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[0:07]
Okay. Uh, our next item on the agenda is
open form and announcements. Uh, does
[0:12]
anybody have anything to talk about
that's outside the scope of the agenda
[0:17]
this evening?
Okay. I don't think we do. Um, just a
[0:21]
couple housekeeping items. We have
copies of the presentation that we're
[0:25]
going to be showing down here as well as
copies of the agenda. So, if you don't
[0:29]
have one of those and you feel like you
will have difficulty seeing on the the
[0:33]
screen behind me, just put your hand up
and we'll we'll Mike, would you mind?
[0:39]
Oh, boy. Okay. I don't know if we have
enough to accommodate everybody. So, um
[0:46]
Okay.
[0:49]
» This [clears throat] has also been
posted to our packet. So, it is
[0:51]
available online. So, if you can access
it via your smartphone if you have that
[0:56]
with you.
[0:59]
And I'm going to give Mike a second to
get that information out to you folks.
[1:05]
» So, I'm gonna I'm going to move on to
our next agit agenda item, which is our
[1:10]
health insurance listening session. The
reason why we're all here this evening.
[1:13]
And first, I just want to say thank you
for all of you all taking out time from
[1:18]
your day to come here and be with us
this afternoon. We also have quite a
[1:22]
number of people on our Zoom meeting. Um
we recognize that this is an imposition
[1:27]
to you all to take up time and come uh
and we recognize that this is an
[1:31]
important con uh topic for you. So thank
you very much uh for making the effort.
[1:36]
We really appreciate it.
[1:40]
» I am going to get to that in one second.
Yep. So thank you for that segue. Uh my
[1:45]
name is Chris Barrett. I am the current
chair of the select board. Uh just to
[1:49]
give a little bit of history about me,
I've been volunteering for the town for
[1:52]
about 15 years now in various positions.
Uh most recently, uh this is now my
[1:57]
second term as a select board member. Um
with the rest of my board here, I'm
[2:03]
going to introduce them. We have Sean
Kelly, Noel, Tom, Elizabeth.
[2:09]
These are folks that have all been like
myself, volunteering in one capacity or
[2:13]
another for this community for a very,
very long time. Uh we all have kids that
[2:18]
have gone through the school systems and
taken part in uh programs like what the
[2:23]
park and wreck offers. Um we recognize
that the efforts that you and the
[2:30]
retirees
um are what make Westford the place that
[2:36]
we all want to live and raise our
families in today. Um, I can't tell you
[2:41]
how positive my interactions have been
um with the teachers in the schools, uh,
[2:49]
with the professional staff that I've
had the opportunity to work with over
[2:52]
the past decade and a half. Uh, I've
seen just displays excellence that I
[2:58]
would never have thought possible. The
dedication,
[3:02]
uh, the willingness to go the extra mile
is truly remarkable.
[3:07]
And I just think, you know, I'm not
alone in that. I recognize that our
[3:13]
residents probably feel the same way.
And I understand that this discussion is
[3:18]
probably making a lot of folks feel like
we're not being listened to. We're not
[3:23]
being uh we don't feel like the
leadership recognizes what we do for the
[3:28]
community. And I want to make sure that
everybody is really clear that on behalf
[3:33]
of myself and I think I'm speaking for
my board as well that we truly value
[3:38]
your contributions to this community.
Again, because of your efforts, we have
[3:43]
a wonderful community to live and raise
our families in. So, thank you for that.
[3:49]
Now, having said that, one of the
challenges that I've recognized in my
[3:54]
time as a board member on the select
board is that we have to make really,
[3:58]
really hard decisions
and we are representing the entirety of
[4:04]
Westford, all 25,000.
Well, when we have difficult decisions,
[4:10]
um, it's really, really challenging. And
we have that scenario unfolding today.
[4:19]
But it hasn't started today. This has
been coming for years. Starting with our
[4:26]
budget override attempt a few years ago.
This board went through extreme lengths
[4:30]
to try to get a budget override passed.
Uh many listening sessions, outreach to
[4:37]
the community. we went and hosted
finally one of the largest town meetings
[4:42]
this community has ever had and
unfortunately
[4:46]
um that budget override did not pass at
the ballot and as a result we've had to
[4:52]
make some really really hard decisions
uh including laying people off and
[4:56]
really tightening our belts and
unfortunately that financial situation
[5:01]
has not improved significantly.
What we have done as a leadership team
[5:06]
in working with Kristen, our town
manager, is to try to find as many
[5:11]
efficiencies as we can to try to make
our budget dollars go as far as they
[5:17]
can. And Kristen's going to go into that
with a presentation that she has
[5:20]
following my remarks.
And we continue to look for avenues to
[5:26]
increase growth and to bring more
revenue into this community so that we
[5:31]
can all enjoy the things that we want to
enjoy. Uh including health insurance,
[5:36]
including you know salaries that are
measure it with our benchmark
[5:40]
communities. Um but still, you know,
keep our buildings functioning, keep our
[5:45]
police, you know, staffed well, our fire
department staffed well, make sure that
[5:51]
we have fire trucks and things of that
nature. There's so many competing
[5:54]
priority. It's very difficult to satisfy
all of them.
[5:59]
So,
one of the things that we've been doing
[6:02]
and when we've been looking at these
efficiencies is following the playbook,
[6:08]
if you will, that came out of the budget
task force effort. Uh, this group did a
[6:14]
multi-month deep dive into every area of
Westford's town government, including
[6:20]
the schools, and looked at how we could
do things better. And if you want, that
[6:26]
report is on the town website. It's a
it's actually a good read. Um, and we've
[6:32]
gone through and tried to tackle a
number of the recommendations that were
[6:36]
made in that task force's report. And
one of those is to look at health
[6:43]
insurance.
To start that initiative off, we engaged
[6:48]
an independent consultant to do a review
of our current health insurance
[6:52]
operations. uh that came back to us
earlier this year and since then we've
[6:57]
been having discussions about how do we
need to make some changes in order to
[7:03]
try to rightsize the health insurance
offerings so that they are can measure
[7:07]
it with again our benchmark communities
and to implement this these changes in a
[7:14]
way that matches our budget needs to
some degree. Um, and I will say that we
[7:22]
have had to work at a pace faster than
we're all comfortable with.
[7:29]
Um,
however, we have learned that we have
[7:35]
some more time. We have some more
options. And as part of the presentation
[7:40]
that Kristen's giving after I'm done,
she's going to talk about the new
[7:44]
timeline that we're going to be
potentially utilizing to do this health
[7:48]
insurance review. And hopefully that
will give us some more time to sort of
[7:54]
reset, figure out where we're going to
go uh with a more thoughtful process
[7:59]
than what we had previously established
or used. So, with that, um, I'm going to
[8:05]
just take a quick pause. Going to just
turn to my fellow select board members.
[8:09]
Is there any comments from the board
before I turn it over to Kristen
[8:14]
that you want to make?
>> I think most of the comments I have are
[8:17]
what you just Sorry.
>> Hi, Tom Clay. I was just going to say
[8:21]
that I think most of the comments I have
are either you've already made them or
[8:24]
they're in Kristen's report. So,
>> I'm good.
[8:27]
» Same. Thank you. Okay. So, with that,
I'm going to turn the mic over to
[8:32]
Kristen last. Here's our town manager
and she's going to give the presentation
[8:35]
that hopefully we can all view up on the
screen. And uh thank you very much for
[8:39]
your time. Do you want to use this mic?
[8:49]
Thank you.
[8:54]
All right. Good afternoon everyone. Uh
thank you so much for those of you who
[8:57]
are in the room here at Stonybrook and
on Zoom. Also, uh we have WCAT here who
[9:02]
is taping this. This is not live
streamed this evening, but you will be
[9:05]
able to access the video likely tomorrow
or over the weekend. And the Zoom is
[9:10]
being recorded as well that will be
posting to the town's web page. Uh we
[9:14]
did post this presentation to the packet
documents this afternoon. So, we are um
[9:19]
you may access it there. Uh also, if you
do need a hard copy when you leave,
[9:23]
please contact the town manager's office
tomorrow and we are happy to get you a
[9:27]
copy if you need that.
And oh, I hear there's some more coming
[9:30]
as well. Um, I did want to introduce uh
the assistant town manager of strategic
[9:35]
operations, Mike Edwards, here and also
Dan O'Donnell, our finance director. Uh,
[9:40]
they have been also instrumental in this
discussion, as well as our HR director,
[9:44]
Pam Hicks, who's on vacation, and the
number of our health insurance trust
[9:48]
members, some who are here today and
some who are here online. Um, we have
[9:53]
enabled the question and answer function
on the Zoom. So, if you are not in the
[9:57]
room and you do have a question, please
type it into that question and answer
[10:01]
function. If you're having trouble with
that, you can type it into the chat, but
[10:05]
we would prefer the question and answer
function. I am going to go through the
[10:08]
entire presentation before we take
questions and answers because it does
[10:12]
flow very nicely and it may answer some
of your questions after that. Um, some
[10:17]
of these things that I am going to
mention, uh, Chris has said before, but
[10:21]
I think it's, uh, fine to duplicate
those efforts as well. So, let's make
[10:26]
sure this works.
All right. So, just I always like to
[10:31]
start a presentation with the overview
of what we're going to talk about today.
[10:35]
Uh Chris mentioned why we are here. I'm
going to dig into that a little bit
[10:38]
more. We're going to talk a little bit
more about the budget task force report
[10:42]
and how that addressed health insurance.
We're going to talk about Westford's
[10:46]
specific efforts to date related to
efficiencies and change. We're going to
[10:51]
talk about our overall financial and
operational challenges. We're going to
[10:55]
talk about health insurance trends that
came out of the locked report and what
[10:59]
we're seeing in the market. We will talk
about our market basket comparisons.
[11:03]
That is the 20 20 communities that we
compare ourselves related to
[11:08]
classification and compensation.
We're going to then wind down to talk
[11:12]
about where we're going from here,
specifically the timeline and then
[11:16]
outlining next steps and then giving you
all a chance to ask questions and then
[11:21]
what the process is for outreach moving
forward.
[11:25]
So why we are here? So as Chris alluded
to, the budget task force report
[11:30]
identified health insurance as one of
our major structural budget issues and
[11:34]
ma major costs within the town budget.
The company Locked In was retained
[11:40]
through the Health Insurance Trust uh
with the support of the select board
[11:44]
back in November of 2025 to
independently evaluate our health
[11:48]
insurance program in total.
Most recently on July 1st, the Health
[11:55]
Insurance Trust voted on a number of
items and the select board reviewed
[12:00]
those votes on July 2nd. I'm going to
read them, but know that these may
[12:05]
change over the course of the
presentation. There may be discussions
[12:08]
and decisions that may change. So the
first vote was to no longer pursue the
[12:12]
GIC as a healthcare plan for
implementation uh effective July 1st,
[12:17]
2027
to defer implementation of a GIC
[12:21]
lookalike plan or a benchmark plan uh
until of design changes for November uh
[12:27]
2026 renewal and allow the health
insurance trust to reassess that in the
[12:32]
spring of 2027 and to pursue pursue
negotiations with the insurance advisory
[12:37]
committee, discussions with the
insurance advisory committee and uh
[12:40]
negotiations with the PEC public
employee committee uh towards
[12:44]
implementation of a midpoint plan design
change intended to take effect November
[12:49]
1st of 2026. We'll talk about that
November 1st date in a minute.
[12:56]
So based upon further review after these
votes took place and conversations with
[13:01]
our broker Hub and I just want to note
our broker uh Mark Christelli from hub
[13:06]
is on the line. So if there are specific
questions about our existing plan design
[13:10]
or any changes, he is available to speak
to that. Uh he is on the zoom. Uh we
[13:15]
learned that plan uh adjustments could
be made mid year or midcycle. So that is
[13:20]
new information that we did not present
and uh were not clear on back at the
[13:25]
beginning of July. So now we have a new
timeline that is in play that we're
[13:29]
going to discuss today. and we want to
make sure that further evaluation of
[13:33]
plan changes is taking place by the
health insurance trust.
[13:39]
So digging a little bit deeper into the
budget task force report and if you look
[13:42]
at this presentation online the light
blue is a clickable link so it will
[13:46]
bring you right to the budget task force
report that was published in October of
[13:50]
2023. That overall report identified
townwide long-term structural deficits
[13:55]
that we had. It identified the health
insurance as one of our largest
[14:00]
financial pressures, estimating 1 to2
million of budget impact in fiscal 25
[14:05]
and 26. We started fiscal 27 two weeks
ago on July 1st, just for context. It
[14:12]
identified that the expenses of our
partially self-insured plan were far
[14:16]
higher than forecasted over the past 12
months. And that was in 2022 to 2023.
[14:22]
And the recommendation of that report
was to review Westford's health
[14:25]
insurance strategy to ensure that it was
the most cost-effective course.
[14:32]
I want to note that the select board and
the town staff and other boards and
[14:36]
committees along with the finance
committee uh and others have done an
[14:42]
immense amount of work since that budget
task force report was implemented and
[14:47]
accepted. We've started to pay off
smaller capital projects rather than
[14:52]
carrying the debt. We've
implemented a townwide centralized fleet
[14:58]
fueling that for as much a much less
cost than going to the pump at the town
[15:02]
of Westford. We've uh now implemented a
self-sustaining recreation enterprise
[15:07]
that is no longer subsidized by the
general fund.
[15:11]
We continue to implement energy
efficiency projects utilizing grants,
[15:15]
incentives, and net metering credits at
no cost to the taxpayer. In some
[15:19]
instances,
we did have a reduction of staff
[15:23]
following the unsuccessful override in
all areas.
