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C OUNTY M ANAGER S O FFICE MEMORANDUM To: Board of County Commissioners From: Scott Somers, County Manager Date: July 31, 2015 Subject: CLATSOP COUNTY WEEKLY BULLETIN Attachments: Health Insurance information Community Advisory Group letter – Astoria Marine Construction clean-up Natural Hazards Mitigation Plan approval letter Oregon Employment Department Labor Market Information Noteworthy Department Updates Clerk & Elections There will not be a September 2015 election as no measures were filed with Clerk & Elections. September 3, 2015 is the last day for city elections official, county governing body or district elections authority to file or withdraw a notice of measure election for a November 2015 election. As of this date, Clerk and Elections has not received a notice of measure election for a November election. September 10, 2015 is the first day for a major party or nonpartisan candidate to file a declaration of candidacy or nominating petition for the May 2016 Primary Election. Clerk & Elections will take delivery of the new ballot tallying machine September 16. The machine was approved for purchase by the Board of Commissioners July 22 and replaces the current 10-year-old machine that has reached the end of its service life. County Manager Labor negotiations continue with the AFSCME Courthouse/Roads bargaining unit. Attached are cost comparisons and additional information on all health insurance plans currently utilized or being considered. After a nationwide search, Elizabeth “Liz” Lawless has been selected to fill the Human Resources/Risk Manager position. Liz begins with Clatsop County on Monday, August 31 st . Staff and representatives from CEDR and Business Oregon continue working identifying options and solutions for development of the North Coast Business Park. Greater Oregon Behavioral Health Inc. (GOBHI), Columbia Memorial Hospital, Providence Seaside Hospital and the County continue to work together on creating an independent non-profit, of which each entity would be a member, to oversee the crisis respite facility, which should come on line in late fall or early winter. Once a draft agreement is developed, it will be presented to the Board of Commissioners for consideration.

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Page 1: ANAGEROUNTY C M S OFFICE - files.ctctcdn.comfiles.ctctcdn.com/de4a5c0d001/f0470d7c-ed3f-46eb-895f-f9bb1d9c4… · Board of Commissioners, Boyington Building, 857 Commercial St., Astoria

COUNTY MANAGER’S OFFICE

MEMORANDUM

To: Board of County Commissioners From: Scott Somers, County Manager Date: July 31, 2015 Subject: CLATSOP COUNTY WEEKLY BULLETIN

Attachments: Health Insurance information Community Advisory Group letter – Astoria Marine Construction clean-up Natural Hazards Mitigation Plan approval letter Oregon Employment Department Labor Market Information

Noteworthy Department Updates Clerk & Elections – There will not be a September 2015 election as no measures were filed with Clerk

& Elections. September 3, 2015 is the last day for city elections official, county governing body or

district elections authority to file or withdraw a notice of measure election for a November 2015

election. As of this date, Clerk and Elections has not received a notice of measure election for a

November election.

September 10, 2015 is the first day for a major party or nonpartisan candidate to file a declaration of

candidacy or nominating petition for the May 2016 Primary Election.

Clerk & Elections will take delivery of the new ballot tallying machine September 16. The machine

was approved for purchase by the Board of Commissioners July 22 and replaces the current 10-year-old

machine that has reached the end of its service life.

County Manager – Labor negotiations continue with the AFSCME Courthouse/Roads bargaining unit.

Attached are cost comparisons and additional information on all health insurance plans currently

utilized or being considered.

After a nationwide search, Elizabeth “Liz” Lawless has been selected to fill the Human

Resources/Risk Manager position. Liz begins with Clatsop County on Monday, August 31st.

Staff and representatives from CEDR and Business Oregon continue working identifying options and

solutions for development of the North Coast Business Park.

Greater Oregon Behavioral Health Inc. (GOBHI), Columbia Memorial Hospital, Providence Seaside

Hospital and the County continue to work together on creating an independent non-profit, of which each

entity would be a member, to oversee the crisis respite facility, which should come on line in late fall or

early winter. Once a draft agreement is developed, it will be presented to the Board of Commissioners

for consideration.

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Continue meeting with staff from each department to discuss the Vision 2030. Each staff member is

asked to contribute to the work plan. Once a draft work plan is finalized, it will be presented to the

Board of Commissioners in a work session.

The Arts Council of Clatsop County (ACCC) continues to promote the arts in Clatsop County. In

collaboration with the State of Oregon, the ACCC plans to embark on a study to identify the economic

impact the arts have on Clatsop County.

Emergency Management - The Natural Hazard Mitigation Plan was approved by FEMA last week

(see attached letter); the plan guides our mitigation efforts and maintains our eligibility for several types

of disaster funding.

