Loading...
HomeMy WebLinkAboutPR 22748: CONTRACT WITH BLUE CROSS AND BLUE SHIELD OF TEXAS City of VII nrt rthu�— Texas INTEROFFICE MEMORANDUM Human Resources Department Date: September 14, 2022 To: Ronald Burton, City Manager Trameka Williams, Director of Human Resources From: Elizabeth Diaz, Assistant Director of Human Resources RE: Blue Cross Medicare Advantage Renewal Effective 1/01/2023 P. R. No. 22748 - A Resolution Authorizing The City Manager To Execute Contracts Between Its Third-Party Administrator(Blue Cross and Blue Shield of Texas, Inc.) For The City of Port Arthur Blue Cross Medicare Advantage PPO and Prescription Drug Plan for its Existing Medicare Eligible Retirees and/or Their Medicare Eligible Dependent(s) Nature of the request: The City of Port Arthur provides access to their Medicare eligible retirees and/or their Medicare eligible dependent(s) to the Blue Cross Medicare Advantage PPO and Prescription Drug Plan for major medical health insurance coverage, including prescription drug coverage. Medicare eligible retirees and their Medicare eligible dependent(s)transitioned to the Blue Cross Medicare Advantage PPO and Prescription Drug Plan effective on 11/1/2016. StaffAnalysis, Considerations: The City of Port Arthur has a Preferred Provider Organization (PPO) insurance format which provides participants freedom of choice in the selection of health care providers. This format has been deemed most beneficial for plan participants and most compatible with our organizational culture. The upcoming 1/1/2023 renewal has presented a 0% increase over last year's renewal. The good news, as per the attached, all aspects of the plan are renewing as current other than the internal limits on the drug plan as mandated by CMS. There are approximately 94 Medicare eligible retirees and/or Medicare dependents on the plan. P.R. No. 22748 09.14.2022--evd Staff views the health insurance benefit as an earned as well as deserved benefit for its city retirees and will continue to strive to provide the best health plan available at the best price to all of its plan participants. The only change to benefits is the internal limits on the drug plan, noted in red on each grid. All other benefits stay the same. No change in the current benefit levels as follows: • $0 Annual Deductible • Maximum Out-of-Pocket$1,500 • Level Copays • SilverSneakers Program(i.e., YMCA,Curves,World Gym,etc.) • Hearing Aid Benefits • Incentives totaling$100/per year for Wellness Benefits It is recommended that the City continue to share the premium cost with the Medicare eligible retiree. Medicare eligible retirees are required to pay 50% of