[15:27]
We are starting to actively and have
been actively auctioning off surplus
[15:31]
equipment to backfill our free cash.
Back at the spring of 2026 town meeting,
[15:37]
we uh asked the town meeting to
authorize to file with the legislature
[15:42]
uh to change digital legal ads to
release the burden on uh residents and
[15:46]
businesses who are filing for uh permits
that require legal ads. We're continuing
[15:52]
to support our economic development
efforts and that was a uh budget item in
[15:56]
the fiscal 27 budget to continue to try
to increase our revenue and our
[16:00]
commercial tax base.
We implemented a pay as youth throw
[16:04]
hybrid program partially shifting the
cost of the curbside trash services to
[16:09]
residents who are using that service.
And we continue to look at a townwide
[16:14]
fee review to align fees with the actual
cost of providing certain services. So
[16:19]
these items hit certain categories. It
hits taxpayers, it hits employees, and
[16:24]
it hits businesses. So I just want to be
be cognizant about that.
[16:29]
We also need to understand that we have
continuous townwide financial and
[16:34]
operational pressures. Our costs are
rising faster than our projected revenue
[16:39]
growth under Proposition 2 and a half.
Our fiscal 26 and 27 budgets relied on
[16:44]
plan use of one-time funds to maintain
services and that was primarily in the
[16:49]
school budget and they laid out a very
robust plan of how they would be
[16:53]
spending down those one-time fees. our
school transportation expenses and our
[16:58]
special education tuition are continuing
to increase above that two and a half
[17:02]
limit. We see our rising uh energy,
utility, and other operating costs.
[17:08]
We continue to need to fund our Middle
Sex County retirement system liability
[17:12]
and that continues to increase as we
have many more retirees and that cost is
[17:16]
increasing. We want to make sure that
our other post-employment benefits, OPEB
[17:20]
funding, is strong to maintain our AAA
bond rating, which ensures that we get
[17:26]
the lowest possible interest rate when
we're going to borrow for capital
[17:30]
projects.
We've seen that we've deferred
[17:33]
maintenance across our properties and
facilities, and that has been shown in
[17:36]
our townwide facilities updates that
have been discussed. We talked a little
[17:40]
bit about that on Tuesday night at the
Robinson School Building Committee
[17:43]
meeting with the tri boards.
We also continue to prioritize
[17:48]
competitive compensation for recruitment
and retention. This is a major item that
[17:52]
the select board identified in our
strategic plan that we need to continue
[17:55]
to do to ensure that we retain our
employees and we recruit active
[18:01]
employees. And then we are also seeing
as we've discussed our health insurance
[18:06]
expenses and rising Medicare costs. And
you will see that in a future slide.
[18:12]
So this slide lays out two things. The
red line outlines the percent of our
[18:19]
health insurance costs over the percent
of our operating budget year-over-year.
[18:26]
On this far side, it starts with fiscal
19 and the other side ends at fiscal 27
[18:32]
because we've budgeted for that. So you
will see that our health insurance costs
[18:37]
in terms of budget is increasing
year-over-year.
[18:40]
We also wanted to make sure that we
showed you that in fiscal 22 we
[18:44]
implemented the health insurance trust
and that trust balance has been growing
[18:49]
over time which is a good thing because
we are using it to buffer in certain
[18:53]
areas and that was identified in the
lock report that we did have a healthy
[18:57]
trust fund balance finally when we were
doing the budget task force report in
[19:02]
2023 our balance was not good at that
point in time so we're proud to say that
[19:07]
that has increased
[19:11]
What's also telling though is our
subscribers. So in the uh red orange
[19:17]
color is our total of non-medicare
plans. So our active employee plans and
[19:23]
you can see that that is actually
decreasing from fiscal 2010 to fiscal
[19:29]
27.
Our Medicare subscribers is actually
[19:35]
increasing. We have a number of retirees
that are increasing.
[19:40]
We also have five-year trends that are
showing that our Medicare costs have
[19:44]
risen 13.4%
over the past 5 years and our
[19:48]
non-Medicare costs have increased 7%
over that period of time. That is more
[19:53]
than the 2 and a half% that we're
allowed to raise through Proposition 2
[19:56]
and a half.
[20:01]
There's been a lot of conversation and a
lot of confusion over how we compare
[20:04]
ourselves to our market basket. So those
20 communities that we compare ourselves
[20:09]
related to compensation and
classification. I'm not going to go
[20:12]
through everything, but there are three
packets online and I have linked them
[20:17]
here. So we have a market basket premium
rate and contribution analysis for the
[20:22]
active plans. We have our overall annual
town contribution rates and then we
[20:27]
broke it down to our retirey Medicare
employee contributions.
[20:32]
I want to caution you that when you're
reviewing this data, you should review
[20:36]
it as a comprehensive package because if
you look at it each individual table, it
[20:41]
tells an individual story, but you
really should be looking at it
[20:45]
comprehensively.
to summarize these sheets because there
[20:50]
are a lot to look at and it may not be
familiar to you. Westford is an outlier
[20:55]
in employee employer contribution
percentages but not in employer
[20:59]
spending. So in the employer
contribution percentage, we're at the
[21:04]
bottom of the market basket. For
employer dollar contributions in the HMO
[21:09]
and the PO plans, we're approximately
average or slightly below the market.
[21:14]
For employee dollar contribution for the
HSA, we are below average. And for the
[21:21]
retiree Medicare contribution, we're
really in the lower middle of that.
[21:26]
We do have one of the most comprehensive
plan designs within our market basket.
[21:31]
So, I want to note that.
[21:35]
So where do we go from here and what do
we do with all of this data? So I just
[21:40]
want to be clear that there have been no
plan design changes since the
[21:44]
implementation of the trust in 2021.
That is actually very uncommon. Many
[21:50]
municipalities and many private sector
entities or nonprofits are looking at
[21:55]
changes every year or every two years.
So we have some options to look at.
[22:01]
We'd like to see the Health Insurance
Trust review a midpoint plan design that
[22:05]
was discussed at the last trust meeting
and discussed at the select board
[22:08]
meeting on July 2nd. We do still want to
identify and and look into a benchmark
[22:14]
lookalike plan. We want to look at our
fund balance and potentially a targeted
[22:19]
drawdown to alleviate general fund
implementation into the health insurance
[22:24]
trust.
We wanted to create a fund balance
[22:28]
policy. When the health insurance trust
was implemented, it was noted that we
[22:32]
should have about a $3.5 to $7.3 million
balance. Now that we've had a trust for
[22:38]
over 5 years, it's prudent to look at
what that targeted fund balance should
[22:42]
be and create a policy. And there may be
other alternatives that we have not
[22:46]
thought of. And I know one of the
frequently asked questions we got was,
[22:50]
can we submit other alternatives? Please
do. and I know some of you have and then
[22:55]
we will likely begin negotiations if
anything comes out of that health
[22:58]
insurance trust meeting under uh Mass
General Law chapter 32 section 21 and
[23:04]
22. That may sound foreign to you. We do
have more information on the website,
[23:08]
but that is this the general law through
the Commonwealth of Massachusetts on
[23:11]
health how health insurance is changed
and negotiated in the public sector.
[23:18]
So this slide may be slightly difficult
to read in the room. Again, it is online
[23:22]
and we can get you additional packets.
And it talks about a timeline. And now
[23:27]
that we've found that we could do a mid
plan adjustment, we have developed a
[23:33]
timeline for a potential adjustment for
May, excuse me, March 1st of 2027.
[23:40]
It is not clear if this would be an
active employee only or a retiree only
[23:45]
or a combination change at this point in
time. That needs to be investigated and
[23:49]
reviewed by the health insurance trust.
So I want to be clear about that. We are
[23:53]
currently under number one. So June 2nd
to July 24th, we're modeling options.
[23:59]
We're calculating savings and we're
preparing for potential mitigation. And
[24:03]
I will talk about that in a previous in
a prior in a future slide.
[24:08]
July 24th to August 7th, we anticipate
that the health insurance trust will
[24:14]
meet and will review and potentially
endorse a plan change proposal. I have
[24:20]
called for a health insurance trust
meeting for next Thursday, July 30th. Uh
[24:26]
if we can get all the members together
or most of the members together, you'll
[24:30]
be notified of that meeting and of
course welcome to attend.
[24:35]
Between August 7th and August 21st, if
the Health Insurance Trust comes up with
[24:40]
a plan, the select board would vote to
enter into negotiations which would be
[24:46]
led by the town manager.
And then August 21st to August 28th
[24:51]
would be step five where there'd be
formal PEC notice. So public employee
[24:55]
committee including proposed changes,
savings, and a mitigation plan.
[25:01]
And then step six, August 31st to
September 30th, would be that 30-day
[25:07]
negotiation window for the PEC. And that
is a state law. That is not something
[25:12]
that the town of Westford has made up.
[25:16]
If we can come to an agreement, if there
are changes proposed with the PEC,
[25:22]
by that point in time, there would be a
vote by October 9th, there would be
[25:27]
final local approval in terms of a
contract by December 15th and a written
[25:33]
agreement. And then there would be a
60-day notification period.
[25:39]
If there is not an agreement, Mass
General Law has an appeal process to a
[25:45]
state board and that re review process
takes between 30 to 60 days. The review
[25:52]
panel would make their decision and then
if there is an implementation that would
[25:56]
follow, but both of these paths would
contemplate a March 1st change if
[26:01]
possible.
[26:05]
So I want to talk a little bit about
mitigation. So, this may be a foreign
[26:09]
term to some of you, but if a
municipality is contemplating plan
[26:14]
design changes, they are required by
state law to negotiate with the PEC a
[26:20]
mitigation for those who may be impacted
by the changes that are proposed. Um,
[26:27]
I'm not going to read the entire slide,
but some examples are a health
[26:31]
reimbursement associate agreement, some
wellness programs, a healthc care trust
[26:37]
fund, which we actually have,
out-ofpocket caps, other qualified
[26:41]
medical expenses, and health insurance
premium holidays. We are not required to
[26:47]
give a mitigation package over 25% of
the savings that the town of Westford
[26:52]
would see if there is a change. So, I
want to be clear about that.
[26:58]
So, I'm wrapping up here. So, if you're
thinking of questions, now is the time
[27:02]
to to get those ready. Um, next steps.
We want to continue public engagement.
[27:07]
Um, I will admit from my standpoint, we
may not have done the best job engaging
[27:12]
our employees and our retirees and the
public related to this. I see this
[27:16]
action today as a reset to gain trust
and confidence that we want to educate
[27:22]
you all. We want to provide as much
information as we can in a clear and
[27:26]
concise manner and we want to receive
your input.
[27:30]
Again, we want to receive your feedback.
Stay in contact with your IA and PEC
[27:36]
representatives if you're an employee or
retiree. Um, just in case you're not
[27:41]
aware, I did just this week uh name Jod
Ross as the retiree IA representative.
[27:46]
Marilyn Frank, thank you so much for
your uh service over the years. She did
[27:50]
resign a few months ago, but the
retirees now do have an IA and PEC
[27:55]
representative. Thank you, Jody.
And there will be future,
[28:01]
[applause]
[28:04]
like I said before, there will be future
trust and select board meetings and all
[28:08]
of those are in public, open to all of
you, and are posted. And if you need or
[28:13]
want to email the town manager's office,
we have that email listed here, or the
[28:16]
select board, um, feel free to do so.
So, with that, I'm going to turn it back
[28:21]
over to Chairperson Barrett, and um Mike
Edwards is going to monitor the question
[28:27]
and answer. So, I'll leave it to you,
Chris.
[28:31]
Thank you very much, Kristen, for that
comprehensive uh presentation. Uh I'm
[28:37]
sure there was a lot of acronyms though
that were thrown around and uh if you do
[28:40]
have any questions on those again please
put them in the chat if you're on the on
[28:44]
the sorry the question and answer uh
portion of Zoom and you obviously you
[28:49]
can ask uh today um two questions
actually for me to you Kristen and one
[28:55]
is you did highlight or mention that we
we have stumbled a little bit with our
[28:59]
communications um so with this new
timeline and the expectation of of a
[29:06]
number of future meetings. Could you
just go a little bit more into detail on
[29:10]
how folks can be notified that meetings
are going to occur and sign up for any
[29:16]
sort of, you know, email distribution
list that we may be maintaining at this
[29:20]
point so that you can be as involved as
possible.
[29:23]
» Can you do Absolutely. So, um, if you're
comfortable with the website, you can
[29:28]
sign up under the notify me tab for
select board meetings and health
[29:33]
insurance trust meetings. Um, we do have
a healthy email list right now for
[29:39]
retirees, but if you are not on that
list, please contact your retiree
[29:43]
association, whether it's MTRS or Middle
Sex, and they will get you on that list
[29:47]
and we will update that as well. Um, we
are trying to do as much on social
[29:52]
media, posting these meetings as well or
following along for the health insurance
[29:56]
trust website or the select board
website. Um, so we are doing our best to
[30:02]
get the word out. I know not everybody
can access those ways. Even if you have
[30:06]
a question and you want to understand
that, contact our office. We're happy to
[30:09]
help.
So, one logistic thing, when we do open
[30:13]
it up to questions and answers, I'm
going to put the microphone here. If you
[30:16]
are able-bodied to come up to the
microphone, we'd really appreciate it
[30:20]
because the owl is picking up the Zoom
for people who are on the Zoom to
[30:24]
listen. If you are not able-bodied, just
raise your hand. We're happy to walk a
[30:28]
mic to you and we may just repeat the
question if those at home can't reach
[30:31]
it. But if you have any other questions,
Chris, that you want me to answer, happy
[30:33]
to do that.
>> Yeah, thank you very much, uh, Kristen.
