At a Crossroads: The Financing and Future of Health Benefits for State and Local Government Retirees

Source: Richard C. Kearney, Robert L. Clark, Jerrell D. Coggburn, Dennis M. Daley, Christina Robinson, Center for State and Local Government Excellence, July 2009

From the summary:
First systematic (entire workforce) assessment of OPEB (other post-employment benefits) liabilities of US states and a sample of localities.

Key findings of the report include:

* States have unfunded liabilities for retiree health care of about $558 billion.
* State plans differ substantially in their generosity, coverage, and outstanding liabilities.
* Unfunded actuarial accrued liabilities (UAAL) for many governments are large in absolute value and relative to total state expenditures, debt, and per capita income of the state. For others they are not.
* Actuarial statements reveal substantial differences in total unfunded retiree health care liabilities. This is a function of work force size, plan generosity, and the portion of health care costs paid by the employer.
* Most state and local governments, however, have adopted various cost containment, cost shedding, and cost sharing policies, including retiree premium contributions, higher deductibles, and higher co-payments. Some have curtailed benefits for future retirees.
* Preventive medicine and wellness programs are catching on in the states, but most to date are limited in scope.
* State and local governments report they are more willing to consider changes in age and/or years of service requirements for retiree health care eligibility.

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