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Res No 094-21-15714LVb* 9 RESOLUTION NO.094-21-15714 A Resolution authorizing the City Manager to purchase group health insurance benefits from Neighborhood Health Plan (NHP) for full-time employees and participating retirees. WHEREAS, the Benefits Consultant, Brown and Brown of Florida secured more than three quotes for the City's Group Health Insurance and recommended Neighborhood Health Plan (NHP) as the selected provider; and WHEREAS, the City staff and its Agent of Record, Brown and Brown of Florida, compared the insurance rates, benefits plan design, provider network, as well as the City's previous claims experience/ratio; and WHEREAS, the City Manager wishes to recommend the selection of NHP's HMO 2021 CIA BXLH/Rx NHSY plan for the provision of group health 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 1. The foregoing recitals are hereby ratified and confirmed as being true and they are incorporated into this resolution by reference as if set forth in full herein. Section 2. The Commission hereby authorized the City Manager to purchase group health insurance benefits from NHP for their HMO 2021 CIA BXLH/Rx NHSY plan for the City of South Miami full-time employees and participating retirees for the 2021-2022. Section 3. Corrections. Conforming language or technical scrivener -type corrections may be made by the City Attorney for any conforming amendments to be incorporated into the final resolution for signature. Section 4. Severability. If any section clause, sentence, or phrase of this resolution is for any reason held invalid or unconstitutional by a court of competent jurisdiction, the holding shall not affect the validity of the remaining portions of this resolution. Section S. Effective Date. This resolution shall become effective immediately upon adoption. PASSED AND ADOPTED this 17th day of August2021. Page 1 of 2 Re; Nd. 094-21-15714 ATTEST: A) kCITY CLEENK 6 READ AND APPROVED AS TO FORM, APPROVED: MAY • COMMISSION VOTE: 5-0 Mayor Philips: Yea Commissioner Corey: Yea Commissioner Harris: Yea Commissioner Liebman: Yea Commissioner Gil: Yea Page 2 of 2 Agenda item No:5. City Commission Agenda Item Report Meeting Date: August 17, 2021 Submitted by: Samantha Fraga-Lopez Submitting Department: Human Resources Item Type: Resolution Agenda Section: Subject: A Resolution authorizing the City Manager to purchase group health insurance benefits from Neighborhood Health Plan (NHP) for full-time employees and participating retirees. 3/5 (City Manager) Suggested Action: Attachments: Memo Health Insurance.docx Reso Health Ins 21-22.docx 21-22 Health Rate Comparison.pdf Proposal & Disclaimers REV_2021_CSM.pdf CITY OF SOUTH MIAMI OFFICE OF THE CITY MANAGER INTER -OFFICE MEMORANDUM To: The Honorable Mayor & Members of the City Commission FROM: Shari Karnali, City Manager VIA: Samantha Fraga-Lopez, Assistant City Manager DATE: August 17, 2021 SUBJECT: A Resolution authorizing the City Manager to purchase group health insurance benefits from Neighborhood Health Plan (NHP) for full-time employees and participating retirees for Fiscal Year 2021-2022. BACKGROUND: The City's Benefit Consultant, Brown and Brown, solicited quotes for the employee group insurance coverage for South Miami full-time employees for the 2021-2022 benefit year. After lengthy negotiations, NHP, the City's current health insurance carrier, proposed a renewal rate which represented an 8.9% increase in premiums for a plan identical to the current plan. NHP offered an alternate plan with a $S increase in co -pays but a much lower out -of -pocked maximum and less expensive options for hospital services and outpatient services. Prices for prescription drugs remain the same. This plan is priced at a 7.7% increase over present and is the recommended plan for approval. Due to expensive claims for serious health issues experienced during Fiscal Year 2020-2021, Florida Blue offered a quote that was not competitive (33.6% increase), and Aetna and Cigna declined to quote since they were unable to offer a competitive rate. NHP offered the best plan with the most competitive rates. Based on prior plan rates, coverage offered including co -pays for employees, and overall cost, the NHP HMO 2021 OA BXLH/Rx NHSY offers the best plan for the City and its employees. Monthly rates are as follows: Coverage 2021-2022 Employee $655.56 Employee & Spouse $1,560.24 Employee & Children $1,206.23 Family $2,045.35 E CITY OF SOUTH MIAMI OFFICE OF THE CITY MANAGER INTER -OFFICE MEMORANDUM The City currently contributes $608.83 per eligible employee per month toward health insurance coverage. As outlined above, this amount will increase to $655.56, which is 7.7% more than Fiscal Year 2020-2021. However, NHP has offered a one-time credit, which will be received in September 2021 in the amount of approximately $29,000 (exact amount to be determined based on number of enrollees). Once the credit is received, the increase in cost to the City will be approximately 3.5% as opposed to 7.7% Through ongoing health and wellness initiatives, the City hopes to reduce the rates in Fiscal Year 2022-2023. The proposal is appropriately funded in the proposed budget for Fiscal Year 2021-2022. RECOMMENDATION: Based upon the proposals received, City staff recommends the City purchase the health insurance plan offered by NHP. AMOUNT: The estimated total annual premiums cost paid by the City for health benefits after the credit are approximately $923,000 based on today's full- time personnel. ACCOUNT: Premium charges for the health insurance will be charged to the designated departmental budget line items as proposed in the Fiscal Year 2021-2022 budget. ATTACHMENTS: Proposed resolution 2021-2022 Benefits Renewal Summary Health Insurance Quote Comparison Chart 3 I RESOLUTION NO. 2 3 A Resolution authorizing the City Manager to purchase group health insurance 4 benefits from Neighborhood Health Plan (NHP) for full-time employees and 5 participating retirees. 6 7 WHEREAS, the Benefits Consultant, Brown and Brown of Florida secured more than three 8 quotes for the City's Group Health Insurance and recommended Neighborhood Health Plan (NHP) 9 as the selected provider; and 10 11 WHEREAS, the City staff and its Agent of Record, Brown and Brown -of Florida, compared 12 the insurance rates, benefits plan design, provider network, as well as the City's previous claims 13 experience/ratio; and 14 15 WHEREAS, the City Manager wishes to recommend the selection of NHP's HMO 2021 CIA 16 BXLH/Rx NHSY plan for the provision of group health insurance benefits for all full-time 17 employees and participating retirees; and 18 19 WHEREAS, the premium shall be charged to departmental line items in their respective 20 account numbers. 21 22 NOW THEREFORE BE IT RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY 23 OF SOUTH MIAMI, FLORIDA THAT; 24 25 Section 1. The foregoing recitals are hereby ratified and confirmed as being true and they 26 are incorporated into this resolution by reference as if set forth in full herein. 