RARE Americorps Volunteer Nick Sund completes his service with Clatsop County Emergency

Management today. Nick was instrumental in coordinating the Teen CERT program and enhancing

department outreach. A new RARE volunteer has been selected and will begin with September 14.

Emergency Management staff and CERT volunteers partnered this week to host a booth at the County

Fair.

Next week is the Pathfinder Minutemen exercise at Camp Rilea where the Oregon Disaster Medical

Team, Oregon Military Department and a handful of special teams from around the country (as far as

Kentucky!) will gather to practice coordinating search, rescue and medical operations. The scenario is

around a tsunami devastating a coastal community and the exercise will utilize Camp Rilea’s newly-

developed Rubble Pile, a training resource comprised of concrete blocks, shipping containers, old cars

and subterranean tunnels which is designed to train responders how to perform search and rescue in

catastrophic events. Role play victim volunteers are still needed, and can go to this link to sign up to

participate.

Public Health – The Onsite Septic System program has moved to the Public Health Department from

the Community Development Department, and is at 820 Exchange St., first floor, next to Suite 100.

Thanks to Clancie, Pat, and all others in Community Development for supporting this program in their

office, and as it transitioned from DEQ to the County. Thanks to Bryan, Annette and others in Public

Health for your work in planning the move; to Dave, John and others in facilities for remodeling the

new space; and Jim and staff in IT for wiring and equipping the office. This is a great example of

various programs working together to provide world class service to the citizens of Clatsop County.

Last week Heather Hansen, Director of Community Development, Mike McNickle, Environmental

Health Supervisor, and Brian Mahoney, Director of Public Health, attended the Public Health Policy

Institute on the campus of the Oregon State University. The institute provided a venue for seven teams

from various counties and the state to come together and learn how to plan, implement, and assess

policy initiatives that affect public health. Each team came with ideas that would need to be investigated

in their own region. Clatsop County’s team looked at issues that impact drinking water, septic systems,

and development in the North Clatsop Plains.

Public Works – The Public Works Department submitted to the Oregon Department of Transportation

Bridge Engineering Section a federal funding proposal to replace one bridge and rehabilitate three

county maintained bridges. If funded the project(s) would take place between 2018-2021.

The Westport Ferry Landing Replacement Project is to wrap up major construction activity in early

August; there will be some landscape seeding occurring in the stormwater quality facility in mid-

September.

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Meetings and Events

1. Tuesday, Aug. 11, 10 a.m. Planning Commission, Boyington Building, 857 Commercial St., Astoria

2. Wednesday, Aug. 12, 6 p.m. Board of Commissioners, Boyington Building, 857 Commercial St., Astoria

3. Wednesday-Thursday, Aug. 12-13 Oregon Environmental Quality Commission regular meeting, Hampton Inn, 201 39th, Astoria

4. Wednesday, Aug. 26, 5 p.m. Clatsop County Housing Authority, Boyington Building, 857 Commercial St., Astoria

5. Wednesday, Aug. 26, 6 p.m. Board of Commissioners, Boyington Building, 857 Commercial St., Astoria

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CLATSOP COUNTY MUNICIPALITIES, SCHOOLS, SERVICE DISTRICTS AND CHAMBERS

DISTRICT 1 Meeting Date, Time and Location

Astoria City Council ..................................... 1st and 3

rd Mondays 7 p.m., 1095 Duane St. Astoria

Warrenton City Commission......................... 2nd

and 4th

Tuesdays 6 p.m., 225 S. Main Ave., Warrenton

Astoria School District .................................. 2nd

Wednesday 7:30 p.m., 785 Alameda, Astoria

Warrenton School District............................. 2nd

and 4th

Tuesdays 7:00 p.m., 820 S.W. Cedar, Warrenton

Sunset Empire Transportation Dist. .............. 4th

Thursday 9:00 a.m., 900 Marine Dr., Astoria

Pacific Grange ............................................... 2nd

Monday 7 p.m. 90475 Hwy 101, Warrenton

Clatsop Care Center Health District .............. 3rd

Tuesday 5:30 p.m., Clatsop Care Center 646 – 16th

St., Astoria

Astoria / Warrenton Chamber Breakfast ....... Last Tuesday of the month, 7:45 a.m., Wet Dog Café, 144 11th St, Astoria

DISTRICT 2

Seaside City Council ..................................... 2nd

and 4th

Mondays 7 p.m., 989 Broadway, Seaside

Gearhart City Council ................................... 1st Wednesday 7 p.m. 698 Pacific Way, Gearhart

