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Res. No. 135-08-12732RESOLUTION NO.: 135-08-12732 A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA, AUTHORIZING THE CITY MANAGER TO RENEW THE CONTRACT WITH AVMED HEALTH CARE TO PROVIDE GROUP HEALTH INSURANCE FOR CITY OF SOUTH MIAMI FULL TIME EMPLOYEES; PROVIDING AN EFFECTIVE DATE. WHEREAS, the Agent of Record (Employee Benefits Consulting Group) secured 8 bids for the City's Group Health Insurance and recommended AvMed as the lowest responsive bidder; and WHEREAS, the City Commission compared the insurance rates, benefit plan designs, provider network as well as our previous claims experience /ratio; and WHEREAS, the City Commission wishes to renew Group Health Insurance with AvMed offering Option I I to all full -time employees; and WHEREAS, with the selection of AvMed Health Care, the designated Agent of Record is Employee Benefits Consulting Group until contract expiration or until otherwise determined by either party. NOW THEREFORE BE IT RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA, THAT; Section 1. The contract shall be effective October 1, 2008 and shall be renewable on an annual basis. Section 2. This engagement is at will and shall continue until either party terminates the engagement by giving written notice to the other party. The City shall not be charged for agent of record services; Employee Benefits Consulting Group shall be compensated by the insurer. Section 3. This resolution shall take effect immediately upon approval. PASSED AND ADOPTED this,day of _ 4 '2008. ATTEST: ITY CLERK CITY Y APPROVED: MAYOR Commission Vote: 4-0 Mayor Feliu: Yea Vice Mayor Beasley: Yea Commissioner Wiscombe: absent Commissioner Palmer: Yea Commissioner Beckman: Yea Oil Subject: Health Insurance Resolution I U 111 Request: The attached resolution seeks approval from the City Commission for the City Manager to renew a one-year contract with Av Med Health Care to provide health insurance coverage for the City of South Miami's full time employees. Reason/Need: As with our standard policy for securing group health insurance provider, our Agent of Record recommended that we seek bids from other carriers as well as ..alternative plan designs. Our Agent of Record, solicited bids from eight companies. , Bids were received from the following companies: Following the receipt of the bids, Insurance Plan Review Committee was initiated. The Committee consisted of representatives from AFSCME, PBA and general employees. Several factors were determined to conclude that we should renew with AVIVIED. These factors were: plan design, rates and provider network. Based on all the information reviewed, the Committee recommended renewing with AvMed Health Care offering a Triple Option Plan — Option 1, Option 11 and POS Plan. During the Insurance Workshop with the City Commission, the City Commission concluded on AvMed as the proposed provider, but requested to bring forth the difference in costs between Avmed's — Option I (High HMO) and Option 11 (Low HMO). Following are the cost differences: Cost: Option I (High HMO): Employee Rate: $ 366-89 Total Cost per employee per month (@149 (Full Time Employees) = $54,666.61 Annual Premium $655,999.32 Option 11 (Low HMO): Employee Rate: $ 357.80 Total Cost per employee per month (@149 (Full Time Employees) = $53,312.20 Annual Premium $639,746.40 The difference between Option I and Option 11 is $16,252.92 annually. Backup Documentation: U Agent of Record's analysis of bid packages and options. KIM Employee Benefits Consulting Group July 24, 2008 Ms. Jeanette Navarro Human Resource Manager City of South Miami 6130 Sunset Drive South Miami, Florida 33143 Re: Dental Insurance Dear Jeanette: Here are the renewal rates for the dental and vision insurance. CornpBenefits has agreed to a 2 year rate guarantee. The renewal rates will be valid from 10/1/08-9/30/10: -Dental HMO Renewal I Rates Employee only $22.46 Employee + child(ren) $45.16 Employee + spouse $45.70 Employee + child(ren) + spouse $74.06 Dental PPO Employee only $34.96 Employee + child(ren) $78.62 Employee + spouse $70.54 Employee + child(ren) + spouse $126.02 Vision Employee only $6.50 Employee + child(ren) $12.36 Employee + spouse $13.00 Employee + child(ren) + spouse $25.58 The City can keep their monthly contribution toward dental coverage @ $11.36/employee. The vision plan would continue to be 100% employee paid. 12525 Orange Drive, Suite 703 - Davie, Florida 33330 Phone: (954) 473-1034 - Fax: (954) 473-0146 - Web: http://www.ebcg.net Please call me if you have any questions or concerns. I look forward to discussing this in further detail. Sincerely, Gene Baynon Principal GB/jc ,dome" IdOMWAM Employee Benefits Consulting Group Off I. Executive Summary 11. Proposed Medical Rates III. I-IN40 Benefit Comparison IV- POS Benefit Comparison V. AvMed Renewal Alternative IE9404(:'m`- Employee Benefits Consulting Group Attached is our analysis of the medical proposals that we received on behalf of the City of South Miami. We approached the following vendors in regards to this project: Aetna Humana Av Med (incumbent) Neighborhood Health Partnership Blue Cross/Blue Shield United HealthCare CIGNA Vista We have negotiated a 5.5% rate increase with AvMed (without any plan design changes). From 2/1/07-1/31/08 the City of South Miami had an 84.4% loss ratio with AvMed (i.e. for every $1.00 of premium AvMed paid $.84 in claims). During this time period the City had $543,300 in claims vs. $644,013 in premium. As a renewal alternative the rate increase can be reduced to 29% if the City makes the following changes to I the prescription drug plan: Current Copqy Alternative Copay Generic $15 $20 Brand Formulary $30 $40 Brand Non- Formulary $50 $60 We appreciate the opportunity the City of South Miami has given us in regards to this project. Employee Benefits Consulting Group is prepared to assist the City of South Miami in managing healthcare costs while still maintaining the integrity of the benefits package. 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