224 $9,889 $9,656 $10,043 $10,431 2008 2009 2010 2011 2012 Per Employee National Large Government Employer $9,226 $9,779 $9,996 $11,251 $12,144 Employee Cost (includes out-of-pocket and premium) Cost Per Employee Employer Cost (includes premium) State Employee Cost $2,533 $2,580 $2,658 $2,666 $2,818 National Average $6,000 $6,820 $7,330 $8,008 $8,584 Employee Cost January 2013 11
FY 2012 Cost Drivers $30.00 2012 Lifestyle I mpact Plan Per Member Per Month Expensive procedures $25.00 Plan Paid PMPM Treatment of chronic conditions $20.00 Prescription drug therapy cost $15.00 $10.00 Employee lifestyle $5.00 Average employee age $0.00 •Joint •Coronary Artery •Hypertension •Diabetes •Hyperlipidemia •GERD Degeneration Disease Plan Paid PMPM PPO Norm PMPM State Employee Health Measures Medical Expense by Age (COVA Care Per Member) 63% 87% Blood Pressure January 2010 - December 2011 66% 75% < 140/ 90 81% $1,400 40,000 73% 37,253 35,000 $1,200 71% 73% 29,824 30,000 $1,000 24,526 94% Cholesterol < 240 90% 25,000 17,712 80% $800 21,202 20,991 87% 20,000 $600 15,000 65% 6,411 71% $400 14,247 Body Mass I ndex 10,000 59% 62% < 30.0 $200 5,000 64% 808 66% $0 0 < 1 1-11 12-17 18-29 30-39 40-49 50-59 60-64 65+ 0% 20% 40% 60% 80% 100% National Average 2012 2011 2010 2009 2020 National Goal Sources: CommonHealth biennial health checks of select employee groups and Healthy Cost Per Member Per Month Ending Member Count January 2013 12
FY 2012 Top Ten Claims Expense “Top Ten” Claims Expense Medical Chronic Prescription $533 million of total plan expense Procedures Conditions Drugs 1. Musculoskeletal 1. Coronary artery 1. Nexium disease (stomach acid) 59% of total plan expense 2. Neoplasms (tumors) 2. Enbrel 2. Breast cancer (rheumatoid arthritis) Obesity related 3. V-Codes (health services not 3. Cerebrovascular 3. Humira Diabetes classified as disease disease ( rheumatoid arthritis) or injury) Coronary artery disease 4. Crestor 4. Circulatory 4. Diabetes (high cholesterol) Hypertension 5. Ill-defined symptoms (undetermined 5. Hypertension 5. Singulair Musculoskeletal disorders causes) (asthma/allergy) Digestive disorders 6. Digestive 6. Lung cancer 6. Cymbalta (depression) High cost specialty drugs required 7. Copaxone 7. Genitourinary 7. Skin cancer (multiple sclerosis) Rheumatoid arthritis 8. Atorvastatin Calcium 8. Accidental injury 8. Obesity Multiple sclerosis (high cholesterol) 9. Nervous 9. Lipitor 9. Oral cancer system/sense organs (high cholesterol) 10. Abilfy 10. Respiratory 10. Substance abuse (depression) 47.3% of 6.7% of 5.0% of All Claims Expense All Claims Expense All Claims Expense January 2013 13 Note: These areas may not be mutually exclusive
Affordable Care Act (ACA) $9.5 million minimum in estimated additional costs Reduce annual contribution to Medical Flexible Reimbursement Account from $5,000 to $2,500 Publish electronic Summary of Benefits and Coverage (SBC) for all plans Employees working ≥ 30 hours per week on average per year are considered full time employees and eligible for health benefits Applies to all branches of government Several options were considered 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 yea $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 January 2013 14
Health Care Reform Employees Working 30+ Hours Incomplete data to determine impact of 30+ employee rule on health care eligibility As of June 30, FTEs Headcount 30+ Employees Part ‐ Time Salaried 144 251 69 Wage 18,088.19 37,216 ? Sent out a Wage Employment Survey ~ 200 agencies surveyed Number Agency 30+ Wage 158 agencies responded Employees VCCS 1,479 7,386 wage employees met the VCU 883 ABC 605 30+ hours criteria NSU 504 Top 10 agencies with 30+ hour DCR 500 CNU 483 employees responding to date VEC 433 W&M 331 DBHDS 317 DMV 200 January 2013 15
Recommend
More recommend
