Res No 158-18-15191RESOLUTION NO. 158-18-15191
A Resolution authorizing the City Manager to purchase dental and vision
insurance benefits from Humana for full time employees and
participating retirees.
WHEREAS, the City's Benefits Consultant, Brown and Brown of Florida recommended
Humana as the selected Dental and Vision Insurance provider; and
WHEREAS, the City, through its Agent of Record, Brown and Brown of Florida,
compared the insurance rates, dental and vision plan design, provider network, as well as the
City's previous claims experience/ratio; and
WHEREAS, the City Commission wishes to approve the selection of Humana for the
provision of dental and vision insurance benefits for all full-time employees and participating
retirees; and
WHEREAS, the premium shall be charged to departmental line items in their
respective account numbers.
NOW THEREFORE BE IT RESOLVED BY THE MAYOR AND CITY
COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA THAT;
Section I. The Commission hereby authorized the City Manager to execute the dental and vision
insurance renewal policy with Humana for the City of South Miami full time employees and participating
retirees for the 2018-2019.
Section 2. This resolution shall take effect immediately upon adoption.
PASSED AND ADOPTED this 4th day of September, 2018.
ATTEST: APPROVED:
MAYO
COMMISSION VOTE: 5-0
Mayor Stoddard: Yea
Vice Mayor Harris: Yea
Commissioner Welsh: Yea
Commissioner Liebman:
Commissioner Gil:
Yea
Yea
City Commission Agenda Item Report
Meeting Date: September 4,2018
Submitted by: Samantha Fraga-Lopez
Submitting Department: Human Resources
Item Type: Resolution
Agenda Section: CONSENT AGENDA
Subject:
Agenda ttem No:3.
A Resolution authorizing the City Manager to purchase dental and vision insurance benefits from Hum,ma for
full time employees and participating retirees. 3/5 (City Manager-Human Resources)
Suggested Action:
Attachments:
Memo_Vision and Dental.docx
Reso Vision and Dental WL.doc
Comparison_Dental_2018_City of South MiamiJinalSold.pdf
Comparison_Vision_2018_City of South MiamiJinalSold.pdf
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((1
South rMiami
CITY OF SOUTH MIAMI
OFFICE OF THE CITY MANAGER
INTER-OFFICE MEMORANDUM THE CITY Of Pl.EASANT LIVING
TO:
FROM:
DATE:
SUBJECT:
BACKGROUND:
The Honorable Mayor & Members of the City Commission
Steven Alexander, City Manager
September 4,2018 Agenda Item No.: __
A Resolution authorizing the City Manager to purchase dental and vision
insurance benefits from Humana for full time employees and participating
retirees.
The City's benefits consultant, Brown and Brown of Florida, Inc., solicited
quotes for the employee's dental and-vision insurance coverages for South
Miami full-time employees for the 2018 -2019 benefit year. Humana, the
City's current dental and vision insurance carrier, renewal rate
represented a 0% increase from last year's rate for the dental coverage
offered by the City. The City currently contributes $8.49 per eligible
employee, per month, toward dental insurance coverage and vision is
voluntarily paid by the employee. The renewal is appropriately funded in
the proposed budget for Fiscal Year 2018-2019.
RECOMMENDATION: Based upon the proposals received, Brown and Brown recommend the City
renew with the current Humana carrier for dental and vision insurances.
AMOUNT:
ACCOUNT:
AnACHMENTS:
The estimated total annual premiums cost for dental benefits paid by the
City is about $13,500 based on today's personnel.
Premium charges for the health will be charged to the designated
departmental budget line items as proposed in the Fiscal Year 2018-2019
budget.
Proposed resolution
Comparison
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October 2018 Dental Comparison for City of South Miami
DMO 205 PPO DMO 205 PPO
In-Network Out of Network In-Network Out of Network
'nefit Description
Preventive (Class I) NA 100% 100% NA 100% 100%
Basic (Class II) NA 80% 80% NA 80% 80%
Major (Class III) NA 50% 50% NA 50% . 50%
Annual Benefit NA Unlimited Unlimited NA Unlimited Unlimited
(Individual/Family) NA $50/$150 $50/$150 NA $50/$150 $50/$150
Deductible Waived -Class I NA Ye, Ye, NA Ye, Ye,
(coveragellifetime max) $2,650 Child & Adult $1,000 Child Only $1.000 Child Only $2,650 Child & Adult $1.000 Child Only $1,000 Child Only
Schedule-
Routine Exams -9430
Teeth Cleaning -1110
Full Mouth/Panoramic X-rays -0330
Simple Extractions -7111
Root Canal (Endodontics) -3330
Periodontics Scaling/Root Planning -4341
Full or Partial Dentures -5110
Crowns -6752
Employer Contribution
Minimum Participation Requirement
Annual Premium
No Charge
No Charge
No Charge
No Charge
$250
$55 per quad
$375
$270
Contributory
None
Fee Schedule
100%
100%
100%
80%
80%
80%
50%
50%
50% Combined
$2,946.94
$35,363.28
Contributory
None
8.95
MAC Fee Schedule
100% No Charge 100%
100% No Charge 100%
100% No Charge 100%
80% No Charge 80%
80% $250 80%
80% $55 per quad 80%
50% $375 50%
50% $270 50%
Contributory Contributory
Combined 50%
None None
$2,989.06
Rates sOOwn are ba$ed ·on census data,provided. Fmal rates -are. subject.to underwriting and ac:ruat enrollment This comparison 1s for
illustrative l'uT)lI>Ses on/)'. The fuR p.fq an d certificate of c.verage VI ill supersede any and all materials pnl'lilfe<l nerein.
MAC
100%
100%
100%
80%
80%
80%
50%
50%
PagE! 1 of 1
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October 2018 Vision Comparison for City of South Miami
Eye Exam
Single Vision
Bifocals
Trifocal
Frames
Selected Frames
Medically Necessary
Elective Contacts
Employee + Spouse
Employee + Child
% Change in Total Annual Premium
$ Change in Monthly Premium by Plan
$ Change in Total Annual Premium
OON
up to $25
up to $40
up to $60
Months
Reimbursement
$200 allowance + up to $100 20% discount over
Months
Reimbursement
100% up to $210
$200 allowance + up to $160 15% discount over
$12.01
$18.09
OON
Reimbursement
$0 Capay up to $25
$0 Copay up to $40
$0 Capay up to $60
Every 12 Months
Reim
$200 allowance +
20% discount over
100%
'l'LVU c.o"", .. CAl 'v ......
.. Lnl .... : ___ •• _~ _ •• __
$13.45
$14.41
$21.71
19.98%
$130.78
$1.569.36
up to $100
up to $160
Rates shown are based GO census data provided Anal rates are subject to undenvriting: and actual en-fD~nt.·This comparison .is fDf'
muslr.live .l'urpnses only. The .fuU "",ey aoo certlficareofco" ..... "" will supersede .any and all materials prnv_herein.
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