1     
CONCURRENT RESOLUTION FOR STATE HEALTH PLAN

2     
BENEFIT CHANGES

3     
2024 GENERAL SESSION

4     
STATE OF UTAH

5     
Chief Sponsor: James A. Dunnigan

6     
Senate Sponsor: Curtis S. Bramble

7     

8     LONG TITLE
9     General Description:
10          This resolution directs the Public Employees' Benefit and Insurance Program to modify
11     certain health insurance benefits for state employees.
12     Highlighted Provisions:
13          This resolution:
14          ▸     directs the Public Employees' Benefit and Insurance Program to:
15               •     increase the deductible for the STAR HSA Plan;
16               •     add an individual out-of-pocket maximum to the STAR HSA Plan for double
17     and family coverage;
18               •     increase the total out-of-pocket maximum for the STAR HSA Plan for all levels
19     of coverage;
20               •     modify the state's HSA contribution for single coverage on the STAR HSA Plan
21     and for the Consumer Plus Plan; and
22               •     adjust the percentage of premium paid by the employee.
23     Special Clauses:
24          None
25     

26     Be it resolved by the Legislature of the state of Utah, the Governor concurring therein:
27          WHEREAS, in accordance with Utah Code Section 49-20-201, the state participates in

28     the Public Employees' Benefit and Insurance Program;
29          WHEREAS, Utah Code Subsection 49-20-401(1)(g) provides that the program shall
30     "consult with the covered employers to evaluate employee benefit plans and develop
31     recommendations for benefit changes";
32          WHEREAS, Utah Code Subsection 49-20-401(1)(j) provides that the program shall
33     "submit, in advance, the program's recommended benefit and rate changes for state employees,
34     which may include actuarially substantiated member premium differentials between networks,"
35     to the Legislature and the director of the Division of Human Resource Management;
36          WHEREAS, Utah Code Subsection 49-20-401(1)(l) provides that the program
37     "determine benefits and rates based on the total estimated costs and the employee premium
38     share established by the Legislature, upon approval of the board, for state employees";
39          WHEREAS, the deductible for the STAR HSA Plan has to increase to $1,600 for single
40     coverage and $3,200 for double and family coverage in 2024 to be compliant with federal law;
41          WHEREAS, an embedded individual out-of-pocket maximum is currently a benefit
42     feature of the Traditional Plan and the Consumer Plus Plan and adding an embedded individual
43     out-of-pocket maximum to the STAR HSA Plan would make this a standard benefit feature
44     across plans offered;
45          WHEREAS, some families can be four times more likely than others to reach the
46     current out-of-pocket maximum due to the health status of a single member, making the
47     creation of an embedded individual out-of-pocket maximum of particular benefit to these
48     families;
49          WHEREAS, the total combined out-of-pocket maximum for the Traditional Plan is
50     $3,000 for single coverage, $6,000 for double coverage, and $9,000 for family coverage,
51     adopting the same out-of-pocket maximums for the STAR HSA Plan would create a standard
52     benefit feature and result in cost neutrality; and
53          WHEREAS, a material actuarial difference exists between the two networks offered to
54     state employees:
55          NOW, THEREFORE, BE IT RESOLVED that the Legislature of the state of Utah, the
56     Governor concurring therein, direct the Public Employees' Benefit and Insurance Program,
57     beginning with the 2025 plan year, to:
58          (1) increase the deductible for the STAR HSA Plan to $1,600 for single coverage and

59     $3,200 for double and family coverage;
60          (2) add an embedded individual out-of-pocket maximum of $4,000 to the STAR HSA
61     Plan for double and family coverage;
62          (3) increase the total out-of-pocket maximum for the STAR HSA Plan to $3,000 for
63     single coverage, $6,000 for double coverage, and $9,000 for family coverage;
64          (4) add $125 to the state's contribution for single coverage on the STAR HSA Plan;
65          (5) for the Traditional Plan, add 1% of total premium cost to the employee share for the
66     Advantage Network and subtract 2% of total premium cost from the employee share of the
67     Summit Network;
68          (6) for the STAR HSA Plan, add 1% of total premium cost to the employee share for
69     the Advantage Network and eliminate the employee premium share for the Summit Network;
70     and
71          (7) for the Consumer Plus Plan, create an employee share of 1% of total premium cost
72     for the Advantage Network and add the equivalent of 2% of total premium cost to the state's
73     HSA contribution.
74          BE IT FURTHER RESOLVED that a copy of this resolution be sent to the Public
75     Employees' Benefit and Insurance Program.