House Committee on Pensions



Similar documents
How To Fund Trs Care

LEGISLATIVE BUDGET BOARD. TRS-Care Overview PRESENTED TO THE HOUSE APPROPRIATIONS COMMITTEE SUBCOMMITTEE ON ARTICLE III LEGISLATIVE BUDGET BOARD

GUIDE TO THE TEXAS SCHOOL EMPLOYEES UNIFORM GROUP HEALTH COVERAGE ACT (HOUSE BILL 3343)

Public Employees Benefits Program The History of PEBP

2014 Benefit Overview

Edgewood Independent School District Risk Management Department 5358 West Commerce San Antonio, Texas

Health Insurance History of the Connecticut Teachers Retirement System Past to Present

MICHIGAN PUBLIC SCHOOL EMPLOYEES RETIREMENT SYSTEM (MPSERS) REFORM SB 1040 PA 300 OF Bethany Wicksall, Senior Fiscal Analyst September 7, 2012

Express Scripts Medicare TM (PDP) through State of Delaware Medicare Retiree Prescription Plan Frequently Asked Questions

THE NELSON TRUST

Program: Teacher Retirement (0170)

ADMINISTRATION & BENEFITS

TRS-ActiveCare Medical Plans

Medicare Coverage Gap Discount Program to Provide Economic Relief to Medicare Part D Enrollees by Closing the Donut Hole

Kansas Legislator Briefing Book 2015

DEPARTMENT OF ADMINISTRATION 21-HEALTH CARE & BENEFITS DIVISION

Retiree Health Care Strategy

HEALTH CARE CHOICES FOR ELIGIBLE RETIREES

Retiree prescription drug program: time to move to an Employer Group Waiver Plan (EGWP)?

DEPARTMENT OF ADMINISTRATION 21-HEALTH CARE & BENEFITS DIVISION

State Government Retiree Health Benefits: Current Status and Potential Impact of New Accounting Standards

Section 5 - Other PSERS Programs

S e c t i o n 4 - P S E R S P o s t e m p l o y m e n t H e a l t h c a r e P r o g r a m s

Leaving BHP Billiton in 2012

Other Post-employment Benefits

Delaware Public Employees Retirement System State Employees Pension Plan. Retirement Planning. Presented by the State of Delaware Office of Pensions

State Defined Contribution and Hybrid Pension Plans

STUDY OF STATE CONTRIBUTIONS TO STATE EMPLOYEE HEALTH INSURANCE PREMIUMS - BACKGROUND MEMORANDUM

GEORGIA STATE EMPLOYEES POST-EMPLOYMENT HEALTH BENEFIT FUND & GEORGIA SCHOOL PERSONNEL POST-EMPLOYMENT

HB 686-FN-A - AS INTRODUCED. establishing a single payer health care system and making an appropriation therefor.

JUNE 30, 2013 POST RETIREMENT BENEFITS ANALYSIS OF THE TOWN OF SMITHFIELD

PERS Health Insurance Program Fall Plan Change Meetings

Frequently Asked Questions: DuPont Retiree Health Plan Changes

City of Boston PEC Meeting February 18, 2015

Health Care Have and Have Nots: A Crisis for California s Retired Educators

CONTINUATION COVERAGE NOTIFICATION (COBRA)

Utah State Retirement Systems Overview. September 9, 2009 Prepared by the Office of Legislative Research and General Counsel

Health Reimbursement Arrangement (HRA).

2015 Summary of Healthcare Plan Changes

Summary of Benefits. Blue Shield of California Medicare Rx Plan (PDP)

Health Coverage with More Choices

18A.225 Health care insurance coverage -- Requirements of prospective carriers -- Analysis of carrier coverage data -- Agency's termination of

OFFICE OF EMPLOYEE BENEFITS TERMS AND DEFINITIONS

RETIREE BENEFITS Health Reimbursement Arrangement (HRA).