Seaside School District ................................. 3rd

Tuesday 6 p.m. 1801 S. Franklin St., Seaside

Sunset Empire Parks & Rec District ............. 3rd

Wednesday 5:15 p.m. 1225 Ave. A., Seaside

Clatsop Care Center Health District .............. 3rd

Tuesday 5:30 p.m. Clatsop Care Center 646 – 16th

St., Astoria

Union Health District .................................... 3rd

Tuesday 8 a.m. Providence Hospital, Education Rm. B, Seaside

Gearhart RFPD

Seaside RFPD

Warrenton RFPD

Astoria / Warrenton Chamber Breakfast ....... Last Tuesday of the month, 7:45 a.m., Wet Dog Café, 144 11th St, Astoria

DISTRICT 3

Astoria City Council ..................................... 1st and 3

rd Mondays 7 p.m. 1095 Duane St. Astoria

Astoria School District .................................. 2nd

Wednesday 7:30 p.m. 785 Alameda, Astoria

Sunset Empire Transportation Dist. .............. 4th

Thursday 9:00 a.m., 900 Marine Dr., Astoria

Netel Grange ................................................. 3rd

Saturday 6 p.m. 0525 Logan Rd., Astoria

Olney Grange ................................................ 2nd

Tuesday 7 p.m. 89342 Hwy 202, Astoria

Clatsop Care Center Health District .............. 3rd

Tuesday 5:30 p.m. Clatsop Care Center 646 – 16th

St., Astoria

Lewis & Clark RFPD .................................... 2nd

Tuesday 7:00 p.m., 34571 Hwy 101 Business, Astoria

Olney-Walluski Fire & Rescue ..................... 3rd

Thursday 7 p.m., 36115 River Point Dr., Astoria

Astoria / Warrenton Chamber Breakfast ....... Last Tuesday of the month, 7:45 a.m., Wet Dog Café, 144 11th St, Astoria

DISTRICT 4

Astoria School District .................................. 2nd

Wednesday 7:30 p.m. 785 Alameda, Astoria

Knappa School District ................................. 3rd

Monday 6:30 p.m. 41535 Old US Highway 30, Astoria

Sunset Empire Transportation Dist. .............. 4th

Thursday 9:00 a.m., 900 Marine Dr., Astoria

Brownsmead Grange ..................................... 1st Saturday 9 a.m., Brownsmead Dike Lane, Brownsmead

Wickiup Grange ............................................ 1st Saturday 10 a.m., 92683 Svensen Market Rd., Astoria

Clatsop Care Center Health District .............. 3rd

Tuesday 5:30 p.m. Clatsop Care 646 – 16th

St., Astoria

John Day-Fernhill RFPD .............................. 2nd Tuesday 7 p.m., 38885 Hwy 30, Astoria

Knappa-Svensen-Burnside RFPD ................. 2nd

Thursday 7 p.m., 43114 Hillcrest Lp., Astoria

Olney-Walluski Fire & Rescue ..................... 3rd

Thursday 7 p.m., 36115 River Point Dr., Astoria

DISTRICT 5

Seaside City Council ..................................... 2nd

and 4th

Mondays 7 p.m., 989 Broadway, Seaside

Cannon Beach City Council .......................... 1st Tues. 7 p.m. (meeting) 2

nd Tues. 5:30 p.m. (work session),

162 Gower St., Cannon Beach

Seaside School District ................................. 3rd

Tuesday 6 p.m. 1801 S. Franklin St., Seaside

Sunset Empire Parks & Rec District ............. 3rd

Wednesday 5:15 p.m. 1225 Ave. A., Seaside

Clatsop Care Center Health District .............. 3rd

Tuesday 5:30 p.m. Clatsop Care 646 – 16th

St., Astoria

Union Health District .................................... 3rd

Tuesday 8 a.m. Providence Hospital, Education Rm. B, Seaside

Cannon Beach RFPD .................................... 2nd

Monday 7 p.m. 188 Sunset Blvd. Cannon Beach

Elsie-Vinemaple RFPD

Hamlet RFPD ................................................ 2nd

Thursday 7 p.m., 37564 Hwy 26, Seaside

Mist-Birkenfeld RFPD .................................. 3rd

Tuesday 7 p.m., 12525 Hwy 202, Mist

Seaside RFPD

Seaside Chamber Breakfast........................... Weekly on Friday 8:30 a.m., Twisted Fish Steakhouse, 311 Broadway, Seaside

Cannon Beach Networking ........................... Weekly on Wednesday 8:00 a.m., Pizza A’Ffeta, 231 N Hemlock St, Cannon Beach

____________________________________________________________________________________

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This is a summary only. Any errors or omissions are unintentional. Once enrolled, employees can view their Plan Booklets online at myregence.com.

