HomeMy WebLinkAboutPR 21593: BLUE CROSS BLUE SHIELD RENEWAL EFFECTIVE 11/1/2020 Citta of ,
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INTEROFFICE MEMORANDUM
Human Resources Department
Date: September 21, 2020
To: Ron Burton, City Manager
From: Elizabeth Diaz, Assistant Director of Human Resources
Re: BC/BS Renewal Effective 11/1/2020
P.R. No. 21593 - A Resolution Authorizing the City Manager to Execute Contracts
Between Its Third Party Administrator (Administrative Services Only) For The City
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.
Nature of the request: The City of Port Arthur is self-insured and contracts with a third party
administrator to administer its Health Insurance Plan for major medical health. Dental insurance,
basic life insurance, and basic accidental death and dismemberment insurance are also provided
for employees and City Council appointees on a fully insured basis. Additionally, the City
provides access to its major medical health insurance coverage, including prescription drug
coverage, for its retirees under age 65. Medicare retirees as well as their Medicare dependent(s)
transitioned to the Blue Cross Medicare Advantage PPO and Prescription Drug Plan 11/1/2016.
The upcoming renewal initially offered a+4.30% funding adjustment over last year's funding level;
however,with continuous discussions we were able to reduce the health renewal rate to+0.45%with
no change in the current level of benefits. There is also a slight adjustment in dental costs,
approximately$1.75 per employee per month, also with no change in benefits.
The City's claim experience summary reflects a significant increase from the most recent
experience period,in both,health and dental. The favorable news is that the prescription rebate
credit increased significantly this year and as a result, overall costs (administration, individual
stop loss, and aggregate stop loss) remain the same. Resulting in an overall minor increase of
approximately 0.72% increase in the recommended premium funding; therefore, effective
11/01/2021 all impacted plan participants will incur the slight premium increase. Basic Life
insurance and AD&D rates remained constant with no increase through 11/1/21.
Staff Analysis, Considerations: The City of Port Arthur has a Preferred Provider Organization
(PPO) insurance format which provides participants great latitude in selection of health care
providers. This format has been deemed most beneficial for plan participants and most compatible
with our organizational culture. The City also offers a lower cost Health Savings Account (HSA)
option. The City is self-insured for major medical health insurance coverage.
As we reviewed the upcoming renewal with Blue Cross and Blue Shield of Texas, staff feels the
move to a Medicare Advantage plan for its Medicare retirees and/or Medicare dependents in
November, 2016 has attributed to substantial savings to the City's health insurance fund over the
past few years. Each renewal year comes with additional elements of the Affordable Care Act
impacting the City's health insurance that must be taken into account.
As indicated above the renewal reflects an overall renewal ajudtment of 0.72% in funding,
please see Attachment "A" which is this year's proposal as presented by the City's insurance
consultant, Mr. Mickey Moshier.
Additional efforts with regard to wellness and education regarding plan usage and
alternatives will be a significant initiative in the upcoming renewal year. The 2020-2021 Open
Enrollment period will be from October 1 to October 31,2020.
Recommendation: It is recommended that the City Council adopt P. R. No. 21593 which
authorizes the City Manager to execute contracts between its third party administrator
(administrative services only) for the City 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., and Dearborn National Life Insurance Company for its 11/1/2020-
10/31/2021 plan year.
Budget Considerations:
Approval of P. R. No. 21593 which authorizes the City Manager to execute contracts with the
following budgetary impact for which funds are available:
Fund No. 614-1701-583.53.00 (Health Insurance Fund)
Expected claims $7,742,155
Administration/Stop Loss $1,136,453
Dental $ 372,847
Basic Life/AD8cD $ 30 000
Total $9,281,455
P. R. No. 21593
9.21.2020--evd
RESOLUTION NO.
A RESOLUTION AUTHORIZING THE CITY MANAGER
TO EXECUTE CONTRACTS BETWEEN ITS THIRD
PARTY ADMINISTRATOR (ADMINISTRATIVE
SERVICES ONLY) FOR THE CITY OF PORT ARTHUR
GROUP MEDICAL, DENTAL INSURANCE, BASIC LIFE,
BASIC ACCIDENTAL DEATH AND DISMEMBERMENT,
AND EXCESS LOSS INDEMNITY WITH BLUE CROSS
AND BLUE SHIELD OF TEXAS,INC.