the proposed monthly premium cost and/or their Medicare eligible dependent(s) are required to pay 100%of their premium cost. The City currently has approximately 62 Medicare eligible retiree participants for whom the City has a shared premium cost. Recommendation: It is recommended that the City Council adopt P. R. No. 22748 authorizing the renewal of the Blue Cross Medicare Advantage PPO and Prescription Drug Plan for its Medicare eligible retirees and/or their Medicare eligible dependent(s) and authorizing the City Manager to execute all documents necessary for its 1/01/2023-12/31/2023 plan year. Budget Considerations: Approval of P.R.No.22748 will have a budgetary impact of$80,000 which is available in the FY 2022-2023 Health Insurance Fund(614-11-025-5127-00-00-00). "Remember we are here to serve the Citizens of Port Arthur P.R. No. 22748 09/14/2022—evd RESOLUTION NO. A RESOLUTION AUTHORIZING THE CITY MANAGER TO EXECUTE CONTRACTS BETWEEN ITS THIRD PARTY ADMINISTRATOR (BLUE CROSS AND BLUE SHIELD OF TEXAS,INC.) FOR THE CITY OF PORT ARTHUR'S BLUE CROSS MEDICARE ADVANTAGE PPO AND PRESCRIPTION DRUG PLAN FOR ITS MEDICARE ELIGIBLE RETIREES AND/OR MEDICARE ELIGIBLE DEPENDENT(S),AND AUTHORIZING THE CITY MANAGER TO EXECUTE ALL DOCUMENTS FUND NO: 614-11-025-5127-00-00-00 (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 along with a prescription drug benefit to its Medicare eligible retirees and/or Medicare eligible dependent(s) effective 01/01/2023; and, WHEREAS, inasmuch as the upcoming year's renewal reflects a 0% increase over last year's renewal, the City recommends acceptance of the BC/BS Medicare Advantage PPO Prescription and Drug Plan renewal as presented with minor positive changes in its current benefits levels, as fully delineated in Exhibit"A"; and, WHEREAS, Blue Cross and Blue Shield of Texas will take the necessary actions to comply with the Centers for Medicare and Medicaid Services' (CMS) requirements to continue the provisions enacted annually,and do hereby affirm to continue to make changes to its existing health plan policies or products required to comply with the law; and, NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY PORT ARTHUR, TEXAS: Section 1. That, the City Council of the City of Port Arthur hereby accepts the contract proposal from Blue Cross and Blue Shield of Texas, Inc., to renew the Blue Cross Medicare Advantage PPO and Prescription Drug Plan for its Medicare eligible retirees and/ P.R. No. 22748 09/14/2022 evd Page 2 of 3 or their Medicare eligible dependent(s) for the 01/01/2023 plan year which includes a renewal rate of 0% over last year's renewal. Section 2. That, the City will be billed 50% of the proposed premium cost of $212.20/month for all impacted Medicare eligible retirees (approximately 62 Medicare retiree participants). The City's monthly premium cost which equates to $106.10/per member/month, for all impacted Medicare eligible retirees for the 01/01/2023 — 12/31/2023 plan year as is fully delineated in Exhibit"B". Section 3. 