12/2/2014

CIS Benefits Program Summary of Plan V Preferred Provider Plan (PPP) Options Effective January 1, 2015 These medical plans are insured by CIS, but administered by Regence BlueCross BlueShield (BCBS) of Oregon. This means that CIS, not Regence BCBS, pays for your covered medical services and supplies.

Deductibles and Co-Insurance Maximums

Preferred Provider Plans V-B PPP V-C PPP V-E PPP V-F PPP

Individual deductible per calendar year Maximum family deductible per calendar year

$200 $600

$300 $900

$500 $1,500

$1,000 $3,000

Maximum Co-insurance (does not include deductible or prescription copays)

Category 1 - Preferred Provider Category 2 & 3 - Participating and Non-Preferred Provider

$500 per person/$1,000 per family $1,500 per person/$3,000 per family

Benefit Features

Provider Benefit Category 1

Provider Benefit Category 2 & 3

Preventive Care Services Deductible Waived – Plan Pays

Routine well-baby care, physical examinations, health screenings, and immunizations

100% for Category 1 & 2 (deductible waived) 60% for Category 3 (after deductible)

Professional Services After Deductible - Plan Pays

Office visits for illness or injury, mental/behavioral health or substance use disorder (primary care, specialist, naturopath or urgent/immediate care center)

90% 70%

Laboratory, radiology, and diagnostic procedures 90% 70% Maternity care 90% 70% Therapeutic injections including allergy shots 90% 70%

Chiropractic care (12 visits allowance per calendar year) 90%

Hospital/Facility Services After Deductible - Plan Pays

Inpatient, outpatient, and ambulatory services 90% 70% Emergency room care (including professional charges) 90% after $100 copay1 (copay waived if admitted)

Inpatient/outpatient surgery and surgeon fees 90% 70% Inpatient mental/behavioral health & substance use disorder 90% 70% Skilled Nursing Facility – 120 inpatient days/year 90% 70%

Other Services After Deductible - Plan Pays

Ambulance 90%

Inpatient /Outpatient Rehabilitation – 77 outpatient visits/year 90%

Habilitation services- neurodevelopmental limited to children through age 17 90%

Home health care - 180 visits/year 90%

Hospice – 14 respite days/lifetime 100%

Durable medical equipment and supplies 90% 70%

Prescription Medication Benefit At the Pharmacy (34 day supply)

Member Pays Mail order Program (90 day supply)

Member Pays

Individual deductible per calendar year No deductible

Out-of-pocket maximum per person each calendar year $2,500

Generic drugs $5 copay $10 copay

Preferred brand drugs $25 copay $50 copay

Non-Preferred brand drugs $50 copay $100 copay

Page 6: ANAGEROUNTY C M S OFFICE - files.ctctcdn.comfiles.ctctcdn.com/de4a5c0d001/f0470d7c-ed3f-46eb-895f-f9bb1d9c4… · Board of Commissioners, Boyington Building, 857 Commercial St., Astoria

This is a summary only. Any errors or omissions are unintentional. Once enrolled, employees can view their Plan Booklets online at myregence.com.

Plan V PPP Options

Other services provided by Regence BlueCross BlueShield Preferred Provider Benefit

Category 1 Plan Pays

Non-Preferred Provider Benefit Category 2 & 3

Plan Pays

Weight Management and Obesity Treatment – Turning Point Program - Weight management and obesity treatment, includes health

coaching, integrated care coordination, up to four (4) nutritional counseling visits.

- Bariatric surgery may be covered to treat morbid obesity – participant must meet participation requirements

100% (deductible waived)

$1,000 copay then 90% after deductible

100% (deductible waived)

$1,000 copay then 70% after deductible

Case and Disease Management Provided by Regence BCBS as part of the medical plan

Special Beginnings Program Provided by Regence BCBS as part of the medical plan Regence Health Coach – weight management and nutrition, tobacco cessation, exercise and fitness, stress management and improved sleep.

Provided by Regence BCBS as part of the medical plan

BlueCard Program (Out of Area Services) – access hospital and physicians when outside the four-state area Regence services (Oregon, Idaho, Utah and Washington) as well as receive care in 200 countries around the world.

Provided by Regence BCBS as part of the medical plan

Additional Plan Riders The following benefits can be added to all Plan V PPP Plans for an additional cost. These riders are selected on a group level,

not the individual employee level.

Hearing Exam and Hearing Aid Rider (for participants over the age of 18; state mandated coverage applies to children 18 years and younger)

Hearing Examination One every calendar year. Covered at 80% using a Category 1 provider, 60% using a Category 2 or 3 provider; not subject to the deductible

Hearing Aids Benefit Paid 100% up to a maximum of $3,000 every 48 months. The $3,000 is an accumulative amount over the 48 months and not a one time benefit.