[30:36]
Uh, I think one of the things that I
took away from the number of emails that
[30:41]
we received, and I believe that number
was over well over a hundred. So, again,
[30:46]
thank you very much for taking the time
to draft those emails. Um, it really
[30:50]
meant a lot to to me and I'm sure to my
fellow board members as well as town
[30:54]
staff that uh you took the time to do
that. Um, but one of the things that I
[30:59]
took away was, you know, what is this
going to mean to me? What how is it
[31:03]
going to affect my deductibles or my
premiums? So, Kristen, can I know this
[31:10]
is difficult, but with the timeline that
we just sort of unveiled, at what point
[31:14]
do you you know, this is a guesstimate
to some degree. Please be in mind, keep
[31:19]
that in mind, but when do you think
people will be able to get answers to
[31:22]
questions like that? Sure.
So, we have initially worked with hub on
[31:29]
what some plan design changes may
potentially look like and what it may
[31:34]
look like for a low user of the plan, a
medium user of the plan, and a high user
[31:40]
of the plan. So, that information is out
there, but we need to do a better job
[31:43]
boiling it down for you. Unfortunately,
because health insurance is so personal
[31:47]
and everybody's situation is so
different, we can't put up a calculator
[31:51]
for you to plug in what your situation
is like we did for the override just to
[31:56]
plug in your t in your home so you could
see, you know, if your taxes were going
[32:00]
up or not. Um, so we will do our best to
try to take a low user, a medium user,
[32:06]
and a high user and balance that out and
model that out. Um and we'll work with
[32:11]
hub on some other modeling because they
are familiar with doing this with other
[32:15]
municipalities as well.
>> Okay. Thank you Kristen. Um first is
[32:19]
there any questions from the rest of the
board here?
[32:22]
» Are we ready to hear from the the
public? Okay, fantastic. Um so I know we
[32:27]
have a number of questions online. Why
don't we take one right now and then
[32:32]
again if you're interested in asking a
question, you're here in this room,
[32:35]
please come down to this mic and queue
in this quarter or raise your hand and
[32:38]
we can bring a mic to you. So, uh, why
don't I pass that?
[32:42]
» Sure. So, the first question comes from
an anonymous attendee. I know a few
[32:46]
years ago the town used to go out to bid
on different insurance companies to see
[32:49]
which would offer the best rates. Is
there a possibility to do that again?
[32:53]
Some of the documents make it seem like
Blue Cross Blue Shield is the only
[32:56]
option. Western is a large customer of
theirs and I think they would reduce
[33:00]
their premiums if they knew they could
lose us as a customer if we were
[33:03]
shopping around for better deals.
>> So Mark, could you um discuss from your
[33:10]
standpoint as our broker about how you
do go out to bid uh each year when we're
[33:14]
in the renewal period?
>> Sure. Yeah. In the past at Westford, we
[33:19]
have looked at other alternatives,
keeping in mind that, you know, Westford
[33:23]
is now on what what the insurance world
would call a self-insured plan. So
[33:28]
approximately 85% of all your costs and
have really nothing to do with Blue
[33:34]
Cross Blue Shield or with Harvard or
Mass General or Singular Etna. That 85%
[33:40]
of costs of the plan are are direct
reimburse reimbursements to healthcare
[33:44]
providers and to pharmacists. So what's
left over to negotiate on is about 15%.
[33:51]
Roughly so roughly about six to 7% is
what actually goes to Blue Cross Blue
[33:56]
Shield for administration. So that's
what gets paid to them um to do what
[34:02]
they do, negotiate discounts, administer
claims and everything else they do. And
[34:08]
then the other uh balance of that uh is
for stop-loss insurance. So that's the
[34:12]
actual insurance. So, we do have some
insurance even though we're
[34:16]
self-insured. So, we have a very large
deductible that uh the town
[34:21]
self-insures.
Um and then above that deductible, the
[34:27]
uh and there's a separate stop-loss
insurance company that pays anything
[34:30]
above that. So, at the end of the day,
when you're negotiating discounts from
[34:35]
carriers, you're really negotiating on
15% of the overall cost. So just kind of
[34:41]
simple math, if we were able to find a
claims administrator and the stop-loss
[34:46]
carrier to be 10% below what your
current fixed costs are, that'd be about
[34:51]
1.5%
of the overall cost of your health. And
[34:56]
not a little 1.5%, but you know, we
certainly have looked at different third
[35:01]
party administrators out there and some
claims administrators charge less than
[35:05]
the cost.
And um from a stoploss insurance
[35:09]
standpoint, that's something we've put
out to bid to 20 carriers every year to
[35:14]
try to find the very best stop-loss.
Just to give you a little color on the
[35:18]
stop-loss insurance, I'd say over the
past four years, the insurance carriers
[35:22]
probably paid out in excess
of uh a million dollars in claims and
[35:28]
they've taken an increase.
>> Thanks, Mark. I think we're going to
[35:32]
move on to the next question.
Anybody
[35:38]
in person? Why don't
>> Why don't we just keep going through the
[35:41]
mic? Let's just keep moving what's
online.
[35:42]
» All right. So, next question comes from
Janet Dubner. Are you committed to
[35:46]
ensure that retirees who have moved out
of state will still be able to access
[35:50]
Westford's insurance coverage.
[35:54]
» Uh, that's an emphatic yes.
[35:59]
» Okay. Next question coming online from
Jesse Byer. Being that the data shows we
[36:03]
rank at the bottom in contribution
percentage and below mid in actual
[36:07]
dollars the town town contributes, I'm
curious why the select board is asking
[36:11]
employees to absorb more of this burden.
The data clearly shows the town should
[36:15]
be doing more, not less. So, it's
disappointing that it appears the
[36:19]
decision is being made independent of
the data. What is going to happen if a
[36:24]
switch is made and we fall to the bottom
of our peers?
[36:31]
Uh, okay. Thank you, Jesse, for that
question. Um, I don't know if I'm the
[36:35]
Kristen, do you want to take this? Nope.
Okay.
[36:40]
Tom wants to take it. Very good.
>> I'm happy to take a step.
[36:45]
So, um, it took me a while to to go
through all these numbers and feel like
[36:49]
I've got a good grip on it. So, uh,
absolutely right that, uh, that the town
[36:53]
gives 35% supports 35% which is at the
low end, but, um, if you look at the
[36:59]
dollars, I don't know if we're bringing
that up or not, but if you look at the
[37:02]
dollars in the report, you can pull it
up. We're very very close to the average
[37:05]
of what the town pays on behalf of you.
So, the the policy is actually a richer
[37:09]
policy. It's a little bit more
expensive. Uh, so we have a smaller
[37:12]
percentage, but the actual dollars that
we pay are very very close to the uh to
[37:16]
the B to the the average within our
market basket. So, uh, we're close in
[37:21]
there. Um, why are we even considering
this at all? Well, uh, I think the
[37:25]
answer to that might be in the, um, the
slide that looks at the percent of
[37:29]
budget. So when we look at uh long-term
planning for the town and we look at
[37:33]
things that are rising faster than 2 and
a half% and are consuming more and more
[37:37]
budget dollars, uh we feel like we have
to take a look at those and see if uh
[37:41]
there are steps that we can take
reasonably together in partnership that
[37:45]
will help us sort of in over the long
term remain within our our sort of
[37:49]
budget uh capacity. And so I think the
numbers show that we uh pay about 50%
[37:55]
more in healthcare now than we did in
2019. So, it's a big jump. I think it's
[38:00]
11% of our budget instead of 9%,
something like that. So, it's continuing
[38:04]
to grow. And so, just like we do with
every other uh spending category in
[38:09]
town, we want to make sure we're looking
carefully to see if there's some
[38:11]
adjustments that we can make to still
have a reasonable plan, but but help us
[38:15]
over the long term make sure that we're
not eating into other critical services
[38:20]
with with any with any uh expense
category that we deal with. And that was
[38:24]
the finding of the budget task force was
we need to look at those things over
[38:27]
time. if we don't tend that garden over
time and they continue to consume more
[38:31]
and more resource, it's less uh
teachers, fewer firefighters, fewer
[38:35]
other public service and that we're able
to offer here in town. So, so that's why
[38:39]
we feel like we have to take this this
reasonable look.
[38:44]
» Any other comments from the board on
that question?
[38:47]
I mean because I think that this is
brought up a lot right which is sorry
[38:52]
Sean Kelly um from the select board also
the select board appointee to the health
[38:58]
insurance trust
I'm acutely aware that that we rank low
[39:03]
on the employer contribution right it's
35% where most of our peer communities
[39:09]
are about 30%.
One of health health insurance is
[39:13]
tremendously complicated, right? And
there are certain le levers that you can
[39:17]
pull um that can change behavior and
save costs, right? Um one of those is if
[39:24]
you make adjustments to a a plan, you
can in theory actually reduce overall
[39:30]
premiums, right? So by instituting
things like co-pays and deductibles,
[39:36]
things of that nature, you can change
behavior of the users to prevent, let's
[39:42]
say, costly emergency visits, things
like that. Um, if there's a deductible
[39:47]
associate associated with it, that can
also result in lower overall premiums.
[39:54]
And the idea is is and I think what's
getting left out is if there is a plan
[40:00]
design change, this could this will
result in lower premiums for for
[40:06]
a lot of people a lot of people who are
current users and um partake in our
[40:12]
health plan. I I think that's getting
lost on it because one of the things
[40:15]
that I often hear from our employees is
that our current insurance model is too
[40:20]
expensive even for them, right? So we
could by making plan design changes
[40:26]
actually reduce the premium in in an
ideal world and I can't speak for my
[40:32]
colleagues but I would love to see us be
able to reduce the premiums and then up
[40:36]
the employer contribution and I don't
think that those two things are um
[40:43]
inconsistent and I think it's something
that we can do long term but we first
[40:47]
need to start making plan design
changes. So, I think that we can save
[40:50]
the town money and that we can also
offer a plan uh that's maybe not as
[40:55]
robust but has a lower premium. So,
>> Sean, thank you very much for those
[41:00]
comments. And I want to say was it uh we
have a 56% or 54% enrollment. Is that
[41:06]
about right?
>> 56% of our employees take advantage of
[41:09]
our health insurance options. Now, uh we
do have somebody at the mic. So, why
[41:14]
don't we go to you, sir? Can we We've
got a mic there. Good. If I'm sorry if
[41:18]
you would just please let us know your
name and address so we have it for the
[41:22]
record. Thank you.
>> Uh it doesn't have to be it could be
[41:23]
your position.
>> I got you. Uh Tyler Buts I work for the
[41:27]
highway department. Uh just hearing that
we're low in percentage contribution
[41:35]
but the dollars is even. All that really
says to me is if it changes it's going
[41:41]
to punish the people who actually use it
and those are the people who need it the
[41:44]
most. So, am I wrong in that or is that
am I picking that up correctly?
[41:53]
I mean, I can I can take a stab at. We
do have Mark from MB on it, but at our
[41:57]
last health insurance trust meeting, um
Mark indicated that plan design changes
[42:02]
would cost um it would result in more
out-ofpocket expenses for 60 or 2/3% of
[42:11]
users, whereas one-third of users would
have overall cost savings. So, yes, if
[42:18]
you're a high user of it, it's going to
cost more.
[42:21]
» From my recollection, it was around
$2,000 from the high users. I just I
[42:27]
just feel like that's not that's not
right.
[42:29]
» Sure.
>> Shouldn't be punishing people for using
[42:31]
it and contributing either retirees
portions of their lives and for
[42:37]
employees portions of our day. And it
just sucks.
[42:44]
[applause]
[42:50]
We have another question in the queue
here. So, why don't we take one and then
[42:54]
we'll get to the mic.
>> Thanks, Chris. So, from Larry Panero,
[42:58]
the water enterprise fund allocated a
significant amount of funds for
[43:02]
postretirement benefit costs. So, there
should be plenty of funds available to
[43:05]
cover the water department retiree
postbenefit expenses. And these costs do
[43:09]
not impact the town's deficits. The
water department retirees should be
[43:13]
excluded from any changes.
[43:18]
» So if there are changes, it affects all
in the group, right? We're not going to
[43:23]
exclude if you're a water department
employee or not. I would like to ask Dan
[43:27]
to answer the question if he knows the
answer about the enterprise and the
[43:31]
contributions to health insurance.
[43:37]
So the water enterprise oped fund which
is the other post-employment benefits
[43:41]
including health insurance for the water
enterprise was fully funded years ago.
[43:45]
Uh they it kind of serves as a model for
how we want our general fund uh oped
[43:50]
account to work in the future. Uh
however as I understand it like all of
[43:54]
our our plan changes are the same
throughout the entire town for town and
[43:59]
schools.
[44:06]
Okay. Well, let's take you at the mic,
please.
[44:08]
» Thank you. Melanie Jazokus, 26th year uh
teacher at Westford Academy. Um I just
[44:13]
had and I I think I'm echoing what this
young gentleman said about um
[44:18]
discouraging people from seeking help if
they need it. Um because I Sean, it
[44:24]
sounded like twothirds of people, you
know, may have um that
[44:29]
premium increase or especially if we're
going with deductibles now. Um I think
[44:33]
that's my biggest concern is that people
won't seek the help that they need. Um
[44:38]
and I know at least in the schools, we
talk about mental health all the time
[44:41]
with students and staff. Um and and that
I think concerns me overall is that
[44:46]
people just won't seek the help or the
treatment that they need if so I guess
[44:50]
it's not really a question. It's more of
a statement. Um and I wasn't sure how um
[44:54]
the low user, medium user, and high user
was going to be kind of detailed out,
[44:58]
but I think that question was answered.
So um yeah, I would just have you think
[45:02]
about that. That would be great. Thanks.
