HomeMy WebLinkAboutRES 07-422P.R. No. 14361
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RESOLUTION NO. ~ 7-- ~6~..~
A RESOLUTION AUTHORIZING THE CITY MANAGER TO EXECUTE RENEWAL
CONTRACTS BETWEEN ITS THIRD PARTY ADMINISTRATOR
(ADMINISTRATIVE SERVICES ONLY) FOR THE ~ OF PORT ARTHUR
GROUP MEDICAL, DENTAL INSURANCE; FOR BASIC LIFE, FOR BASIC
ACCIDENTAL DEATH AND DISMEMBERMENT, AND EXCESS LOSS INDEMNITY
WITH BLUE CROSS AND BLUE SHIELD OF TEXAS, INC,
FUND NO. (S): 614 - HEALTH INSURANCE FUND
WHEREAS, the City Council of the City of Port Arthur deems it necessary
and appropriate to continue major medical health cam benefits for the City's
employees and its retirees, and;
WHEREAS, the City Council deems it in the best interest of the citizens of
Port Arthur to be self-funded and to contract with Blue Cross and Blue Shield of
Texas, Inc. as a third party administrator at an estimated cost of $342,525 per
year (administrative charge based on the present number of employees and
retirees) as well as at a cost of $428,566 per year for stop loss premium (excess
indemnity), and;
WHEREAS, such contracting with Blue Cross and Blue Shield of Texas,
[nc. complies with Sections 252.021(b), Comoetitive Reeuirements for Certain
Purchases. 252.024, Section of [nsurance Broker. and 252.048, Chanqe Orders.
respectively of the Local Government Code; and,
P.R. No. :1436!
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WHm:I~:A~, the nature of the premiums to be charged by the Ob/and
the benefits are as delineated in Exhibits "A-I", and "A-2" which reflect the costs
for administraUon by Blue Cross and Blue Shield of Texas, the stop loss premium,
the expected reserve, and,
WHEREA~, the Basic Ufe Insurance will also be conUnued, with no
increase, as per the Blue Cross and Blue Shield of Texas communicaUon dated
05/29/07 attached hereto as Exhibit "B~, which w~ml cost the ob/$1.62 per
employee per month {for a $6,000 death benefit policy), and,
WHERE,, as part of the renewal, the City is also obtaining Accidental
Death and Dismemberment insurance on behalf of its employees which will cost
the City $.30 per employee per unit ([for a $5,000 accidental death and
dismemberment policy) per month, at a total expected to be less than $3,000
per year.
BE Z'I' RESOLVED BY THE CZl'Y COUNC3L OF THE CZTY OF PORT
ARTHUR:
THAT, the City Council of the City of Port Arthur hereby awards the
following contracts to Blue Cross and Blue Shield of Texas, Thc.; attached hereto
and made a part hereof, as is fully delineated herein:
TNSURANCE COVERAGE
Administrative Services
Only for the City of Port
Arthur's Group Medical,
ADMINISTRATIVE SERVICES
Blue Cross & Blue Shield
EFFI~(~IVE DATE
November 1, 2007
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Basic Life & AD&D
Excess Loss Indemnity
Blue Cross & Blue Shield
Blue Cross & Blue Shield
November 1, 2007
November 1, 2007
THAT, the renewal proposal submitted by Blue Cross and Blue Shield of
Texas, Inc. dated 05/29/07 as delineated in Exhibit "B' (attached), is hereby
approved.
TRAT, the Summary of Benefits which includes plan modifications
changing the calendar year deductible from $1,0~ Zndividua~/$$,~7 Family
Networl0 to $$00 [~dividual/$1,$O0 Family (In-Network) and from
$1,5~0 Indlv/duay$$,~ Fam#y (Out. of-Network) to
I~dividual/$ExO00 Family (Out, f-Network) as delineated in Exhibit
(attached) with all other existing health plan benefits unchanged along with
current funding levels for all impacted employees, retirees, and/or dependents
as delineated in Exhibit "D" (attached); and,
THAT, the City Manager is hereby further authorized to execute the
necessary contracts and other documents on behalf of the City of Port Arthur
subject to the approval of the City Attorney, and to make payment of necessary
premium and adminlstraUve charge to bind coverage pending receipt of the
Conbact for Third Party Admini~krdtor Admini~bafive Services and the Contracts
for Insurance; and,
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THAT, the Oty Manager is hereby directed to take all actions necessary to
ensure proper funding of the City of Port Arthur's employee health insurance
Fund (pending budget approval) in accordance with Exhibits "A(1,2,)'; "B'; "C';
~D", attached hereto and made part hereof; and,
THAT, a copy of the caption of this resoluUon be spread upon the
minutes of the City Council.