Alternative Care Rider

Acupuncture No deductible, any provider - $20 Copay – Maximum allowance of $500 per member per calendar year.

Vision Service Plan (VSP)

VSP Provider 12/12/24

VSP Provider 24/24/24

Non-VSP Provider

Benefit Frequency for Exam and Lenses Benefits reset annually on January 1st

Covered every calendar year

Covered every other calendar year1

Matches VSP plan selected

Eye Exam Covered at 100% Covered at 100% Up to $71

Single Lenses Covered at 100% Covered at 100% Up to $51

Bifocal Lenses Covered at 100% Covered at 100% Up to $77

Trifocal Lenses Covered at 100% Covered at 100% Up to $100

Lenticular Lenses Covered at 100% Covered at 100% Up to $125

Contacts $166 allowance for contacts lenses and exam, fitting and

evaluation (in lieu of lenses); subject to same benefit frequency as lenses.

Up to $166

Frames $120 allowance every other year; 20% off the amount over

allowance 100% up to $66

Safety Glasses Rider Can be added to both vision plans for an additional cost 1 Children 18 and under are eligible for annual exams and lenses replacement.

Page 7: ANAGEROUNTY C M S OFFICE - files.ctctcdn.comfiles.ctctcdn.com/de4a5c0d001/f0470d7c-ed3f-46eb-895f-f9bb1d9c4… · Board of Commissioners, Boyington Building, 857 Commercial St., Astoria

This is a summary only. Any errors or omissions are unintentional. Once enrolled, employees can view their Plan Booklets online at myregence.org.

4/14/2015

CIS Benefits Program Summary of High Deductible Health Plans (HDHP) w/HSA Options Effective January 1, 2015 These medical plans are insured by CIS, but administered by Regence BlueCross BlueShield (BCBS) of Oregon. This means that CIS, not Regence BCBS, pays for your covered medical services and supplies.

Deductibles and Co-Insurance Maximums HDHP-1 HDHP-2

Deductible per calendar year $1,500 Single/$3,000 Family $2,500 Single/$4,000 Family

Maximum out-of-pocket per calendar year Category 1 & 2 - Preferred and Participating Provider

Category 3 - Non-Preferred Provider $2,300 Single/$5,050 Family $3,300 Single/$6,050 Family

Benefit Features Provider Benefit Category 1 & 2

Provider Benefit Category 3

Preventive Care Services Deductible Waived – Plan Pays

Routine well-baby care, physical examinations, health screenings, and immunizations

100% for Category 1 & 2 (deductible waived) 60% for Category 3 (after deductible)

Professional Services After Deductible - Plan Pays

Office visits for illness or injury, mental/behavioral health or substance use disorder (primary care, specialist, naturopath or urgent/immediate care center)

80% 60%

Laboratory, radiology, and diagnostic procedures 80% 60% Maternity care 80% 60% Therapeutic injections including allergy shots 80% 60% Chiropractic and Acupuncture care Available as a rider (see back)

Hospital/Facility Services After Deductible - Plan Pays

Inpatient, outpatient and ambulatory services 80% 60% Emergency room care (including professional charges) 80%

Inpatient/outpatient surgery and surgeon fees 80% 60% Inpatient mental/behavioral health & substance use disorder 80% 60% Skilled nursing facility – 120 inpatient days/year 80% 60%

Other Services After Deductible - Plan Pays

Ambulance 80%

Inpatient/outpatient rehabilitation – 77 outpatient visits/year 80% 60%

Habilitation services- neurodevelopmental limited to children through age 17 80% 60%

Home health care - limited to 130 visits/year 80% 60%

Hospice – 14 respite days/lifetime 80% 60%

Durable medical equipment and supplies 80% 60%

Prescription Medication Benefit Pharmacy or Mail Order program (limited to 90-day supply)

After Deductible – Plan Pays

Individual/Family deductible per calendar year Combined with medical deductible

Out-of-pocket Individual/Family maximum per year Combined with medical out-of-pocket maximum

Generic, preferred and non-preferred drugs 80% Exception: Specific value-based generic drugs are covered at 100%, and specific preferred drugs are covered at 80% with the deductible waived. These

value-based medications are designated as preventive for: asthma, diabetes, high blood pressure, high cholesterol or tobacco cessation. For a current list visit www.regencerx.com

Page 8: ANAGEROUNTY C M S OFFICE - files.ctctcdn.comfiles.ctctcdn.com/de4a5c0d001/f0470d7c-ed3f-46eb-895f-f9bb1d9c4… · Board of Commissioners, Boyington Building, 857 Commercial St., Astoria

This is a summary only. Any errors or omissions are unintentional. Once enrolled, employees can view their Plan Booklets online at myregence.org.