>> Great. Thank you for your comment. Why
[45:06]
don't we take another one from the
queue?
[45:08]
» Sure. Uh anonymous attendee writes, "Can
you please explain exactly how the
[45:12]
retirees will be impacted? In some
communication, it sounded like the
[45:16]
retiree coverage was being
discontinued."
[45:20]
So the retirey coverage is absolutely
not going to be discontinued. We're not
[45:25]
going to be even looking at that right
now. With this reset, we are looking at
[45:30]
both the active plans and the retiree
plans and we'll present those ch
[45:36]
potential changes if that occurs. So, we
do not have that clearly right now, but
[45:40]
there will not be an elimination of a
retiree plan.
[45:48]
» Thank you, Kristen. Why don't you go
ahead, sir?
[45:52]
» Tim Hall, 51 North Street, retiree. I
have a couple of questions. One is where
[45:58]
do we rank with those 20 towns as far as
percentages? I I know that you said
[46:04]
we're on the lower side, but what is the
average? Is it 7525? Is it 8020? That's
[46:10]
my first question.
>> Okay, why don't we just take that first
[46:13]
question? So, as Kristen alluded to
earlier with her presentation, uh we do
[46:18]
have this information on the town
website, there's I mean at least 18
[46:23]
pages of comparison data ranging from
the employee and the town's
[46:29]
contributions to the premium cost and I
did we ever get the deductible
[46:34]
information in there as well? No, that
is not. That will be coming in in a
[46:37]
future iteration. So, there's at least
two or three ways that this can be
[46:40]
looked at uh depending on which plans
that you use um and whether or not
[46:45]
you're using a family versus you're a
single consumer. So, to go over that in
[46:50]
a lot of detail here is probably outside
the scope of this meeting. Um but it is
[46:54]
available to you uh to consume and if
you have questions, I would recommend
[46:57]
talking with the town manager's office.
>> Okay. Thank you.
[47:00]
» Yeah. My second question is is coming in
here this today. Um I did bump into a
[47:07]
couple of employees from the school
department and I want to know if I know
[47:12]
Pam Hicks and Kristen has made good
efforts to make sure that the
[47:16]
communication but these people told me
that nobody's heard of it. So I where
[47:21]
Pam is the head of HR here with the town
side, the assistant superintendent is
[47:28]
the head of the HR side for the schools,
which is also our biggest employee base
[47:34]
and the biggest retiree base. Are they
making sure that their notifications are
[47:39]
getting out there as well?
>> Thank you. Um, I can tell you that Pam
[47:44]
Hicks sent an email to all town and
school employees two weeks ago. I did as
[47:49]
well earlier this week. I understand
that not all school employees are
[47:53]
checking their email because it is
summertime. So I did get a lot of reply
[47:59]
automatic replies that they were out of
the office. Courtney Moran was aware of
[48:03]
this meeting. Um I am not aware if she
had any additional outreach to the
[48:07]
teachers. I can't answer that question.
It's
[48:09]
» not just the teachers. It's
>> some sorry I do not know if Courtney had
[48:13]
any additional correspondence with the
additional staff. Again,
[48:21]
that was a great question and you know,
we've definitely uh know that
[48:24]
communication is a challenge, not just
on this issue, but with a lot of things
[48:27]
that the town does and we're continuing
to look to improve our avenues to get
[48:32]
out the word to the residents uh and
retirees in this case. Um I will say
[48:38]
that with this new timeline, uh a lot of
the action, so to speak, will start to
[48:42]
take place when school is back in
session. So I think that communication
[48:46]
challenge might lessen a little bit but
we remain 100% committed to improve
[48:52]
communication levels to the best that we
are able. I mean that is 100% something
[48:57]
that this board has been behind from uh
the time that I've been there and this
[49:01]
particular situation is no exception and
it actually proves that you know we
[49:05]
still need to do better. So uh we
appreciate your patience and we are
[49:08]
going to try to do better in the future
with communication. Uh why don't we take
[49:12]
a question from the queue here. Hang on
one second, Captain. Uh, so just a
[49:16]
followup from Jesse Byer. My original
question is in regards to actual dollars
[49:20]
the town contributes. In several cases,
we are even below our GIC community
[49:24]
peers in what the town contributes. The
slide shows below mid already before
[49:29]
changes. Um, not really a question
there, but Jesse, thank you for the
[49:32]
followup.
[49:37]
» Okay, thank you Jesse. Uh, next at the
mic.
[49:40]
» Um, my name is Brandon Holmes. um the
town resident and work for the police
[49:45]
department. Uh my question is is um
we've already the health insurance trust
[49:50]
has voted to move $950,000 back over to
the town fund and we're projected to
[49:55]
save over a million dollars from
reducing GLP ones from our coverage. Um
[50:00]
that's almost $2 million. Is there a
target budget line that you're looking
[50:03]
to save um like an end goal or is it
just overall? I just was curious on how
[50:09]
deep we're looking to go on the savings
side. Thank you.
[50:12]
Uh that's a great question. I think at
this point uh we are not able to give a
[50:18]
hard number. Um we recognize or we are
aware at this point that we are
[50:24]
potentially facing significant budget
challenges for FY28. Uh that is still
[50:31]
you know quite some time away and we're
going to see some changes in our expect
[50:35]
our projections between now and then. Um
but we we do know that that
[50:42]
is a fairly substantial deficit at this
time. So we are looking to you know save
[50:48]
wherever we can. Um do we have any other
questions
[50:53]
» Mark?
Okay.
[50:57]
» Hi Ellen Rainville the library director
and insurance is not my favorite reading
[51:04]
genre. I have found that out. So I have
some comments. Um
[51:11]
I think that employees now are under the
impression that as we move employees on
[51:18]
that side of the ledger closer to the
market basket,
[51:23]
we aren't seeing what equal action is
being taken on the town side of the
[51:28]
ledger. So, if there could be a
consideration of the town paying a
[51:34]
higher percentage as we absorb
non-pretax,
[51:39]
non-predictable costs in terms of
co-pays and in terms of um deductibles.
[51:46]
I think that would be most of us would
agree that would be the fair thing to
[51:50]
the employees. On the face of it, when I
read the 170 pages and everything else,
[51:57]
it seemed like we had a comprehensive
plan that was costly, but because
[52:03]
employees were paying such a high
percentage, we were getting what we paid
[52:07]
for. So, I'm glad to hear for the first
time that the actual cost that the town
[52:13]
pays is average because I don't think I
saw that data and I also never saw the
[52:19]
data of how many subscribers were in the
insurance
[52:24]
um plans of other towns. So, for
example, I couldn't compute what the
[52:29]
cost per subscriber was from community
to community.
[52:34]
I did go down another rabbit hole to see
if everyone in the GIC had a AAA bond
[52:40]
rating and they don't and I would wonder
if joining the GIC would impact our bond
[52:46]
rating. Um I also respectfully ask us
not to talk about transferring costs to
[52:53]
employees as an efficiency.
We don't see it as an efficiency. We see
[52:59]
it as a migrated cost that we're being
asked to assume.
[53:03]
And finally, and I know this is not
always popular when I bring this up, but
[53:08]
I'm an old feminist, so I'm going to say
it. My mother sent me the first issue of
[53:13]
Miz Magazine when I was in college. When
I looked at your demographics of those
[53:19]
of us who are being covered by health
insurance, it's predominantly female.
[53:24]
I looked at age, I looked at gender. So
I just want to remind us, you know, as
[53:30]
we are aging into the retirement group,
we have an age that's more associated
[53:36]
with illness.
Women have earned only 82 cents for
[53:41]
every dollar of males. They are likely
to live longer. They are likely to
[53:45]
outlive their spouses. And so I am also
concerned as a female about the cost to
[53:52]
the women who are retiring out of the
town.
[53:58]
» [applause]
[54:06]
» Thank you for that feedback, Ellen.
Appreciate it.
[54:08]
» Thank you, Ellen. Um, I just had two
questions. Now, my name is Jennifer
[54:12]
Clero and I work as the director of the
Cameron Senior Center. Um, when you were
[54:16]
doing the market basket, I was just
wondering, did you look at the other
[54:20]
benefits that the other towns um were
providing such as short-term disability,
[54:25]
dental, visual, I mean, vision,
long-term disability, because I know
[54:29]
that's something that we're we're having
to absorb on top of our premiums.
[54:35]
Um, can anybody speak to that?
>> Jennifer, I can help answer that. So,
[54:39]
this market basket comparison is purely
health insurance. uh we have had a
[54:43]
discussion with hub to review the market
basket related to those other
[54:47]
insuranceances. They are working on it
but it does take time because there are
[54:51]
so many in intricacies. So we do
anticipate eventually being able to
[54:55]
present that data.
>> Okay. And then my follow-up question
[54:58]
would be you know on your long-term
planning um what other revenue analysis
[55:04]
are you doing outside of health
insurance that we haven't heard about
[55:07]
today? I know we're focusing a lot on
health insurance. Are there some other
[55:11]
new revenue ideas that you have outside
of health insurance?
[55:17]
» I can answer that Chris if that's okay.
So yes, there are a number of other
[55:22]
items that we are pursuing related to
revenue generation. Um if you attended
[55:27]
town meeting or uh have been following
along the economic development committee
[55:31]
and the land use management department
is actively pursuing additional
[55:36]
businesses and understanding how we can
grow our commercial base. Uh we recently
[55:40]
completed two corridor studies that
speak to that. Uh we know that we will
[55:45]
have additional new growth in the coming
years related to the permitted projects
[55:49]
at 219 Littleton Road, the former
Westward Regency and 37 Powers Road. We
[55:55]
know that comes with additional services
needed with police and fire and
[55:58]
potential schools, but there will be new
growth potential there. Um and there are
[56:03]
other things that we're working on
related to revenue. I noted in the
[56:06]
presentation, we're going to be we have
started and going to continue a full fee
[56:10]
analysis and understanding where those
fees may hit. Is it a business owner? Is
[56:15]
it a resident? Is it somewhere else? So,
that's just a a brief menu of some of
[56:19]
the things that we're working on. So,
hopefully that helps.
[56:24]
» And just one more thing to add, um this
has come up in the past, not necessarily
[56:29]
specific to this topic, but just in
general to taxes. So, we do have a new
[56:36]
uh working group that's looking at how
Westbird aortions its tax rates across
[56:42]
residential, commercial, industrial. Um
that group started a few probably now
[56:48]
about six, seven weeks ago. They're
feverishly trying to get that analysis
[56:52]
done. Um so a lot of people have come to
us and say hey why don't we have a split
[56:57]
tax rate for example or other types of
programs that help uh ease the burden on
[57:03]
say maybe senior citizens uh that are
residents of this community. So please
[57:08]
keep an eye out for the results of that
effort because I do think it will be
[57:11]
helpful for answering some questions
that I've seen posed in some of the
[57:15]
emails that we've gotten. The other
thing that I just wanted to just point
[57:18]
out is and this is related Ellen to your
question. Mike, can you just hold up
[57:23]
that blue chart? I believe that's part
of the packet and this this is the the
[57:27]
what we've sort of been talking about in
terms of the market basket comparison.
[57:30]
You can kind of see how thick it is. So,
this is what's going to allow us to
[57:34]
visually allow you all as well to
visually see where we are for the
[57:39]
different plans. uh again the different
types of analysis being whether it's uh
[57:44]
contribution analysis or contribution uh
percentage um or premium and that's
[57:49]
going to go and be broken down by both
family and single-user plan. So a lot of
[57:54]
rich data there for for you to consume
and if you have again any questions uh
[57:59]
town manager's office or any of the
select board members would welcome those
[58:03]
questions. Uh do we have any other uh we
do have some more questions come in.
[58:07]
Yeah.
[58:14]
» I'm going to give that to you.
>> Tom Clay again. Just another example,
[58:19]
Ellen, of of places that were looking at
addressing long-term structural
[58:23]
challenges. So, pay as you throw came
out of that effort. It was recommended
[58:26]
as something to look at um uh by the
budget task force. The idea was how do
[58:31]
we cost share basically with the
residents in this case to make sure that
[58:34]
over a long period of time we're not uh
spending more and more on trash at the
[58:38]
expense of first responders, teachers
and all the other valuable services that
[58:41]
we have. So uh if you if you uh if you
have the time and interest you can look
[58:46]
in the budget task force that actually
gives a long list of uh of revenue
[58:50]
source things that we investigate. Some
of them we've already done, some of them
[58:53]
are pending, but u lots of effort there
and an important thing for us to be
[58:57]
focused on.
[59:01]
Thank you, Tom, for that additional
context. All right, we're going to take
[59:04]
another question from our queue.
There's a comment first. I'll just read
[59:09]
from an anonymous attendee. Not all
employees have Westford K12 or Westford
[59:13]
MA.gov emails. There is a pool of
employees who were not notified of this
[59:16]
meeting. Have employees go look for
information rather than pushing it out
[59:20]
is putting the burden on the employees.
Um,
[59:26]
question. Yeah.
>> So, if that is the case, um if you could
[59:31]
contact TMAA westwardmma.gov with that
information, we would like to put you on
[59:36]
our email list. Also, please sign up for
notifications. Um I was not aware of
[59:41]
that. So, please so thank you for making
that comment this evening. Um and we
[59:45]
will do our best to get you on a list.
>> That is a fact. And I think the uh the
[59:54]
school office has a list of all non uh
email
[1:00:01]
uh employees and
>> we can certainly reach out to the
[1:00:06]
schools and make sure we're taking
advantage of every opportunity to reach
[1:00:09]
people. Well, let me just reiterate what
the gentleman said of the how.