Kentucky Retirement Systems Health Benefits. Mike Burnside, Executive Director National Conference of State Legislators July 28, 2010

2015 Health Care Enrollment Medicare Eligible Retirees and Medicare Eligible Dependents Henrico County General Government and Schools

DEPT: EMPLOYEE FRINGE BENEFITS UNIT NO FUND: General Approximate Tax Levy Cost, Employee & Retiree Fringe Benefits: $138,193,986

STATEWIDE BENEFITS OFFICE SPOUSAL COORDINATION OF BENEFITS FREQUENTLY ASKED QUESTIONS

State Retiree Medicare Advantage Plans

Fee-for-Service. Medicare Supplemental Retiree Health Plans

You don t have to change plans unless you want an option other than the following:

HEALTH INSURANCE PLANS AND COSTS Q: What CTPF sponsored health insurance plans for Medicare-eligible members are available in

IBM Medicare Coverage Overhaul

Fund OPEB Trust

Health care reform at-a-glance. December 2013

TESTIMONY BY KANOE MARGOL INTERIM EXECUTIVE DIRECTOR, EMPLOYEES RETIREMENT SYSTEM STATE OF HAWAII

HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND STATE OF HAWAII. Annual Financial Report. June 30, 2012 and 2011

Introducing a new way to get health care coverage for For Lilly Medicare-eligible retirees and dependents

Rider Comparison Packet General Appropriations Bill

BENEFITS RETIREMENT HANDBOOK

Sub Health Insurance Option Food Service - New Hire Memo

Policy Brief June 2010

State Health Benefit. Benefit Comparison HMO. Presentation to Members of the State Health Benefit Plan

Understanding Montana's Public Employee Retirement Plans

Continuation of. Health Insurance Benefits

Your Retiree Medical Transition Guide

Connecticut State Employee Collective Bargaining and Retirement Benefits

2016 Retiree Open Enrollment Benefits Briefing Medicare

Transcription:

Teacher Retirement System of Texas House Committee on Pensions February 23, 2015

TRS The Teacher Retirement System manages a $132 billion trust fund and provides pension and health care benefits. TRS serves 1.4 million active and retired members. One of every 20 Texans is a member of TRS. The average retirement payment is $1,995 per month with $8.5 billion paid in retirement benefits in FY 2014. The pension trust fund earned a return of 16.9% for FY 2014. The 25-year return rate as of August 2014 is 8.8%. The assumed rate is 8.0%. As a result of changes during the 83 rd Legislative session, the fund is currently actuarially sound. 2 TRS manages two major health programs: TRS-Care for retirees: 244,784 participants TRS-Active Care for actives: 482,684 participants

3 Organizational Structure

Nine-member Board appointed by Governor TRS The Board of Trustees is responsible for the administration of the system under provisions of the state constitution and laws. The board is composed of nine trustees who are appointed to staggered terms of six years. Three trustees are direct appointments of the governor. Two trustees are appointed by the governor from a list prepared by the State Board of Education. Two trustees are appointed by the governor from the three public school district active member candidates who have been nominated by employees of public school districts. One trustee is appointed by the governor from the three higher education active member candidates* nominated by employees of institutions of higher education. One trustee is appointed by the governor from the three retired member candidates who are nominated by retired TRS members. *Note: The 82nd Texas Legislature passed new legislation in 2011 that will impact the composition of the TRS Board of Trustees beginning in 2017. The current higher education trustee position on the board will become an open seat at that time. Beginning with the 2017 board election, TRS retirees, members in public school districts, and members in higher education institutions may run for nomination to this trustee position. The top three vote recipients names will then be submitted to the governor for appointment. 4

Active Employee Contribution TRS Pension Fund 83R SB 1458 increased the active employee contribution rate in a stair-step approach from 6.4% to 7.7% in FY 2017. School District Contribution 83R SB 1458 created a new employer contribution from non-social Security school districts. These districts contribute 1.5% of payroll subject to the minimum salary schedule. Language in the bill provided that if state contribution rate is reduced from 6.8% in the future, active employees and school districts contribution rates would be reduced by an equivalent percentage. 5 Contribution Rates Active Employee: Non-Social Security ISD: FY 2015 FY 2016 FY 2017 6.7% 7.2% 7.7% 1.5% 1.5% 1.5%

TRS Pension Fund Projection of Unfunded Actuarial Accrued Liability based on Market Value of Assets 6