HDHP w/HSA Options

Other services provided by Regence BlueCross BlueShield Preferred Provider Benefit

Category 1 Plan Pays

Non-Preferred Provider Benefit Category 2 & 3

Plan Pays

Weight Management and Obesity Treatment – Turning Point Program - Weight management and obesity treatment, includes health

coaching, integrated care coordination, up to four (4) nutritional counseling visits.

- Bariatric surgery may be covered to treat morbid obesity – participant must meet participation requirements

100% (deductible waived)

$1,000 copay then 80% after deductible

100% (deductible waived)

$1,000 copay then 80% after deductible

Case and Disease Management Provided by Regence BCBS as part of the medical plan

Special Beginnings Program Provided by Regence BCBS as part of the medical plan Regence Health Coach – weight management and nutrition, tobacco cessation, exercise and fitness, stress management and improved sleep.

Provided by Regence BCBS as part of the medical plan

BlueCard Program (Out of Area Services) – access hospital and physicians when outside the four-state area Regence services (Oregon, Idaho, Utah and Washington) as well as receive care in 200 countries around the world.

Provided by Regence BCBS as part of the medical plan

Additional Plan Riders The following benefits can be added to all High Deductible Plans for an additional cost. These riders are selected on a group

level, not the individual employee level.

Alternative Care Rider

Chiropractic and Acupuncture Subject to deductible then covered at 80%, any provider - Maximum allowance of $1,000 per person per calendar year.

Vision Service Plan (VSP)

VSP Provider 12/12/24

VSP Provider 24/24/24

Non-VSP Provider

Benefit Frequency for Exam and Lenses Benefits reset annually on January 1st

Covered every calendar year

Covered every other calendar year1

Matches VSP plan selected

Eye Exam Covered at 100% Covered at 100% Up to $71

Single Lenses Covered at 100% Covered at 100% Up to $51

Bifocal Lenses Covered at 100% Covered at 100% Up to $77

Trifocal Lenses Covered at 100% Covered at 100% Up to $100

Lenticular Lenses Covered at 100% Covered at 100% Up to $125

Contacts $166 allowance for contacts lenses and exam, fitting and

evaluation (in lieu of lenses); subject to same benefit frequency as lenses.

Up to $166

Frames $120 allowance every other year; 20% off the amount over

allowance 100% up to $66

Safety Glasses Rider Can be added to both vision plans for an additional cost 1 Children 18 and under are eligible for annual exams and lenses replacement.

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This is a summary only. Any errors or omissions are unintentional. Once enrolled, employees can view their Plan Booklets online at regence.com.

04/14/2015

CIS Benefits Program Summary of Copay Plan Options Effective January 1, 2015 These medical plans are insured by CIS, but administered by Regence BlueCross BlueShield BCBS) of Oregon. This means that CIS, not Regence BCBS, pays for your covered medical services and supplies.

Deductible

Copay Plans Copay A Copay B Copay C Copay D

Individual deductible per calendar year Maximum family deductible per calendar year

$250 $750

$500 $1,500

$1,000 $3,000

$1,500 $4,500

Maximum Co-insurance (does not include deductible or prescription copays)

Category 1 - Preferred ProviderCategory 2 & 3 - Participating & Non-Preferred

$2,000 per person/$4,000 per family $4,000 per person/$8,000 per family

Benefit Features Provider Benefit

Category 1 Provider Benefit Category 2 & 3

Preventive Care Services

Routine well-baby care, physical examinations, health screenings, and immunizations

100% for Category 1 & 2 (deductible waived) 60% for Category 3 (after deductible)

Professional Services After Deductible - Plan Pays

Office visits for illness or injury, mental/behavioral health or substance use disorder (primary care, specialist, naturopath or urgent/immediate care center)

100% after $20 copay Deductible Waived 60%

Laboratory, radiology, and diagnostic procedures $400 up front allowance; then

80% after the deductible 60%

Maternity care 80% 60% Therapeutic injections including allergy shots 80% 60% Chiropractic and Acupuncture care Available as a rider (see back)

Hospital/Facility Services After Deductible - Plan Pays

Inpatient, outpatient, and ambulatory services 80% 60% Emergency room care (including professional charges) 80% after $100 copay (copay waived if admitted)

Inpatient/outpatient surgery and surgeon fees 80% 60% Inpatient mental/behavioral health & substance use disorder 80% 60% Skilled Nursing Facility – 120 inpatient days/year 80% 60%

Other Services After Deductible - Plan Pays

Ambulance 80%

Inpatient/outpatient rehabilitation – 77 outpatient visits/year 80% 60% Habilitation services- neurodevelopmental limited to children through age 17 80% 60% Home health care - 180 visits/year 80% 60% Hospice – 14 respite days/lifetime 100%