[1:00:13]
» Uh he did mention that the school
maintains a list of emails for uh
[1:00:18]
employees that do not have access uh to
town or school emails. So, we'll we'll
[1:00:23]
reach out to uh to Courtney and Dr. Chu
and make sure we take advantage of that.
[1:00:28]
We're we are taking every opportunity we
can, but we have to know how to get in
[1:00:32]
touch with people. We have posted
flyers. We have put things in break
[1:00:35]
rooms, um locker rooms, restrooms, etc.
So, social media, we we're doing
[1:00:41]
everything we can, but you can help us
get the information out if you can feed
[1:00:44]
it to us how we can get in touch with
people. So, thank you. Um,
[1:00:50]
» so Mark, I I see that you're maybe
waiting in the wings. Do you want us to
[1:00:54]
take some more questions? Okay. All
right. Go ahead.
[1:00:58]
» So, next question, uh, from Nate
McKinnon. Isn't it true that the report
[1:01:01]
to the town indicated that Westford had
the highest total cost per employees for
[1:01:05]
the HMO plan compared to all other
communities? The HMO accounts for 59% of
[1:01:10]
our total enroles. This report indicates
that for our most subscribed plan, we
[1:01:15]
pay more for individual and family plans
than all other communities. Given this,
[1:01:19]
what is the source of information that
we paying average?
[1:01:26]
» So, we're just pulling the page number
from the report. So Mike, if you can
[1:01:30]
find it and give me the page number.
>> So pages seven and eight.
[1:01:37]
» Okay. So we are looking at if you're
looking at the packet, the market basket
[1:01:40]
contribution rates and monthly
contributions.
[1:01:45]
pages seven and eight out of 28
[1:01:51]
that shows that Westford is below in
employer dollar amount contribution for
[1:01:56]
single
and HMO employer contribution family.
[1:02:02]
Westford is also below market basket.
[1:02:10]
» The premium
>> total premium.
[1:02:14]
» Yes.
[1:02:18]
» Take this back.
[1:02:24]
» Uh just give us a qu a second to see if
we can bring that up on the screen here.
[1:02:31]
So this is a 28page PDF uh market
basket, premium rate and contribution
[1:02:37]
analysis. It goes through HMO, PO, HSA.
Uh this particular file does not include
[1:02:44]
retiree but retiree is a separate file.
[1:02:50]
So the HMO employer contribution percent
for single Westford is going to be in
[1:02:55]
green. I'm going to decrease this a
little bit just so you can see the
[1:02:59]
chart.
Westford is at the lowest at 60%.
[1:03:05]
HMO employer contribution percent
family.
[1:03:09]
Westford is towards the bottom at 65%.
[1:03:15]
HMO employee contribution percent
single.
[1:03:20]
Westford is at uh the top.
[1:03:25]
HMO employee contrib contribution
percent family.
[1:03:29]
Westford is towards the top.
[1:03:34]
HMO full monthly premium for the single
employee. There's two HMO plans. There's
[1:03:40]
a high and a low and those are in green.
Just tell me when to stop. pull me up.
[1:03:47]
HMO monthly full premium for a family
towards the top
[1:03:58]
HMO employer contribution.
[1:04:04]
Okay, since Kristen did mention this is
28 pages, just to show a hands, we were
[1:04:09]
be happy to to go through the rest of
these slides, but if people are not
[1:04:11]
interested and just want to look at this
data on their own, we'll let them do
[1:04:14]
that. I think we've answered the the
point that Nate made. I'm not seeing any
[1:04:18]
hands, so why don't we move on to the
next question.
[1:04:24]
Looks like Mark's not at the stand, so
we'll just keep rolling through these.
[1:04:28]
» Go ahead.
>> So, Larry Panero again writes, "Has the
[1:04:32]
town ever considered to change the tax
rate for businesses? Currently, they pay
[1:04:36]
the same rate as the residential rate."
So, the town did have a study committee
[1:04:41]
uh I believe in 2010 that reviewed that
and they decided not to change it. Uh
[1:04:46]
every year in November, the select board
hears from the chief assessor and they
[1:04:50]
hold a tax classification hearing to
decide if they would change the rate or
[1:04:54]
not. Right now, as excuse me,
[clears throat] as Chris alluded to or
[1:04:58]
others on the select board alluded to,
there is another study committee looking
[1:05:02]
at the tax rate uh related to
residential and commercial splits.
[1:05:08]
It doesn't change the
>> it would shift the burden to the
[1:05:12]
businesses uh off the residential. Um
the amount that we raise stays the same.
[1:05:17]
We can only raise by 2 and a half% plus
new growth.
[1:05:24]
» Okay, we now have somebody at the mic.
Let's turn it over to this gentleman.
[1:05:27]
Please let us know who you are.
>> Uh Mark Cost, uh chair of the finance
[1:05:32]
committee for a long time, member of the
select board and chair capital committee
[1:05:36]
forever. Uh, first of all, thank you for
acknowledging the communication issues
[1:05:42]
um, not only with the select board, but
I have to admit also with the health
[1:05:46]
insurance trust in informing the public
about what was happening, when it was
[1:05:52]
happening, and feeling like it was a
rush to get a job done. And I'm glad to
[1:05:56]
hear that some of these changes have at
least been deferred.
[1:06:01]
Um, second of all, the issue of
our expenses rising more than Prop 2 and
[1:06:06]
a half are not new. They've been going
on at least since 2008 when I started to
[1:06:13]
get involved. This has been an ongoing
issue. So, this is not new. It's not new
[1:06:18]
to the schools. It's not new to the town
departments and it's certainly not new
[1:06:22]
as it relates to health insurance.
Um,
[1:06:27]
lastly, so these are more comments that
question, which is probably not a
[1:06:31]
surprise to you. First of all, Chris,
thanks for acknowledging the 100 plus
[1:06:34]
emails. I'm sure most of those were from
me, if not uh not all. Um,
[1:06:41]
making decisions about health insurance
costs outside of a budget process seems
[1:06:48]
completely incoherent to me. to do this
and not have the taxpayers in town
[1:06:55]
understand the other choices that could
be made outside of the costs of changing
[1:07:02]
people's health insurance cost seems
completely wrong. So I would encourage
[1:07:07]
you I saw these I was hoping to hear
nothing was happening this fall but to
[1:07:12]
see that some things could still happen
this fall outside of the taxpayer
[1:07:17]
understanding what's happened into their
costs going into next fiscal uh I don't
[1:07:23]
understand that. So I'd ask you to
reconsider the timeline. Thank you.
[1:07:29]
» Oh okay. Uh thank you very much for
those comments Mark. Uh we do have some
[1:07:33]
additional copies of the presentation
and meeting material. So if you're still
[1:07:37]
looking for that, just raise your hand
and this gentleman here will bring them
[1:07:40]
over to you.
Okay.
[1:07:47]
Well, we have we have plenty more
questions. Okay. We have somebody else
[1:07:50]
at the mic, so why don't we go ahead and
take you and then we'll get to our
[1:07:53]
online questions.
>> Hi, my name is Caren Wilkins. I'm in my
[1:07:56]
13th year at Blanchard Middle School.
Um, it's more of a I just want to see if
[1:08:01]
you can comment on the survey that went
out to the employees because I'm not
[1:08:04]
sure if everybody heard that. I did hear
it at the trustee meeting um a couple
[1:08:09]
months ago, but I did hear um I thought
that those answers were really
[1:08:13]
interesting and I think that we should
take that into consideration a lot when
[1:08:16]
we're talking about employee retention
since you were talking about employee
[1:08:19]
retention being really really important.
Um, and I just want to take into
[1:08:23]
consideration like the way that the
employees are feeling about this because
[1:08:27]
it seemed like those are really high
numbers um, in that survey. So, I didn't
[1:08:31]
know if you might be able to share some
of those numbers with everybody. So, I
[1:08:34]
can comment that we did send out a
survey last um, summer and fall. Uh, I
[1:08:40]
unfortunately don't have those numbers
in front of me now, but they are uh,
[1:08:43]
posted. We're able to get them to you if
you need. Uh, and those were taken into
[1:08:47]
consideration when Lockton prepared
their report. If you have any other
[1:08:50]
specific questions, I'm happy to to talk
with you about that.
[1:08:53]
» Well, I just think it's important to say
like employees, you know, in order to
[1:08:57]
retain employees and we have a lot of
employees and they're hoping that the
[1:09:00]
insurance stays similar to what we have.
Um, I just think that's an important
[1:09:05]
thing to take into consideration um
just getting people in as employees, you
[1:09:11]
know, getting new employees in and
repaying what they already have. The
[1:09:16]
insurance is a huge deal for that. Sure.
[1:09:22]
So, she's just talking about that the
survey results she wants to make sure
[1:09:25]
that people understand that employees
were mostly satisfied with the health
[1:09:29]
insurance and want to maintain what they
have now, which I understand. Thank you
[1:09:33]
very much.
[1:09:36]
» Took a question from online from Ed KBY.
Can you please share with the retiree
[1:09:41]
population the links to the online
webinar materials as well as the various
[1:09:44]
select board reports you referenced
today? Uh they are all currently shared
[1:09:50]
uh on the town's website in a few
places. One on the health insurance
[1:09:53]
trust website link directly uh but also
you can go to the do to the document
[1:09:58]
center and find the individual packet
item. So everything is posted if you
[1:10:02]
have any trouble finding that. Um please
feel free to email or call our office.
[1:10:10]
» I think did you have a point?
>> I just had a quick Y
[1:10:13]
» I just had a quick question Mike. So, I
know that we sent um we pushed out
[1:10:18]
notice of this meeting. I'm wondering if
we could just push out to everyone who
[1:10:22]
we we have access to a link to these
materials just to save them the trouble
[1:10:25]
of hunting and pecking through the
through the website.
[1:10:29]
» We did already. Okay. Thank you.
>> Uh Tom, thank you very much for that
[1:10:34]
comment. I do want to also add uh this
is obviously a topic of interest for
[1:10:39]
lots of people. Um, I I think maybe if
we could make an effort to put something
[1:10:44]
on the homepage so people aren't trying
to navigate to find it, especially
[1:10:48]
people who are not familiar with our
website. Let's see if we can make it a
[1:10:51]
little bit easier for folks to to get to
this information.
[1:10:55]
» And we can absolutely, again, in
reference to that gentleman's comment,
[1:10:58]
we can reach out to the schools, see if
they have additional emails, and then
[1:11:01]
the things that we have previously
pushed out, we can push out again.
[1:11:09]
take a question from the microphone.
>> Hi, Nicole Keefe. I've been at day
[1:11:13]
school teacher for 28 years. I just I
appreciate the pushing off the timeline
[1:11:19]
uh till March, but and I'm also
appreciative to hear that you're looking
[1:11:23]
having a committee look at the tax base
or the the rate between businesses and
[1:11:27]
residents. But I'm curious
what's the timeline for that committee
[1:11:33]
and why wouldn't you look at those
pieces first before implementing health
[1:11:38]
insurance changes to all the employees?
>> Sure. So the select board set the
[1:11:42]
deadline for the tax working group to
report back in August of 2026. So within
[1:11:47]
the next month. So that will be coming
uh and we have to look at all of these
[1:11:52]
things in tandem as they all layer in.
[1:11:59]
I just wanted to uh it took again took
me a little while to understand how the
[1:12:02]
tax classification works. I just want to
emphasize something that uh came up
[1:12:05]
before. So we do have the ability once a
year during the tax classification
[1:12:10]
hearing to to choose the allocation of
burden between residents and commercial
[1:12:14]
taxpayers. But that doesn't affect the
total amount collected. The total amount
[1:12:18]
collected that we can use which is
called the levy uh that is basically
[1:12:23]
capped at this 2 and a half%. So the
only change we can make is who pays how
[1:12:27]
much. So it would affect the residents
and how much they pay in taxes or the
[1:12:31]
businesses and how much they they pay,
but it wouldn't change the available
[1:12:34]
funds. So just just to make it clear,
and we will look at this again, the
[1:12:39]
reason that we decided to keep it the
same between commercial and residential
[1:12:43]
when we reviewed this in 2010 was
because Westford is now about 90%
[1:12:48]
residential, 10% commercial. So in order
to make a $1 difference for residents,
[1:12:55]
we have to make a 10. If we offset $1
for residents, that raises the
[1:12:59]
commercial by 10. And so it has a huge
effect on the commercial to make any
[1:13:03]
real difference for the resident. And
the other issue is we want to make sure
[1:13:07]
we're competitive and attracting
businesses. We want to make sure that
[1:13:10]
when people are choosing where to
locate, they don't see any disadvantage
[1:13:13]
coming to Westford. At the time that we
looked at it, other communities like us
[1:13:17]
that had the same kind of, you know,
office type uh commercial property
[1:13:21]
footprint had similar uh tax rate had
had also had a the same same tax rate
[1:13:26]
between residents. So those are the
things that uh that are at stake here.
[1:13:31]
Please join in the the tax uh
classification committee that's doing
[1:13:34]
the study now if you're interested in
that. But just to make it clear that
[1:13:37]
that's an allocation issue, not a total
dollars raised issue.
[1:13:43]
Uh thank you Tom for breaking that down
for us. Really helpful. Uh I will also
[1:13:47]
add to his comments and I think you know
Kristen did mention this is that we we
[1:13:52]
do have a wonderful economic development
committee in this community uh that
[1:13:56]
works very very hard to try to enhance
Westford as a place that businesses want
[1:14:02]
to do business in. Um and we have spent
funds to hire consultants to work with
[1:14:09]
that group over the last was it about 18
months at this point uh to see if we can
[1:14:14]
continue to grow our commercial base
because we know that is one way that we
[1:14:18]
can uh try to offset the burden on our
residents. Okay, we have another
[1:14:23]
question online.