Pension State Matching 7 TRS Funding in FY2016-17 HB 1: INTRODUCED BILL $3.1 billion for public education; continues 6.8% rate and assumes 2% payroll growth $455 million for higher education; continues 6.8% rate and assumes 4% payroll growth TRS Care Matching $562.2 million for TRS Care; continues 1% rate and assumes 2% payroll growth Administrative Operations funded by Pension Trust Fund No general revenue is used to finance TRS administrative costs. TRS is requesting no additional administrative funds over the introduced bill. $196.4 million in pension funds, 503.3 FTEs $40.3 million for TEAM Program; 6-year plan replacing major data systems $7.4 million in capital projects; IT needs, fire suppression, backup generator EXCEPTIONAL ITEM REQUEST TRS-Care Funding $768 million is the most recent estimate of funding shortfall

History of TRS-Care (for retirees) The program was created in 1985 as an interim solution but has endured for more than 30 years. It was redesigned in 2004 to provide an additional decade of solvency. Under state law, catastrophic coverage is offered to all retirees at no cost, with the Board given the option of offering a more comprehensive option that would be paid for by the retiree. Coverage for dependents is paid for by retirees. The TRS Board is authorized to make plan design decisions and set premiums. Optional plans may be offered, including coverage for eligible dependents. Retirees selecting an optional plan pay a premium based on the plan selected, years of service, and Medicare status. TRS-Care currently offers three plan options and is administered by Aetna. TRS-Care 1, the basic plan, provides catastrophic coverage. TRS-Care 2 and TRS-Care 3 offer more comprehensive benefits, including a carve-out prescription drug benefit. 8

TRS-Care for retirees Funding Sources 9 Retiree Premiums & Cost Sharing 38% Other Contributions 11% District Contributions 13% State Contributions 23% Active Employees 15% *The funding is based on active member payroll and not actual health care costs. State Contributions: 1.0% of active member payroll by law. Active Employees: Contribute 0.65% of payroll. District Contributions: Contribute 0.55% of active member payroll. Retiree Contributions: Retirees pay premiums for any plan option other than TRS Care-1. Other Contributions: Includes Medicare Part D subsidy and investment income.

10 TRS-Care Funding Financial History & Projection Through FY 2019 with Data Through December 2014

TRS-Care Balance Projection Fund Balance (Incurred Basis in Millions) As Of December 2014 $890.9 $741.0 $551.0 $457.9 $167.0 -$235.1 -$768.1 2011 2012 2013 2014 2015 2016 2017 11

TRS-Care Study Key Findings TRS-Care is facing a severe projected funding shortage for 2016-2017 of $768 million (as of December 2014). Without additional funding, the sustainability of the program in its current structure is at significant risk. There is no correlation between funding streams and health care claims costs. Non-Medicare retirees are the biggest cost driver to the program. With provider and benefit level choice, comes additional cost. There is a disparity between TRS-Care benefits and premiums in comparison to what is available to Texas state employee retirees under ERS. For example, the premium for Retiree Only coverage under ERS is 100% funded by the state. 12

TRS-Care Study Options 1. Pre-fund the long-term liability 2. Fund on a pay-as-you-go basis for the biennium 3. Fund for a 10-year solvency 4. Retiree pays full cost for optional coverage 5. Require purchase of Medicare Part B; mandatory participation in Medicare Advantage and Medicare Part D plans 6. Fixed contribution: Health Reimbursement Account (HRA) for non-medicare population 7. Consumer-directed plan: Accountable Care Organization (ACO) 13 for the non-medicare population

History of TRS-ActiveCare TRS-ActiveCare was passed by the 77th Texas Legislature in 2001. The bill required districts with less than 500 employees to participate in the health plan with coverage to be effective September 1, 2002. The State s contribution was set at $75 per month per employee. The school district s contribution was set at a minimum of $150 per month per employee (districts may elect to contribute more). Since then, most larger districts have chosen to join the plan. There is no provision to opt out. The State contribution has remained the same since the plan began in 2002 and is funded to the districts through the school finance formula. Three self-funded options administered by Aetna: ActiveCare 1-HD, Select, and ActiveCare 2. Three fully-insured regional health maintenance organizations (HMOs) in select service areas: FirstCare, Scott & White, Allegian 14