Durable medical equipment and supplies 80% 60%

Prescription Medication Benefit At the Pharmacy (34 day supply)

Member Pays Mail Order Program (90 day supply)

Member Pays

Individual deductible per calendar year No deductible

Out-of-pocket maximum each calendar year Copay A & B - $2,500 per person/$7,500 per family

Copay C – $2,500 per person/$6,200 per family Copay D - $2,500 per person/$4,700 per family

Generic drugs $5 copay $10 copay Preferred brand drugs $25 copay $50 copay Non-Preferred brand drugs $50 copay $100 copay

Page 10: ANAGEROUNTY C M S OFFICE - files.ctctcdn.comfiles.ctctcdn.com/de4a5c0d001/f0470d7c-ed3f-46eb-895f-f9bb1d9c4… · Board of Commissioners, Boyington Building, 857 Commercial St., Astoria

This is a summary only. Any errors or omissions are unintentional. Once enrolled, employees can view their Plan Booklets online at myregence.com.

Copay Plan Options

Other services provided by Regence BlueCross BlueShield Preferred Provider Benefit

Category 1 Plan Pays

Non-Preferred Provider Benefit Category 2 & 3

Plan Pays

Weight Management and Obesity Treatment – Turning Point Program - Weight management and obesity treatment, includes health

coaching, integrated care coordination, up to four (4) nutritional counseling visits.

- Bariatric surgery may be covered to treat morbid obesity – participant must meet participation requirements

100% (deductible waived)

$1,000 copay then 80% after deductible

100% (deductible waived)

$1,000 copay then 60% after deductible

Case and Disease Management Provided by Regence BCBS as part of the medical plan

Special Beginnings Program Provided by Regence BCBS as part of the medical plan Regence Health Coach – weight management and nutrition, tobacco cessation, exercise and fitness, stress management and improved sleep.

Provided by Regence BCBS as part of the medical plan

BlueCard Program (Out of Area Services) – access hospital and physicians when outside the four-state area Regence services (Oregon, Idaho, Utah and Washington) as well as receive care in 200 countries around the world.

Provided by Regence BCBS as part of the medical plan

Additional Plan Riders The following benefits can be added to all Copay Plans for an additional cost. These riders are selected on a group level, not the

individual employee level.

Hearing Exam and Hearing Aid Rider

Hearing Examination One every calendar year. Covered at 80% using a Category 1 provider, 60% using a Category 2 or 3 provider; not subject to the deductible.

Hearing Aids Benefit Paid 100% up to a maximum of $3,000 every 48 months. The $3,000 is an accumulative amount over the 48 months and not a one-time benefit. (State mandated coverage applies to children 18 yrs or younger or children 19 to 25 enrolled in an accredited education institution).

Alternative Care Rider

Chiropractic and Acupuncture No deductible, any provider - $20 Copay – Maximum allowance of $1000 per member per calendar year.

Vision Service Plan (VSP)

VSP Provider 12/12/24

VSP Provider 24/24/24

Non-VSP Provider

Benefit Frequency for Exam and Lenses Benefits reset annually on January 1st

Covered every calendar year

Covered every other calendar year1

Matches VSP plan selected

Eye Exam Covered at 100% Covered at 100% Up to $71

Single Lenses Covered at 100% Covered at 100% Up to $51

Bifocal Lenses Covered at 100% Covered at 100% Up to $77

Trifocal Lenses Covered at 100% Covered at 100% Up to $100

Lenticular Lenses Covered at 100% Covered at 100% Up to $125

Contacts $166 allowance for contacts lenses and exam, fitting and

evaluation (in lieu of lenses); subject to same benefit frequency as lenses.

Up to $166

Frames $120 allowance every other year; 20% off the amount over

allowance 100% up to $66

Safety Glasses Rider Can be added to both vision plans for an additional cost 1 Children 18 and under are eligible for annual exams and lenses replacement.

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Health Insurance Plans – Annual cost comparison

Figures show cost to cover all enrolled employees in each plan – 2016 rates

Costs based on current break-down of

employees enrolled in following tiers:

Employee Only 49

Employee + Child 10

Employee + Children 7

Employee + Spouse 40

Employee + Family 71

TOTAL 177

*Includes County’s contribution to employee’s HSA

1. VE-PPP – Plan currently covering AFSCME Local 2746 employees

2. HDHP-1 – Plan currently covering AFSCME Local 2746-DA, Clatsop County Law Enforcement Association, Federation of Oregon

Parole and Probation Officers, Oregon Nurses Association and unrepresented employees

3. Copay Plan B – Optional plan

VE-PPP1

(Preferred Provider Plan)