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(Blue Cross and Blue Shield of Texas,Inc.)and the Contracts for Insurance attached hereto as required to effectuate said services. Section 4. That, a copy of the caption of this Resolution be spread upon the minutes of the City Council. READ, ADOPTED, AND APPROVED this day of AD, 2022, at a Regular Meeting of the City Council of the City of Port Arthur, by the following vote: AYES: Mayor Councilmembers: NOES: Thurman Bartie, Mayor P.R. No. 22748 09/14/2022 evd Page 3 of 3 ATTEST: Sherri Bellard, City Secretary APP OVED AS TO FORM: d2, Valecia Tizenb CityAttorney Y APPROVED FOR ADMINISTRATION: YaLUMAM/1/ Trameka Williams, Director of Human Resources Ron Burton, City Manager APPROVED AS TO AVAILABILITY OF FUNDS: Kandy Daniel, Interim Director of Finance EXHIBIT "A" 32 o 2 0 53 •o 0 o epp eoo Oap ° U o 00p o e CO t 1A 2 V 4 R V pO O ¢ N V V R V U 69 fr9 `7 O a 0 ° Z .c . Q a C !c•, Q. t0 L, O AN p _ �( iJ ,c, g t -a co_N _ LC �" I� '9 U T F O a 2 `q+ �+ o J aU - r r T c o U a O V.. V. T .0 T .� m m I m T a w m a 22 0 lad co m ma a a .c • a 00. 3,-- a CO F o v0i_ 13 o O OT °' o o m N U _ N EA _ T T U •a V a o o 2 N CV 0 O OU O Z ea .°v v.o o u9 a 0 .0 p 0 ' o69 CO } 0 8 to I N 49 '1 II I 0 - a O E QI N N L U 41 7 O d N 210 _O 73 a1 E 4 `' c a> c d s! N o 41 :: a '� y o: p - �'-.,(2 > 2 w O 2 e n 3 cti c�I y 7 m ilfl LIll E YQQ 8 Es d n d °m ca ga �_ mav m t c v mu - ^,_ vU = 4. Uv v a oa. C v 2 Y O m El ? m E u. o o c y 0 a0i ?,, a w ( ul d a v u i `:a 0 w o vi 0 a o E .3. i = rnN `-6 "2 or.�=,N Y o i.@ d w �a CN ? m is a . -n T. ' - ` Nay u m > ri1 U 2 2aaUm m Nm u E ca 2 Via' 7�0 co a o o 'v caU m �i, m e fqN ma '-,.c USE 2 U 3Ezm a., EUa Cd050 � 2 aZuo mgmN .4 cc.) yZ ai rnO2UUc -- m Wu `-- 0 N O a to .- . . 0 OU o a .c a ox d o `� c a d - ,�, O c T U.. m 0 m m c a I c rn d c a z 0 co m t 2•_° 2 ;j w > > F Ic. 2 m m m m a) cS a o = 4 c a a> y • m y c m m ,• m.u a 2 m c o o c 0 c c E gi c 'c c c' w i° m m y = - w m E E vai °' N 0 y = 0 ti E r -° ° i _ L. _ m v, .�1,8 8 m m 4 0. m 12 c c c c m a a a E Y m o a. o 0 o E E ., E' o C E E c a a W O O O a N la ¢ a �Imjaa_ a ¢ aa �� _ ,_� m mz m ,- x x wwc>,7c� > as a c0i c m m u ( (j j &j I . . 