HomeMy WebLinkAboutCPA HEALTH PLANS P LA N A
COMMUNICATION FOR ACTIVE EMPLOYEES
& CITY COUNCIL
NEED 7�rQ HEALTH AND DENTAL BOOKLETS TO BE
ATTACHED TO CITY COMMUNICATION ALONG WITH
SUMMARY SHEET�..
TO BE MAILED 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 "BOBBIE" PRINCE, MAYOR ��� STEPHEN FITZGIBBONS
MORRIS ALBRIGHT, III, MAYOR PRO TEM CITY MANAGER
Enerp,y
COUNCIL MEMBERS: City Of ��n' TERRI HANKS
JACK CHATMAN, JR. CITY SECRETARY
ELIZABETH "LIZ" SEGLER ;
MARTIN FLOOD VAL TIZENO
JOHN BEARD, JR. O T 1 r t h u�� CITY ATTORNEY
ROBERT E. WILLIAMSON
D. KAY WISE Texas
THOMAS J. HENDERSON
DEAR HEALTH PLAN PARTICIPANT(S):
On September 29, 2010, the Mayor & City Council approved a R�esolution accepting Blue Cross and
Blue Shield of Texas' (BCBS) renewal pro�osal to coxrtiuue providing Third party Ad�ninistrative
Services for the City's self-funded major medical program for the plan year beginning 11/1/2010
through 10/3 ll2011. Delineated below are plan amendmerrts as follows:
EFFECTIVE 1VOVEMBER 1� 2D10
➢ 4% PREMIUM IIVCREASE FOR ALL IMPACTED F_MPLOYEES AND/4R DEPENDENTS (SEE
RATE CHART ONBAC,�.
➢ CHANGE IN IN-NETWORB' DEDUCTIBLE FROM $S00 TO �1,000 INDNIDUAL/�'1,500 TO
�3, 000 FAMILY.• DUf-0E-NETWORg DEDUCTIBLE FROM $1, 000 TO $2, 000
INDNIDUAL/�3, 000 TO $6, 000 FAMILY.
➢ CAANGE IN IN-NETWORK COSHARE STOPLOSS MA�LIIVIUM FROM $2,500
INDIVIDUAL./$5,000 FAMII.Y PER CAL.ENDAR YEAR TO $3,500 INDIVIDUAL/$7,000
FAMn,.Y PER CALENDAR YEAR; OUT-0E-NETWORK COSHARE STOPLOSS 1�ZAXIMUM
FROM $3,000 INDNIDUAL/$9,000 FAMII.,Y PER CALENDAR YEAR TO $4,000
INDIViDUAL!$12,000 FAMII.Y PER CALENDAR YEAR.
➢ CHANGE IN IN-NETWORK OFFICE VISTT COPAYS FROM $25 PER VISIST TO A DUAL
COPAY PLAN —$35 PRIMARY CARE PHYSICIAN VISITS &$50 SPECIALIST OFFICE VISTTS.
➢ CHANGE IN EMERGENCY ROOM COPAY FROM $100 TO $150; URGENT CARE COPAY
$75.
➢ CHANGE IN PRESCRIPT'ION COPAYS FROM � 10 GENERIG$30 PREFERRED BRAND/$50
NON-PREFERRED BRAND TO $15/GENERIC/$35 PREFERRED BRANDf$60 NON-
PREFERRED BRAND.
➢ INCLUSION OF PAT7ENT PROTECTTON AFFORDABILITY CARE ACT PROVLSIONS IN
ACCORDANCE WTI'HLEGISLA77VEREQUI�4,�MF.NTS.
➢ UPDATED HEALTHAND DENTAL LU Cf1 RDS WILL BEMAILED FROM THE BL UE CROSS' &
BLUE SHIELD OF 7'F.�4S' {BC/BS) HOME OFFICE BY NOY�IB�R 1, 2010,• HOWEVER, YOUR
CURRENTID CARDSMAYBE UTILIZEDDURING THEINTERIMPERIOD.
➢ THE "G)PEN ENROLLMENT PERIOD" FOR HF�ILTH AND DENfAL CHANGES WILL BE
CONDUCTED OCTOBER l, 2010 THROUGH OCT'OBER 29 20I0. (IT IS IMPORTANT THAT
ALL CHANGE I2EQUES7' FORMS BE OBTAINED AND SIIBMI7TED TO THE HUMAN
RESOURCES OFFICE BY S:DO P.M.. FRIDAY. OC'1'OBER 29, 2010 7'O ENSURE 7'IMELY
UPDATES TO BCBS}.
A11 inquiries in this regazd can be made by contacting the Human Resources Office at (409) 983-8214.
P.O. BOX 1089 • PORT ARTHUR, TEXAS 77641-1089 • 409/983-8ll5 • FAX 409/983-8291
CITY OF PORT ARTHUR HEALTH INSURANCE RATES
(BLUE CRO55 BLUS SHIELD OF TEXAS/THIRD PARTY A�MINISTRATOR)
EFFECTIVE NOVEMBER 1, 2010
_ xu ,� . wc7� _ . , .