27 28 Section 2. The Commission hereby authorized the City Manager to purchase group health 29 insurance benefits from NHP for their HMO 2021 CIA BXLH/Rx NHSY plan for the City of South 30 Miami full-time employees and participating retirees for the 2021-2022. 31 32 Section 3. Corrections. Conforming language or technical scrivener -type corrections 33 may be made by the City Attorney for any conforming amendments to be incorporated into the 34 final resolution for signature. 35 36 Section 4. Severability. If any section clause, sentence, or phrase of this resolution is for 37 any reason held invalid or unconstitutional by a court of competent jurisdiction, the holding shall 38 not affect the validity of the remaining portions of this resolution. 39 40 Section 5. Effective Date. This resolution shall become effective immediately upon 41 adoption. 42 43 PASSED AND ADOPTED this day of 12021. 4 1 2 3 4 5 6 7 8 9 10 11 12 13 ATTEST: CITY CLERK APPROVED: MAYOR READ AND APPROVED AS TO FORM, COMMISSION VOTE: LANGUAGE, LEGALITY AND Mayor Philips: EXECUTION THEREOF Commissioner Corey: Commissioner Harris: Commissioner Liebman: Commissioner Gil: CITY ATTORNEY 5 October 2021 Medical Plan Comparison for City of South Miami Carver Name Plan, Type Product name Calendar Year Deductible (CYD) Individual / Family Coinsurance Provider Services Primary Care Office Visit Specialist Office Visit Virtual Visit -Designated Virtual Provider Preventative Care Hospital Services Inpatient Hospital Facility Hospital Physician Services Outpatient Hospital Facility Emergency Room Facility Outpatient FacllltylDiagnustic Ambulatory Surgery Center ASC Physician Services Lab /X-Ray Major Diagnostic (MRI,CAT,CT,PET) Urgent Care Annual Out -of -Pocket Maximum Includes Deductible (Yes / No) Individual / Family Lifetime Maximum Prescription Drugs Tier i/Tier 2/Tier 3/Tier 4/Tier 5 Mail Order 90 Day Supply) Preferred, Specialty Retail Netvork Coinsurance Emergency Room Facility All Other Services Deductible - Individual/Family Annual Out -of -Pocket - Indiv/Family Lifetime Maximum Employee Emplo & Spouse Employee & Child(ren) Family Monthly Total by Product Annual Total $ Change In Monthly Premium % Change in Total Annual Premium $ Chan a in Total Annual Premium NHP NHP HMO 2020 CIA BXLG-M21 Fix NH21 None 100% Open Access $10 $25 so $0 $500 $0 $500 $250' $500 s0 $o $250 $75 Yes $4,000 / $8,000 Unlimited $10/$35/$70 $25/$87.50/$175 $10/$150/$500 Na $250 Na n/a Na n/a $608.83 $1,449.02 $1,120.25 $1,899.55 $59,275.72 $711 308.64 Per FL Statute, Must Be Medical Emergency Defined by 641.31097 74 0 11 74 74 0 tt $5.301.27 $5,301.27 $4,549.60 $4,549.60 8.9% 4.7% 7.7% 3.5% $63615.24 $33673.24 $54595.20 $24653.20 Inronnatmn shaven a based, on census data provided. For4lustrahve purposes only. The cedibcste ofwmrage, final rates. and, final enollmentW/ supersede any and all matenals pmvlded herein. Page loft/ October 2021 Medical Plan Comparison for City of South Miami Cartier Name Plan Type Product name IN -NETWORK Calendar Year Deductible (CYD) Individual / Family Coinsurance Provider Services Primary Care Office Visit Specialist Office Visit Virtual Visit -Designated_ Virtual_ Provider Preventative Care Hospital Services Inpatient Hospital Facility Hospital Physician Services_ _ Outpatient Hospital Facility Emergency Room Facility Outpatient Facility/Diagnostic Ambulatory Surgery Center _ ABC Physician Services Lab /X-Ray _ Major Diagnostic (MRI,CAT,CT,PET) Urgent Care Annual Outof-Pocket Maximum Includes Deductible (Yes / No) Individual / Family Lifetime Maximum Prescription Drugs Tier 1/Tier 21Tier 3/Tier 47Tier 5 Mail Order 90 Day Supply) Preferred Specialty Retail Network Coinsurance Emergency Room Facility _ All Other Services Deductible - Individual/Family Annual Outof-Pocket - Indiv/Family Lifetime Maximum Employee _Employee & Spouse _ Employee & Child(ren) Family Monthl Total b Product Annual Total $ Change in Monthly Premium % Change in Total Annual Premium $ Change in Total Annual Premium 74 0 11 1 NHP NHP HMO 2020 CA BXLG-M2/Rx NH21 None 100% Open Access $10 $25 $0 $0 $500 $0 $500 $250'----- $500 $0 $0 $250 $75 Yes $4,000 / $8,000 Unlimited $10/$35/$70 $25/$87.50/$175 $10/$150/$500 Z $608.83 $1,449.02 $1,120.25 $1,899.55 $59,275.72 $711 308.64 Per FL Statute. Must Be Medical Emergency Defined by 641.31097 74 0 ii 1 $4,631.09 $54 373.08 74 0 I1 1 74 0 11 1 Open Access $25 $45 $25 / $45 $0 0% Aft Ded _ 0% Aft Ded 0% Aft Ded 0% Aft Ded 0% Aft Ded $0 $50 $10/$35/$70 $25/$87.50/$175 Na 74 1 $646.50 0 $1,538_67 11 _ _ $1,189.56 1 $2.017.08 $3,667.52 $3,667.52 6.2 % 2.0% $44010.24 $14068.24 Infonvdllon shown is based on census data povided. For iflustrativepurposes only The corificate of coverage, final rates, and finalenrollmenl Wlsupersede any and all andlenalsprciededherein Page 2of7 October 2021 Medical Plan Comparison for City of South Miami Carrier Name Plan Type Product name IN -NETWORK Calendar Year Deductible (CYD) Individual / Family Coinsurance Provider Services Primary Care Office Visit Specialist Office Visit Virtual Visit -Designated Virtual Provider Preventative Care Hospital Services Inpatient Hospital Facility Hospital Physician Services Outpatient Hospital Facility Emergency Room Facility Outpatient Facility/Diagnostic Ambulatory Surgery Center ASC Physician Services Lab / X-Ray Major Diagnostic (MRI,CAT,CT,PET) Urgent Care Annual Out -of -Pocket Maximum Includes Deductible (Yes / No) Individual / Family Lifetime Maximum Prescription Drugs Tier 1/Tier 2/Tier 3/Tier 4iTier 5 Mail Order 90 Day Supply) Preferred SQ2cialty Retail Network OLIt-Of-Network Benefits Coinsurance Emergency Room Facility All Other Services Deductible - Individual/Family _ Annual Out -of -Pocket - Indiv/Family Lifetime Maximum Employee Employee & Spouse Employee & Child(ren) Family Monthly Total by Product Annual Total $ Change in Monthly Premium % Change in Total Annual Premium $ Change in Total Annual Premium Rill NHP NHP HMO 2020 OA BXLG-M2 / Rx NH21 None 100% Open Access $10 $25 $0 $0 $500 $0 -- $500 $250* $500 $0 $0 $250 $75 Yes $4,000 / $8,000 Unlimited $10/$35/$70 $25/$87.50/$175 $10/$150/$500 n/a $250 n/a n/a n/a n/a $608.83 $1,449.02 $1,120.25 $1,899.55 $59,275.72 $711 308.64 * Per FL Statute, Must Be Medical Emergency Defined by 641.31097 Florida Blue BlueCare 55 None 100% Open Access $10 $10 $0/$10 $0 $250 $0 $150 $100 $100 $10 $0/$10 $50 $10 Yes $2,500 / $7,500 Unlimited $10/$50/$80 $25/$125/$200 n/a $100 n/a n/a n/a n/a 74 $805.75 0 $1,917.69 11 $1,547.04 1 $2,578.40 $79,221.34 $950 656.08 ._] $19,945.62 33.6% $239 347.44 Information shown is based on census data provided. For illustrative purposes only. The certificate of coverage, final rates, and final enrollment w11 supersede any and all materials provided herein. Page 3 of Group Insurance City of South Miami Located At: 6130 Sunset Drive