HomeMy WebLinkAboutCPA HEALTH PLAN A PLAN A
C()MMUNICATION FOR ACTIVE EMPLOYEES
& CITY COUNCIL
NEED 7 0 HEALTH AND DENTAL BOOKLETS TO BE
ATTACI�ED TO CITY COMMUNICATION ALONG WITH
SUMMA�iY SHEET�..
TO BE MAII,ED TO: CITY OF PORT ARTHUR
HUMAN RESOURCES DEPT/PAT DAVIS
444 4TH STREET, ROOM 103
P.O. BOX 1089
PORT ARTHUR, TEXAS 77641-1089
(409) 983-8214
DELORIS "BOBBIF," YRINCE MAYOR � � �
' STEYHEN FITZGIBBONS
MORRIS ALBRI!(:HT, I11, MAYOR PRO TEM �� � CITY MANAGER
` Energy
COUtiCIL MEMBE:RS: C1tV of ��n� TERRI HANKS
JACK CHATIIA.:�, JR. CITY SECRETARY
ELIZABE7'H "L17'" SEGLER � �
MAR7 IN FLOOID VAL T1ZEN0
JOHNBEARD,JR. OTl rthu�_ CITYAT7'ORNEY
ROBERT E,. WILLI.4MSON
D. KAY WISE Texas
TI J. HEP�UERSON
DE�R HEALTH PLAN PARTICIPANT(S):
On >eptember 29, 2010, the Mayor & Ciry Council appmved a Resolution accepting Blue Goss and
Biue� Shield of Texas' (BCBS) renewal proposal to continue providing Third Party Administrative
Services for the City's self-funded major medical program for the plan year beg'uu�ing 11/]./2010
through 10/31/201 l. Delineated beiow are plan amendmet�ts as follows:
EFFECTIVE NOVEMBER �►. 2010
� 4% PREMIIIM INCREASE FOR .ALL IMPACTED EMPLOYEES AND/OR UEPENDENTS' (SEE
I�4TE CHART ONBACI�.
v CKANGE IN IN-NETWORg DEDUCTIBLE FROM $S00 TO $1,000 INDI['IDUAL/�1,500 TO
�3, 000 FAMILY.� OUT-OF-NETWORg DEDUCTIBLE FROM $1, 000 TO ,$2, 000
I1�DNIDUAL/�'3, 000 TO �6, D00 F,4MILY.
:� CHANGE IN IN-NETWORK COSHARE STOPLOSS MAI�CIlVIiTM FROM $2,500
INDNIDUAL/$5,000 FAMII.Y PER CAI.ENDAR YEAR TO $3,500 INDIVIDUAL/$?,000
FAMII.,Y PER CALENDAR I'EAR; OUT-0E-NETWORK COSHARE STOPLOSS MAXIMUM
FROM $3,000 INDIVIDUAI./$9,000 FAMII,Y PER CALENDAR YEAR TO !64,000
INDIVIDUAL/$12,000 FAMQ,Y PER CALENDAR YEAR.
�> CHANGE IN IN-NETWORK OFFICE VISTT COPAYS FROM $25 PER VISIST TO A I)UAL
COPAY PLAN -- $35 PRIMARY CARE PHYSICIAN VISITS &$50 SPECIALIST OFFICE V�STTS.
�> CHANGE IN EMERGENCY ROOM COPAY FROM $100 TO $150; URGENT CARE COPAY
$75.
i> CHANGE IN PRESCRIPTION COPAYS FROM �10 GENERIC/$30 PREFERRED BRAND/$50
NON-PREFERRED BRAND TO $15/GENERIG$35 PREFERRED BRAND/$60 NON-
PREFERRED BRAND.
5> INCLUSION OF PATTENT PROTECTION AFFORDABILITY CARE ACT PROVLSIONS IN
ACCORDANCE WITHLEGISLATII�L'REQUII2E?�IF.NTS.
5> UPDATED H&9LTHAND DENTAL ID CARDS WILL BEMAILED FROM THE BLIIE CROSS &
BL UE SH�ELD OF TF.XAS' (BC/BS) HOME OFF7CE BY NOI�F.MBER 1, 2010,• HOWEVER, :f'OUR
CtIRRENTID CARDSMAYBE UTILIZED DURING THEINTERIMPERIOD.
S� THE "OPEN ENROLLMENT PERIOD" FOR HEALTH AND DE1V7'AL CHAIVGES WILL BE
CONDUCTED OCTOBER 1, 20I0 THROUGH OCTOBER 29. 2010. (IT IS IMPORTANI' TK4T
ALL CHANGE REQUEST FORMS BE OBTAINED AND SUBM177'ED TO THE HLTMAN
RESOI�RCES OFFICE BY 5:00 P.M.. FRIDAY. OCTOBER 29, 20�0 TD ENSURE T711�IELY
UPDATES TO BCBS).
All in�quiries in ihis regard can be made by contacring the Hiunan Resouroes Qffice at (409) 983-8214.
P.O. BOX 1089 ' PORT ARTHUR.'iEXAS 77641-1OR9 • 409/983-8115 • FAX 409/983-8291
CITY OF PORT ARTHUR HEALTH INSURANCE RATES
(BLUE CRO55 BLUS SHIELD OF TEXAS/THIRD PARTY ADMINISTRATOR)
EFFECTIVE NOVEMBER 1. 2010
3 � y � � r i I f ` i i � �! I i ' j � � �
Medical & Dental City's Monthly Cost Employee's Monthly Cost Employee's Bi-Weekly (24) Employee's Bi-Weekly Cost (26)
Employee $449.00 $ -a $-a $-o-
Employee & 1 Dependent $825.09 $298.10 $149.05 $137.58
Employee & 2+ Dependents $941,76 $375.41 $187.71
$173.26
! s j� i� E Medical Dental Totnl Medical & Dental Cost
TOTAL MEDICAL d, DENTAL
Em ployee $427.71 $ 21.29 $449.�
Employee& 1 Dependent $1,072.40 $50.79 $1,123.19
Employee & 2+ Dependents $1.254.88 $62.29 $1,317.17