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11/19/2008 Charleston Gazette opinion piece by
Judy Hale
 
Premiums will hurt teachers
The Public Employees Insurance Agency's proposed premium increase will dramatically diminish the quality of life and health care of West Virginia teachers and school service personnel. In turn, this will impact our ability to provide high-quality instruction and services to our schools, colleges and universities.

The Public Employees Insurance Agency's proposed premium increase will dramatically diminish the quality of life and health care of West Virginia teachers and school service personnel. In turn, this will impact our ability to provide high-quality instruction and services to our schools, colleges and universities.

The proposal seeks $15 million in premium increases. However, at the end of the first year of the proposed plan, the reserve fund will be $20 million more than what is required by law, more than enough to offset the increase in premiums. We therefore request that PEIA use $15 million of the reserve fund and rescind the premium increase for both active members and retirees.

Second, the plan seeks an increase in co-payments for those seeking medical treatment outside of West Virginia. While on paper this proposal might seem harmless, it is a Trojan horse, as this proposal would significantly reduce benefits for over 50 percent of our population.

This is bad public policy. A large segment of the insured live in areas of the state where there are few options but to go out-of-state. For example, it has been standard practice for those who live in the Eastern Panhandle to go to Winchester, Va., for medical care. There are no other viable options for them - unless "viable" is defined as driving 2 1/2 to three hours to receive in-state medical care.

Is it good policy to ask a teacher in Hancock County who just had a stroke to drive two hours to Morgantown rather than a short drive to Pittsburgh? The plan will penalize employees simply because they live in border counties and place our employees and retirees in harm's way. PEIA shouldn't do this. Rather, it should do a better job of negotiating with out-of-state providers.

PEIA's efforts to reduce benefits for those who live in our border counties come at a time when we are working with local governments to provide incentives to attract and retain education personnel. The proposal will deflate our efforts and make the environs of Virginia, Maryland, Pennsylvania and Ohio that much more inviting. Only those who plan recruiting fairs in the contiguous states probably are happy with the proposal.

PEIA's plan to increase out-of-pocket maximums is regressive by definition. It forces our lower-salaried employees to pay a greater proportion of their income than those who earn more. The less you make, the greater your share of the increase will be. Consider the following. A school cook with an annual salary of $20,000 will have an out-of-pocket maximum increase equal to 2 percent of her salary. A central office administrator will have an increase of less than 1 percent. How is this fair? This regressive proposal should be withdrawn.

Finally, and let me very clear and unambiguous; retirees simply can't afford an 11 percent jump in their premiums and the other increases in the proposed plan. Where is the logic in this proposal? How can it justify such a large increase in premiums for those on fixed incomes? Given that they do not receive a cost-of-living adjustment (nor have they had a measurable bump in their incomes), how are they supposed to pay for an 11 percent increase and increased co-payments? They will truly be faced with Hobson's choice - basic necessities or medical care.

We believe that health care is not just another commodity. It is not a gift to be rationed based on the ability to pay. Rather, it is a fundamental right. The PEIA proposal harms the poorest and sickest among us. We have a fundamental difference of opinion as to the purpose and mission of insurance. As president of AFT-WV, I ask PEIA to return to the drawing board and reconsider these proposals.

Hale, state president of the

American Federation of Teachers,

made these comments at a November PEIA public hearing.


 



IMPORTANT PEIA ALERT

 

At a meeting of the legislature’s select committee on PEIA and Long-Term Care held on Monday, November 17, PEIA announced that their proposed plan will not include both the premium increases and benefit cuts as currently proposed.  Rather, PEIA officials, in response to questions by AFT-WV, announced that the final plan will include either a premium increase or the proposed benefit cuts or a mixture of the two.  But the plan will not include an increase in premiums of 9% for active employees and 11% for retirees and the benefit cuts as proposed.  While AFT-WV is pleased to hear of this clarification, the proposed cuts and premium increases will still shift the cost of healthcare unfairly to the employee, especially to those who go out-of-state to receive medical treatment. PEIA has a reserve fund that exceeds the legal threshold and the funds should be used to offset any employee and retiree premium increases and benefit cuts.

 

In other legislative news, the Joint Education Committee, Subcommittee “C”,  heard a report by Marshall University’s Center for Business and Economic Research on teacher salaries, how they compare with other states and the nation, how they compare with comparable professions and possible methods to make our salaries more attractive and competitive.  Much of the data on salaries was derived from a 2008 AFT report.

 

The conclusions of the report are noteworthy not because they tell us something new.  Rather, the data is important because an “independent” group has validated what we have been saying all along.  Namely, we lag behind the contiguous states and the rest of the nation when it comes to teacher pay.  

 

Here are the conclusions as presented in the report:

 

  1. When compared to surrounding states and the US average, West Virginia teachers at the 10th percentile, median and 90th percentile, are paid less by significant amounts.  
  2. The greatest disparity exists for the more experienced teachers.  Said differently, we are more competitive at the 10th percentile (new teachers), but we lag behind other states and the nation for the more experienced and qualified teachers.
  3. Teachers are paid less than individuals holding similar jobs requiring similar education and training.  These conclusions are consistent across all percentiles (10th, median and 90th).
  4. The remuneration received for most of the comparable occupations is below what is paid on average nationwide and in surrounding states.  However, in some cases the difference is slight.
  5. Methods suggest by the report to increase teacher salaries:

 

·         Raising the state minimum scale used in the Public School Support Program

·         Enact a state-wide excess levy on property which would be designated exclusively for increasing teacher salaries.