South Miami, FL 33143 Presented By: Samantha Graveline SVP, Employee Benefits Shadi Kamyab Senior Account Executive All Information is Strictly Confidential Table of Contents Introduction - Marketing Summary - Decline to Quote Letters i Medical Coverage 2 - Medical Comparison Ancillary Coverages 3 - Dental Comparison - Vision Comparison - Basic Life / LTD Comparison - Voluntary STD Comparison - Voluntary Life Comparison C! Disclosures - A.M. Best Ratings/Compensation Disclaimer 10 Section 1 Marketing Summary Below is a summary of our marketing efforts. We requested proposals from the following: Medical Plan • United Healthcare/NHP — Current Carrier • Florida Blue — Received/shown • Aetna — Declined to quote, uncompetitive • Humana — Declined to Quote, uncompetitive • CIGNA — Declined to quote, uncompetitive Dental Plan • Humana — Current Carrier • MetLife — Received/shown • Aetna — Declined to quote, uncompetitive • Lincoln — Declined to Quote, uncompetitive • Mutual of Omaha — Declined to quote, uncompetitive • The Standard — Declined to quote, uncompetitive • United Healthcare — Declined to quote, uncompetitive • CIGNA — Market checked / Need response • Florida Blue — Market checked / Need response • Guardian — Market checked / Need response Vision Plan • Humana — Current Carrier • MetLife — Received/shown • Aetna — Declined to quote, uncompetitive • Lincoln — Declined to Quote, uncompetitive • Mutual of Omaha — Declined to quote, uncompetitive • The Standard — Declined to quote, uncompetitive • United Healthcare — Declined to quote, uncompetitive • CIGNA — Market checked / Need response • Florida Blue — Market checked / Need response • Guardian — Market checked / Need response Basic Life, Voluntary Life, Short -Term Disability and Long -Term Disability • Mutual of Omaha — Current Carrier • MetLife — Received/shown (Basic Life / Voluntary Life) • MetLife — Declined to quote, uncompetitive (Disability) • The Standard — Received/shown (Basic life / Voluntary Life) • The Standard — Market checked / Need response (Disability) • Cigna — Market checked / Need response • Florida Blue — Market checked / Need response • Humana — Market checked / Need response • Guardian- Market checked / Need response • Lincoln — Declined to Quote, uncompetitive • United Healthcare — Declined to quote, uncompetitive 1 1 P a g e 261 N. University Drve Plantation, FL 33324 July 27, 2021 Maria E. Panizo Brown & Brown of Florida, Inc. 1201 W. Cypress Creek Road, Suite 130 Fort Lauderdale, FL 33309 mpanizo@bbftlaud.com I :� may: �•(i] �YiDl:: � ��i I Ie\ ��i I I Dear Ms. Panizo: Aetna thanks you for the opportunity to prepare a medical benefit quote for CITY OF SOUTH MIAMI. After reviewing the submitted information, UW is declining to generate a quote as our proposal will not be competitive. Thank you for your confidence and trust in Aetna and our family of health benefit solutions. We look forward to serving you and your valuable clients in the future. Please call me at (954) 593-2951 if you have any questions, or if I can be of further assistance. Sincerely, Mriana Perez Account Executive 14 July 27, 2021 Brown & Brown Ft. Lauderdale Dear Maria: Thank you for providing Aetna the opportunity to quote the dental and vision coverage for City of South Miami. Unfortunately we are unable to offer the requested dental or vision proposals to this prospect. After reviewing the specs submitted, I do not feel we would be able to offer a financially competitive quote due to the following reasons: • Our rates are not competitive. While I was unable to assist you this time, I appreciate your consideration of Aetna and look forward to working with you on the next case. Sincerely, M%kel Michael Puglisi Sales Director Dental/Vision/Voluntary South Florida 15 Maria Panizo From: Bishop Primo <bishop.primo@cigna.com> Sent: Tuesday, July 27, 2021 2:45 PM To: Maria Panizo Subject: Response To Your Inquiry - City of South Miami [External] Daniel Imme New Business Manager Sunrise, FL 33323 July 27, 2021 Samantha Graveline Brown & Brown of Florida, Inc. 1201 W. Cypress Creek Road, Suite 130 Fort Lauderdale, FL33309 RE: City of South Miami Thank you for considering Cigna HealthCare for City of South Miami. Based upon our evaluation of the information provided with your request for proposal, we do not believe that we can offer a competitive proposal. Therefore, we respectfully decline to offer a quote at this time. We appreciate being given the opportunity to review your request for a proposal and we look forward to working with you on future prospects. Please do not hesitate to contact me if you have any questions. Sincerely, Daniel Imme New Business Manager (954) 514-6847 Attention California Agents/Brokers: A copy of this letter must immediately be forwarded to the client in order to comply with California law, SB 1163 (2010). 16 17 Maria Panizo From: Mickey Wells <MWells13@humana.com> Sent: Tuesday, July 27, 2021 10:41 AM To: Maria Panizo Cc: Shadi Kamyab; Samantha Graveline; Natasha Neita Subject: Humana Medical - City of South Miami [External] Good morning Maria, I have spoken to Shadi but I wanted to share with the team that we are unfortunately not a great fit for the City of South Miami's medical this year. We value our partnership with the City on the ancillary lines and appreciate the opportunity to have competed for the medical. We hope to be more competitively priced next year. I will send a DTQ letter for your records as soon as I have it back. Thank you, Mickey Wells Public Sector Sales Executive 100-299 1 Commercial Sales ( Florida Humana C 954 477 1251 E mwellsl3@humana.com Your Humana Business Sales Team ( Medical / Dental / Vision / Life / Go365 / EAP • Go365 Continually updated resources and information can be found at www.humana.com/coronavirus Still have questions or concerns? We're committed to ensuring you have the support. Your Humana representative will continue to be available to assist you locally. We have also established a dedicated service line, specifically for agents: Phone number: 1-800-592-300501 and Email: COVIDguestions@humana.com The information transmitted is intended only for the person or entity to which it is addressed and may contain CONFIDENTIAL material. If you receive this material/information in error, please contact the sender and delete or destroy the material/information. Humana Inc. and its subsidiaries comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, ancestry, age, disability, sex, marital status, gender, sexual orientation, gender identity, or religion. Humana Inc. and its subsidiaries do not exclude people or treat them differently because of race, color, national origin, ancestry, age, disability, sex, marital status, gender, sexual orientation, gender identity, or religion. 