What is PEBA? Is it pronounced? + Or is it pronounced? + PEBA Creation • 9-4-10 (A) – Created the South Carolina Public Employee Benefit Authority (PEBA), effective July 1, 2012 • 9-4-10(H) – Incorporated the S.C. Retirement Systems and the Employee Insurance Program (EIP) into a free-standing state agency known as PEBA Prior Governance • Before PEBA, both the Retirement Systems and EIP were divisions of the SC Budget and Control Board • The Budget and Control Board consists of: the Governor; Chair of Senate Finance; Chair of House Ways and Means; Comptroller; and State Treasurer PEBA Governance • Governing body of authority is PEBA Board of Directors • Eleven board members appointed by Governor (3), President Pro Tempore of the Senate (2), Chairman of Senate Finance (2), Speaker of the House (2), and Chairman of House Ways and Means (2) • Members serve two-year terms at pleasure of appointing authority PEBA Board Qualifications • • • • One active or retired member of PORS One retired member of SCRS One active member of SCRS One active member of SCRS who is employed by a public school district • Seven non-representative members that cannot be a member of one of the groups above – Must be a lawyer, CPA, CFP, have experience with pensions/insurance, etc. Representative Members Board Member Appointing Authority Represents Leon Lott President Pro Tempore of Senate Active or Retired PORS member Frank Fusco Chairman of Senate Finance Retired SCRS Member Peggy Boykin Speaker of the House State Employee – Active SCRS Stacy Kubu Chairman of House Ways and Means School District EmployeeActive SCRS Non-representative Members Board Member Appointing Authority Arthur M. Bjontegard, Jr. (Chairman) Governor Stephen Heisler Governor Steve A. Matthews Governor John A. Sowards President Pro Tempore of the Senate Joe W. “Rocky” Pearce, Jr. Chairman of Senate Finance David J. Tigges Speaker of the House of Representatives Audie Penn Chairman of House Ways and Means PEBA Board Compensation • Each board member receives $12,000 per year salary for serving plus expenses • Membership on the board does not make the member eligible to participate in the Retirement Systems or the State Health Plan • Salary is not earnable compensation for Retirement Systems purposes Authority of PEBA Board • Administer retirement systems, insurance programs, State ORP, S.C. Deferred Compensation Program (1/1/2014) • Make policy determinations for insurance programs and retirement systems; however, must be approved by SC Budget and Control Board Executive Director • Executive Director of PEBA is currently appointed by the Governor, Chairman of House Ways and Means, and Chairman of Senate Finance • Effective January 1, 2014, the PEBA Board appoints the Executive Director • Current Interim Executive Director is David K. Avant Internal Structure of PEBA • To realize efficiencies, common components of EIP and the Retirement Systems have been combined. These include: – Call Center – Customer Service Intake – Administration – Legal – IT – Communications PEBA Impact • For Employees and Employers– Should provide a one-stop approach to dealing with benefits • Provides a dedicated governing body that interested stakeholders can express their concerns to regarding retirement/insurance issues • Should be material cost savings in regard to administration of the plans from consolidation of duplicative functions State Health Plan (SHP) • The State Health plan is self-insured, but contracts with BCBSSC to administer the payment of healthcare claims and Express Scripts (may change pending results of RFP) to administer the pharmaceutical claims. • PEBA also contracts with vendors to provide other services such as: vision, optional life insurance, long-term disability, etc. SHP Demographic Data Subscribers Covered Lives State Agencies 57,222 106,019 Schools 80,291 159,986 Local/Other 38,378 71,437 Retirees 79,418 (73% Medicare elig) 108,725 Total 255,309 446,167 16 SHP Statistics • The State Health Plan currently covers 680 public employers comprised of: – 110 State Agencies (33% of active subscribers) – 96 School Districts (46% of active subscribers) – 474 Others (cities, counties, etc.) (21%) Total SHP Claims Total $ (Billions) $2.5 $2.0 $1.5 $1.0 $1.1 $1.2 $1.3 $1.4 $1.5 $1.6 $1.8 $2.0 $0.5 $0.0 2007 2008 2009 2010 2011 2012 2013 2014 What is driving the increase?? 16.00% 14.00% 12.00% 10.00% 8.00% 6.00% 4.00% 2.00% 0.00% Leverage Inflation/Mix Utilization Medical Pharmacy Budget Proviso • 105.7. (PEBA: FY 2014 State Health Plan) Of the funds authorized for the State Health Plan in Plan Year 2014 pursuant to Section 111-710(A)(2) of the 1976 Code, an employer premium increase of 6.8% and a subscriber premium increase of 0% for each tier (subscriber, subscriber/spouse, subscriber/children, full family) will result for the standard State Health Plan in Plan Year 2014. Copayment increases for participants of the State Health Plan in Plan Year 2014 shall not exceed 20%. Notwithstanding the foregoing, pursuant to Section 1-11-710(A)(3), the Public Employee Benefit Authority may adjust the plan, benefits, or contributions of the State Health Plan during Plan Year 2014 to ensure the fiscal stability of the Plan. 20 Monthly Premiums Employee 2013 Employer 2014 Employer Employee $97.68 $310.52 $331.64 Employee/Spouse $253.36 $615.08 $656.92 Employee/Children $143.86 $476.60 $509.02 Full Family $306.56 $770.12 $822.50 21 Benefit Changes Current 20% Increase Member Impact* Deductible $350/$700 $420/$840 253,832 Coinsurance max $2000/$4000 $2400/$4800 23,018 Physician co-pay $10 $12 373,198 Emergency room co-pay $125 $150 58,589 Outpatient Hospital co-pay $75 $90 199,738 Pharmacy co-pay $9/$30/$50 $9/$36/$60 340,670 *Medicare eligible retirees with the Medicare Supplement are not impacted by these changes unless they utilize non-generic drugs. 