·         Designate a portion of an existing tax to pay the increased costs of increasing teacher salaries.

 

 

AFT-WV attended the committee meeting and offered testimony in support of increasing salaries.  No action was taken nor was any recommendation made.  

 


 

 

11/17/2008

Lawmakers Hear About Proposed PEIA Changes

MetroNews
Charleston, Kanawha County

It's an either/or situation.

Lawmakers met Monday to hear more about the proposed changes in PEIA coverage for state workers and retirees.

PEIA Chief Financial Officer Jason Hill told a legislative committee Monday that a change in the medical climate is forcing the Finance Board to make some unpopular decisions.  They either need to increase premiums or decrease benefits. It's one or the other.

PEIA is holding a series of public meetings around the state to inform those covered by PEIA about the possible changes.  The changes were introduced the day after the election. The week after that, the public meetings started.

Wayne County Delegate Don Perdue is not sold on the either/or plan. "It has come quickly and that's part of our problem is trying to understand the reasoning for it, the whys of it, then what is it going to do."

Hill says there's a tough decision to make.

Current employees can accept a 9% premium increase and retirees can accept a 6% premium increase and keep their current benefits or stay with their current premiums and take cuts to their benefits.  That would mean charging more for going to an out-of-state provider, an increase when it comes to non-preferred drugs and increasing costs for those who use tobacco.

Perdue says he's not sure he's in favor of PEIA's either/or tactic.  He says he wants more options from the Finance Board. "I strongly urge them to reconsider what they're doing and to consider other alternative pursuits."

Greenbrier County Delegate Tom Campbell says, in the end, it's the Finance Board that holds the cards. "Ultimately it's a Finance Board decision. It's not a legislative decision. But obviously we're elected by the people so we need to be in tune with what is going on."


 




 

 Proposed PEIA Plan Changes

 

On November 6, 2008, the PEIA Finance Board approved a proposed plan to present at public hearings across the state beginning November 12th in Wheeling.  The plan includes increases in premiums, co-payments and out-of-pocket maximums and would take effect July 1, 2009.  Please note that the public hearings begin next week.  AFT-WV & WVSSPA will attend the hearings and it is important that you attend as well.  Your voice needs to be heard!

 

Here is a brief synopsis of the plan changes:


Premium Increases:
  • Active employees will increase 9%.
  • Retirees will increase 11%.

 

Prescription Co-payment Increases:

    • Active employees:
      • Current – 5/15/50
      • Proposed  - 5/25/50
        • Nexium, Prevacid, Aciphex, Clarinex, Xyzal no longer covered;
        • Implementation of new drug formulary;
        • Some drugs will be removed from the $50 level;
    • Retirees
      • “Tier Two” to increase from $15 to $20.

 

Major Medical Drug Plan Changes for PPB Plan A:

    • Out-of-pocket maximum for family coverage (employee and children, family, family with employee spouse) to increase to 150% of the single coverage (50% increase for all policies with more than one covered person).
      • e.g., out of pocket maximum will change from $1,100 to $1,650 for those making $20,001 to $30,000;
      • e.g., out of pocket maximum will change from $1,500 to $2,250 for those making $36,001-$42,000;
      • e.g., out of pocket maximum will increase change from $1750 to $2,265 for those making between  $42,001 to $50,000;

 

    • For active employees
        • Increase in “in-network” office visits co-payments:
        • Current – 10/15/20
        • Proposed – 10/20/25

 

§         For Retirees “in-network” office co-payments :

          • Current - $10/20
          • Proposed - $10/$25
          • Additional  co-payments for other services.

 

  • Co-payments for network providers outside of WV will increase from an 80/20 co-payment to a 70/30 co-payment (this impacts those who reside in our border counties);

Talking Points

  • The proposed plan is an example of cost-shifting at its worst.
  • With our state enjoying a budget surplus, there is no need to implement these draconian measures.  
  • The proposed changes will have serious consequences on the lives of thousands of education and state employees, both active and retired;
  • The higher co-payments will hurt disproportionately those who reside in border counties;
  • This will make it even more difficult for our border counties to attract and retain education personnel;
  • The 9% premium increases come at a time when education employees are only receiving salary increases of 3%;
  • The 11% premium increase will cripple those retirees who are on fixed incomes;
  • With the cost of gas and other basic necessities  dramatically increasing, employees simply can’t afford the increases in premiums and benefits as proposed.

 

Public Hearing Schedule

Customer Service:  4:00 - 6:00

Registration:  5:30 – 6:00

Public Hearing:  6:00 – 8:00

 

DATE

LOCATION

Wednesday, November 12, 2008


WV Northern Community College,
1704 Market Street, Wheeling, WV

Thursday, November 13, 2008

Ramada Inn, 20 Scott Avenue, Morgantown, WV

Monday, November 17, 2008

Holiday Inn, 301 Fox Croft Avenue, Martinsburg, WV

Tuesday, November 18, 2008

Tamarack Theatre, One Tamarack Park, Beckley, WV 

Wednesday, November 19, 2008

Civic Center, Little Theater, 200 Civic Center Drive,  Charleston, West Virginia

Thursday, November 20, 2008

Marshall University Medical School,

Harless Auditorium,

1600 Medical Center Drive,

Huntington, WV

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