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to offset the cost of medical insurance premiums for retired employees based on years <br /> of service with the City. The cost of providing and obtaining health care services has <br /> risen significantly in recent years and attempting to address the health care issue is the <br /> subject of an intense national debate which has not resulted in any clear identifiable <br /> answers. Unfortunately, Pleasanton is not immune to the issues facing all employers <br /> and individuals trying to deal with this subject. However, the City has taken steps that <br /> are reducing health care costs related to current employees and future retirees. <br /> Because health care benefits are subject to the state's collective bargaining laws, <br /> obtaining changes to benefits has been central to negotiations with each of the City's <br /> labor groups. <br /> Active Employee Health Care <br /> Since 2007, employee groups have been moving in the direction of changing medical <br /> plan designs, reducing premium increases, and assuming a greater share of the cost <br /> burden. The employee's share of the co- payments for doctor visits and prescription <br /> medication has increased, a cap on the medical premiums paid by the City has been <br /> established, a less expensive non -HMO plan was substituted and competition among <br /> providers is now encouraged. Without these actions, the premium increases would <br /> have been greater than those realized. These changes have resulted in savings to <br /> date of approximately $550,000 through June 2011. <br /> Retired Employee Health Care <br /> In addition to inflationary pressures related to providing health care benefits to current <br /> employees, post- retirement medical contributions have also increased as a result of <br /> increased private sector medical costs. Since 1990 the City has provided a post - <br /> retirement medical benefit that allows eligible employees (and their spouses) retiring <br /> from the City to continue participation in group health plans with the City paying a <br /> percentage of the plan's cost based on years of service. As an example, for an <br /> employee retiring from the City with 15 years of service, the City would pay 60% of the <br /> health plan premium. The City has funded its post retirement medical benefits through <br /> annual contributions to its Retiree Insurance Reserve Funds. However, unlike many <br /> cities that have limited their annual contribution to the amount that must be paid to <br /> retirees, (a practice commonly referred to as "pay -as- you -go ") the City has significantly <br /> "pre- funded" or established reserves to cover the cost of not only existing retirees but a <br /> portion of the cost of current employees in anticipation of their retirement. Currently the <br /> balance in the Retirees Medical Reserve Fund is $44.9 million. It should be noted that a <br /> significant portion of this fund was built up in the mid- 1990's when the CaIPERS annual <br /> rates were substantially less or at $0. <br /> A significant concession in the recent negotiations with the PCEA/AFSCME group is the <br /> modifications to retiree medical benefits for newly hired employees. With this change, <br /> the benefit will now only cover the City employee (not the spouse) and only up to age <br /> 65. At that point, retirees must transition to self -paid Medicare. Essentially, the benefit <br /> is eliminated following age 65. Should all bargaining groups agree to this modification, <br /> the City could realize a $5.4 million reduction in its estimated unfunded liability. In 2009, <br /> Page 6 of 9 <br />