>> We do and this is a long question
[1:14:27]
followed by a comment. So, I'm going to
ask I'm going to read the question.
[1:14:30]
We'll answer it and then I can respond
with the remainder of the comment. I'm
[1:14:34]
sorry if I missed introductions, but
what is Mark Chrysatelli's position in
[1:14:37]
the town? He works or used to work in
the insurance industry. I'm confused by
[1:14:41]
his answer to the question about
considering other providers than BCS in
[1:14:45]
order to save money.
[1:14:50]
So, Mark Christelli works for Hub. The
town of Westford has hired Hub to be our
[1:14:56]
insurance broker.
[1:15:00]
And following up on that, now that that
question was answered, uh even if it
[1:15:03]
saves 15 or if it's only 15% of total
cost, it still makes sense to me to
[1:15:07]
consider the option of shopping around,
especially since when we used to do this
[1:15:11]
years ago, we did not have this problem
of affording health insurance. Premiums
[1:15:15]
have been increasing astronomically
since we have been staying with BCBS.
[1:15:19]
The market basket analysis shows the
town who spends much less on health
[1:15:23]
insurance than we do have other
insurance companies. Please consider
[1:15:27]
saving costs by shopping around rather
than deferring costs onto employees.
[1:15:31]
Thank you for your time and
consideration.
[1:15:36]
Uh we have one further question from
Sandy Collins. As you discussed today,
[1:15:40]
the possibility of increasing
deductibles, excuse me, or premiums for
[1:15:44]
higher users as an option. I'm very
concerned that as retirees they're no
[1:15:49]
longer working, they will be adversely
impacted at a time they may need
[1:15:52]
insurance the most. Also, please
although the effort in obtaining data is
[1:15:56]
appreciated and necessary, would you
request a one to two-page comparison of
[1:16:00]
benefits and services, premium costs for
individuals, families, and deductible
[1:16:04]
impacts so rational decisions can be
made?
[1:16:10]
» Uh Sandy, thank you for the question.
Um, as as we've talked about already, it
[1:16:15]
is not as easy as, you know, just
bringing a one to two-page analysis into
[1:16:20]
play here. We've just already
highlighted the 28page, you know,
[1:16:24]
analysis that we have and as we get
deeper into the plan design changes, uh,
[1:16:28]
that makes it even more difficult, but
we will do our very best to try to, um,
[1:16:33]
you know, make it as readable and
digestible for everyone as possible. So,
[1:16:37]
thank you for that feedback. We have a
question at the mic.
[1:16:40]
» Uh, Diane Wood, 122 depot. Uh, I want to
reinforce, and I'm sure everybody else
[1:16:45]
does, the the need for much greater
communication, especially as it relates
[1:16:50]
to the general community. Uh, I suspect
99% of the people in this room are
[1:16:55]
either employees or retirees. I I don't
see representation from the community or
[1:17:01]
at least visibility or or comments. Um,
so more communication. there should
[1:17:08]
there should have been more communicate
more um visibility from the community
[1:17:13]
more people in this room who don't
represent employees or or retirees and I
[1:17:18]
think you need both sides because I
would say most of the people don't
[1:17:22]
understand all the details that are
going on right now. So just reinforcing
[1:17:27]
the stronger need and I know there's
just so much you can do. However, um
[1:17:32]
that's a segment of the community that
really needs to better understand how
[1:17:35]
this will impact them. And I don't think
99% of the people who are not employees
[1:17:41]
understands that. Thanks.
>> Thank you so much, Diane. Um I had a
[1:17:47]
conversation with the select board a few
weeks ago that I thought it was a good
[1:17:50]
idea to have a listening session with
the employees and the retirees. So that
[1:17:54]
meeting today is a target meeting for
employees and retirees. We will
[1:17:58]
definitely have more re more meetings
and outreach to the residents, but this
[1:18:02]
meeting today after my discussions with
the board was really targeted towards
[1:18:06]
retirees and employees. So, just to
reiterate that,
[1:18:12]
» yeah, Diane, thank you very much for
that question and a great answer,
[1:18:15]
Kristen. And, you know, as we've heard
many times, we are going to try to keep
[1:18:19]
the communication avenue as open and uh
and people as engaged as possible.
[1:18:24]
Another question at the mic. Nina
Mangan, retiree, Westward resident. Um,
[1:18:30]
can you tell me the number of market
basket uh communities that are
[1:18:34]
participating in GIC?
[1:18:39]
» Mark, could you tell us the number of
market basket communities that are in
[1:18:43]
the GIC? I believe it's nine. [sighs]
[1:18:47]
» Yeah, I was I was going to guess eight
>> out of 20.
[1:18:51]
» 20. Okay. And I know that at the last
meeting that I attended that you did say
[1:18:56]
that you had talked with town. Um the
reason I'm asking is because I've read a
[1:19:03]
lot of the letters that I found really
respectful and very informative and I
[1:19:08]
know that a couple of people that are
very respected in town. Um one being
[1:19:12]
Patty Dubbie. Her letter I found
enlightening. And it says here, "In my
[1:19:16]
25 years as a Town of Westford employee
and two years as a retiree, I have heard
[1:19:22]
very few positive comments about GIC
from her counterparts." And I think
[1:19:27]
that's significant. She's well connected
to other communities and to hear that I
[1:19:32]
don't know why. Well, I do know why
you're you're looking into this, but it
[1:19:36]
concerns me that you're
it appears to us that that's where
[1:19:41]
you're leaning and and that might not be
true. Um, however, it concerns me that
[1:19:50]
that that's something that we're really
considering out of going online and and
[1:19:53]
hearing and seeing negative things. As I
mentioned at the last meeting, it
[1:19:58]
concerns me for people who use mental
health that Westford is considering an
[1:20:03]
insurance
provider that is very limited in that
[1:20:08]
way. It has pride itself over the years
and worked hard. We have students,
[1:20:15]
PE, community members have children that
we know is a problem in today's world,
[1:20:21]
yet they're going to be probably not
going to get the access that they need.
[1:20:25]
I just feel like that's very um
disheartening to me. Um
[1:20:33]
if we went to GIC, I've also heard that
it's very difficult to to backtrack and
[1:20:40]
get out of GIC. And I'd like that to be
seriously considered. I mean, every
[1:20:45]
other insurance company that we've gone
with, we always have the assurance that
[1:20:48]
it's not going to be, it will be hard
work for, you know, administrators to
[1:20:53]
make that change. However, that change
can be made. I get the feeling that
[1:20:57]
that's going to be very hard, costly to
the town. Um, I'd feel better entering
[1:21:02]
into GIC if I knew that that we can
change our mind in a year after we've
[1:21:08]
experienced for ourselves. And I I don't
believe that that's really the case.
[1:21:14]
» Just ask question.
>> Just I'm gonna ask you to pause because
[1:21:18]
you've brought up a lot of great
questions and before we lose track of
[1:21:22]
everything that you're saying, I want to
take an opportunity to to try to respond
[1:21:25]
a little bit. Um, I think part of the
confusion between when you're talking
[1:21:29]
about GIC and when we're talking about
plan redesign changes and GIC benchmark
[1:21:34]
lookalike plans, that doesn't
necessarily mean that the health
[1:21:37]
insurance trust is going to move us to
the GIC. They actually don't have the
[1:21:41]
authority to do that. What we're talking
about is one of the compensation
[1:21:48]
practices that Westford has always
followed, which is to try to provide
[1:21:52]
compensation to our employees, which is
at the midline of our benchmark
[1:21:56]
communities, is something that we're
trying to implement for health insurance
[1:22:00]
as well or look towards implementing.
And what that benchmark is in many cases
[1:22:07]
is a GIC plan. And so that's where that
terminology comes from. Um now having
[1:22:15]
said that
uh the select board has the authority to
[1:22:21]
dissolve the trust and move the town
into the GIC.
[1:22:26]
Um this board has not set any hard or
fast timelines or you know plans to do
[1:22:33]
that. I think there would need to be
quite a bit more
[1:22:37]
educational opportunities for both the
town leadership and stakeholders,
[1:22:43]
retirees and employees to get educated
about what the GIC can offer. You
[1:22:48]
brought up a question about mental
health. Um, you know, the GIC does have
[1:22:54]
plans that provide mental health
coverage. So I think that one of the
[1:22:58]
things that we could probably do to help
you just make people feel more informed
[1:23:03]
is to provide an educational session so
that if the select board, you know,
[1:23:09]
decides in the near future or, you know,
from now later in the future to move,
[1:23:15]
people will feel a little bit better
informed. Um, as far as, you know, all
[1:23:20]
we've heard is negative things about the
GIC. Um, I can tell you that I've not
[1:23:26]
heard that. Um, I have heard positive
things about the GIC. I have heard from
[1:23:32]
Westford
uh employees and retirees that they fear
[1:23:36]
that there's just always negative
consequences. But you know, our town
[1:23:41]
manager did reach out to I believe five
town managers for our mark our eight
[1:23:46]
town managers um of the the market
basket communities and ask what their um
[1:23:52]
experience has been on the GIC. Uh that
is a public document. I believe it's in
[1:23:58]
one of the health insurance trust
packets. I saw it.
[1:24:00]
» Okay. Uh and and you know by and large
th those town managers said that it was
[1:24:06]
a great move for their communities. Um
>> but for what
[1:24:11]
» let me finish. Yeah. And so you know
obviously they're they may be speaking
[1:24:14]
from a pure budget perspective but some
did offer you know feedback that the
[1:24:19]
employees seem generally well satisfied
with it. Um
[1:24:23]
so you know again tonight we're really
talking about what the health insurance
[1:24:27]
trust is going to be doing in terms of
next steps. Uh and you know the select
[1:24:32]
board will be continuing to discuss GIC
as a potential option. But you know what
[1:24:37]
I see going forward as a first move if
we continue to go down that path is to
[1:24:42]
have an educational session where we
bring in somebody from the GIC to a
[1:24:46]
session like this where we can answer
questions from retirees and employees.
[1:24:50]
So am I wrong in if you're looking at
GIC options whatever that may be I'm not
[1:24:57]
well verssed in this at all
>> are you also looking at the same time
[1:25:00]
what blue cross blue shield what we have
today will be
[1:25:03]
» yes so when we talk about plan redesign
changes and we talk about a
[1:25:08]
» so they're comparable
>> a 15% benchmark plan that's taking the
[1:25:14]
benchmark GIC plan and basically halfing
the deductibles halfing the co-pays A
[1:25:20]
full GIC benchmark plan would be taking
what the GIC offers and you could see
[1:25:25]
how much that costs to some of the
because some of the towns on our
[1:25:29]
comparison as you just heard basically
our GIC uh enrolled uh so you can do a
[1:25:36]
rough comparison. Now you'll have to
take into account how much the percent
[1:25:40]
that the town pays versus the employees
pay. Right? So it's, you know, you're
[1:25:43]
doing the right comparison, but that
data will be analyzed by the health
[1:25:49]
insurance trust and discussed and
debated. Public input will be very
[1:25:53]
welcome during that process. And as you
heard from Kristen, who is the chair of
[1:25:58]
the health insurance trust, that first
step is going to be taking place in the
[1:26:02]
next week or so.
>> Okay.
[1:26:04]
» There was one other question that you
answered, which was why do people feel
[1:26:07]
why do communities feel like they can't
get out of the GIC? Well, the GIC does
[1:26:11]
mandate a three-year enrollment. You
can't leave, you know, within 3 years.
[1:26:16]
And generally speaking, what we have
heard, the reason why many of these
[1:26:21]
communities can't leave is because
financially it's to their advantage not
[1:26:25]
to.
>> Okay.
[1:26:27]
» So, please, if you have any other
questions.
[1:26:30]
» Yeah. Um,
[1:26:36]
so as a retiree, if I were to leave and
go p if I was unhappy with the decision
[1:26:42]
that's made for the town and I go
private because I'm Medicare age, um,
[1:26:49]
can I come back at some point or am I
then like the dental, I can no longer
[1:26:54]
come back to the town retirey?
Um, I actually don't know that answer.
[1:27:01]
So, if you could send me an email or the
TMAA email, we will get back to you.
[1:27:06]
» Yeah,
>> I think that would be helpful because
[1:27:09]
everything that people have said, this
is going to be costly for those of us
[1:27:13]
that are older and that are using our
insurance that we've never used before,
[1:27:18]
paid all these years, and many of us,
myself included, have been so fortunate
[1:27:23]
not to be unhealthy. And now we're going
to have the deductibles. We're going to
[1:27:29]
have it. It's just very um
disheartening. Uh the only other thing I
[1:27:34]
wanted to say is another letter that was
written. Um it said that this person's
[1:27:41]
concerned that GIC is a short time
short-term cost savings um to help with
[1:27:47]
the FY28 budget along with presumptions
of saving in the future.
[1:27:52]
Even Loctton has said repetitively that
the that his estimate of cost savings
[1:27:58]
may not occur and may not continue
before decision to enter you know we
[1:28:04]
need to consider this and and that again
unless we're having a significant
[1:28:09]
savings significant I just am very
disappointed that the town would
[1:28:14]
consider doing this to its employees and
to its retirees and all these people who
[1:28:19]
have worked 30 years of their life maybe
less maybe more. Um, they chose to serve
[1:28:24]
the town. They chose to do this. They
chose to work for lesser income than
[1:28:30]
they could have, but they chose this
because they were weighing out the
[1:28:34]
benefits of retirement. And now that's
being compromised. And I think that's
[1:28:39]
something that's very serious that you
should consider. [applause]
[1:28:52]
Uh Nina, thank you very much for your
very well thought out and uh questions.
