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Public Sector Retiree Health Care Benefits: A View from the American States
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ABSTRACT
State governments are experiencing multiple and complex problems with retiree health
care programs. The extent of these problems has been brought into sharper focus with the issuance of GASB Statement No. 45 which requires state (and local) governments toreveal the future costs of their other (i.e., non-pension) post-employment benefits (OPEB), including health care. Initial actuarial valuations reveal that many state health care plans are substantially underfunded, a problem compounded by escalating costs of health insurance, particularly for medical care and prescription drugs. The net result is increased public pressure on state elected officials to address looming fiscal crises. Despite this, relatively little is known about the dimensions of this deteriorating situation or the various approaches necessary to address these challenges.
This paper reports preliminary findings of a study, sponsored by the Center for State and
Local Government Excellence, on public sector retiree health care benefits in the American states. The paper begins with an overview of the challenges facing the states. Next, the paper reports survey data on the perceived effects of health care benefits on human resource (HR) goals (namely, recruitment and retention), the current structure of state retiree health care programs, and measures being considered and/or adopted to deal with retiree health care costs. The paper concludes with a discussion of the implications for state government health care policy and human resource management.
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| | Authors: Coggburn, Jerrell., Daley, Dennis. and Kearney, Richard. |
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ABSTRACT
State governments are experiencing multiple and complex problems with retiree health
care programs. The extent of these problems has been brought into sharper focus with the
issuance of GASB Statement No. 45 which requires state (and local) governments to
reveal the future costs of their other (i.e., non-pension) post-employment benefits (OPEB),
including health care. Initial actuarial valuations reveal that many state health care plans are
substantially underfunded, a problem compounded by escalating costs of health insurance,
particularly for medical care and prescription drugs. The net result is increased public pressure
on state elected officials to address looming fiscal crises. Despite this, relatively little is known
about the dimensions of this deteriorating situation or the various approaches necessary to
address these challenges.
This paper reports preliminary findings of a study, sponsored by the Center for State and
Local Government Excellence, on public sector retiree health care benefits in the American
states. The paper begins with an overview of the challenges facing the states. Next, the paper
reports survey data on the perceived effects of health care benefits on human resource (HR)
goals (namely, recruitment and retention), the current structure of state retiree health care
programs, and measures being considered and/or adopted to deal with retiree health care costs.
The paper concludes with a discussion of the implications for state government health care
policy and human resource management.
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