1     
CONCURRENT RESOLUTION ON STATE EMPLOYEE

2     
BENEFITS AND PROVIDING A REFUND FROM THE

3     
STATE HEALTH INSURANCE POOL

4     
2020 GENERAL SESSION

5     
STATE OF UTAH

6     
Chief Sponsor: Lincoln Fillmore

7     
House Sponsor: Norman K. Thurston

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9     LONG TITLE
10     General Description:
11          This concurrent resolution directs the Public Employees' Benefit and Insurance Program
12     to offer certain benefits with respect to employee health benefit packages and to
13     reimburse the excess funds held in the state health insurance pool.
14     Highlighted Provisions:
15          This resolution:
16          ▸     describes the state's philosophy on compensation and benefit design for state
17     employees;
18          ▸     acknowledges the excess money held in reserve in the state health insurance pool;
19     and
20          ▸     directs the Public Employees' Benefit and Insurance Program to:
21               •     increase the salaries of employees that choose not to receive benefits under the
22     Public Employees' Benefit and Insurance Program;
23               •     allow employees who receive coverage under the Consumer Plus plan to elect to
24     receive 100% of employer HSA contributions as cash;
25               •     increase the premium share percentage for the STAR HSA plan for the
26     2020-2021 plan year;
27               •     offer HSA dental plans; and

28               •     reimburse the state and state employees the excess funds held in the state health
29     insurance pool.
30     Special Clauses:
31          None
32     

33     Be it resolved by the Legislature of the state of Utah, the Governor concurring therein:
34          WHEREAS, the state offers a competitive compensation package for employees that
35     generally provides a higher percentage of benefits compared to salary than other employers on
36     the market;
37          WHEREAS, while many state employees prefer a higher level of benefits compared to
38     salary, others may prefer more compensation in cash and less in benefits;
39          WHEREAS, the state has encouraged HSA adoption to foster greater consumerism
40     which could be extended to dental plan options;
41          WHEREAS, some employees may value state-provided medical and dental benefits less
42     because of access to such coverage through a spouse or other source;
43          WHEREAS, the Legislature, during the 2019 General Session, permitted state
44     employees on HSA-eligible plans to take up half of the state's HSA contributions in cash;
45          WHEREAS, to maintain benefit equity and cost neutrality, state employees who
46     convert the state's HSA contribution to cash are responsible for all related taxes, including
47     employer FICA, and the cash, as a converted benefit, is not included in compensation for other
48     employee benefits;
49          WHEREAS, the state desires to extend the ability of state employees on the
50     HSA-eligible Consumer Plus plan to convert up to 100% of the state's HSA contribution to
51     cash, provided that the employee is responsible for all related taxes, including employer FICA,
52     and no amount is included as compensation for other employee benefits;
53          WHEREAS, the state desires to differentiate the STAR HSA plan from the Consumer
54     Plus plan by charging a premium to be offset by an HSA increase for Fiscal Year 2021;
55          WHEREAS, the state desires to make HSA-based plans available for dental benefits;
56          WHEREAS, the state is willing to pay more in salary to state employees who opt out of
57     medical or dental benefits because it results in significant cost savings to the state;
58          WHEREAS, unlike an HSA contribution converted to cash, the increased salary paid to

59     state employees who opt out of coverage is taxed as income, with the state paying employer
60     FICA, and counts toward other employee benefits, because the salary never takes the form of a
61     medical or dental benefit and is paid from significant cost savings, eliminating equity and
62     budgetary issues; and
63          WHEREAS, the state health insurance pool currently exceeds the recommended reserve
64     level, making it possible for the state and its employees to receive a refund of $25,460,000
65     from the pool with $23,300,000, or 92%, of the refund going to the state and the remaining
66     $2,160,000, or 8%, going to state employees:
67          NOW, THEREFORE, BE IT RESOLVED, that the Legislature, the Governor
68     concurring therein, directs:
69          (1) PEHP to notify State Finance of any state employee who opts out of medical or
70     dental benefits upon proof of other insurance coverage during open enrollment or a special
71     enrollment period;
72          (2) State Finance to increase the salary of a state employee who opts out of medical
73     coverage as provided in Section (1) to a proportionate share of the following amounts each
74     payroll period:
75          (a) $2,000 per year for an employee eligible for single coverage; and
76          (b) $4,000 per year for an employee eligible for double or family coverage;
77          (3) State Finance to increase the salary of a state employee who opts out of dental
78     benefits as provided in Section (1) to a proportionate share of the following amounts each
79     payroll period:
80          (a) $400 per year for an employee eligible for family coverage;
81          (b) $200 per year for an employee eligible for double coverage; and
82          (c) $100 per year for an employee eligible for single coverage;
83          (4) State Finance to treat the amounts described in Sections (2) and (3) as income for
84     purposes of employer FICA, retirement contributions, workers' compensation, long-term
85     disability, and any other benefit;
86          (5) PEHP to assist State Finance in creating a cash-in-lieu of benefits flexible spending
87     account to allow a state employee to opt out of medical or dental benefits as directed above;
88          (6) PEHP to give a state employee on Consumer Plus the option of electing up to 100%
89     of the allocation sent to PEHP as an HSA contribution to be forwarded to that employee rather

90     than be deposited into the employee's HSA, and to distribute that sum at the same time Health
91     Savings Account contributions are dispersed;
92          (7) PEHP to require a state employee who requests any part of an HSA contribution in
93     cash to agree to the following as a condition of receiving payment:
94          (a) that the sum is not compensation, but an employee benefit, and thus may not be
95     counted toward retirement contributions, workers' compensation, long-term disability, or any
96     other benefit; and
97          (b) that the sum paid is subject to all taxes related to that sum, including employer
98     FICA;
99          (8) PEHP to charge state employees on the STAR HSA Plan a premium of 2% of the
100     health plan costs on an ongoing basis and to increase the state's HSA contribution by the same
101     amount as the 2% employee premium share for Fiscal Year 2021 only;
102          (9) PEHP to offer a new BASIC HSA Dental Plan with coverage for basic dental, no
103     premium, and a state HSA contribution, paid at the same time as the medical HSA, of:
104          (a) $255 for family coverage;
105          (b) $140 for double coverage; and
106          (c) $75 for single coverage;
107          (10) PEHP to offer a new DISCOUNT HSA Dental Plan with no premium and access
108     to PEHP's dental network for discounted rates and a state HSA contribution, paid at the same
109     time as the medical HSA, of:
110          (a) $785 for family coverage;
111          (b) $430 for double coverage; and
112          (c) $235 for single coverage;
113          (11) PEHP to develop rules of eligibility for the options above to minimize adverse
114     selection and address other insurance-related issues; and
115          (12) PEHP to refund $25,460,000 from the state health insurance pool to the state and
116     its employees before May 1, 2020, with $23,300,000, or 92%, of the refund going to the state
117     and the remaining $2,160,000, or 8%, going to state employees.