Medical & Dental City's Monthly Cost Ernployee's Monthly Cost Employee's Bi-Weekly Cost (24) Ernployee's Bi-Weekly Cost (26)
Employee $449.00 $ -0- $-0- $-0-
Employee & 1 Dependent $825.09 $298.10 $149.05 $137.58
Employee & 2+ Dependents $941.76 $375.41 $187.71 $173.26
CAL lll� QEWTAL RATES Medical Dental Total Medical & Dental Cost
TOTAL MEDICAL dc DENTAL
Employee $427.71 $ 21.29 $449.00
Employee & i Dependent $1,072.40 $50.79 $1,123.19
Employee & 2+ pependents $1,254.68 $62.29 $1,317.17
PLAN B
CUMMUNICATIUN FOR RETIREES AND/OR
DEPENDENTS
NEED 2 4 HEALTH BOOKLETS ONLY TO BE ATTACHED TO
CITY COMMUNICATIQN ALONG WITH SUMMARY SHEET...
TO BE MAILED 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 `BOBBIE" PRINCE, MAYOR ;� STEPHEN FITZGIBBONS
MORRIS ALBRIGHT, III, MAYOR PRO TEM CITY MANAGER
e»er
COUNCIL MEMBERS: City Of �«' TERRI HANKS
JACK CHATMAN, JR. i
ELIZABETH "L1Z" SEGLER �� CITY SECRETARY
MARTIN FLOOD VAL TIZENO
JOHN BEARD, JR. O 1' l r t h u� CITY ATTORNEY
ROBERT E. WILLIAMSON
D. KAY WISE Texas
THOMAS J. HENDERSON
DEAR RETIREE AND/OR DEPENDENT(S):
On September 29, 2010, the Mayor and City Council approved a Resolution accepting Blue
Cross and Blue Shield of Te�s' (BC/BS) renewal proposal to continue providing Third Party
Administrative Services for the City's self-funded major medical program for the plan year
beginning 1111/2010 through 10/31/2011. Delineated below are plan amendments as follows:
EFFECT7VENOVEMBER 1, ZOIO
➢ 10'� PREMIIIM INCREA.SE FOR ALL IMPACTED RETIRE�S AND/OR DEPENDEIV7'S
(SEERATE CHART ON�ACK).
➢ CHANGE IN IN-NETWORK DEDUCTIBLE FROM $S00 TO $1,000
WDNIDUAL/$1,500 TO $3,000 F�4MILY; OUT-OF-NE7'WORK DEDUCT7BLE FROM
�1, 000 TO $2, OOO INDNIDUAL/$3, 000 TO $6, D00 F�9MI�Y.
➢ CHANGE IN IN-NETWORK C06HARE STOPLOSS MAXIIVIUM FROM $2,500
INDIVIDUAL/$5,000 FAMILY PER CALENDAR YEAR TO $3,500
INDIVIDUAL/$7,000 FAMII,Y PER CALENDAR YEAR; OUT-OF-NETWpRK
COSHARE STOPLOSS MAXIMUM FROM $3,000 INDNIDUAIJ$9,000 FAMR.Y PER
CALENDAR YEAR TO $4,000 INDIVIDUAL/$12,000 FAMILY PER CALENDAR
YEAR.
➢ CHANGE IN IN-NETWORK OFFICE VISIT COPAYS FROM $25 PER VISIST TO A
DUAL COPAY PLAN —$35 PRIMARY CARE PHYSICIAN VISTTS &$50 SPECIALIST
OFFICE VISTTS.
➢ CHANGE IN EMERGENCY ROOM COPAY FROM $100 TO $150; URGENT CARE
COPAY $75.
➢ CHANGE IN PRESCRIPTION COPAYS FROM $10 GENERIG$30 PREFERRED
BRAND/$50 NON-PREFERRED BRAND TO $15/GENERIG$35 PREFERRED
BRAND/$60 NON-PREFERRED BRAND.
➢ INCLUSION OF PATIENT �'ROTECTION AFFORDABII,ITY CARE ACT
PROVISIONS �IVACCORDANCE WITHLEGISLATIYE REQLIIRk11�iF.NTS.
➢ UPDATED HEALTHID CARDS WII,L BEMAILED FROMTHE BLUE CROSS & BLUE
SHIELD OF TEXAS' (BC/BS) HOME OFFICE BY NOVEMBER 1, 2010; HOWEVER,
YOUR Ct1RRENT HEALTH ID CARDS MAY BE U77LIZED DURING THE INTF_RIM
PERIOD.
All inquiries in this regazd can be made by contacting the Human Resources Office at (409)
983-8214.
P.O. BOX 1089 • PORT ARTHUR, TEXAS 77641-1089 • 409/983-8115 • FAX 409/983-8291
City of Port Arthur HeQlth Insurance Rates
(Blue Cross Blue Shield of Texas/Third Pnrty Administrator)
Effective November 1, 2010
SELF-FUNbED PPO RATES FOR RETIREES EFFECT�VE 11/1/10
Retiree's Monthly Cost
Retirees (Medical Only) Retiree's Current Monthly Cost Effective 11/1/10
Retiree Under 65 $ 205.81 $ 226.39
Retiree<65 & 1 Dependent $ 723.55 $ 795.91
Retiree<65 & 2+ Dependents $ 811.51 $ 892.66
Retiree<65 dc Medicare Dependent $ 368.76 $ 405.64
Medicare Retiree $ 162.94 $ 179.23
Medicnre Retiree dc 1 Dependent $ 456.53 $ 502.18
Medicare Retiree d 2+ Dependents $ 539.07 $ 592.98
Medicare Retiree b Medicare Dependent $ 325.89 $ 358.48