FUND NO: 614-1701-583.53-00 (HEALTH INSURANCE FUND)
WHEREAS, the City Council of the City of Port Arthur deems it necessary and
appropriate to provide major medical health care benefits for its City's employees, City
Council appointees, and its retirees under the age of 65 effective on 11/01/2020; and,
WHEREAS, the City Council deems it in the best interest of the citizens of Port
Arthur to be self-funded and to accept the renewal from Blue Cross and Blue Shield of Texas,
Inc. as a third party administrator at an estimated cost of$459,620 and a prescription drug
rebate credit of$558,122 leaving a net administrative fee credit of$98,502 (administrative
charge based on the present number of employees) as well as at a cost of$1,234,955 per year
for stop loss premium (excess indemnity) per recommendation of the City's insurance
consultant, Mickey Moshier, listed hereto as Attachment "A"; and,
WHEREAS, the City's group health plan coverage encompasses the enactment of the
Patient Protection and Affordable Care Act (PPACA) effectuated on March 23, 2010, with
continuing provisions enacted annually, and do hereby affirm to continue to make changes to its
existing health plan policies or products as required to comply with the law; and, current language
P. R. No. 21593
9.21.2020--evd
ties the City of Port Arthur to specific disaster declaration by the President in which the City wishes
to modify to a more standard term; and,
WHEREAS, such contracting with Blue Cross and Blue Shield of Texas, Inc. complies with
Sections 252.021(b), Competitive Requirements for Certain Purchases. 252.024, Section of Insurance
Broker,and 252.048,Change Orders,respectively,of the Local Government Code;and,
WHEREAS, the nature of the premiums to be charged by the City and the summary of
benefits are as delineated in Exhibit"A",which reflects the costs for administration by Blue Cross
and Blue Shield of Texas, Inc., the stop loss premium and the expected reserve; and,
WHEREAS, the Basic Life Insurance will also be continued per Dearborn National Life
which includes provisions to provide basic life insurance coverage to Fire Civil Service personnel
at a rate of one times his/her base annual salary in accordance with the 10/01/2017 Collective
Bargaining Agreement between the City $.22/per thousand dollar unit, and all other eligible
employees' coverage will remain a$6,000 death policy,which will cost the City$.19/per thousand
dollar unit/per employee/per month and attached as Exhibit"B"; and,
WHEREAS, as part of the Dearborn National Life proposal, the City is also obtaining
Accidental Death and Dismemberment Insurance on behalf of its employees which will remain at
a cost of $.04/per thousand-dollar unit/per Employee (for a $5,000 accidental death and
dismemberment policy for all eligible Employees)per month as attached Exhibit"B"; and,
WHEREAS,the current year's renewal provides a 0.72%increase in premium to the City,
to employees, City Council appointees, and to retirees under the age 65. It is being recommended
that effective 11/01/2020 all impacted plan participants will incur a 0.72%premium increase.
P. R. No. 21593
9.21.2020--evd
NOW,THEREFORE,IT BE RESOLVED BY THE CITY COUNCIL OF THE CITY
OF PORT ARTHUR,TEXAS:
Section 1. That, the City Council of the City of Port Arthur hereby accept the
following contracts to Blue Cross and Blue Shield of Texas, Inc., attached hereto and made a part
hereof, as is fully delineated herein:
INSURANCE COVERAGE ADMINISTRATIVE SERVICES EFFECTIVE DATE
Administrative Services Blue Cross and Blue Shield November 1, 2020
City of Port Arthur's Group
Medical and Stop Loss
Dental Blue Cross and Blue Shield November 1, 2020
Basic Life&AD&D Dearborn National Life November 1, 2019
Section 2. 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 administrative
charges to bind coverage subject to the terms and conditions of the contract for Third Party
Administrator (Administrative Services Only) and the Contracts for Insurance attached hereto as
required effectuate said services; and,
Section 3. That,the City Manager is hereby directed to take all actions necessary to
ensure proper funding of the City of Port Arthur's Employee Health Insurance Fund; and,
Section 4. That, a copy of the caption of this Resolution be spread upon the minutes
of the City Council.
