Explanation
BACKGROUND: To maintain the employee insurance programs in accordance with the negotiated labor contracts, appropriation is necessary for the continuation of all employee benefits programs. Cost estimates for 2025 claims and fee runout and 2026 claims and administrative fees are based on 2023-2025 benefits fund expenditures using a weighted average of actual city utilization and expected changes due to union negotiations. Input from insurance carriers, in conjunction with industry trends, and actuarial services are also key factors. The revenue for the 2026 benefits fund includes the 2026 Department budgeted amounts, employee premium contributions, COBRA premium deposits, and medical and prescription drug rebates.
Emergency action is requested to ensure the health insurance programs for city employees are able to commence as soon as contractually possible, thereby maintaining continuity of service.
FISCAL IMPACT: Claims costs and administrative fees for 2025 runout and 2026 are estimated at $264,143,000.00. These funds are needed to cover the costs of the City employee insurances and wellness programs. This ordinance is contingent on the passage of the 2026 Operating Budget (ordinances 2938-2025, 2939-2025, and 2940-2025).
Appropriation is being made to the following programs:
Medical Plan* 45,484.000.00
Ohio AFSCME Cares Plan 30,000.00
Dental Plan 8,020,000.00
Vision Plan 1,319,000.00
Life Plan 2,300,000.00
Disability Plan 4,200,000.00
Employee Fitness Center 190,000.00
Wellness initiatives 2,600,000.00
TOTAL $264,143,000.00
*Includes medical, drug, COBRA, tobacco cessation and PCORI fees.
Title
To make appropriations for the 11...
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