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Health Benefits:
Correction and Reiteration

by Mona Field, an individual member of the Health Benefits Committee

 

Due to the time gap between “deadline” and “publication” of Chaparral, I am responsible for an error in information in the last issue which I will correct herewith. I am also responsible for a personal opinion which I will reiterate.

     First, the reiteration: I firmly believe that it is impossible for the college to continue paying the premiums on our current form of health coverage.  If you have not been keeping up with the issue, please ask all your friends who are public employees, private business employees, or self-employed.  Ask them about health care costs.

     I guarantee you will appreciate what you have when you hear their costs and coverages.

     Second, the correction: When I wrote last time, the administration representative at the committee had only spoken about Plan Modification, not Premium out of Paycheck.  Plan Modification means that we would pay more when we use medical care, but not pay every month for part of the insurance premium.

     Unfortunately, after I turned in my Chaparral article, the administration heard that the Guild had urged members to “Just Say No” to the health insurance survey.  The administration decided without consultation with the unions at the committee (which met October 8) to go into negotiations with a Premium out of Paycheck approach as well as Plan Modifications.  This change in approach was a total surprise to me and other committee members.  I am disappointed that both "sides" did not respect the committee role: the union did not seek full cooperation of members to obtain good survey data and the district did not fully disclose its plans to the committee.

     Due to all of this, I must correct my statement:  On October 10, the district officially said to the Guild that it wants us (at least those in Blue Shield PPO and Kaiser) to pay part of the premium every month.  Here’s what I think about this Hobson’s choice.

    I dislike Premium out of Paycheck (aka POOP) for the following reasons: it makes almost every employee (except those in the lowest cost HMO plan) pay every month by paycheck deductions even if they rarely utilize their health care.  This penalizes the healthy and does not create a real incentive to care for ourselves.  We would probably just get used to lower take-home pay and then forget that we are now paying regularly for what we do not use.  I consider this approach a last resort if all other Plan Modification approaches are fiscally unworkable.

     I favor Plan Modification for the following reasons: it places responsibility on the health care consumer (us) to make good choices about preventive care, self-care and fitness, and appropriate use of medical care and drugs.  For example, if we request mail-in prescriptions of regularly needed medications for a 90-day period, we save money for ourselves.  Or if we request generic instead of name-brand drugs, we save money for ourselves.

     These kinds of Plan Modifications give us an incentive to be pro-active about being health-conscious and  wise consumers in a profit-driven health care market.

     Given the timeframe of negotiations and insurance renewals, it is probably too late to change anything for the coming year.  For 2003, you probably can enjoy the same coverage you have now — that’s my current guess.

     But now the genie is out of the bottle.  Those of us who use minimal health care and want to avoid having a monthly premium (ranging from perhaps $100 to $200 per pay check depending on your plan and family size) must speak up.  Those who prefer the Premium out of Paycheck approach instead of Plan Modification must make their case.

     We may be insured as before for 2003, but  for 2004, be prepared for big changes.  It will be important that the unions and district work collegially towards "the greatest good for the greatest number" as we face together the skyrocketing rates. &

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