22 BlueChoice Premiums 2014 Employee Employer Total Employee $345.41 $331.64 $677.05 Employee/Spouse $921.83 $656.92 $1,578.75 Employee/Children $602.19 $509.02 $1,111.21 Full Family $1290.59 $822.50 $2,113.09 Affordable Care Act • Currently, and for plan year 2014, the SHP will be a “grandfathered plan” as allowed under the ACA. • As a grandfathered plan, most ACA provisions, such as required preventive care, do not apply to SHP. Some ACA Provisions Apply to Grandfathered Plans • No pre-existing condition exclusion for participants under age 19 • No lifetime maximum limits • Coverage required for dependents up to age 26. • These three elements have been in the SHP since January 1, 2011 New ACA Requirements for Grandfathered Plans in 2014 • No pre-existing condition exclusion for participants age 19 or older • Participating employers must offer coverage to all full-time employees, including nonpermanent full-time employees (Delayed until 1/1/2015) 2014 Annual ACA Fees Payable by Grandfathered Plans • Patient-Centered Outcomes Research Institute (sometimes referred to as “PCORI fees” or Comparative Effectiveness Research “CER fees”) $400,000 • Required Contributions Toward Reinsurance Payments -- $25 million The Future of the SHP • Do we stay grandfathered or become ACA compliant? • How do we deal with the continually escalating cost of health care? • OPEB liability and GASB? The Future of the SHP • PEBA is currently developing pilots in several areas to attempt to reduce costs and/or improve the quality of health care – PCMH – ACO – Value based health care – Enhanced wellness programs SC Retirement Systems • The Retirement Systems covers 807 public employers • It covers approximately 215,000 active members in five defined benefit plans with an additional 20,000 active employees in the State ORP. • Forty-four percent of members are School District employees, 28 percent are State Employees and 28 percent are Other Retirement Membership • As of June 30, 2012, there are 141,681 retirees and beneficiaries receiving benefits • Plus, 160,000 inactive accounts • Total membership including active members is approximately 570,000 Investment returns The Retirement Systems pays out in excess of $1 B dollars more each year in benefits than it receives in contributions • One-year investment return of 10 percent • Three-year annualized 9 percent, 5 year annualized 4 percent, 10 year annualized 5 percent • We assume we will make 7.5 percent per year SCRS Net Unfunded Liability on a Market Value Basis $22,000 $18,000 $ in millions $14,000 $10,000 $6,000 $2,000 Fiscal Year -$2,000 Funding Period: (Years) 1999 2 2000 2001 2002 2003 16 18 21 25 2004 2005 2006 2007 2008 27 30 30 29 29 2009 2010 2011 2012 30 30 25 29 Other Assumption Changes Liability Experience Non-COLA Benefits COLA Benefits Investment Gains/Losses - Recognized Investment Gains/Losses - Deferred Net Unfunded Liability Funded Status • • • • • • Funded status of SCRS = 64.7 percent Funded status of PORS = 71.1 percent UAAL for SCRS = $13.9 billion UAAL for PORS = $1.55 billion Funding Period for SCRS = 29 years Funding Period for PORS = 30 years Retirement Reform • • • • • New class of membership Increased contributions Return-to-work earnings limitation TERI phase-out Changed service purchase costs Retirement Reform (cont.) • Changed Post-Retirement Benefit Adjustments • Overtime must be mandatory (SCRS) • Disability retirement changes (January 1, 2014) • No interest on inactive accounts • GARS changes Class Three Membership • For Employees – Class Three Membership applies to employees whose initial effective date of membership in SCRS or PORS is on or after July 1, 2012 • For Employers – Seemingly straightforward, but in some cases, determining initial effective date of membership may be difficult – Employers may have difficulty determining membership class for a new hire – can verify through EES Differences from Class Two Membership • • • • Eight years to vest for a benefit Satisfy the Rule of 90 (SCRS) or at age 60 PORS – 27 years of service or at age 55 No annual leave or sick leave included in benefit formula • 20-quarter AFC calculation • TERI is not available to Class Three members Contribution Rate Increases • As spelled out in 9-1-1085, SCRS rates will be: Fiscal Year Employee Employer 2014 7.50% 10.60% 2015 8.00% 10.90% Contribution Rate Increases • As spelled out in 9-11-225, PORS rates will be: Fiscal Year Employee Employer 2014 7.84% 12.84% 2015 8.41% 13.41% Cost Sharing • Both SCRS and PORS statutes contain language requiring any increase in contribution rates to be shared by both members and employers • SCRS differential between employee and employer contributions must remain at 2.9 percent (FY 2015 and after) • PORS differential must remain at 5 percent Return-to-Work Provisions • For members (with several exceptions) who retired on or after 1/2/13 – Member must take 30-day break in