Health insurance benefits including a prescription drug card are provided through the Iowa Governmental Health Care Plan (IGHCP). The IGHCP is a 'benefits trust' formed for the specific purpose of providing shared risk pooling for public employers. It provides the City with the combined buying power of more than 18 cities, counties, and school districts and over 3,000 employee lives.
The health plan consists of two parts: a high deductible, fully insured health plan purchased through Wellmark of Iowa and a partially self-funded plan administered by Employee Benefit Systems (EBS). The partially self-funded portion of the plan pays claims that fall between the Wellmark's high deductible plan and the lower deductibles and out-of-pocket maximums established by the City for its employees.
Summary Plan documents for Wellmark and IGHCP are provided below.
Under the Affordable Care Act (ACA), providing SBCs to participants and beneficiaries is a shared responsibility between carriers and employers. As such, the SBCs for the Wellmark and Self-Funded Plan are provided below.