1 ©. \ \ } � \ ) kCO ! G / {2 , - \ - \ / . k E ) !, ` �- [ 6k3 t O \3 > & ){ \ % ®| ® /§ 0 ■ ! - � � ; 8 • % \ }/ \ OC � g a! 7t� @ § � � ! ! ; > \)k -\ I # « ` 6! &22 & &—, ;) % ! aT.21Z § 91 = 23 « ml � ; /= ®� \\\ ) o j (wjw) { §I0 13 • j • • • .1 - o 0 0 0 a oop o c oo - - [. - . o ail 0• o,v o e o o , • o . � V aVv t O 4O44 p 4 VQ 9 E9 o0 EA Vi a.I Z Z I t ' a a I .1 [ i 0 •0 �I • • i - >. >. >. >. >. T.2 > >.2 >1 >. >. >.>. N c T CO CO CO CO CO CO CO (O <O c0 al CO W CO CO l6 CO CO CO O. a CO CO O O O. O O O O p; O O!IL O O O'Q OI a 1088 8 0 0 C'. . 0 0 0 o e .1 CO o V t1 V U. V U U O D U C1 U U I V V V V U O:.() O O O O 0 0 0 O O O O I O I O 0 0 2 0 0 2 0 0 O O O 0 008 O O 0 0 `- `- O N N N O N N fV N N N N N L N N CO KK I y, N CO CO yi, by 69 M K to Efl to tR tH f9 to fH (A f9 69 fA CA 63 CO 69 CO CO I o 0 o 0 • O 0 N N - i . I I I N • 2 _G Y o N a 3 > • QtI I 1 Na VN y V r I O � 9' N.C. t _ O a c l O °N C I - v,� a T, M O ii, F-iv h O a cc@ N j Q N N = N,O a 0. g. -->-,,u 5 � w ,, _a a n nv O Q . U O J V O N:(n N - N X U co $'T V 11 .hi! H $. t d a Q m m = - 7, tl m w e y % a) a v N en a'- o u co a a u w `-�� utli o tl CO in ai _ ° aci O rn .. co a, - o ', 3 cn.cn 2 z.�.cAnn',I U c Q < in v) >.'co 2' c c y U N ❑ a V V V h i > z - c c -.5 a a - m R- 1 I ) c am a) a) d `) rn >.2 0) a y , a -._ a c c C m . a - N ix ❑` ta a . = a) (` C T. U V (C a) VJ O , C0 C c 7 O O)`-'... a) f0 7 t, o-.c.) a) O) N N J C d rO L =-2 ` = tl T c tl0. 0. N U U U N L .tl. [T 'O O O C , Z P. V a)'❑ W V W p y N N 2 N ¢ N a) U m LL a1 — C N ,- O m G. tl Cn (n = a) a) 0 7 N N w V OS CO .« u Y (�pp t tl 'O O 0 CO - O y a) k j f- O) 2 s. .--. tl tl E O N 7 7 V 0 O a. m E fO fA 0 7 0 m a _ u 0 a O.O.. a O.cn O y Q. > - C C. (u-. n ; v cL c o'I c u ?vaErn n .Z . u a. E '$ S Z,cn e) N o (Oli =y in to m y a.0 Y da aJ b `' ' a) y O:H V lull m N O tl ; C a) tl 5 • t O -O O)'- V 5m a u j" : c h a m m - 7, — m 0__ m a) � n a0i o .a8 2 , • . .5._! Si, �a tl a « «? 2 a-0` u `m 2 `m O) N O U E �L O. U ti Y 2 0 L W N `. N m C :,O) C C N@ 7 a U O E V U U a� 5 `.��� '_. a° u, .�� c � i. � �r a a o a a rn ,y rn > t ° a n co v � � � ur .� °a .� �° - °° � v -' v OU��E1a � co Oa O� >0. d >n. 000 10• m L m V - 5 5 Ea cv 7 2 m io !- E _ tl a) a a) = _ w, u, ._ nsy a O O _, 5 i- o QOOOQOwoon. o 8 o, - � G 2222 • • • $ 8 0 93, N • • • 1 I O F{p C O E N Q Y /C 2 m F r (51 a1m u m 2i ■ I II T a I _- 1 1 Z 11 (/„) „ O a „ „ 0) 0 0) 0) „ a, „ „ 0.)'O 'O ',', 0,0 0 V .75 15 15 a 13 .0 a .0 .0 .0 .0 13 c „ „ > j d '. U U U U U U U U > 0 0 ° j'o o n nV n UUaannnaana „ o > > a L., U U U U g UU Ufa o -Q < < < < < < < < < < < < d Z Z Z Z Z �:Z''Z Z Z 0 0 0 0 0 0 0 0 0 0 0 0 0 I 1 --Z Z Z Z Z Z Z ZZZZZZ as Z C — t --o �0 0 ! 