AD, 2007, at a Regular Neefing of the City Council of the Qb/of Port Arthur, by
.
NOES: ~~.? '
/~el~ris ~Bobbie" Prince, Mayor
A~-FES'I': ~,
APPROVED AS TO FORIVI:
ity ~cney (ON b¢l~Lg
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APPROVED FC~ ADMINISTRATION:
Step-~e~"B. Fitzgi6bons
APPROVED AS TO AVAILABILITY OF FUNDS:
Director Finance
'ID
EXHIBIT "B"
May 29, 2007
BlueCross BlueShield
of Texas
Mr. Ha~ey Robinson
City of Port Arthur
P. O. Box1089
PortAAhur, Texas 77641-1089
Re: AnniversaW Date: November1,2007
Group#:31118
Dear Mr. Robinson:
Thank you for allowing Blue Cross and Blue Shield of Texas (BCBSTX) the oppodunity to provide group
benefit coverage to you and your employees this past year. We are proud of the partnership we have
developed with you and will continue to strive to meet your needs for quality health care coverage while
managing health care costs.
SB 51 Reminders:
The recent passage of Senate Bill 51, Group Premium Payment after Employee Termination by the 79~h
Texas Legislature Regular Session amends Chapters 843 and 1301, of the Texas Insurance Code (TIC).
This legislative change applies to all fully insured PPO and HMO benefit plans issued, delivered or
renewed, on or after, January 1, 2006. This legislation change does not impact self-funded (ASO)
accounts.
Please note, this change is due to Texas Legislative requirements and is not a business decision of Blue
Cross and Blue Shield of Texas (BCBSTX). The information provided below is to supply you with the
high- level legislative requirements and operational impacts to employer groups for Senate Bill 51.
Premium Payment and Coveraqe after Enrollee's / Insured's Termination:
Group policyholders are liable for an enrollee's or insured's premiums payments from the time the
enrollee or insured ceases to be eligible for coverage until the end of the month, in which the
group policyholder notifies the HMO or insurer, that the enrollee or insured is no longer part of the
group and eligible for coverage; and
· Group policyholders are required to provide coverage for the enroliee or insured, under the policy,
until the end of the month in which notification is received by the benefit plan, carrier or insurer.
Example: An employee terms with the employer on August 20, 2005. The employer notifies the
carrier on September 6, 2005. Under the new Senate Bill 51 requirements, the employer is
responsible for premium payment for the entire month of September 2005, in which the employer
notified the carrier.
Important Note: Due to this legislation, BCBSTX will require written notification to cancel
coverage for an enrollee or insured. Notification will be accepted by receipt through the U.S.
Postal Service, email, tape submission, or by real time entry into Blue Access for Employers
(BAE).
If you are not currently using Blue Access for Employers, please contact your BCBSTX
representative for your account's eligibility. You may visit the Employer section of our public
website at www.bcbstx.com and click on the link to "Take a Tour" of Blue Access for Employers.
26 [5 Cahlcr, Suilc 700, I:k:aumont, 'l'ttxas 77702 · (409) 8.96 0100. ["ax (409) 89(i-011 I
· Important Note: Due to this legislation, retroactive group adjustments will no longer be
allowed by BCBSTX for the termination of an enrollee, not posted to the monthly billing, in
which the enrollee or insured is no longer part of the group and eligible for coverage.