County Share – $2,655,773 Employee Share – $295,086

TOTAL - $2,950,859

HDHP-1 w/HSA2

(High-Deductible Health Plan with Health Savings Account)

County Share – $2,282,727* Employee Share – $220,467

TOTAL - $2,503,194

CoPay B3

County Share – $2,272,389 Employee Share – $252,487

TOTAL - $2,524,876

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Health Insurance Plan Options – 2015 premium rates

*includes County monthly contribution to employee’s HSA

- $83.33 – Employee Only

- $166.67 – All other tiers

MO

NTH

LY P

REM

IUM

S VE-PPP HDHP-1 w/HSA Copay B

Employee Only

Total $664.84 $533.13* $564.49

County share $598.36 $488.15* $508.04

Employee share

$66.48 $44.98 $56.45

Employee + Child

Total $1,236.35 $1,005.39* $1,049.11

County share $1,112.72 $921.52* $944.20

Employee share

$123.63 $83.87 $104.91

Employee + Children

Total $1,649.96 $1,313.93* $1,402.01

County share $1,484.96 $1,199.20* $1,261.81

Employee share

$165.00 $114.73 $140.20

Employee + Spouse

Total $1,410.77 $1,122.98* $1,196.66

County share $1,269.69 $1,027.35* $1,076.99

Employee share

$141.08 $95.63 $119.67

Employee + Family

Total $1,899.86 $1,320.05* $1,613.73

County share $1,709.87 $1,486.72* $1,452.36

Employee share

$189.99 $132.00 $161.37

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Northwest Oregon Economic IndicatorsNorthwest Oregon Economic IndicatorsNorthwest Oregon Economic Indicators For Benton, Clatsop, Columbia, Lincoln & Tillamook Counties July 31, 2015

For more economic or labor market data about Northwest Oregon, contact: Shawna Sykes, Workforce Analyst Erik Knoder, Regional Economist Desk: 503.397.4995 ext. 232 Cell: 503.396.7355 Desk: 541.574.2306 E-mail [email protected] E-mail: [email protected] Want to be added to this e-mail list? E-mail me at [email protected]

370

280

270

80

140

70

80

70

100

80

Health care & social assistance

Professional & Business Services

Leisure & hospitality

Educational & health services

Durable goods manufacturing

Government

Educational & health services

Food services & drinking places

Educational & health services

ManufacturingB

en

ton

Cla

tso

pC

olu

mb

iaL

inc

oln

Til

lam

oo

k

Industries Adding the Most Jobs in Past Year by County

Source: Current Employment Statistics Program, Nonfarm Employment, June, 2014 -June, 2015 change by industry, preliminary estimates.

Clatsop

Benton

Columbia

Lincoln

Tillamook

5.5

6.2

8.2

7.5

6.5

4.8

5.5

7.2

6.6

5.9

0

1

2

3

4

5

6

7

8

9

Benton Clatsop Columbia Lincoln Tillamook

Columbia County Shows Largest Decline in Area's Unemployment Rate Since Last June; Other NW Oregon

Counties Also See Significant Drops(Not Seasonally Adjusted)

Jun-14 Jun-15

-310

-70

-150

-130

-50

-10

-160

-40

-50

-50

State government education

Manufacturing

Retail trade

Manufacturing

Construction

Professional & business services

Retail trade

Nondurable goods manufacturing

Professional & business services

Leisure & hospitality

Be

nto

nC

lats

op

Co

lum

bia

Lin

co

lnT

illa

mo

ok

Industries Losing the Most Jobs in Past Year by County

Clatsop

Benton

Columbia

Lincoln

Tillamook

Source: Current Employment Statistics Program, Nonfarm Employment, June, 2014 to June, 2015 change by industry, preliminary estimates.

Want to learn more about the Oregon economy? Visit our web site at www.QualityInfo.org Read our blog at: oregonemployment.blogspot.com/ Follow us on Twitter at Twitter.com/ORemployment

About 17 percent of NW Oregon's workers earn less than $10 per hour; more than Oregon statewide (14.4 percent). Leisure & hospitality, retail, other services, and natural resources & mining have the highest percentage of workers in this wage category in NW Oregon.

42%

32%

21%

12%

11%

11%

10%

7%

7%

7%

6%

5%

4%

Leisure and hospitality

Retail trade

Other services

Natural resources and mining

Information

Professional and business services

Educational and health services

Wholesale trade

Financial activities

Manufacturing

Transportation, warehousing, and utilities

State & local government

Construction

Source: Quarterly Census of Employment & Wages, 1st Quarter, 2014 for Benton, Clatsop, Columbia, Lincoln, and Tillamook counties.

Percentage of NW Oregon Jobs with Earnings Below $10 per Hour by Industry