1 Q. EIE 1 0 CO cg c I 1 u� ow d d n „ „ a`) a) a) a „ „ a) „ „ „ „ > ' > 1 > > > I o a > >, > > > > > 0 v 0 a 0 v v v v o g O U ° O o 0 0 O O O 7 7 7 7 7i 7 7 7 „ u u 8 U U o o U U U U U U U u o u U U U U o U ❑ 0 0 0 0 0 U) 0 0 0 0 0 0 o c o c c c c12 -C- Z Z I Z Z Z I ZZ Z Z Z Z Z 7 a E I I 7 m I I E i • 0. ! I o 7 ti I FL, 1 1 I a c� a V c 1 c 0 a' u api m1 1 ° u o „ C a) NI m ; 3 V D C 4µ, O 7 Z N CO • .Y N 1 'G ❑(n m p0 V7 E m S CIr `) un ` k m �I EI o cm�1 d _ o,EEEv 00 i, c m „ 'dam „ihjii o 2 N@ @ = c❑ m IfOmai r „ mua „ w p X N (a -5U C N U„ _ „_ a, mE - c LLl -, 6hb „ z _@w > h ,�> m E a Ua (`3O1 c�- 3 o „ Q wm ur IL ttHLfl c W❑ u Em m m a mc ; - . t 5 m c W ¢'1 E Z 0 m I �a a) c a 0 vi°ex o � ot vcch Tm — �„ � v a � o n: ya � c > �� �u ° „! mu ww cc .:Wa) ¢ Q Sc a Q0. L"yi a0g. 1m � m `I8< cv „ m m `m „ c rn � 0) �g° > > co „ o V2. . % m m• a °¢ 3 ac � r c „1 m p aZ �c� rn� aci U rn b�• y yO C C c2G ti 7p7p N ^ C@ ..8= V V >,. >.01 p m U „mx xm88po> ° i o „ mo LO.U < au-. `„-0w „ a U• a - mW W a U � � WW Q'.- S U mS. :.a 0 �� (na a Ha anc� mg .o c000cdpc ° oE „ `c, „ ° 77 °' oE 7Lon" cE m� ¢ c[Zza6a aaza .S MazmoSUf- ate 5LL ❑ oa a = i vE E m Si d 3 I a zgC °vi > L C co0) C m z CO a a, E " E CS 3«CC d O d E O a L 6O ` U 0 N m y 0) --v p uF - O in N O V cU n T a 0) N C d 6 s 0 O� 2 m 2 m C m l0 U E.Y C i C N d C C U U C• • a Q z -o C m m(n C V„,...2 ) g �. 0 m ap 0020Z m2 'p W N V L I�m 2 x >.O N 2 0)Z U g O. O (�L-'l - C a `m a -Z > E a(n O >.0 U 07 m a) E m d2ax°/v�c �1- B P t a� < 0 `m 2 ���x m e m . ac m N C N Om 'Oxc?v C$ C O 2 t C O N C U N d O O T(n e dt 3 � � O C 2Ua ya a2U' `m u E ' er (coo E yr % EiAi EVas t c m 'C a m m 2 c m Li s. Q 8 U n,nA e Ec0 Q. cvvi m2cNicm %m6 Evm 03C 0 m 00)0) 2>2ao3C $3 O)0)t C a N m C U O CO Cl) m O ` �, c yy o m a -cc m 3 a Ma�d02 8 N c ▪ C CE V O e y ° a m C a 01 P. g m c 2 rn , a' m 0) o0 o,'Ev $ CO >jn CO c 3 oa E220D 12,2rny _�' m a .2 (ns� NR▪ o .a-0 (o -Oai mc.U2ammm air d mki O o € w a)co w=v Emv� -?2 S, 0. .0 aO c g Tm m P. o m 2 m na0 o--s"O• C pm�O g. z 7 a' N U'OU� C U 2 m 0) Q 2 CO CO • V) 0) y) > m O co E1 ▪ a a0 ~ a C Co)Z U n am N ° E y c cti o v 28 c T m galN rn .nC V Ian U C C V O and U 'c' 10 0.0Y t� -A. . E gaaya^O= Ca3) 1>,ti ro 5� dtm Ocn ya � mycc �' r N 0) N d Z C O J U U owa mh ah. 2=0 Ou8 =o—cm'� a)mo ' u 2 2 7 m- 620 Cn2Ocm ) 0 y▪ co 2: ov ? 41 cam maO1)�aa6am-c ! E cvi m �' ca.Um 0O- mvEc� m a . a) ac 'O -5 t -Cn ° 2 7ZD0 d5=2 8 ~ ,T °n °, 1oECC 458m'`0nam `" 88c L'O.m wa am,a.w a) dmaNcnu2rnn u a,, 3 aci o p - CO- c a a m c Cn X m v c .. ° a) Li o°"O c A --�) o m� d m m Fm-m 2�.o v t I cL m ° t a I? w o°)a < Z `oI sx-m °)u � o E . m °c 3UZ,m c c °U (co¢ Oga' mZ Z m 7 O C 0/ ° X m F. c0 8 cal') n n 6 m 01 0) a c o o oN $ o d c F. c amm U-U `s 8 E 4) O 8 ya) @ C c E E o E M N J O1=v a) c (n 9-2 . x 82 o 1- c.) (°�o.