Dental and Vision Sinqle Service HMO's Verification:
Senate Bill 51 requires appropriate staffing personnel must be available for verification and
preauthorization of health care services for dental and vision $inClle service HMO's between the
hours of 8 a.m. and 5 p.m.C.S.T., Monday through Friday, fo~ e~ch day that is not a holiday; and
Single service HMO's must have a telephone system capable of accepting or recording incoming
phone calls for verification after 5 p.m. Monday through Friday and ail day Saturday, Sunday and
legal holidays. Responses are required to all incoming calls accepted or recorded, not later than
the next business day, after the date the call is received.
Compliance
BCBSTX and HMO Blue will fully comply with Senate Bill 51 legislation requirements. As policy and
procedure changes are approved, BCBSTX will notify you of the required implementation changes in
support of the statute. Sub-workgroups have been diligently identifying operational and administrative
impacts. Required operational changes and educational materials will be communicated in the immediate
future.
Additional Information
If you require additional information regarding this legislature, please refer to the following Texas
Department of insurance (TDI) website at http://www.capitol state tx us/cqi-
bin/tlo/textframe cmd?LEG=79&SESS=R&CHAMBE R=S&BILLTYPE=B&BILLSUFFIX=00051 &VERSiON=5&TYPE=R
Access: Unparalleled Provider Networks
BCBSTX offers managed care and traditional provider networks that are among the largest in the health
care industry, with superior savings.
The Texas PPO network, BlueChoice®, is one of the largest PPO networks in the state, including more
than 42,000 physicians and 470 hospitals that is available in all 254 Texas counties. Our network
features strong relationships with local providers, fostered by our Office of Physician Advocacy
When consulting a Physician or Professional Other Provider who does not participate in the Network,
your employees may also benefit from discounts if the provider participates in ParPlan -- a simple, direct-
payment cost protection feature that is not available with other carriers. If the Physician or Professional
Other Provider participates in ParPlan, he agrees to:
· File member claims directly with BCBSTX,
· Accept the allowable amount determination as payment for Medically Necessary services, and
· Not bill for services over the Allowable Amount determination
Service: Excellent Customer Service, Online Capabilities
BCBSTX traces its or[gin to the non-profit Baylor Plan founded in 1929. We have continued to serve
Texans and Texas-based employers ever since, and have become one of the most widely recognized
and widely respected health care companies in the state.
As your carrier, BCBSTX has demonstrated a commitment to outstanding account management and
customer service. The account management team will continue to interact with you as necessary to
ensure the ongoing maintenance of your benefits program. Your employees have benefited from the
one-stop shopping of the Full Service Unit. Online resources allow members to take control of their
health care and afford them the necessary information to make wise decisions.
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BCBSTX,com
~Blue Access for Employers- secure portion of the Web site, for group-specific product,
membership, billing, and other account information. Services also include online enrollment for
existing groups, as well as, real time maintenance entry to add or cancel a member's coverage. To
view the employer features available please visit the Employer section of our public website at
www.bcbstx.com, and click on the link to "Take a Tour" of Blue Access for Employers.
Comprehensive Data Reporting
Employers also have access to the Blue Outlook management reporting function which includes:
· easy-to-read reports and graphs
· integration of HMO and non-HMO data, as applicable
· immediate access to data at any time
· electronic storage
· statistical monitoring
advanced technological capabilities, by delivering data directly to the desktop
Based on group size and funding arrangement, data reporting services may include standard
monthly, quarterly, and annual reports that provide in-depth utilization analysis, enrollment reports,
and related savings, such as Coordination of Benefits and subrogation. Ad hoc reports may be
available for an additional charge. Employer groups may access their reports online.
Blue Access for Members - secured access to view claims and Explanations of Benefits, request
replacement ID cards, print temporary ID cards, and e-mail questions to Customer Service.
Provider Finder® and Pharmacy Finder- downloadable network provider directories that can be
formatted by product/network type, region, and city area, A link to the Blue Cross and Blue Shield
Association Web site provides a listin9 of national and international providers. A link to the Prime
Therapeutics LLC site is available for national pharmacy listings,
Pharmacy-related services - including online mail order capabilities for members currently enrolled
in Prime Therapeutics' mail order prescription program; an alphabetical listing of the most commonly
prescribed medications available in the preferred brand name category with noted generic
equivalents; and information about the BCBSTX three-tier copayment structure.