[1:28:56]
Really was helpful to have that. Um we
have some more questions online. So
[1:29:00]
Mike, we do uh anonymous attendee
asks, "I get the sense we are currently
[1:29:06]
avoiding what the increases might be.
Having my personal health insurance
[1:29:09]
programs go up by 20% last year was a
big shock. And as one gentleman pointed
[1:29:13]
out, we use this insurance more now
because we need it more now. It feels
[1:29:17]
like we are being punished for doing so.
Any chance that you can even off the
[1:29:22]
offset the cost to everyone instead of
just slapping it on to the retirees?
[1:29:30]
» So, as I said in my presentation, we
have not made any
[1:29:36]
suggested changes. We are reviewing what
it may mean to make changes to active
[1:29:41]
employees and what it may mean to make
changes to retirees. Once we have that
[1:29:46]
data, we will present that out, but we
do not have that information at this
[1:29:50]
point in time.
[1:29:54]
» And another question from Jesse Byer. I
think it would be good to understand how
[1:29:58]
much savings there is for the town if
any switch is made. I'd hate to make a
[1:30:01]
change that say passes 500,000 of cost
to employees and only saves the town
[1:30:06]
$150,000 or something like that. I feel
this is a key question needing to be
[1:30:11]
answered yet.
[1:30:16]
Uh Jesse again thank you for the
question and spot on. I mean certainly
[1:30:20]
we are going to do that analysis in the
months to come. So appreciate it. Any
[1:30:25]
other questions Mike? Okay. Any other
questions from members of the audience?
[1:30:32]
Yes, please come on down to the mic.
Thank you. It's just so that you folks
[1:30:37]
can hear online.
[1:30:40]
» I think it's just a clarification
question. Um I I know Kristen when you
[1:30:45]
did your presentation on the very it
seems like on the overview or the very
[1:30:49]
first slide there was um mentioned that
there's it just seems like there's
[1:30:55]
confusion with a statement maybe that
says that we weren't going to the GIC
[1:31:00]
but now we're talking about the GIC. So
some of us are a little confused.
[1:31:08]
So, one of the first slides outlined
what the health insurance trust voted on
[1:31:14]
on July 1st. And one of those votes, and
Sean can speak more directly as he w he
[1:31:21]
also uh voted on the trust was that uh
the town would not pursue going to the
[1:31:26]
GIC for July 1st of 2027.
Um, now we know we have some more time
[1:31:33]
to make potential changes with a
potential March 1st uh, adjustment. Um,
[1:31:39]
however, I'll let the select board speak
to uh, if they feel that the GIC is or
[1:31:44]
is not on the table. I don't have that
information.
[1:31:50]
» Thank you for that question. As I
mentioned previously, uh the select
[1:31:54]
board I think would feel it prudent to
provide more opportunity for education
[1:32:01]
on the GIC. That's something that uh we
have not had an opportunity to do. Um I
[1:32:06]
feel strongly that you know the more
that we can educate people about
[1:32:09]
different topics, the better the
resulting conversation will be. So, uh,
[1:32:15]
I I do think that the right move is to
at least have a conversation, have that
[1:32:19]
educ or sorry, have that educational
opportunity provided and then we'll have
[1:32:24]
conversations like we're having tonight
to answer any additional questions and
[1:32:28]
go from there.
>> Yes, please.
[1:32:36]
» Hi, Elizabeth. Um, there there are a
couple of points I' I'd like to just
[1:32:40]
offer up uh as you find them useful. Um,
GIC does make a lot of information
[1:32:48]
publicly available. It's a it's a
program that, you know, almost 500,000
[1:32:54]
people use in the state. Um, some as the
subscriber, some as families. Um, as
[1:32:59]
Chris said, it's very important to us
that we structure information so it
[1:33:03]
feels interactive and guided and
comprehensible. Um, but I mentioned that
[1:33:08]
you if if you are so inclined, there is
information out there that is easy to
[1:33:12]
find. Um, so if you were to search on
FY27
[1:33:17]
and GIC plan, you'd come up with a
colorful I think it's about a dozen
[1:33:24]
pages and it and it might do a few
things that um have come up in some of
[1:33:29]
the letters I've read. And I think of
them as letters. The emails you've sent
[1:33:32]
us are really letters. They're they're
personal. They're compelling. we are
[1:33:35]
reading them and and as I've read them,
I've I've wanted to figure out how to
[1:33:41]
thread this needle of just just making
sure that some of the the facts are out
[1:33:46]
there because with some facts, some of
it is um a little less daunting. Um and
[1:33:51]
so, you know, Chris mentioned one of
them that that the medical plans that
[1:33:55]
the GIC offers are medical plans. Um
they aren't kind of plans, they're
[1:34:00]
plans. They have um and you can read
them. They have mental health, uh,
[1:34:04]
substance abuse, addictive behaviors.
You know, that's an example of one of
[1:34:08]
the things that, um, was in some of
these letters that was questioned. And,
[1:34:12]
you know, you you you could see it if
you wanted to. You know, please know,
[1:34:16]
I'm not asking you to do it. I'm just
trying to to remove some of the sense
[1:34:21]
that I think I hear, which is that you
feel, you know, blowing in the wind. Um,
[1:34:26]
so if you want to come out of the wind,
if you want to read it, it's there. You
[1:34:30]
could see that some of the co-pays are
really low. Um, you can see that some of
[1:34:34]
the um caps are uh potentially good for
you. As I mentioned, some of these
[1:34:40]
letters were were very detailed in how
much people pay out right now in
[1:34:46]
insurance. And although it is not true
for everybody, there are scenarios where
[1:34:51]
there are
um aspects of choice that that might be
[1:34:56]
beneficial. And I'm not advocating for
the GIC, but I do really feel that
[1:35:02]
there's a lot of um
understandable fears that are driving
[1:35:09]
views on it. And we're just trying to
get to what's real about it. And in many
[1:35:13]
conversations about difficult choices,
it's helpful to know what that outer
[1:35:18]
bumper is. And that's the outer bumper.
And so adding shape to that is part of
[1:35:22]
just get getting aware of where the
bumpers are. And also it is so important
[1:35:28]
that we're part of this middle
communication. But it is uncomfortable.
[1:35:32]
I mean there's so many things where we
we don't know all the answers. It is
[1:35:36]
part of being excuse me in the journey
along the way while possibilities are
[1:35:42]
being considered when there's a a a
reverse. um you know, we thought
[1:35:47]
something was going down one path and
tried to share that and we had to
[1:35:51]
reverse and we learned more and now
we're going forward again. So um you
[1:35:56]
know, I'm going to wrap this all up to
say, you know, I I really appreciate all
[1:36:00]
your letters. I'm glad they're part of
the public record. They are important.
[1:36:04]
Um if you are so inclined, I just want
you to know there is some information
[1:36:09]
there, but we're very committed to also
packaging more in a very structured way
[1:36:14]
as we learn it. very glad you're on the
journey with us. Wish it weren't bumpy.
[1:36:20]
Um it is. We're acknowledging it. We're
here together on that. You know, thank
[1:36:24]
you for sharing the input we've asked
for and and I believe the conversations
[1:36:30]
are are in a robust way today but going
to continue.
[1:36:40]
» All right. Thank you, Elizabeth. That
was a really great way to put all of
[1:36:43]
this into a different context and
understanding. So, I appreciate your
[1:36:46]
your comments. Um, we have some
gentlemen at the mic. So, go ahead, sir.
[1:36:52]
» Uh, my question would be is with the
plan design changes uh that are
[1:36:56]
proposed, has there been any analysis
that's done is if we make this more
[1:36:59]
attractive and attract more users, um,
what would our savings be at that point
[1:37:05]
if even if it raises by 5 to 10%.
[1:37:10]
» Thank you, Captain Holmes. That is
certainly one of the things that the
[1:37:12]
health insurance trust is reviewing is
if we do make plan design changes, would
[1:37:17]
that increase the number of people on
the plan, what would we anticipate and
[1:37:21]
what would that uh anticipate related to
additional costs that we would um see.
[1:37:25]
So that is part of the analysis that we
are looking at with hub.
[1:37:28]
» Okay, thank you.
[1:37:33]
» Okay, you're next.
>> Tim Hall, North Street. Um question is
[1:37:39]
if you guys are considering I know
you're not considering the GIC this time
[1:37:42]
around but for FY28 if you are
considering the GIC
[1:37:47]
um would you at least
try to maybe offer a little bit more of
[1:37:53]
the percentage picked up like say a town
like Lexington where they're on the GIC
[1:37:59]
they pick up 80%. we only pick up 65 and
where we're going to lose things like
[1:38:04]
mental health coverage and other things.
It would be nice to get something out of
[1:38:11]
it. Anyway,
>> uh again, thank you for your comments.
[1:38:14]
Uh just to be clear, GIC does provide
mental health coverage. So, just want to
[1:38:18]
make sure everybody is aware of that
because that keeps coming up. Um, but
[1:38:23]
it's I think a little too early in the
journey uh to to to give you a a hard
[1:38:28]
and fast yes on that because we would
first need to have that educational step
[1:38:33]
get us a little bit more informed about
the GIC and what it might look like for
[1:38:37]
Westford. uh we we do have some analysis
done by Lockton that shows uh a you know
[1:38:45]
the amount of proposed savings if we
were to go to the GIC as well as a
[1:38:49]
breakdown of how that savings might
change if we had additional enrollment.
[1:38:54]
Um but one of the things that has not
been discussed at this point is you know
[1:38:59]
potentially changing the uh contribution
from the community towards or to to the
[1:39:06]
to the uh employees on that. So I think
that's something in the future that we
[1:39:10]
could definitely analyze um as we get
further along that path if we decide to
[1:39:14]
go that way. We may not. We may decide
that we have the educational session and
[1:39:18]
say this is not right for Westford. But
I I do see that that's an option that I
[1:39:23]
would not say is off the table. I just
can't give you a firm answer on it at
[1:39:26]
this point.
>> Understood. Thank you.
[1:39:28]
» You're welcome.
>> Hi, Phyllis Snider, retirey. I just have
[1:39:31]
a question. Did you interview other
insurance companies or just GIC
[1:39:37]
or did you mention that like TUS or
something else? Did you look at them
[1:39:41]
also?
[1:39:46]
So I think um in terms of the market and
Mark can speak to this if I misstep u
[1:39:50]
Mark Christelli um over the course of
the past few years the town of
[1:39:55]
Westford's health insurance trust has
talked to the GIC
[1:39:59]
which offers a multitude of plans
through a multitude of providers. We
[1:40:03]
have talked to the Massachusetts
interlocal insurance association Maya
[1:40:07]
about their plan offerings and we talk
with hub about their their offerings as
[1:40:12]
well. So we continue to have these
discussions every single year
[1:40:16]
» because years ago we did have TUS and we
had um I forget the other one.
[1:40:21]
» There was Fallon as well
>> and a third one. There was another one
[1:40:24]
too.
>> I I maybe Harvard Pilgrim. I'm not sure.
[1:40:29]
» I thought there was another one.
>> GIC has a number of plans. I don't have
[1:40:33]
the the copy in front of me, but there's
a number of options to choose from based
[1:40:37]
upon active and retiree, um based upon
the region that you're in and all of
[1:40:42]
those items, but I don't want to get
into that this evening.
[1:40:49]
» All right, we have a question at the
mic.
[1:40:50]
» Hi, I'm Jody Ross, 34 Lawson Road. So,
I'm privileged to be the PEC rep for the
[1:40:56]
retirees and thank you Kristen for just
appointing me to the IA for retirees.
[1:41:01]
What I hear from the retirees is they're
afraid of having to change doctors or
[1:41:08]
change facilities or drug benefits. And
that's what I hear from most of them.
[1:41:13]
And I think the unknown is what's really
um creating a lot of angst. Uh the GIC,
[1:41:21]
we none of us really know whether we
would have to change doctors, not if
[1:41:25]
they're in Florida, New Hampshire,
whatever. That would be really important
[1:41:29]
to understand that. Um somebody asked I
think it was Nina about um survey my
[1:41:36]
recollection didn't look but remember
from meeting I believe it was 73% of our
[1:41:42]
employees said that they like their
health insurance plan and I believe it
[1:41:46]
was 55% said they would pay more to keep
it. I may have those numbers wrong but
[1:41:52]
the uh retirees were not surveyed. So,
all I would say is somebody asked, I
[1:41:58]
think Diane, about Westford residents.
Would it be okay if I asked how many
[1:42:03]
people in the room are Westford
residents?
[1:42:06]
» Would that be okay?
>> Sure. I'm happy to ask on your behalf.
[1:42:09]
Okay.
>> Uh, just curious. You don't have to
[1:42:11]
answer this question, but if you're a
Westford resident, please raise your
[1:42:13]
hand.
>> Great. Thank you. So the reason why I
[1:42:18]
asked that is because when I was the
town manager, we had about 350
[1:42:23]
town employees who were residents. And I
know I always tried to hire residents
[1:42:28]
when I could, but you know, we are
residents. We were hit by pay as you
[1:42:33]
throw. Some of us are on fixed incomes,
most of us. So, I just think we got to
[1:42:39]
really understand what we're doing to
I'm advocating for retirees, but we
[1:42:44]
really have to pay attention and give
them more time than you make a decision
[1:42:49]
one week and and um we hear a week and
then we're into it. We need more time to
[1:42:54]
be able to find out how this will impact
us. So, thank you very much.
[1:43:00]
[applause]
[1:43:05]
» Great. Uh Jody, thank you very much for
the questions and uh we do hope that
[1:43:09]
with the new timeline that we are
discussing here this evening that we'll
[1:43:13]
provide that opportunity to make sure
that everybody has the chance to ask
[1:43:17]
questions and get answers um as we work
through the public process that uh we
[1:43:23]
have to follow in order to make a plan
design change. So please try and stay
[1:43:27]
engaged on that.
