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Pub
lic E
mpl
oyee
s’ B
enef
it B
oard
O
rego
n E
duca
tors
Ben
efit
Boa
rd
2015
–201
7 B
udge
t Ove
rvie
w
Pre
sent
atio
n to
the
Hum
an S
ervi
ces
Legi
slat
ive
Sub
com
mitt
ee o
n W
ays
and
Mea
nsM
arch
30,
201
5
Lynn
e S
axto
n, O
HA
Dire
ctor
Kat
hy L
oret
z, P
EB
B a
nd O
EB
B In
terim
Adm
inis
trat
or
Pau
l McK
enna
, PE
BB
Cha
ir
Ric
k S
hida
ker,
OE
BB
Cha
ir
Tra
nsfo
rmin
g he
alth
car
e in
Ore
gon
Tra
nsfo
rmin
g he
alth
car
e in
Ore
gon
PE
BB
’s S
ucce
ss: b
eatin
g th
e tr
end
Ore
gon
Med
ical
/RX
Tre
nd
PE
BB
Pre
miu
m C
ompo
site
Tre
nd
6.90
%
11.5
0%
5.70
%
10.5
0%11
.10%
8.90
%
7.50
%7.
50%
PE
BB
Pre
miu
m C
ompo
site
Tre
nd
3
5.70
%5%
5%
-0.3
3%
-0.9
0%
OE
BB
’s S
ucce
ss: b
eatin
g th
e tr
end
OE
BB
has
sta
yed
belo
w O
rego
n’s
med
ical
tren
d fo
r al
l but
one
of i
ts
plan
yea
rs.
11.2
%
17%
4
11.2
%
8.2%
7.3%
3.8%
6.5%
Ben
efit
boar
ds a
lign
with
bet
ter
heal
th,
bette
r ca
re, l
ower
cos
ts
Ore
gon
Hea
lth A
utho
rity’
s vi
sion
of a
hea
lthy
Ore
gon
and
impr
ovin
g m
embe
r he
alth
by
:
•A
dvan
cing
the
patie
nt-c
ente
red
prim
ary
care
hom
e st
ruct
ure
•S
uppo
rtin
g pr
even
tion
and
wel
lnes
s•
Sup
port
ing
prev
entio
n an
d w
elln
ess
•E
ncou
ragi
ng w
ise
use
of h
ealth
car
e re
sour
ces
•P
rom
otin
g al
tern
ativ
e pa
ymen
t met
hodo
logi
es p
ilots
5
Ben
efit
boar
ds a
lign
with
bet
ter
heal
th,
bette
r ca
re, l
ower
cos
ts
Ore
gon
Hea
lth A
utho
rity’
s vi
sion
of a
hea
lthy
Ore
gon
and
enha
ncin
g qu
ality
of c
are
by:
•P
rom
otin
g qu
ality
car
e ba
sed
on e
vide
nce
and
outc
omes
•U
sing
qua
lity
mea
sure
s in
the
2015
med
ical
con
trac
ts
•U
sing
qua
lity
mea
sure
s in
the
2015
med
ical
con
trac
ts
•C
ontr
actin
g w
ith h
ealth
sys
tem
s th
at a
re a
ccou
ntab
le fo
r pe
rfor
man
ce
•M
odify
ing
vend
or a
nd c
arrie
r co
ntra
cts
6
Ben
efit
boar
ds a
lign
with
bet
ter
heal
th,
bette
r ca
re, l
ower
cos
ts
Ore
gon
Hea
lth A
utho
rity’
s vi
sion
of a
hea
lthy
Ore
gon
and
low
erin
g or
con
trol
ling
cost
s by
:
•D
esig
ning
val
ue-b
ased
ben
efits
that
enc
oura
ge c
onsi
dera
tion
of
effe
ctiv
e al
tern
ativ
es•
Usi
ng r
efer
ence
-bas
ed p
ricin
g•
Enh
anci
ng b
enef
it m
anag
emen
t sys
tem
s •
Alig
ning
with
OH
A in
con
trac
ting
and
purc
hasi
ng
7
Cha
lleng
esC
ontr
ollin
g pr
emiu
m c
osts
:•
Infla
tion
in h
ealth
car
e co
sts
and
med
ical
tren
d dr
ive
prog
ram
cos
ts•
Agi
ng p
opul
atio
ns•
Bie
nnia
l hea
lth r
isk
surv
ey s
how
s bo
th g
roup
s ha
ve•
Abo
ut 1
0 pe
rcen
t of p
opul
atio
n w
ith c
hron
ic c
ondi
tions
•M
ajor
ity h
ave
sede
ntar
y oc
cupa
tions
Mem
ber
enga
gem
ent a
nd e
duca
tion:
•H
elpi
ng m
embe
rs u
nder
stan
ding
the
valu
e of
bet
ter
care
coo
rdin
atio
n•
Enc
oura
ging
mem
bers
to fu
lly u
se a
vaila
ble
heal
th a
nd w
elln
ess
prog
ram
s to
:•
Impr
ove
thei
r he
alth
•R
educ
e he
alth
ris
ks
8
Beh
avio
ral R
isk
Fac
tor
Sur
veill
ance
Sys
tem
for
stat
e em
ploy
ees
(BS
SE
) –
PE
BB
cig
aret
te
smok
ing
and
obes
ity
30.3
%28
.1%
23.9
%22
.2%
9
9.9%
8.8%
4.1%
4.1%
Beh
avio
ral R
isk
Fac
tor
Sur
veill
ance
Sys
tem
for
scho
ol e
mpl
oyee
s (B
SS
E)
–O
EB
B c
igar
ette
sm
okin
g an
d ob
esity
27.6
%
22.3
%23
.4%
10
5%4.