Downloadable forms - for claims submission, student dependent certification, prescription drug
claim reimbursement, and prescription mail orders.
~ Customer service - for replacement ID card requests and other e-mail inquiries,
Health Care Decision Tools
In addition to offering eligibility and claim status information online, BCBSTX provides members with
access to exclusive online health and wellness content and decision-making tools,
> Health Risk Assessment .- Members will benefit from the Health Risk Assessment and other self-
management Web-based tools relating to common health care problems such as asthma, Iow back
pain, and headaches. These programs will be integrated with BCBSTX care management programs,
as applicable. Members may also access information about specific diseases and treatments,
including alternative medicine and interactive health/lifestyle decision-making tools.
> Hospital Comparison Tool-- BCBSTX also offers members access to a hospital comparison tool
that allows members to make informed hospital selections using interactive software. Members can
generate a list of hospitals meeting criteria they've specified, such as patient volume, location,
mortality rates, and unfavorable outcomes. Members can perform their own side-by-side
comparisons of network hospitals, to ensure their comfort and satisfaction with their hospital
experience.
Value: Competitive Administrative Costs, Innovative Medical Management, Health Care Cost
Solutions
Keeping health care affordable is important to us because it's important to you. BCBSTX takes a
preactive approach to lowering the cost of health care for employers and employees.
Blue Resource
in conjunction with the Blue Cross and BIue Shield Association, BCBSTX has launched the Blue
Resource communication campaign to increase awareness of how health care choices impact the rising
cost of health care.
BCBSTX provides applicable messages and artwork online at www.bcbstx.com, at no cost to
employers. Campaign materials are grouped by health care topic such as Health and Wellness, Weight
Loss and Fitness for Work (maximizing productivity through ergonomics, stress management and more).
Rates
The rates provided in this renewal are effective for the 12-month period beginning November 1, 2007~
These rates are subject to the terms and conditions of the applicable group agreement, contract,
schedule of coverage, schedule of specifications, or schedule of benefits.
~' Please advise your agent and/or BCBSTX of your renewal decision at least 15 days prior to
your anniversary date.
>' Please see attached ASO Exhibit for the Health Renewal Rates.
Dental Rates Present Effective on Renewal
Employee Only $16.81 $18.71
Employee & One $40.09 $44.62
Employee & Family $49.16 $54.72
' Life Rates Present Effective on Renewal
Basic Life $.27 $.27
AD & D ) $.06 $.06
Additional Information and Reminders
Texas legislation mandates an annual open enrollment period. This means your annual open enrollment
for all eligible employees and their dependents must be at least 31 days long and prior to your
anniversary date. It is imperative that you submit all enrollment applications and change forms during this
open enrollment period. Enrollment updates received after your anniversary date will be considered late.
The next eligibility window will occur at your group's open enrollment the next year.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) became effective 07/01/97 and
was modified 07/01/05. HIPAA continues to affect all individuals eligible to enroll for coverage under your
plan. A requirement of this bill is to provide a General Notice of Enrollment Rights and Pre-existing
Condition Exclusions. This notice is directly related to Employer Groups and is required by HIPAA and
does not necessarily reflect the rules mandated by House Bill 1212 (Texas Legislation). A copy of the
HIPAA Notice has been included with your renewal for use in distribution.
Please copy and distribute this General Notice of Enrollment Rights directly to all of your employees as
soon as possible. This new notice must also be given to each new employee prior to enrollment in or
declination of health coverage.
The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum
standards for employee benefit plans in the private industry. ERISA status is important in determining
whether state laws apply to a benefit plan, and is also important for tax and reporting purposes. BCBSTX
requires written documentation including signature of your group representative concerning your ERISA
exemption status. Please contact your broker or BCBSTX account executive to report changes in your
ERISA status or to confirm you have previously reported your ERISA status.
If you have any questions regarding the information provided in this letter, any of the enclosed
documents, or would like alternate plans quoted, please do not hesitate to contact your agent. We
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appreciate the opportunity to provide your benefits program and we value the partnership we have built
with the City of Port Arthur and look forward to continuing our relationship.
Sincerely,
Terry Villiva, MHP
Account Executive
TV:mj
Enclosures
cc: Mickey Moshier