18 English: ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call 1-877-320-1235 (TTY: 711). Espanol (Spanish): ATENCIbN: Si habla espanol, tiene a su disposicion servicios gratuitos de asistencia linguistica. Llame al 1-877-320-1235 (TTY: 711). ME X(Chinese):: 'J%:AU12 13,1G QJL:l%1R' Q A #] 00 eft% 1-877-320-1235 (TTY: 711)o Kreyol Ayisyen (Haitian Creole): ATANSION: Si w pale Kreyol Ayisyen, gen sevis ed you tang ki disponib gratis you ou. Rele 1-877-320-1235 (TTY: 711). Polski (Polish): UWAGA: Jeieli mowisz po polsku, moiesz skorzystac z bezptatnej pomocy jgzykowej. Zadzwon pod numer 1-877-320-1235 (TTY: 711). `E � (Korean): T°�: �F � F �fgc of �� � oT, °i 7C� a Jl1tl� � z -r MEp 01 o —Lz T M d l_l C[. 1-877-320-1235 (TTY: 711) t�i 2 0H -r � 12. 19 Maria Panizo From: Sent: To: Cc: Subject: [External] Dear Shadi and Samantha, Johnson, Sue <Sue.Johnson@lfg.com> Friday, July 23, 2021 9:58 AM Shadi Kamyab Brown, Jeremy; Maria Panizo; Samantha Graveline City of South Miami Thank you for the opportunity to provide a proposal on City of South Miami. Unfortunately we were unable to provide a quote more competitive than the Inforce carrier. Please accept this email as our formal decline. We apologize that our response is not more favorable. If you have any questions or concerns please do not hesitate to call Jeremy or myself . Sincerely, A. Sue ales C000n rdinator r] Sr. Sales Coordinator Lincoln Financial Group 8900 Keystone Crossing Suite 535 Indianapolis, IN 46240 317-249-6175 Office 317-753-1431 Mobile Lincol n Fi na n cia I.com Follow us on: OOOO O in Notice of Confidentiality: **This E-mail and any of its attachments may contain Lincoln National Corporation proprietary information, which is privileged, confidential, or subject to copyright belonging to the Lincoln National Corporation family of companies. This E-mail is intended solely for the use of the individual or entity to which it is addressed. If you are not the intended recipient of this E-mail, you are hereby notified that any dissemination, distribution, copying, or action taken in relation to the contents of and attachments to this E-mail is strictly prohibited and may be unlawful. If you have received this E-mail in error, please notify the sender immediately and permanently delete the original and any copy of this E-mail and any printout. Thank You.** 20 METLIFE Employee Benefits Sales and Service 4010 Boy Scout Boulevard Suite 950 Tampa, FL 33607 813-393-5888 800-972-6177 FAX: 813-393-5843 866-277-3913 July 28, 2021 Jorge Villavicencio Brown and Brown Of Florida Inc To Whom It May Concern, Thank you for your interest in MetLife and for the opportunity to quote on the benefit program of City Of South Miami. Unfortunately, we are unable to provide competitive disability rates at this time. Therefore, we respectfully decline to issue a disability proposal for this group account. If we can be of any assistance to you in the future, please don't hesitate to call us at the above number. We welcome the opportunity to serve you again. Yours truly, Jorge Villavicencio MetLife Metropolitan Life Insurance Company, New York. New York 10166 21 Maria Panizo From: Karen.Plunkett@mutualofomaha.com Sent: Monday, July 19, 2021 10:00 AM To: Maria Panizo Subject: City of South Miami [External] Hi Maria — Good Morning! Thank you for considering Mutual of Omaha as a potential carrier for the above group. I regret that we will not be releasing a quote. Please accept this e-mail as our formal declination. Once again, thanks for thinking of us. We appreciate the opportunity and look forward to working with you on other cases. Have a great week! Karen S. Plunkett, FLMI, HIA, ACS, AIAA, AIRC, ARA Mutual of Omaha I South Florida Group Sales Office 1000 Sawgrass Corporate Parkway I Suite 158 1 Sunrise, FL 33323 C: (954) 830-6676 O: (954) 626-5200 1 F: (964) 845-6077 1 E: Karen.PlunkettCa mutualofomaha.com Customer Service / Service Team: FLAservice(&mutualofomaha.com or (800) 769-7159 BILLING, ELIGIBILITY, and GENERAL SERVICE QUESTIONS, please contact your dedicated SERVICE TEAM P: (800) 769-7169 (8 AM— 8 PM EST) I E: FLAservice(o mutualofomaha.com CLAIM PHONE NUMBERS Life: (800) 775-8805 1 Disability: (800) 877-5176 1 Dental: (800) 927-9197 This e-mail and any files transmitted with it are confidential and are solely for the use of the addressee. It may contain material that is legally privileged, proprietary or subject to copyright belonging to the sender and its affiliates, and it may be subject to protection under federal or state law. If you are not the intended recipient, you are notified that any use of this material is strictly prohibited. If you received this transmission in error, please contact the sender immediately by replying to this e-mail and delete the material from your system. The sender may archive e-mails, which may be accessed by authorized persons and may be produced to other parties, including public authorities, in compliance with applicable laws. Maria Panizo From: Athena Gray <Athena.Gray@standard.com> Sent: Tuesday, July 27, 2021 12:17 PM To: Maria Panizo Cc: Jacqueline Accetta Subject: City of South Miami - Dental Vision DTQ [External] Maria - We appreciate the opportunity to provide a dental and vision proposal for City of South Miami. Unfortunately due to plan design requirements we feel that we are unable to provide a competitive proposal and, therefore, must decline to issue a quote for dental and vision at this time. Thank you for considering The Standard! I am here to support you and create an excellent experience in doing business with The Standard. Please click here to take a quick 2 to 3 minute survey to let me know how I am doing. Athena Gray I Sales Analyst, Employee Benefits The Standard Standard Insurance Company 4300 W. Cypress St., Suite 750 1 Tampa, FL 33607 Phone 813.878.0288 (Office) 1813.422.2755 (Cell) I Fax 813.879.2431 standard.com 23 Maria Panizo Sent: Wednesday, August 4, 20214:23 PM To: Maria Panizo Cc: Vidal, Joseph L; kasunrisequoting; Schwartz, Shara Subject: City of South Miami 922135 - UHC Ancillary DTQ [External] Hi Maria: After reviewing the information for Dental, Vision, Life and Disability, our decision is to decline to quote due to uncompetitive rates across all lines. We appreciate being given the opportunity to review this request and we look forward to working with your office on future prospects. Thank you! Gliset Garrido Specialty Sales Coordinator, Key Accounts Office: 954.378.0751 Email: glisetiarridoOluhc.com 3100 SW 1451 Ave, Suite 200 Miramar, FL 33027 unitedhealthgroup.com Our United Culture The way forward Integrity I Compassion I Relationships I Innovation I Performance 24 Section 2 October 2021 Medical Plan Comparison for City of South Miami Carrier Name Plan Type Product name Calendar Year Deductible (CYD) Individual / Family Coinsurance Provider Services Primary Care Office Visit _ Specialist Office Visit _ Virtual Visit -Designated Virtual_ Pinned at Preventative Care Hospital Services Inpatient Hospital Facility Hospital Physician Services Outpatent Hospital Facility Emergency Room Facility Outpatient Facility/Diagnostic