TRS-ActiveCare Funding TRS-Active Care is funded by: State contribution $ 75 per month School district contribution $150 per month (minimum) Employees Premiums 15 Since 2003, there have been nine premium rate increases. Examples: FY 2014, 9%-22.7% for Active Care 1 HD; 15% for ActiveCare 2; and 25% for ActiveCare 3 in 2013-2014. FY 2015: 0%-8% for ActiveCare 1; 0%-7% for ActiveCare2 Benefits have also been reduced since 2003. ActiveCare 3 was discontinued in 2014. FY 2015 Enrollment (participants) ActiveCare 1 & 1-HD 188,945 ActiveCare 2 169,086 ActiveCare Select 73,816 HMOs 50,837 TOTAL 482,684

16 TRS-ActiveCare Premiums

TRS-ActiveCare Monthly District Contributions FY 2015 Monthly District Contributions Contribution Number of Districts % of Districts # of Employees % of Employees $225 (minimum) 343 36.37% 80,465 19.85% $226-$275 217 23.01% 125,940 31.07% $276-$325 229 24.28% 114,864 28.33% $326-$375 72 7.64% 46,371 11.44% $376-$425 35 3.71% 12,388 3.06% $426-$475 16 1.70% 21,744 5.36% $476-$525 5 0.53% 652 0.16% $526+ 26 2.76% 2,961 0.73% Total 943 100.00% 405,385 100.00% 17

TRS-ActiveCare Key Findings TRS-ActiveCare has an affordability issue. State and minimum district contributions have not changed since the inception of the program in 2002. The employee s share of the total premium cost has increased significantly. As premiums have increased, employees are selecting lower benefit plans. Districts that do not participate in TRS-ActiveCare and administer their own plans may feel more accountable for the affordability of coverage. There is a disparity between TRS-ActiveCare benefits and premiums in comparison to what is available to Texas state employees (under ERS). 18

TRS-ActiveCare Study Options 19 1. Return funding ratios and benefits to FY 2003 levels. For FY 2016 funding only for ActiveCare 2 would require 84% employer increase from $225 to $414 per month For FY 2016 funding including restoring benefits to FY 2003 level would require 104.9% employer increase to $461 per month 2. Offer only high deductible plan with Health Savings Account (HSA) Assumes employer contribution of $400 per month 3. Offer only self-funded Exclusive Provider Organization (EPO) 4. Eliminate uniform statewide coverage 5. Eliminate coverage for spouses

Combine TRS-Care and TRS-ActiveCare Significant difference in the level of funding per employee/retiree between ERS and TRS: TRS-Care-3 TRS-AC 2 TRS-AC 1-HD ERS HealthSelect*** Monthly Premium $90-310* $330** $100** $0 Medical Deductible $300 $1,000 $2,400 $-0- Out-of-pocket maximum $3,700 $6,000 $6,350 $6,350 Drug Deductible $-0- $200 brand-name drugs Combined with medical deductible $50 Retail short term 1 Generic Brand preferred Brand non-preferred $10 $25 $40 $20 $40 $65 20% after deductible $5 $35 $60 Mail Order and Retail-Plus (90 day supply) Generic Brand preferred Brand non-preferred $20 $50 $80 $45 $105 $180 20% after deductible $15 $105 $180 20 * Premium range based on years of service and Medicare eligibility. ** Assumes $75 state contribution and $150 minimum district contribution. Districts can contribute more to lower employee costs. *** In-Area Network costs

Combine TRS-Care and TRS-ActiveCare Option 1: Offer same benefit as ERS HealthSelect 21 Employer (state and district) contribution would need to increase to $12.3 billion for the 2016-2017 biennium. Required funding would be greater if employer also provided 50% contribution toward cost of dependent coverage. Assumes all districts would participate Option 2: Increase employer funding to $400 per participant Combine TRS-Care and TRS-ActiveCare and increase funding from the employer (state and district) from $189 per retiree and $225 per active employee to $400 per month. With the $400 per month contribution employee only and retiree only coverage the FY 2016-2017 plan could be offered at a premium of $58 per month. The only option for Medicare eligible participants would be a Medicare Advantage plan with the same benefits as TRS-Care 2.