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Home My WebLink AboutR-2020-028 Designating Agent and Selecting Certain Health, Dental and Vision Insurance Benefits Beginning July 1, 2020 RESOLUTION NO. R-2020-028 A RESOLUTION'DESIGNATING AN AGENT AND SELECTING CERTAIN HEALTH, DENTAL,AND VISION INSURANCE BENEFITS BEGINNING JULY 1,2020. BE IT RESOLVED BY THE BOARD OF ALDERMEN OF THE CITY OF RIVERSIDE, MISSOURI AS FOLLOWS: THAT the City of Riverside designates Bukaty Companies as its broker/agency of record for health, dental, and vision insurance benefits beginning July 1, 2020; and FURTHER THAT the City accepts the health insurance renewal rate from Blue Cross Blue Shield of 12.9% and selects Blue Cross Blue Shield as the benefit provider for the City's dental and vision plans, all in accordance with the attached plan summaries; and FURTHER THAT the Mayor, the City Administrator, Human Resources Manager and other appropriate City officials are hereby authorized to take any and all actions as may be deemed necessary or convenient to carry out and comply with the intent of this Resolution and to execute and deliver for and on behalf of the City all certificates, instruments, agreements and other documents, as may be necessary or convenient to perform all matters herein authorized. PASSED AND ADOPTED by the Board of Aldermen of the City of Riverside, Missouri,the 21st day of April 2020. Mayor Kathleen L.Rose `ATTEST: ' Robinihb id:City Clerk i Executive Summary-Final Recommendations Achieve Objectives Health Insurance We recommend renewing with Blue Cross and Blue Shield of Kansas City and offering the same 5 plans that we offered.for the 2019-2020 plan year. During Open Enrollment all employees will have the opportunity to change plans if one better fits their needs. Bukaty was able to negotiate the renewal down from 16.9% to 12.9% if we were to move the dental and vision from MetLife to Blue Cross and Blue Shield of Kansas City. The claims experience was not favorable as the plan ran over a 100% loss ratio every month since the inception and the projected claims for this plan year are 60%higher than the current year. Dental Insurance We recommend moving to Blue Cross and Blue Shield of Kansas City,the plan matches up favorably with the current program and the annual maximum increases from$1,250 to $1,500. The monthly employee only premium is a$.53 cent increase however Blue Cross and Blue Shield of Kansas City offers 4 Tier rates rather than the 2 Tier rates we currently offer Vision Insurance Blue Cross and Blue Shield of Kansas City uses the Eye Med network which is one of the biggest networks in the country. The premium is also just under 2% lower than MetLife and it also allows us to receive the additional discount on the Medical Insurance. Voluntary Ancillary Coverages The Short-and Long-Term Disability through MetLife and Accident and Critical Illness are under rate guarantee therefore we recommend not making changes to these policies. Section 125 Bukaty would recommend continuing you current NueSynergy Section 125 as it is currently being administrated by a wholly owned division of Bukaty Companies COBRA Compliance COBRA is a federal mandate for employee to continue their benefits when they terminate coverage. Bukaty has a service that can administrate the COBRA and communicate to the former employees. NueSynergy will continue to collect the premiums and remit back to the City of Riverside. Implement a strategic comprehensive employee communication program Communication is essential and we plan to expand on the topics below during the Open Enrollment Process. • Reiterate how the calendar year deductible works. Prepared exclusively for The City of Riverside COMPANIES krvice ispur first barren • Pharmacy expenses and how to reduce them • The network differences between Preferred Care Blue Network&Blue Select Plus network. • In-depth explanation of the voluntary plans are for and how you file claims • Encouraging staff to call Bukaty Team with any questions including claims issues