9%4.
8%
Beh
avio
ral R
isk
Fac
tor
Sur
veill
ance
Sys
tem
for
stat
e em
ploy
ees
(BS
SE
)-P
EB
B C
olor
ecta
l sc
reen
ing
and
heal
th s
tatu
s
58.8
%
69.3
%65
.1%
74.8
%
68%
78.6
%
70.5
%
11
Beh
avio
ral R
isk
Fac
tor
Sur
veill
ance
Sys
tem
for
scho
ol e
mpl
oyee
s (B
SS
E)
–O
EB
B c
olor
ecta
l sc
reen
ing
and
heal
th s
tatu
s
60.3
%
70.4
%68
.2%
70.7
%75
.0%
69.9
%
12
Pub
lic E
mpl
oyee
s’ B
enef
it B
oard
20
15–2
017
Bud
get
over
view
2015
–201
7 B
udge
t ov
ervi
ew
Pub
lic E
mpl
oyee
s’ B
enef
it B
oard
(PE
BB
)
14
2015
–17
PE
BB
org
aniz
atio
nst
ruct
ure
15
Who
PE
BB
ser
ves
…
61,3
042014
PE
BB
act
ive
enro
llmen
ts
16
36,0
28
19,1
91
14,2
461,
386
809
PE
BB
rev
enue
sou
rces
•P
ublic
Em
ploy
ees’
Ben
efit
Acc
ount
–
Rev
enue
-O
ther
Fun
ds (
tran
sfer
of
bene
fits
from
sta
te p
ayro
ll sy
stem
)–
Adm
inis
trat
ive
asse
ssm
ent a
dded
to
med
ical
and
den
tal p
rem
ium
s
•P
ublic
Em
ploy
ees’
Rev
olvi
ng F
und
–P
ay p
rem
ium
s, p
rovi
de fo
r se
lf-in
sura
nce
and
subs
idiz
e pr
emiu
ms
–A
ccou
nts
in R
evol
ving
Fun
d•
Sel
f-in
sura
nce
Res
erve
•F
lexi
ble
Spe
ndin
g A
ccou
nt
Adm
inis
trat
ion
17
PE
BB
201
5–17
Gov
erno
r’s b
udge
t
Pub
lic
Em
ploy
ees’
$1.6
4 bi
llion
99.4
%S
tabi
lizat
ion
Acc
ount
$9.9
mill
ion
18
Em
ploy
ees’
B
enef
it B
oard
To
tal F
unds
$1
.65
billi
on
$9.9
mill
ion
0.6%
Ope
ratio
n bu
dget
New
in 2
015
-Im
prov
ed c
are
coor
dina
tion
•P
EB
B m
embe
rs n
ow h
ave
a ch
oice
bet
wee
n tw
o or
mor
e m
edic
al p
lans
in
all
36 O
rego
n co
untie
s.•
Mos
t pla
n ch
oice
s ar
e av
aila
ble
at a
low
er c
ost t
o bo
th m
embe
rs a
nd
the
stat
e.•
Pla
ns a
re r
equi
red
to m
eet a
nd r
epor
t hig
h qu
ality
mea
sure
s of
car
e by
:
–P
riorit
izin
g he
alth
and
pre
vent
ion
serv
ices
–P
riorit
izin
g he
alth
and
pre
vent
ion
serv
ices
–M
anag
ing
cost
s by
cut
ting
was
te a
nd r
equi
ring
heal
th p
lans
and
pr
ovid
ers
to b
e ef
ficie
nt, c
oord
inat
ed a
nd fo
cuse
d on
the
patie
nt
19
PE
BB
med
ical
pla
n hi
ghlig
hts
Mos
t 201
5 m
edic
al p
lans
:•
Offe
r th
e fir
st fo
ur v
isits
to p
rimar
y ca
re, w
ith n
o de
duct
ible
•
Cov
er th
e fu
ll co
st o
f cer
tain
chr
onic
con
ditio
n vi
sits
, with
no
dedu
ctib
le, c
opay
men
t or
coin
sura
nce
All
2015
med
ical
pla
ns:
All
2015
med
ical
pla
ns:
•C
over
nat
iona
lly r
ecom
men
ded
prev
entiv
e se
rvic
es•
Lim
