In his never-ending quest to make himself seen as a big boy contender for Louisiana governor next year, state Rep. John Bel Edwards is trying to create another issue that he believes he can exploit for this purpose – at taxpayer expense.
Edwards’ latest ploy is to have
the entire
House of Representatives return to Baton Rouge out of session to go over
coming changes to health insurance plans overseen by the Office of Group
Benefits. These are for state employees and retirees (and some school boards’
employees), with changes already announced in benefits and an anticipated rate
increase after a decrease of nine percent over the past two years. He says this
information would aid House members “to protect our constituents from
astronomical cost increases.”
One effect of the rate decreases,
about which Edwards curiously never made a peep about in support of the Gov. Bobby
Jindal Administration’s decreasing substantially health care premiums for
OGB participants, was to empty largely the reserve fund for this purpose. This
was desirable in that the state was sitting
on idle balances far in excess of industry recommendations, but more
controversially the benefit changes also would slow the expenditure rate to
prevent the fund from going to zero and leave it with a balance in line with
industry averages.
With an estimated five percent increase
in the offing, even Edwards is not so stupid that he could not tell that there
actually is a cost decrease, not increase, over the last three years. So what
he must be referring to is the plan changes that will change deductibles, coverages
and co-payments, which are estimated in the latest edition of the Legislative
Fiscal Office’s newsletter
as saving the state $113.7 million for the remainder of the fiscal year. It
estimates as a result that health care costs for an active (not retired) single
(not married or family) member (assuming current proportions by plan translated
to the new, different plans) will increase $1,654 a year – even though average
premiums are thought to decrease by $229.10, all other costs are believed to
increase by $1,883.33. (For other kinds of members, a premium increase is
expected.)
This newsletter article lays out
pretty well the impact of the changes and even gives example scenarios, and
undoubtedly even more detailed data can be requested by House members from the
LFO on this subject – which is why it’s a glorious waste of taxpayer dollars to
haul in the entire House for briefings on this, which when you throw in the per
diems and travel expenditures will cost the people needlessly anywhere from
$20,000 to $25,000. If you can read and have a reasonable amount of
intelligence – fingers crossed that all our legislators possess these traits –
the issue is not difficult to understand and explain.
But that’s not the genuine
purpose of Edwards’ request, which is to campaign on the taxpayers’ dime by
having this opportunity to rail against the changes and saying something
different should be done. Which in fact would promote unwise policy, for health
insurance benefits are just part of the gravy train of compensation that Louisiana’s
state employees and retirees enjoy – and perhaps the richest of the mixture.
Right from the start of one’s state
employment, for a plan chock full of benefits at price levels rarely as low in
other jobs, taxpayers cough up 62.5 to 75 percent of the premium (which,
interestingly, is below the national
average of the states at 84 percent). According to a weighted average, the
typical Louisiana plan member currently pays only $809 a year or 12th
lowest among the states, while when adjusted for “richness,” or an assessment
of the amount and quality of benefits, that falls to just $541 (meaning
disproportionately more benefits for what is paid in) or 18th
lowest.
Contrast this with the individual
marketplace as through the Patient Protection and Affordable Care Act’s (“Obamacare”)
health care insurance exchanges. Like
most states’ plans, Louisiana’s offerings would be considered at the “platinum”
level, where for my situation (a spouse, average age above the U.S. median, in
my parish) the cheapest plan, like my OGB health maintenance organization plan
with no deductible but unlike it with higher co-pays and out-of-pocket maximums
and maybe a bit fewer benefits, would cost $959 a month – nearly double
the cost of the premium for my category for the state.
And in the private
sector, where nationally the typical employer of at least 200 pays 71
percent of the premiums for an employee of my status, the average annual
premium cost there is $380 a month, but typically for plans far less generous
with benefits and for younger (presumably healthier) populations than Louisiana’s
state plans (and that is a national figure). For smaller employers (3-199
employees), the national average rises to almost $450 a month, about $100 a
month less than I pay. In the south, the average family plan for all employers costs
$419 a month (the most expensive of the regions). Keep in mind as well that
only about a quarter of private sector firms offer any health insurance
benefits to retirees, and for the majority of Louisiana retirees, and essentially
all who made even a half-career of it (20 years), the state pays 75 percent of
the premiums.
To summarize, Louisiana state
employees and retirees get a pretty sweet health care insurance deal from the
taxpayers, so it’s not unreasonable in any way that they need to pay their fair
share through changes that still would keep their benefits at the “platinum”
level. What Edwards ought to be upset about is how a male
of his age in his district paid as an individual an average of $131 a month
for health care insurance right before Obamacare’s implementation and now is
paying an average of $236 a month after, or an 80 percent increase. That’s the
genuine “astronomical cost increase.”
But that doesn’t fit this hypocrite’s
narrative because Edwards had been a full-throated
supporter of that and stupidly would expand Medicaid eligibility as part of
this, which would cost the state much more for delivering worse outcomes. House
Speaker Chuck
Kleckley has said he is open to the idea of aiding and abetting this use of
taxpayer funds for partisan purposes, but there’s no good reason to waste
taxpayer dollars on this.
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