Um do we have a question? One more
[1:43:31]
question. Okay,
>> we do have we have one more from Sandy
[1:43:34]
Collins. You you answered this before.
I'll give you a chance to do it once
[1:43:37]
more. Can you assure us that if a plan
change is made that retirees who live
[1:43:41]
out of state will still have full
coverage? It's already difficult to get
[1:43:44]
a new provider.
[1:43:50]
» I'm assuming if so if we we're if it
depends on what the change is, right?
[1:43:55]
So, if the health insurance trust
decides to make plan design changes and
[1:44:00]
and they they stay with Blue Cross Blue
Shield, uh I don't expect you to lose
[1:44:05]
your coverage. So, am I correct with
that? Health insurance trust people.
[1:44:09]
Correct. Thank you. Yeah.
>> Uh any other questions on
[1:44:16]
» question at the mic?
>> No, I have some comments.
[1:44:19]
» Okay.
>> Um I'm going to repeat,
[1:44:21]
» but Ellen, I have to say your question
your comments sometimes come across as
[1:44:24]
questions. Just so you know, [laughter]
>> I'll I'll see.
[1:44:27]
» Okay.
>> Well, maybe I can mix them up and they
[1:44:30]
can be enthusiastic exclamation.
>> I just want to make sure that we we get
[1:44:34]
you the answers you want. So, if it is a
question, just frame it as a question.
[1:44:36]
We'll be happy to try and answer.
>> I actually want to revisit some of the
[1:44:39]
data, some information that I sent to
the select board and also some things
[1:44:44]
that I saw in both the locked in and the
hub report. So, um
[1:44:50]
now I'm going to say this as a 54year
town employee. So I am so proud
[1:44:55]
obviously I'm still working here to be
an employee of Westford and I've been in
[1:45:00]
many a leadership group where every
single department head in the room said
[1:45:05]
the reason they were working for
Westford was because of public service.
[1:45:10]
It's a wonderful wonderful work ethic
that we have in this town. I'm always
[1:45:14]
proud to say no our tax rate is lower.
you know, go on the website and look.
[1:45:20]
And I love to tease people and tell them
that we figure out the employee leave
[1:45:24]
acrual to the 110,000th every week.
Heaven forbid we should spend 110,000th
[1:45:31]
of a penny that is not due one of our
workers. Um,
[1:45:36]
when I read the reports that we saw from
my reading, the only health insurance
[1:45:44]
that was actually solvent was Westford's
Health Insurance Trust, not the GIC,
[1:45:51]
not the other three that were listed. We
had the only one that was not in
[1:45:57]
deficit.
When I look at the GIC and how it's
[1:46:01]
subsidized by Commonwealth taxpayers,
it's not sustainable.
[1:46:07]
It we assume the liability of every
member of every community that's in the
[1:46:13]
GIC. We have to
um we have to join it before we know the
[1:46:20]
rate and we can't negotiate the rate
that we're going to pay. When I look at
[1:46:26]
how hard over five decades Westford has
worked, and I went through gas shortages
[1:46:32]
in the mid70s, the awful early 90s, we
never made funds in the roaring 80s
[1:46:39]
because of the limits that we had for
where we could invest town funds and
[1:46:44]
that was because that was prudent and
that was legal. We went through the
[1:46:49]
awful 90s, 2004, 2008. We've had so many
setbacks and I can't even believe after
[1:46:56]
so hard all the hard work we've done to
keep Westford at a AAA bond rating and a
[1:47:04]
fiscally managed community that we would
consider the GIC.
[1:47:10]
[applause]
[1:47:16]
» Uh do we have another question online or
is that
[1:47:19]
» comment online? Uh to anyone wondering
if their doctors are covered by GIC
[1:47:24]
plans, GIC has a provider search. Uh
Health New England.org/gic
[1:47:31]
provider search. You can look it up on
GIC's website.
[1:47:36]
» Great. Gentleman at the mic.
>> Uh just have a question from Mark from
[1:47:40]
hub. Um
what does the health insurance trust
[1:47:46]
look like it's going to do
year-over-year for the next three years?
[1:47:51]
That's a big question.
>> Yeah. So, so Mark, uh, let me take that
[1:47:55]
first and then if I I need to interact
or you need to interject. So, um, the
[1:48:00]
health insurance trust looks at the
rates every year. Um, health insurance
[1:48:05]
across the board and every municipality
or any private sector in the US really
[1:48:10]
is going up year-over-year. So, we are
tasked with ensuring that our trust has
[1:48:15]
enough funds to make sure that we can
afford our health insurance, but we
[1:48:20]
generally don't look 3 to 5 years out
because the trends are changing so
[1:48:26]
quickly and the medical is changing so
quickly. Mark, I don't know if you have
[1:48:30]
anything else you wanted to add to that.
>> Yeah, no, Chris, I think that's well
[1:48:35]
said and and that's why we have to meet
with the trust very regularly. So we
[1:48:39]
meet um many times during the year to
review the financials, review claim
[1:48:43]
trends, specifically what's going on
with Westford, but also what's going on
[1:48:49]
in the overall healthcare economy. Um
and uh we we take all that data just to
[1:48:56]
help us forecast in advance. Um the best
I could do as far as forecasting the
[1:49:02]
next three years would be you know
honestly just looking at general trend
[1:49:07]
but you know your group is although it's
a large organization it it can
[1:49:12]
[clears throat] it's more of a roller
coaster as far as peaks and valleys of
[1:49:15]
where the healthcare costs go and and a
lot can change between now the next
[1:49:20]
three years. So, you know, as Chris
mentioned, the health plans trust has
[1:49:24]
been very um healthy and as the previous
um um questioner had mentioned as well.
[1:49:32]
And um you know, again, that's the
trustees are very well educated and they
[1:49:38]
do their best to keep their finger on
the pulse of what's going on in the
[1:49:42]
healthcare industry and their own plan
to help make sure they don't ever run
[1:49:47]
the deficit in the future.
So, there's no dollar amount look
[1:49:53]
looking forward.
>> No, we definitely factor in health
[1:49:57]
insurance um expenses in our five-year
projection that we do. Um and Dan
[1:50:02]
O'Donnell can speak to that a little
bit, but there's no specific number that
[1:50:05]
we can give you.
>> Okay, thank you.
[1:50:10]
» Uh great. Thank you for the question.
How are we looking online for questions?
[1:50:13]
Are we clear there or we have one in the
way?
[1:50:16]
We do that.
>> Okay,
[1:50:20]
» we have a comment. Uh, this is only one
of the GIC providers, the same gentleman
[1:50:23]
who posted the prior um the prior link.
Uh, one of the GIC providers and that is
[1:50:29]
based solely in Western Mass. That is
not accurate. The GIC actually has
[1:50:32]
several providers and individuals should
go to www.mmass.govic.
[1:50:43]
» Thank you. And that's again what my
colleague Elizabeth was mentioning in
[1:50:47]
terms of a great resource if you do want
to learn a little bit more about the
[1:50:50]
GIC. A lot of good information there. Uh
are we is that another one or are we
[1:50:54]
clear? All right. Any other questions
from members of the audience?
[1:50:59]
» Yes, you have your hand raised. Do you
can you come down? Yep. Great. Thank
[1:51:03]
you.
[1:51:07]
» What happens
what happens to the people that live out
[1:51:11]
of state?
I'm sorry just for the repeating closer
[1:51:14]
to the mic.
>> What happens to the people that live out
[1:51:17]
of state with GIC?
[1:51:24]
» So, as Elizabeth stated, there's many
different options on the GIC website
[1:51:29]
that um there's more narrow networks for
people who live in Massachusetts.
[1:51:32]
There's wider networks for people who
live out of state. The costs do change
[1:51:36]
based upon which plan you choose and
which network you're in. Does Westford
[1:51:41]
still cover us?
>> Would Westford still cover you if we
[1:51:45]
went to the GIC?
>> Yes, there would be an employee
[1:51:48]
contribution and an employer
contribution. Yes.
[1:51:53]
» Okay.
[1:51:56]
» Yeah. Once again, um refer to
Elizabeth's uh comment. Um you when you
[1:52:02]
go and look at the FY27 plan offerings
on mass.gov gov for GIC. It will give
[1:52:09]
you a PDF that shows how the GIC plans
are made available to where you live in
[1:52:15]
the state of Massachusetts, outside of
the state of Massachusetts, and when
[1:52:18]
you're within the state of
Massachusetts, it even breaks it down by
[1:52:21]
county. And then it will show you which
of the the different insurers are
[1:52:25]
available to you depending on where you
live. So, that information is there um
[1:52:29]
if you are so interested in in looking
into it. Uh any other questions at this
[1:52:35]
point from members of the audience? Are
we how are we online? Clear online.
[1:52:40]
Okay. Uh do we have any closing remarks
from members of the select board before
[1:52:44]
I ask for a motion to adjurnn? Yeah,
>> sure.
[1:52:53]
So, it's come up a couple times about um
the tax working group and I am the
[1:52:58]
select board who uh select board member
who is a part of that group. Um so, it
[1:53:03]
is it is up to me to really know some of
these dates. So, I just wanted to um let
[1:53:08]
you know that our report's going to come
out in September. That's the the due
[1:53:12]
date there. And also that if you're
looking for the most recent time that
[1:53:16]
analysis was done um 2018. So just
trying to again if you're looking for
[1:53:23]
more information just to land some with
some more specifics of your personal
[1:53:27]
questions um those are two things I'll
point you to. Look for uh the working
[1:53:31]
group I'm a part of to report out in
September. And uh if you want to know
[1:53:36]
more of what Tom was explaining um from
past findings, you're you're going to
[1:53:41]
get data from 2018.
[1:53:48]
» Okay. Thank you, Elizabeth. Okay. Before
I close out, I just want to again uh
[1:53:53]
talk about communication. So uh we have
the ability to subscribe to alerts on
[1:54:00]
our website. So you can subscribe to
when a
[1:54:04]
board or committee like the health
insurance trust is posting their
[1:54:08]
meetings. That's one way of staying
involved. Um we will do our best to
[1:54:13]
engage retirees as well. Our HR director
does have email addresses that she can
[1:54:19]
send uh information to. If you are aware
of a colleague or fellow retiree that
[1:54:25]
you know is not being made aware of
what's going on, please let us know. I
[1:54:29]
think the best place for that would be
the town manager's office. Uh again, you
[1:54:34]
can get them via phone or if they have
the email address. Um we also are trying
[1:54:39]
to really push our social media
channels. So, of course, we post on our
[1:54:43]
town website. We have news alerts just
in general that go out through the
[1:54:46]
town's news uh website, but we also have
a Facebook page. We have a newly uh spun
[1:54:53]
up Instagram. We are on X. So there's
numerous ways that you guys can receive
[1:54:58]
the information um in a more passive
sense rather than trying to search it
[1:55:02]
out. We will push stuff out to you. Uh
so I I encourage everybody to try to
[1:55:06]
make use of those communication channels
and please let your fellow, you know,
[1:55:11]
retirees and employees know about those
options because the more we can inform
[1:55:15]
everybody about these discussions, the
better off we all will be. And I really
[1:55:20]
truly believe that. So we welcome the
feedback. Again, you can email the town
[1:55:25]
manager's office or any of the select
board. We really appreciate the time
[1:55:28]
that folks took to send out the emails
that they did over the last week or so.
[1:55:33]
Um, I did get uh one email that said
something along the lines, I hope that
[1:55:37]
AI isn't reading these. Rest assured
that we are reading them and we truly
[1:55:41]
appreciate your thoughts and questions.
Uh, it really makes for a much richer
[1:55:45]
discussion. Um I do think out of some of
those questions we have put together a
[1:55:49]
frequently asked questions document that
is available at the health insurance
[1:55:53]
trust website is that what it is and and
the select board packet for this. So
[1:55:58]
that is also something that we will
continue to probably develop as this
[1:56:02]
conversation moves forward. Okay, one
last call out for questions. Nothing
[1:56:08]
online. Um Mark from hub, thank you very
much for joining us this evening.
[1:56:13]
Appreciate your feedback. Um, is there
any questions or last words from the
[1:56:17]
town manager?
>> I just really appreciate everybody's
[1:56:21]
time today um and the emails and
comments. Uh, once again, it is likely
[1:56:27]
that the health insurance trust is going
to meet next Thursday afternoon. So, um,
[1:56:31]
if you are interested, please mark that
on your calendar now as just a
[1:56:34]
placeholder. Um, and again, feel free to
email tma westwardmma.gov. That reaches
[1:56:40]
the town manager's office or select
board westwardmma.gov. gov that reaches
[1:56:44]
the select board as well as the town
manager's office.
[1:56:49]
» Okay, thank you very much Kristen and uh
Mike just pointed out to me um
[1:56:55]
you know some of people have done um an
really nice job of framing the concerns
[1:57:00]
that they have with this topic and that
in some cases included you know putting
[1:57:05]
forth some financial and medical
information in the emails. Um those are
[1:57:11]
those can be considered public
documents. So, I just want to caution
[1:57:14]
folks that um if you are going to share
information, just keep that that in
[1:57:18]
mind. Okay. Um Okay. With that said, uh
I'm going to look for a motion to
[1:57:23]
adjourn this meeting.
>> Do I have a second? Okay. All those in
[1:57:27]
favor, please say I.
>> All right. This meeting is adjourned.
[1:57:30]
Thank you very much for your time this
evening and for everybody who attended
[1:57:33]
online. We really appreciate you taking
your time. Thank you.