-5 < I oc9amw N n ♦ M - , a a m a a N - N m T 4. O , ' . 9 . 03 0y `2m - NmO ' NM !9 M 4 aN .9N M N a E a E m 3 E o=01 g, mC ?? tp f u mv o f m oii,' AaLN E 2. N fH MW p M d E T g IA '9 N Y 8ao,i a ° a i S tO a N 2a aN N ca m W � 4. o C A 4 o a o t O R nN 13 E$ $ N O S. � a O N P. \ O w w tot en Nwm a 8 o U$ E V 0. 10 E E K o K o, _ e A o " .- I O� i7 T C ' O' i0 1 a :, 49 19 2 C 2 `M H9 N C ryV w N w N E E R M gi A C U G . N e U d O o m N E U _ at m W ON ' 2 M 0 M N y) y) *1 a Q - N o $ c o' `m U U E U m a y o io m ( '9 t 4 a v $ 2 C a iR f9 K M M u 6 b9 Vi W N : N o a. a fn t m a 'na E u A a m o 0 d N YI O O r a d a N u C T N T a] a E Oo N E p 2 '9 ' CO N E T Y9 O m a u m L N U m O �8 waa C� E= - om O nd TU a 0 N '9 ° V 0 ' a- m_ '9 2, E W CO M p m• rT 2 N) N9 , N E cnaN ' 2 n `n U ; c t 7, Ud ra t� rnm c'' 3 aTd L . m av o £m A y N 0 o v 51 Tg 5 g N o Y $OK p O f ` M e a a 2 N C-~ V _ a A 8 N ; 6 O °g d m m b a a m n m m n y °u S y m a n ifl )A w w n '�' w w N 761 5 2' T - c a) al O A Y d 3 E 9 2 . m 3V1 e4i m en a n m w en o at O v m b 0 m N E O a. m0 g C2 -5 m__ O 3_ m a)0 0 Q) Eog ro t N O H U v ° c D & ` N a,y E m Oct :13 2 o ,1 8,2 co E G >C a E SU 2 -20 s � o arn , m egm O Q15 an U 2E2 2o 0 : v�S E .c Eta- c 6 cT7 U f..c.i2(A c ,. o ua v • an N O 2 u 2 u 2 ►. a m a c e 5 .0m U A „ E d d m E 1 y o 2 m mg a m d m c cI c c g m.3° 2 N 8 a z m ii . v i m I o a i h ri a iny c cco,v € a E m C uu ,1Emao2E d ffi `w v u o 1 u d ar a m 01 m a aa0Uaa u) a r i- 1- I- }- Ua i= - i= i- ) | § \ ao ) } \ \ \ } ) P. k } \ ' • , E . o CS i § o a. }�og \ \ *�2k \ E & kt/ ? \; { ° 2Q�± f| ) g(� I [ | [@£# (/ ra 171 kkk � } § - 2o00 0 E -or, { ]k | {)) ® ®- ® §i) C 0§ E to§ \ (\ •/ / • ( {k § Ecw 7c | aEE3 a6 ! / | kTak ` ®`8 otm\}\2 / !)k /)#� §00 0> /f! (/§ ) EXHIBIT "B" >' au 0 0 L ,> m N N c N N N O U 0 co (NJ I—ieN eN C N N C) 1-1 G W ri TO kii I- U 0 +h 0 + M co 0• ' CL O u N tG a 2 't \ W 0 4-1 H ••. � . i-i .3 � O U E U 4" 4" 'I, �, z 1— i 0 • M O0 N Z 0 U v N t0 N a p d 2 t '� \ 0 rl N 0 _ = CC O W O a en w 0 1/ w N 0 C > CC < N< CC .0 >' eq N N N Zr-I V 0. O N N N Ce Q U `� \ Q n Q w QJ p O O Z cc a Q a. cc 0 o 4-1 s .? N , LLO v Z . o CU 0 0 C N �--I Z - C W \ u 2 w .r wLLI O U. CC = U U 1 � VI LL _ f6 N w H > O O o 1--1 N CC 1:4 Q ` j NL -UU N Orl .,N w cc " A •i u+, 5, GJ r\-1 JV Vci = W O `� CO o w 2LLI in- in- o 2 2 l0 - O s C N tr) \ v CU v -0 O 2 v a) N cc 0 CU > O v - 1:1 V CIS ry U U U 3 v v w CO 2 2