Ambulatory Surgery Center _ _ABC Physician Services Lab /X-Ray Major Diagnostic (MRI,CAT,CT,PET) Urgent Care Annual Out -of -Pocket Maximum _includes Deductible (Yes / No) _ Individual / Family Lifetime Maximum Prescription Drugs Tier 11'Tier 2(Tier 3/Tier 4/-rier 5 Mail Order 90 Day Supply) Preferred Specialty Retail Network Coinsurance _ Emergency Room Facility All Other Services Deductible - Individual/Family Annual Out -of -Pocket - Indiv/Family Lifetime Maximum Employee Employee & Spouse _ Employee & Child(ren) Family Monthly Total by Product Annual Total $ Change in Monthly Premium Change in Total Annual Premium $Chan a in Total Annual Premium 74 0 11 1 NHP NHP HMO 2020 OA BXLG-M27 Rx NH21 None 100% Open Access $10 $25 $0 $0 $500 so S500 _ S250' $500 $0 $0 _ $250 $75 _ Yes $4,000 / $8,000 Unlimited $10/$35/$70_ $25/$87.50/$175 _0/$150 /$500 /a $250 lefilaa fil n/a $608.83 $1.449.02 $1,120.25 $1,699.55 $59,275.72 $711 308.64 Per FL Statute, Must Be Medical Emergency Defined by 641.31097 74 0 H 1 74 0 i/ 1 74 0 11 7 $5,301.27 $5,301.27 $4,549.60 8.9 % 4.7 % 7.7% -� $63615.M — - -- $33673.24 - - -- $54595.20 $30 $0 $0 _ 0% Aft Ded 0%Aft Ded 0% Aft Ded $350' 0% Aft Ded 0% Aft Ded _ $0 0% Aft Ded $50 Yes_ $1.500 / $3,000 Unlimited $10/$35/$70 $25/$87.50/$175 $10/$150/$500 Iva $350 Na Iva nta we 74 $655.56 0 _ 31,560.24 11 $1,206.23 1 $2.045.35 Inlmmallen all is based on census daleprovided. For Jlusdabvepurposes only The cani0cafe or coverage. final rates, and final enmlluarl u0supersede any and all reatenalspmvldedherein Page126 October 2021 Medical Plan Comparison for City of South Miami Carrier Name Plan Type Product namn •. Calendar Year Deductible (CYD) Individual / Family Coinsurance Provider Services Primary Care Office Visit Specialist Office Visit Virtual Visit-0esignated Virtual Provider Preventative Care Hospital Services Inpatient Hospital Facility Hospital Physician Services Outpatient Hospital Facilily Emergency Room Facility Outpatient Facility/Diagnostic Ambulatory Surgery Center ASC Physician Services Lab /X-Ray Major Diagnostic (MRI,CAT,CT,PET) Urgent Care Annual Out -of -Pocket Maximum Includes Deductible (Yes / No) Individual / Family Lifetime Maximum Prescription Drugs Tier 1 [Tier 27Tier 37Tier 41Tier 5 Mail Order (90 Day Supply) Preferred Specialty Retail Network Coinsurance Emergency Room Facility All Other Services Deductible - Individual/Family Annual Out -of -Pocket - Indiv/Family Lifetime Maximum Employee Emplo ee & Spouse Employee & Child(ren) Family Monthly Total by Product Annual Total $ Change In Monthly Premium % Change in Total Annual Premium $ Chan a In Total Annual Premium 11 NHP NHP HMO 2020 OA BXLG-M2I Fix NH21 None 100% Open Access $10 _ $25 $0 $0 $500 $0 $500 $250' $500 s0 s0 $250 $75 Yes $4,000 / $8,000 Unlimited $10/$35/$70 $25/$87.50/$175 $10/$150/$500 na $250 Na n/a n/a n/a $608.83 $1,449.02 $1,120.25 $1,899.55 $59,275.72 $711 308.64 Per FL Statute, Must Be Medical Emergency Defined by 641.31097 74 74 74 74 lbr nnafoh shown is based on census data pho ded For dlusunom purposes only The certificate of coverage, Anal rates. and final enrolli wll supersede any and all braledals provided herein Page 227 October 2021 Medical Plan Comparison for City of South Miami Carrier Name Plan Type _ Product name IN -NETWORK Calendar Year Deductible (CYD) Individual / Family Coinsurance Provider Services _ Primary_Care _0ffice Visit _ Specialist Office Visit Virtual Visit -Designated Virtual Provider_ Preventative Care Hospital Services Inpatient Hospital Facility Hospital Physician Services Outpatient Hospital Facility Emergency Room Facility Outpatient Facility/Diagnostic Ambulatory Surgery Center ASC Physician Services Lab / X-Ray Major Diagnostic (MRI,CAT,CT,PET_) Urgent Care Annual Out -of -Pocket Maximum Includes Deductible_ (Yes / No) Individual / Family Lifetime Maximum Prescription Drugs Tier 1/Tier 2/Tier 3/Tier 4/Tier 5 Mail Order 90 Day Supply) Preferred Specialty Retail Network Out -Of -Network Benefits Coinsurance Emergency Room Facility All Other Services Deductible - Individual/Family Annual Out -of -Pocket - Indiv/Fa_ m_ ily_ Lifetime Maximum Employee _ Employee & Spouse Employee & Child(ren) Family - - - --- -- -- Monthly Total by Product Annual Total $ Change in Monthly Premium % Change in Total Annual Premium $ Change in Total Annual Premium 111111 NHP NHP HMO 2020 OA BXLG-M2 / Rx NH21 None 100% Open Access $10 -- — $25 - $0 --- $500 - $0 $250' - $500 $0 $250- --- — $75 Yes $4,000 / $8,000 Unlimited - $10/$35/$70 $25/$87.50/$175 $10/$150/$500 n/a _ $250 _n/a n/a n/a - $608.83 $1.449.02 $1.120.25 $1.899.55 $59,275.72 $711 308.64 Per FL Statute, Must Be Medical Emergency Defined by 641.31097 Florida Blue _ BlueCare 55 None 100% Open Access $10 $10 - $250 -- $150 -- $100 $100 $10 $0/$10 $50 $10 - Yes $2,500 / $7,500 Unlimited $10/$50/$80 $25/$125/$200 n/a - $100 - - - Na rVa --- Na -- $805.75 - $1,917.69 $1, 547.04 $2, 578.40 $79,221.34 $950 666.08 $19,945.62 33.6% $239 347.44 Information shown is based on census data provided. For illustrative purposes only The certificate of coverage, final rates, and final enrollment wfl supersede any and all marenals provided herein Page 328 Section 3 October 2021 Dental Comparison for City of South Miami Carrier Plan Name Provider Acess Benefit Description Preventive (Class 1) Basic (Class II)_ Major Class III Maximum Annual Benefit Deductible (IndividuaUFamily) Deductible Waived - Class Orthodontia coves a/lifetime max Reimbursement Schedule Benefits Routine Exams - 9430 _Teeth Cleaning - 1110 Full M_ outh/Panoramic X-rays - 0330 Simple Extractions - 7111 Root Canal (Endodontics) - 3330 Perio. Scaling/Root Planning - 4341 Full or Partial Dentures - 5110 Crowns - 6752 Employer Contribution Minimum Participation Requirement Waiting Period Major Services Rate Guarantee Employee_ _ 37 Employee + Spouse _ 6 Employee +_C_hild(ren) 5 Family 2 Monthly Premium By Product Total Month! Premium _ Total Annual Premium % Change in Monthly Premium by Plan $ Change in Monthly Premium by Plan $ Change in Total Monthly Premium % Change in Total Annual Premium _ $ Change in Total Annual Premium DMO HD205 OR In Network Only n/a —n/a Unlimited --- n/a - n/a $2,650 Child & Adult Fee Schedule _ No Charge _ No Charge No Charge No Charge $250 $55 per quad - $375 $270 Contributory None Expires 9/30/21 PPO In -Network Out of Network 100% 100% - 80% 80% 50% 50%- -- - - Unlimited Unlimited $50/$150 $50/$150 Yes Yes $1,00OChildOnly $1,000 Child On1 Fee Schedule MAC 1_00% 100% - 100% — -- — - 100% 100% 100% --- __100% 80% 80% 80% - - 80%- 80%-- - 80% -- - - - 50% - 50% 50% 50% None $8.49 34 $33.39 $16.98 - 3 -- $69.70 -- - $19.11 4 -- - - - - - $78.55 -- - $30.74 8 $123.23 $573.04 $2,644.40 $3,217.44 - $38 609.28-- 37 6 5 2 Humana Humana DMO HD205 OR PPO In Network Only In -Network Out of Network n/a _n/a -- -- 100% _ 100% 8_0% 80% 4 Unlimited Unlimited Unlimited n/a - n/a $50/$150- - Yes $50/$150 Yes $2,650 Child & Adult $1,000 Child Only $1,000 Child Only Fee Schedule Fee Schedule MAC No Charge _ _ No Charge No Charge - - No Charge - $250 - $250 - $55 per quad $375 - $270 - 100% 100% 100% 100% 100% —�- 80% 80% - 80% 50% 100% 80% - -- --80% - - - 80% 50% 50% -- --- 50% Contributory Contributory None None 12 Months 12 Months Renewal Renewal $8.49 34 $_36.70 $16.98 $19.11 $30.74 3 4 8 $76.60 $86.33 $135.43 $573.04 $3,479.40 $2,906.36 - - - - $41 752.80 - _ 0.0% J $0.00 9.9% $261.96 $261.96 8.1 % -- —� � --- $3,143.52 Information shown is based on census data provided For illustrative purposes only The certificate of coverage, final rates, and final enrollment wll supersede any and all materials provided herein Page 130 October 2021 Dental Comparison for City of South Miami HUMana Humana DMO HD205 OR PPO In Network Only In -Network Out of Network n/a 100% 100% n/a 80% 80% n/a 50% 50% Unlimited Unlimited Unlimited n/a $50/$150 $50/$150 n/a Yes Yes $2,650 Child & Adult $1,000 Child Only $1,000 Child Only Fee Schedule Fee Schedule MAC No Charge 100% 100% No Charge 100% 100% No Charge 100% 100% No Charge 80% 80% $250 80% 80% $55 per quad 80% 80% $375 50% 50% $270 50% 50% Contributory Contributory None None Expires 9/30/21 Expires 9/30/21 Current Current $8.49 34 3 4 8 $33.39 $16.98 $69.70 $19.11 $78.55 $30.74 $123.23 $573.04 $3,217.44 $2,644.40 _ $38 609.28 % Change in Monthly Premium by Plan $ Change in Monthly Premium by Plan $ Change In Total Monthly Premium % Change In Total Annual Premium $ Change in Total Annual Premium 37 DMO MET290 PPO In Network Only In -Network Out of Network n/a 100% 100% n/a 80% 80% n/a 50% 50% Unlimited $5,000 $5,000 n/a $50/$150 $50/$150 n/a Yes Yes $2,680 Child & Adult $1,000 Child Only $1,000 Child Only Fee Schedule Fee Schedule MAC No Charge 100% 100% $5 100% 100% No Charge 100% 100% $5 80% 80% $265 80% 80% $50 per quad 80% 80% $440 50% 50% $290 50% 50% Contributory Contributory 10 enrolled 5 enrolled None 12 Months 12 Months $11.76 34 3 4 8 $34.43 $20.58 $71.88 $24.69 $81.00 $34.68 $127.07 $751.41 $3,478.23 $2,726.82 $41 738.76 31.1 % 3.1 % $178.37 $260.79 $82.42 8.1 % $3,129.48 0 Information shown is based on census data provided. For illustrative purposes only. The certificate of coverage, final rates, and final enrollment wll supersede any and all materials provided herein. Page 231 October 2021 Dental Comparison for City of South Miami 66 Plan Name Provider Acess Benefit Description _Preventive (Class 1) _ Basic (Class 11) _ Major Class III Maximum Annual Benefit Deductible (Individual/Family) Deductible Waived - Class I Orthodontia (coverage/lifetime max Reimbursement Schedule Benefits _Routine Exams - 9430 Teeth Cleaning - 1110 Full Mouth/Panoramic X-rays - 0330 Simple Extractions - 7111 Root Canal (Endodontics) - 3330 Perio. Scaling/Root Planning - 4341 Full or Partial Dentures - 5110 Crowns - 6752 Employer Contribution Minimum Participation Requirement Waiting Period Major Services Rate Guarantee Employee Employee + Spouse Employee + Child(ren) _ Family Monthly Premium By Product Total Monthly Premium Total Annual Premium % Change in Monthly Premium by Plan $ Change in Monthly Premium by Plan $ Change in Total Monthly Premium % Change in Total Annual Premium $ Change in Total Annual Premium Humana Humana DMO HD205 OR PPO In Network Only In -Network Out of Network n/a 100% 100% n/a 80% � 80% -- - n/a- - 50% - 50% -- Unlimited Unlimited Unlimited _n/a $_50/$150 $5.0/$150 - n/a Yes _ Yes $2,650 Child & Adult $1,000 Child Only $1,000 Child Only Fee Schedule Fee Schedule MAC No Charge 100% 100% No Charge 100% - 100% No -Charge - 100% - 100% � - No Charge 80% 80% $250 — - 80% - — 80% - $55 per quad - - 80%° - 80% — -- $375 -- 50% — - - — - 50% - $270 50% 50% -_ Contributory Contributory None None Expires 9/30/21 Expires 9/30/21 Current Current $8.49 34 $33.39 - $16.98 3 -- - $69.70 — - $19.11 - 4 - $78.55 $30.74 8 $123.23 $573.04 $2,644.40 $3,217.44 - - -- $38,609.28 Aetna Declined Cigna MM Information shown is based on census data provided. For illustrative purposes only The certificate of coverage, final rates, and final enrollment 1441 supersede any and all materials provided herein Page 332 October 2021 Dental Comparison for City of South Miami Humana Humana DMO HD205 OR PPO In Network Only In -Network Out of Network n/a _ n/a 100% 100% 80% 80% n/a 50% 50% Unlimited Unlimited Unlimited n/a $50/$150 $50/$150 n/a Yes Yes $2,650 Child & Adult $1,000 Child Only $1,000 Child Only Fee Schedule Fee Schedule MAC No Charge 100% 100% No Charge 100% 100% No Charge 100% 100% No Charge _ 80% 80% $250 80% 80% _ $_55 per quad 80% 80% _ $375 _ 50% 50% $270 50% 50% Contributory Contributory None None Ex ires 9/30/21 Expires 9/30/21 Current Current $8.49 34 3 4 $33.39 $16.98 $69.70 $19.11 $78.55 _ $30.74 8 $123.23 $573.04 $3,217.44 $2,644.40 _ $38 609.28 % Change in Monthly Premium by Plan $ Change in Monthly Premium by Plan $ Change in Total Monthly Premium % Change in Total Annual Premium $ Change in Total Annual Premium Florida Blue Not Quoted EME 0 E 016J Information shown is based on census data provided For illustrative purposes only The certificate of coverage, final rates, and final enrollment wll supersede any and all materials provided herein Page 433 October 2021 Dental Comparison for City of South Miami Carrier Plan Name Provider Acess Benefit Description Preventive (Class 1) Basic (Class II) Major Class III Maximum Annual Benefit Deductible (Individual/Family) Deductible Waived - Class I Orthodontia (coverage/lifetime max Reimbursement Schedule Benefits Routine Exams - 9430 Teeth Cleaning - 1110 Full Mouth/Panoramic X-rays - 0330 Simple Extractions - 7111 Root Canal (Endodontics) - 3330 Perio. Scaling/Root Planning - 4341 Full or Partial Dentures - 5110 Crowns - 6752 Employer Contribution Minimum Participation Requirement Waiting Period Major Services Rate Guarantee Employee 37 Employee + Spouse 6 Employee + Child(ren) 5 Family 2 Monthly Premium By Product Total Monthly Premium Total Annual Premium % Change in Monthly Premium by Plan $ Change in Monthly Premium by Plan $ Change in Total Monthly Premium % Change in Total Annual Premium $ Change in Total Annual Premium DMO HD205 OR In Network Only n/a n/a nia Unlimited -- - n/a n/a $2,650 Child & Adult Fee Schedule No Charge No Charge No Charge No Charge - $250 - - $55 per quad - $375 $270 None �ires9/30/21 $8.49 - $16.98 - $19.11 - - - $30.74 $573.04 In -Network Out of Network 100% 100% 50% -- -- - 50% Unlimited Unlimited $50/$150 Yes $50/$150 Yes $1,000 Child Only $1,000 Child Only Fee Schedule MAC 100% _ 100% 100% - 100% 80% 80% 80% 100% 100% -- 80% 80% 50% 50% 50% - 50% None 34 $33.39 3 $69.70 4 $78.55 -- -�� - 8 --- $123.23 $3,217.44 $38,609.28 - - -- Mutual of Omaha Declined • Quote 0 Information shown is based on census data provided For illustrative purposes only. The certificate of coverage. final rates, and final enrollment WI supersede any and all materials provided herein. Page 534 October 