it ou
t-of
-poc
ket c
osts
:–
$ 60
0/pe
rson
, up
to $
1,20
0/fa
mily
–K
aise
r–
$1,5
00/p
erso
n, u
p to
$4,
500/
fam
ily –
all o
ther
pla
ns
20
AllC
are
PE
BB
ser
vice
are
a
Cur
ry, J
acks
on, J
osep
hine
and
citi
es o
f Gle
ndal
e, A
zale
a in
Dou
glas
21
Bal
ance
by
Tril
lium
ser
vice
are
a
Lane
Cou
nty
22
Kai
ser
serv
ice
area
ZIP
cod
es in
Ben
ton,
Cla
ckam
as, C
olum
bia,
Hoo
d R
iver
, Lin
n, M
ario
n,
Mul
tnom
ah, P
olk,
Was
hing
ton
and
Yam
hill
Cla
rk, C
owlit
z, L
ewis
, Ska
man
ia a
nd W
ahki
akum
in W
ashi
ngto
n
23
Mod
aS
umm
it se
rvic
e ar
eaB
aker
, Gill
iam
, Gra
nt, H
arne
y, L
ake,
Mal
heur
, Mor
row
, She
rman
, U
mat
illa,
Uni
on, W
allo
wa
and
Whe
eler
Pay
ette
in Id
aho
24
Mod
aS
yner
gy s
ervi
ce a
rea
Ben
ton,
Cla
ckam
as, C
lats
op, L
ane,
Lin
n, M
ario
n, M
ultn
omah
, Pol
k,
Till
amoo
k, W
asco
, Was
hing
ton
and
Yam
hill
Cla
rk in
Was
hing
ton
25
Pro
vide
nce
Cho
ice
serv
ice
area
Bak
er, B
ento
n, C
lack
amas
, Cla
tsop
, Coo
s, C
rook
, Cur
ry, D
esch
utes
, D
ougl
as, H
ood
Riv
er, J
acks
on, J
effe
rson
, Jos
ephi
ne, K
lam
ath,
Lan
e,
Linc
oln,
Lin
n, M
alhe
ur, M
ario
n, M
orro
w, M
ultn
omah
, Pol
k, U
mat
illa,
Uni
on,
Wal
low
a, W
asco
, Was
hing
ton
and
Yam
hill
Pay
ette
in Id
aho;
Cla
rk, W
alla
Wal
la in
Was
hing
ton
26
Pro
vide
nce
Sta
tew
ide
serv
ice
area
Sta
tew
ide
and
natio
nwid
e
27
PE
BB
cor
e be
nefit
s
•M
edic
al
•D
enta
l
•V
isio
n
•B
asic
em
ploy
ee li
fe p
lan
28
PE
BB
opt
iona
l ben
efits
Insu
ranc
e
•Li
fe
•A
ccid
enta
l dea
th a
nd d
ism
embe
rmen
t
•Lo
ng-
and
shor
t-te
rm d
isab
ility
•Lo
ng-t
erm
car
e•
Long
-ter
m c
are
Fle
xibl
e sp
endi
ng a
ccou
nts
for
heal
th c
are,
de
pend
ent c
are
and
com
mut
er b
enef
its
Em
ploy
ee a
ssis
tanc
e pr
ogra
m
29
PE
BB
Hea
lth E
ngag
emen
t Mod
el (
HE
M)
Eng
age
peop
le to
impr
ove
heal
th, c
onta
in c
osts
. PE
BB
offe
rs
mem
bers
:•
Fin
anci
al in
cent
ives
to p
artic
ipat
e in
the
prog
ram
•A
priv
ate
heal
th a
sses
smen
t on
plan
’s s
ecur
e w
ebsi
te•
The
opp
ortu
nity
to le
arn
mor
e ab
out w
ays
to r
educ
e he
alth
ris
ks•
A v
arie
ty o
f hea
lthy
activ
ities
to c
hoos
e fr
om to
impr
ove
heal
th
30
72.7
%
PE
BB
HE
M p
artic
ipan
ts
75.3
%75
.4%
80.8
%
2015
–17
Gov
erno
r’s b
udge
tS
tabi
lizat
ion
Fun
d
•T
otal
201
5–17
bud
get:
$1.6
4 bi
llion
•In
flatio
n gr
owth
is c
appe
d at
