anagerounty c m s office -...
TRANSCRIPT
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.
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.
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
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
____________________________________________________________________________________
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
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.
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
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.
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
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.
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
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
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.
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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