2021 Dental Comparison for City of South Miami Humana Humana DMO HD205 OR PPO In Network Only In -Network Out of Network n/a 100% 100% n/a 80% 80% n/a 50% 50% Unlimited Unlimited Unlimited n/a $50/$150 $50/$150 n/a Yes Yes $2,650 Child & Adult $1,000 Child Only $1,000 Child Only Fee Schedule Fee Schedule MAC No Charge 100% 100% No Charge 100% 100% No Charge 100% 100% No Charge 80% 80% $250 80% 80% $55 per quad 80% 80% $375 50% 50% _ $270 _ 50% 50% Contributory Contributory None None Ex Tres 9/30/21 Expires 9/30/21 Current Current $8.49 34 3 4 8 $33.39 $16.98 $69.70 $19.11 $78.55 $30.74 $123.23 $573.04 $3,217.44 $2,644.40 $38,609.28 % Change in Monthly Premium by Plan $ Change in Monthly Premium by Plan $ Change in Total Monthly Premium % Change in Total Annual Premium $ Change in Total Annual Premium Standard Declined UnitedHealtheare Information shown is based on census data provided. For illustrative purposes only. The certrficate of coverage, final rates, and final enrollment wll supersede any and all maferials provided herein. Page 635 October 2021 Vision Comparison for City of South Miami Network Provider Network Status Eye Care Wellness _Eye Exam_ Frequency Lenses _ Single Vision Bifocals Trifocal Frequency Frames Selected Frames Fre uen Contacts Medically Necessary Elective Contacts Contribution Type Participation Requirements Rate Guarantee Employee Employee + Spouse Employee + Child Family Monthly Total Annual Total %, Change in Total Annual Premium $ Change in Monthly Premium by Plan $ Change in Total Annual Premium 51 12 14 E eMed In -Network F CON $o Copay up to $3_0 Every 12 Months Reimbursement _ $0 Copay up to $25 $o Copay_ P to $40 $0 Copay up to $60 Every 12 Months Reimbursement $200 allowance + 20% discount over up to $100 Every 24 Months Reimbursement 1001% up to $210 $200 allowance up to $160 Voluntary Expires 9/3012022 $7.13 $14.26 $15.27 $23.01 $909.60 $10,915.20 51 12 14 In -Network OON $0 Copp up to $45 Every 12 Months $0 Copay _ Reimbursement __ up to $30 up to $50 $0 Copay $0 Co ay _ up to $65 Every 12 Months Reimbursement $200 allowance + up to $70 20% discount over Every 24 Months Reimbursement 100% up to $210 $200 allowance up to $105 Contributory 68% 24 Months $9.12 $18.25 $19.54 $29.44 _- $1,163.76 $13,965.12 27.94% $254.16 $3,049.92 --- Declined to Quote Page 1 01 5 37 October 2021 Vision Comparison for City of South Miami Network Provider Network Status Eye Care Wellness Eye Exam Frequency Lenses —Single Vision Bifocals Trifocal Frequency Frames Selected Frames Frequency Contacts Medically Necessary Elective Contacts Contribution Type Participation Requirements Rate Guarantee Employee Employee + Spouse Employee + Child Family Monthly Total Annual Total % Change in Total Annual Premium $ Change in Monthl Premium b Plan $ Change in Total Annual Premium 51 12 14 7 Eye ad In -Network I OON $0 Copal up to $30 Every 12 Months $0 Copay Reimbursement up to $25 $0 Copay up to $40 $0 Co a u to $60 Every 12 Months $200 allowance + 20 % discount over Reimbursement up to $100 Every 24 Months 100% $200 allowance Reimbursement up to $210 up to $160 Voluntary Expires 9/3012022 $7.13 $14.26 $15.27 $23.01 $909.60 $10,915.20 Cigna Florida Blue Page 2 of 5 38 October 2021 Vision Comparison for City of South Miami Network Provider Network Status Eye Care Wellness _Eye Exam Frequency Lenses Single Vision__ Bifocals Trifocal _ Frequency Frames Selected Frames Fre uen Contacts Medically Necessary Elective Contacts Contribution Type Participation Requirements to Guarantee Employee _Employee + Spouse _ Employee + Child Family Monthly Total Annual Total % Change in Total Annual Premium $ Change in Monthly Premium by Plan $ Change in Total Annual Premium 51 12 14 EyeMed In -Network OON $0 Copay up to $30 Every 12 Months $0 Copay _ _ $0 Copay $0 Copay Reimbursement up to $25 _ _ up to $40 up to $60 Every 12 Months $ 200 allowance + 20 k discount over Reimbursement up to $100 Months Every 24 Reimbursement 100% up to $210 $200 allowance up to $160 Volunta Expires 9/30/2022 $7.13 $14.26 $15.27 --- $23.01 --- - $909.60 $10,915.20 Not Quoted I Declined to Quote it r,,� 3 ar 5 39 October 2021 Vision Comparison for City of South Miami Network Provider Network Status Eye Care Wellness Eye Exam Frequency Lenses Single Vision Bifocals Trifocal Frequency Frames Selected Frames Frequency Contacts Medically Necessary Elective Contacts Contribution Type Participation Requirements Rate Guarantee Employee Employee + Spouse Employee + Child Family Monthly Total Annual Total Change in Total Annual Premium $ Change in Monthly Premium by Plan $ Change In Total Annual Premium 51 12 14 7 E eMed In -Network OON Every 12 Months Reimbursement $0 Copay up to $25 _ $0 Copay up to $40 $0 Copay up to $60 Every 12 Months $ 200 allowance + 20 /o discount over Reimbursement up to $100 Every 24 Months 100% $200 allowance Reimbursement up to S210 up to $160 Voluntary Expires 9/30/2022 $7.13 $14.26 $15.27 $23.01 $909.60 $10,915.20 Mutual of Omaha Declined Standard Declined Page 4 of 5 40 October 2021 Vision Comparison for City of South Miami Network Provider Network Status Eye Care Wellness Eye Exam Frequency Lenses Single Vision Bifocals Trifocal Frequency Frames Selected Frames Frequency Contacts Medically Necessary Elective Contacts Contribution Type Participation Requirements Rate Guarantee Employee Employee + Spouse Employee + Child Family Monthly Total Annual Total %Change in Total Annual Premium $ Change in Monthly Premium by Plan $ Change in Total Annual Premium LI 51 12 14 E eMed In -Network OON $0 Copay up to $30 Every 12 Months Reimbursement $0 Copay up to $25 $0 Copay up to $40 _ $0 Copay up to $60 Every 12 Months $ 200 allowance + 20 /o discount over Reimbursement up to $100 Every 24 Months 100% $200 allowance Reimbursement up to $210 up to $160 Voluntary Expires 9/30/2022 $7.13 $14.26 $15.27 $23.01 $909.60 $10,915.20 UnitedHealthcers Pa gc 5 at 5 41 October 2021 Basic Life and Long -Term Disability Comparison for City of South Miami TOTAL ANNUAL PREMIUM TOTAL % Change ling. Ill All Full -Time City All other Fall -Time MwrwOwre Ad'vety et FmplOywav A0livaly at Wnrh Wmk 2x Sa to $3P0,000 ix Saba to $75,000 2x Sa to $320 000 ix Sala to $75,000 $320,000 $75.000 10 65% 10 50% 80%to$256,000 I 80%to$60.000 Included Included Not lrokded Non -Contributory 100% 24 months $6,410,350 50.160 $0.020 $7,1S3.86 $13,846.36 0.0% $0.00 All Full -Time Em "ActivelyatWork $5,000 _ 60% 90 Da SSNRA 3112 24 Months 3 Months 24 Months Non-Conlribulo 100% Ex hes 9/3012021 mom mm $551,383 $0.260 $1,433.60 81Z203.15 All Full -Time City M..g.,s Activelyat Wmk All other Full-Tme F.m Ployees Adivabyat Work 2xSalaryk,S320,000 1x Sala to $75,000 2x Salary to S320,000 1x Sale to $75.000 $320.000 $75,000 by 35% by 50% 80%to S184,u00 1 80%to$60,000 Included Included Not lwkded Non-CuraribWo 100% 24 Months $6.410.350 $0.169 $0.028 $1.262B4 $15,154.07 9.4% $15,154.05 $31,049.51 $33,696.14 $15,154.07 8.5% P., 1.12 43 