service – Member has a $10,000 per calendar year earnings limit from covered employment Exceptions to Earnings Limit • Member retired or entered TERI before 1/2/13 • Member was age 62 (SCRS) or age 57 (PORS) at retirement – Members who aren’t exempt initially are not released from this restriction when they reach age 62 (SCRS) or age 57 (PORS) • Member is in a public office by appointment of Governor with Senate confirmation, by appointment or election by General Assembly, or by election of qualified electors of applicable jurisdiction • 9-1-1795 exempts critical needs teachers from earnings limit TERI Changes • TERI not available to Class Three members • TERI closes to Class Two members 6/30/18 • Members entering TERI after 7/1/13 will be required to end TERI on 6/30/18 – Examples • Member enters TERI 7/1/14 –can participate in TERI for maximum of 48 months, not 60 • Member enters TERI 7/1/15 – can participate in TERI for maximum of 36 months, not 60 Post-TERI RTW • TERI participants are considered “retired” once they enter TERI program, so a member who enters TERI before 1/2/13 can return to work after ending TERI with no earnings limit • Someone entering TERI 1/2/13 and after will be subject to earnings limit when he ends TERI (unless he meets one of the exceptions) Changes to Service Purchase • Effective 1/2/13 for SCRS and PORS – Actuarially neutral cost based on member’s age, service credit, and career highest FY salary – Cost will not be less than 35 percent for nonqualified and 16 percent for all other service types – Does not apply to withdrawal service, transfers, and supplemental service types Post-Retirement Benefit Adjustments • Formerly called cost-of-living adjustments or COLAs • Previously, there was a 1 percent automatic COLA in SCRS and an ad-hoc COLA in PORS • Beginning 7/1/12, benefit adjustment for both SCRS and PORS is 1 percent or $500 per year, whichever is less Mandatory Overtime (SCRS Only) • 9-1-10(8)(b) “For work performed by a member after December 31, 2012, earnable compensation does not include any overtime pay not mandated by the employer.” Current Disability Retirement (SCRS) • Eligibility for disability retirement currently determined based on occupational or jobspecific criteria • Benefit amount currently calculated as if member had earned service credit until age 65, less actuarial value of contributions that would have been made plus interest Disability after Reform (SCRS) • Beginning 1/1/14, member must qualify for Social Security disability to qualify for SCRS disability benefits – member must provide a copy of the SSA award notice within one year from member’s last date of employment • Member must annually prove he is still eligible for and receiving SSA disability to continue receiving SCRS disability benefit No Interest on Inactive Accounts • Previously, both active and inactive accounts received interest at 4 percent on June 30 of each year based on previous June 30 balance • Beginning June 30, 2013, any account that is “inactive” will no longer receive interest • An account is considered inactive when no contributions have been made to the account in the preceding 12 months and no other active, correlated system and State ORP account exists GASB • Governmental Accounting Standards Board • New Pension Accounting Standards 67 and 68 • GASB 67, “Financial Reporting for Pension Plans,” governs how pension plans report and is effective for plan year ending June 30, 2014. GASB 68 • GASB 68, “Accounting and Financial Reporting for Pensions,” is effective for employer fiscal years ending June 30, 2015, and after • This standard makes drastic and material changes to the way employers account for pensions in their financial statements GASB 68 Cont. • Previously, the UAAL of the pension fund was reported in the notes to the Retirement Systems’ financial statements • Employers reported only the actual contributions made to the pension plan as an expense • GASB 68 requires each employer participating in the Retirement Systems to recognize a “proportionate share” of the net pension liability in its financial statements Proportionate Share? • Proportionate share is that portion of the total pension liability attributable to that employer • Example: Actuarial Liability $39 billion Less: market value of assets Equals Net Pension Liability $22 billion $17 billion Proportionate Share? • $17 billion in Net Pension Liability is allocated to each employer proportionately using SCRS covered payroll of $7 billion dollars per year • So, each employer gets a liability of: 2.4 times its annual payroll Pension Liability • Not only is the proportionate share of pension liability huge, it will also be an extremely volatile number • Pension expense now no longer represents what you pay in retirement contributions each year, it will be the difference in NPL from year to year More GASB • GASB has indicated that it is currently working on standards that will also require the unfunded liability due to OPEB to be reported on an employer’s financial statements. • The current OPEB liability of the SHP is $10B, so if it works like GASB 67/68 then each covered employer would have to recognize a portion of this liability Questions Contact Information Travis Turner, CPA, CISA Chief of Staff S.C. Public Employee Benefit Authority 803-737-7751 [email protected]
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