P. R. No. 21593
9.21.2020--evd
READ, ADOPTED AND APPROVED this day of A.D. 2020 at a
Regular Meeting of the City Council of the City of Port Arthur, Texas by the following votes:
AYES:
Mayor
Councilmembers
Noes
Thurman Bill Barite, Mayor
ATTEST:
Sherri Bellard, TRMC, City Secretary
APPROVED AS TO FORM:
Val Tizeno, City Attorney
APPROVED FOR ADMINISTRATION:
M.U&La lL'
�
Trameka Williams, Director of Human Resources
Ron Burton, Interim City Manger
P. R. No. 21593
9.21.2020--evd
APPROVED AS TO THE AVAIABILITY OF FUNDS:
Kandy Daniel, I erim Director of Finance
P. R. No. 21593
9.21.2020--evd
ATTACHMENT "A"
J.S. Edwards
Sherlock
INSURANCE AGENCY
City of Port Arthur Benefit Renewals, Active Employees
And Under age 65 Retirees
11/1/2020
LIFE INSURANCE: The renewal offer from the incumbent
carrier, Dearborn National/Blue Cross Blue Shield reflects the
final year in a 2 year contract. Rates will remain as current until
11/1/2021.
DENTAL INSURANCE: The original renewal calculation of the
fully insured BCBS contract yielded a 9.1% increase due to a
claims utilization rise of approximately 10%. Negotiations with
the incumbent afforded a reduction to 6.7% which results in a
$1.75 premium increase per employee per month. Dental
coverage is only offered to active employees. If elected, the
renewal plan will maintain the current benefit level.
4155 Phelan Boulevard • Beaumont,TX 77707 • P.O. Box 22237, 77720-2237
Beaumont(409)832-7736 • Fax(409)833-1721 • Houston(713)224-8723
HEALTH PLANS: The City currently offers employees the option
of choosing from 2 health plans. Both plans are funded utilizing
the City's partially self-funded arrangement. Annual costs are
made up of fixed costs (administration and stop loss premiums)
and claims costs. Claims costs from the most recent 12 month
experience period reflect an approximate 15% increase in
overall utilization. Included in that increase were 7 claims
above the City's $100,000 specific stop loss level. Any
employee or dependent claim amount above the $100,000
threshold becomes BCBS's responsibility. The suggested
funding level of the original renewal offer reflected a total
adjustment of 7.5%. After significant discussions and a review
of the factors making up the adjustment, BCBS agreed to a
suggested funding level of 0.45%. While that overall number
is extremely good, even better is that the fixed portion of the
City's cost (administration and stop loss premiums) is actually
being reduced almost 9% while the claims portion of the cost is
being increased only 2%.
I have attached the applicable portions of the final BCBS
renewal offers and am at your service for additional review and
discussion as needed. My opinion is that the final figures
offered reflect the long term, mutually beneficial relationship
between the City and BCBS.
Cordially,
\ • Aefeec,a/c
Mickey Moshier, MHP
P. R. No. 21593
9.21.2020--evd
EXHIBIT "A"
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P. R.No. 21593
9.21.2020--evd
EXHIBIT "B"
1 A •
Dearbor NatIO lad
] .
May 20,2019
llCITY OF PORT ARTHUR
ATTN: ELIZABETH VILLARREAL
1 PO BOX 1089
PORT ARTHUR TX 776411089
Subject: Renewal Analysis
JGroup Policy Number:. G31118
1 Anniversary Date:November 1,2019
Dear Policyholder:
Dearborn National would like to thank you for allowing us the opportunity to provide you and your
employees with Group insurance products.
We have reviewed the current demographics of your group insurance programs. We are pleased to inform
you that there will be no change in the existing rates for the upcoming renewal period. Rates will be
guaranteed until November 1,2021.
l • Products Current Rates Renewal Rates
J Life $0.19 per $1,000 $0.19 per $1,000
AD&D S0.04 per$1,000 $0.04 per$1,000
1 •If you have any questions pertaining to your renewal, or would like more information including the
J availability of other products as well as a quote for additional benefit programs, please contact your local
l Dearborn National sales office or insurance broker.
JWe-value our relationship with you and look forward to providing quality service to you in the future.
Sincerely, -
iUnderwriting Department-In Force Team .
•
1 . .
J
•1
J •
.
701 East 22nd Street,Lombard, IL 60148 A Fax: 312.540.4706
iProducts and services marketed under the Dearborn Nationar&brand and the star logo are underwritten and/or provided by Dearborn National&Life Insurance Company
(Downers Grove,IL)in all states(excluding New York),the District of Columbia,the United States Virgin Islands,the British Virgin Islands,Guam and Puerto Rico.
4