October 2021 Basic Life and Long -Term Disability Comparison for City of South Miami Not Quoted Humana Not Quoted WitedHealtheare TOTAL TOTAL % Change EMINM ®hanga dd R. P.pv202 =T October 2021 Short Term Disability Comparison for City of South Miami Class Defined Plan Benefits STD Benefit Maximum Weekly Benefit Benefit Duration Pre-existingCondition Limitation Elimination Period (days) Accident Illness Contribution Type Participation Requirement Rate Guarentee months Under 20 20-24 _ 25-29 30-34 35-39 40-44 45-49 50-54 55-69 _ 60-64 65-69 70+ All Full -Time Employees 60% 1 12 Weeks I 50.300 50.300 50.300 S0.300 S0.340 50.400 50.530 $0.640 $0.730 Page 1 of 2 46 n a A m A u z m am am 0 O 0 z m 0 0 O 0 a m c u O m O O a C 0 d 0 O 0 z 0 E � m o a m e o m- y o v a h a m� ry o m o x m c v N o m ,y w Q m Q m O m O w O rn C r rm. a N N h t7 VV Q N h �C m m VJ m CLE Q _C o m m c o �n o H o H o �n o uD J� o U a W 1-1 October 2021 Voluntary Life Insurance Comparison for City of South Miami 49 October 2021 Voluntary Life Insurance Comparison for City of South Miami Cigna LNot Quoted Employee Spouse Florida Blue Not Quoted Employee Spouse Guardian Employee Spouse Page 2 of 50 October 2021 Voluntary Life Insurance Comparison for City of South Miami Lincoln Employee Spouse C� C ® t 51 Papa 3 of 3 Section 4 NOTICE OF CARRIER FINANCIAL STATUS Brown & Brown makes every attempt to place coverage with carriers rated A- or better* through AM Best (www.ambest.com), a national credit rating agency with a specific focus on the insurance industry. Because an AM Best rating is not required by the various state departments of insurance, there are many carriers in the Employee Benefits industry that elect not to participate in AM Best's rating process for various reasons. Therefore, Brown & Brown periodically places coverage with carriers rated less than A- or non -rated by AM Best. Please be advised that Brown & Brown does monitor carriers rated less than A- or non -rated on an ongoing basis. However, because Brown & Brown cannot certify the financial soundness or stability of any insurance company or alternative risk transfer entity, or otherwise predict whether the financial condition of a company might improve or deteriorate, we encourage you to review the financial information for each carrier at AM Best's website (www.ambest.com), a state department of insurance website, the applicable carrier website and/or with your accountant, legal counsel and other advisors. If you need assistance identifying the appliable issuing carriers for your current coverage, renewal coverage, or the coverage options being presented to you, please feel free to contact us at 954-776-2222 for assistance. Alternative quotes with an A- or better rated carrier may also be available upon your request. * AM Best General Rating Guide A +. A+ Superior AA- ExoeteM + B+ Good Fair ++ G+ Mar ' al Weak 0 Poor E Under Regulatory Supervision F_ In Liquidation S Suspended ass I Up 1.070Di1,0 [I (10 000 111 00as $, 0000 IV $5,000 to $10.000 ass V $10.000 to $25.000 ass VI $25.000 to $50.000 ass VII $50,000 to $100,000 Vlll $100,000 to $250,000 a $250,000 to $500,000 ass X $500,000 to il750,000 XI $750,000 to $1000 000 ass XII $1.000,000 to $1,250,000 ass XIII $1250 000 to $1,500 000 XIV $1,500,000 to $2,000,000 XV $2,000,000 or Greater 2/25/21 53 The proposal must include all pertinent disclaimers and disclosures, including but not limited to the following: • The analysis of the following. plans is a summary. Please refer to the policy certificate for a full list of coverage and exclusions. • The rates and benefits in this proposal are based upon underwriting factors which include, but are not limited to, the census provided, the effective date shown, the status of employees/dependents (i.e. actively at work, COBRA, FMLA), final enrollment, etc. If any of the aforementioned changes prior to the proposed effective date, the final provisions, including rates, for these plans may vary or result in the proposed plan to be withdrawn. • If you select to change carriers, any existing plans with other carriers should not be cancelled until advised by Brown & Brown Ft Lauderdale. • This proposal may not be a complete listing of all available benefit options. Different benefit levels may be available. • This presentation is the proprietary work product of Brown & Brown of Ft Lauderdale and is not authorized for further use or distribution • All insurance carriers have their own operating procedures. A change in carrier could affect certain benefits and coverage. • Brown & Brown of Ft Lauderdale representatives are available to explain any items presented. It is assumed that the recipients of this proposal will seek an explanation of any items that may be in question. • Brown & Brown of Ft Lauderdale representatives may from time to time provide guidance regarding certain requirements affecting health plans, including the requirements of federal and state health care reform legislation. Such guidance is based on good -faith interpretation of laws and regulations currently in effect, and is not intended to be a substitute for legal advice. Employers should contact their own legal counsel for advice regarding legal requirements. • The network provider/facility lists obtained via paper directories or carrier websites may contain providers and facilities that are no longer participating in the insurance carriers' networks. We cannot be responsible for any changes to the provider/facility listings that are not reflected. To ensure that a specific provider or facility is still participating in the provider's preferred network, we recommend contacting the provider/facility directly. • Failure to adhere to provisions of the Affordable Care Act (such as pay -or -play, employer reporting requirements, benefit mandates, etc.) may result in significant fees and penalties to the employer. For a more comprehensive explanation of what fees and penalties may apply to you, you may contact your (Profit Center Name) representative at any time. • You are required to comply with Health Care Reform's Summary of Benefits & Coverage (SBC) distribution guidelines, which include requirements for SBC distribution at the plan renewal date. If an employee must enroll to continue coverage, the SBC must be provided when open enrollment materials are distributed. If enrollment materials are not distributed, employees must receive an SBC by the first day they are eligible to enroll. For insured plans, if coverage continues automatically for the next year, the SBC must be provided at least 30 days before the beginning of the new plan year. If the policy is not issued by that date, the SBC must be provided within seven business days once the information is available. Please refer to the Department of Health & Human Services' (HHS) official guidance for complete details regarding renewal and other SBC distribution guidelines. Employee Benefit Disclaimers Revised 2/25/21 54