Something has to give with city paid health insurance

Chelsea, Massachusetts

Across Chelsea and beyond, municipal workers have long counted on pensions as a cornerstone of their employment benefits. Accompanying those pensions has traditionally been another significant perk: health insurance at minimal cost, with the city covering the bulk of the expense. That era has ended. Financial strain from the economic downturn has left cities and towns struggling to juggle their most critical budget needs while confronting health insurance premium increases of staggering proportions. For retired city workers living on fixed pension income, word that health insurance premiums could soon double brings more than disappointment—it brings genuine alarm. How can retirees absorb such costs when their pensions already stretch thin? Monday night’s heated gathering at City Hall, where hundreds of angry pensioners attempted to voice concerns about impending premium hikes, signals the level of attention this matter will command. This is not a problem that will fade quickly or resolve easily. City Manager Jay Ash has indicated openness to dialogue with the city’s retired workforce in search of answers. The retirees should have initiated these conversations sooner, before the city moved toward action. Without Councillor Stan Troisi’s levelheaded intervention Monday night and Ash’s agreement to delay the increase by three months, Chelsea’s retirees would already be paying more. As matters stand, the increase will take effect unless municipal unions here embrace membership in the state’s GIC, the statewide group insurance program that delivers substantial cost reductions to participating municipalities. Chelsea could save as much as $3 million by joining the GIC. Many believe that joining the GIC would allow the city to postpone—or potentially avoid altogether for an extended period—the steep premium increases being proposed for retirees. What makes this situation particularly troubling is that current city employees face an identical crisis unless meaningful action is taken to bridge the gap between what the city can afford and what is necessary to resolve this emergency. The era when the city paid 75% of health insurance premiums is fading. Both government and private sector workers now inhabit a landscape of climbing insurance costs that neither can realistically sustain. Ultimately, this same struggle plays out in Washington, where the Senate weighs whether to undertake comprehensive health insurance reform or watch the nation exhaust itself maintaining a system that has broken down. The system is broken—Monday’s meeting made that unmistakable.