3.4
per
cent
ann
ually
•20
15–1
7 G
over
nor’s
bud
get a
ctio
ns:
–H
ealth
iest
sta
te c
halle
nge
in p
artn
ersh
ip w
ith O
rego
n bu
sine
sses
–$1
20 m
illio
n in
Sta
biliz
atio
n F
und
Res
erve
tran
sfer
red
to G
ener
al
–$1
20 m
illio
n in
Sta
biliz
atio
n F
und
Res
erve
tran
sfer
red
to G
ener
al
Fun
dto
offs
et c
ompe
nsat
ion
chan
ges
in th
e S
peci
al P
urpo
se
App
ropr
iatio
n to
the
Em
erge
ncy
Fun
d–
Net
Sta
biliz
atio
n F
und
Res
erve
is s
till a
n ad
equa
te w
orki
ng
capi
tal b
alan
ce fo
r P
EB
B’s
sel
f-in
sure
d pl
ans.
31
Com
posi
te r
ate
per
PE
BB
em
ploy
eeP
EB
B c
ompo
site
rat
e pr
emiu
m p
er e
mpl
oyee
per
mon
th
(PE
PM
)P
roje
ctio
n ve
rsus
act
ual c
osts
32
Ore
gon
Edu
cato
rs B
enef
it B
oard
20
15–2
017
Bud
get o
verv
iew
2015
–201
7 B
udge
t ove
rvie
w
Ore
gon
Edu
cato
rs B
enef
it B
oard
(OE
BB
)
Tw
o m
embe
rs r
epre
sent
ing
scho
ol b
oard
s:•
Ron
Gal
linat
•N
ancy
Mac
Mor
ris-A
dix
Tw
o m
embe
rs r
epre
sent
ing
educ
atio
n m
anag
emen
t:•
Bob
Ste
war
t
Tw
o he
alth
pol
icy
expe
rts:
•V
acan
t•
Vac
ant
One
mem
ber
repr
esen
ting
loca
l go
vern
men
t man
agem
ent
•V
acan
t•
Bob
Ste
war
t•
Hea
ther
Cor
die,
PhD
Fou
r m
embe
rs r
epre
sent
ing
educ
atio
n no
n-m
anag
emen
t:•
Dav
e F
iore
•R
ick
Shi
dake
r•
Che
rie M
aas-
And
erso
n•
Vac
ant
One
mem
ber
repr
esen
ting
loca
l go
vern
men
t non
-man
agem
ent
•Ja
imie
Sor
enso
n
34
2015
–17
OE
BB
org
aniz
atio
nst
ruct
ure
35
Who
OE
BB
Ser
ves
The
Ore
gon
Edu
cato
rs B
enef
it B
oard
(O
EB
B)
adm
inis
ters
med
ical
, vis
ion,
de
ntal
, lon
g te
rm c
are,
and
opt
iona
l ben
efits
ava
ilabl
e to
Ore
gon:
•S
choo
l Dis
tric
ts (
190)
•E
duca
tiona
l Ser
vice
Dis
tric
ts (
20)
•C
hart
er S
choo
ls (
20)
•C
omm
unity
Col
lege
s (1
3)•
Com
mun
ity C
olle
ges
(13)
•C
ount
ies
(2)
•S
peci
al d
istr
icts
(2)
Pas
sage
of H
ouse
Bill
227
9 (2
013)
ena
bled
citi
es, c
ount
ies
and
spec
ial
dist
ricts
to jo
in th
e O
EB
B &
PE
BB
ben
efit
prog
ram
s ef
fect
ive
Janu
ary
1,
2014
.
36
OE
BB
reve
nue
sour
ces
•O
rego
n E
duca
tors
Ben
efit
Acc
ount
op
erat
ing
fund
s–
Gen
erat
ed th
roug
h ad
min
istr
ativ
e as
sess
men
t bui
lt in
to m
edic
al,
dent
al a
nd v
isio
n pr
emiu
ms
•C
appe
d at
2 p
erce
nt o
f tot
al m
onth
ly p
rem
ium
s•
Cur
rent
ly a
t 0.9
0 pe
rcen
t•
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