Bukaty Companies will continue to use Employee Navigator for the Open Enrollment and distribute benefit booklets and a voiceover presentation to staff. We also encourage employees with questions to contact Jeff Walstrom or Scott Hefner. Best Regards, Scott Hefner Jeff Walstrom EVP/Principal Benefits Consultant Prepared exclusively for The City of Riverside COMPANIES Service isyourfiw Gauefrt BUKATY COMPANIES Eaperfisr ruu ecspc ricacc CITY OF RIVERSIDE 7/1/2020 Current vs.Renewal Blue Cross Blue Shield of KC Blue Cross Blue Shield of KC Blue Cross Blue Shield of KC Blue Cross Blue Shield of KC Blue Cross Blue Shield of KC BENEFITS OVERVIEW PPO$1000 PPO$3000 BlueSaver H.S.A$4000 BlueSelect Plus Spira Care$1 S00 BlueSelect Plus Spira Care$3000 PCB Network Benefits PCB Network Benefits PCB Network Benefits BSP Spiro Cam Network Benefits BSP Spiro Cam Network Benefits DEDUCTIBLE P,r,apani ran P-0.1 Pip, Pap.oaM Pan Paev<om,Pan P—Oa ran Individual $1,000 $3,000 $4,000 $1,500 $3,000 •Family $3,000 $6,000 $8,000 $3,000 $6,000 PHYSICIAN OFFICE VISITS&OTHER P—o-P. P—o-Pep P---Pay P---Pip. P.-p-Pq Pr'snary Gre Physician Off-Vise/Tehdoc $30 Copay $40 Copay Deductible;Coinsurance $0(Spin Care Facility) Deductible Sp—lot Phyocan Office Visn $30 Copay $40 Copay Deductible;Coinsurance Deductible Deductible Urgem Care Center Visa $30 Copay $40 Copay Deductible;Coinsurance Deductible Deductible Emergency Room Vhit Mon—6-Pad m In N-i $100 Copay $100 Copay Deductible;Coinsurance Deductible Deductible Lab Swans Deductible;Coinsurance Deductible;Coinsurance Deductible;Coinsurance Deductible Deductible x-Ray Swats Deductible;Coinsurance Deductible;Coinsurance Deductible;Coinsurance Deductible Deductible Hi-Ted,Radiologicel Servates(cr.WL..) Deductible;Coinsurance Deductible;Coinsurance Deductible;Coinsurance Deductible Deductible Chlropraoor Visit/Spinal Manipulation tt:ae Ma,tppo Deductible;Coinsurance Deductible;Coinsurance Deductible;Coinsurance Deductible Deductible InpatiendOutpasient Hospital Services Ir<ae,4 Deductible;Coinsurance Deductible;Coinsurance Deductible;Coinsurance Deductible Deductible Other Covered Servaxs(-9 Deductible;Coinsurance Deductible;Coinsurance Deductible;Coinsurance Deductible Deductible PLAN CO-INSURANCE(General) 80% 80% 80% 100% 100% OUT-OF-POCKET MAXIMUM vaapam Pay Pamrym,Pay Paiixpaa,Pay Partepon,Pay Pa,xpw,vay (]—The Ued"Meted b ax co-) Individual $4,000 $5,000 $5,500 $1,500 $3,000 Family $8,000 $10,000 $11,000 $3,000 $6,000 RETAIL PRESCRIPTION DRUGS COPAY Md°,tier-Pkme See CarwN„Wr De,Nd Summary o/a,aapo- Tier I-SIS Copay Tier I-SIS Copay Deductible;Coinsurance Tier I-SIS Copay Tier I-Deductible Tier 2-$70 Copay Tier 2-$70 Copay Tier 2-$50 Copay Tier 2-Deductible Tier 3-$110 Copay Tier 3-$110 Copay Tier 3-Deductible Tier 3-Deductible Tier 4-$200 Copay Tier 4-$200 Copay Tier 4-Deductible Tier 4-Deductible ada„aaairax iMaa„ama Out of Network Benefits $1,000(2X)-S0%-$8,000(2X) $3,000(2X)-60%-$10,000(2X) $4,000(2X)-60%-$11,000(2X) Not Covered Not Covered COST Current Renewal Current Renewal Current Renewal Current Renewal Current Renewal Employee Only $645.37 9 $728.93 $S40.SO 4 $610.41 $484.03 12 $546.42 $500.16 I $564.78 $443.69 13 $500.79 Employee Plus One $1,497.25 0 $1,691.00 $1,253.95 0 $1,416.12 $1,122.94 S $1,267.55 $1,160.37 1 $1,310.40 $1,029.36 7 $1,161.83 Employee Plus Family $1,774.76 1 $2,004.82 $1,486.36 4 $1,678.75 $1,331.07 6 $1,502.92 $1,375.44 2 $I,SS3.00 $1,220.IS 8 $1,377.17 Current Renewal Current Renewal Current Renewal Current Renewal Current Renewal Estimated Monthly Cost $7,583.09 $8,565.19 $8,107.44 $9,156.64 $19,409.48 $21,912.31 $4,411.41 $4,981.18 $22,734.69 $25,660.44 Estimated Annual Cost $90,997.08 $102,782.28 $97,289.28 $109,879.68 $232,913.76 $262,947.72 $52,936.92 $59,774.16 $272,816.28 $307,925.28 Intrea,11)....ow Over Cu—nt 1235% 12.94% 12.89% 12.92% 1 12.87% ADDITIONAL INFORMATION Current monthly cost of all Plum $62,246.1 I Renewal monthly cost o(all Hans 570,275.76 Current annual cost of all Plans $746,953.32 Renewal onnuol cost of all Poons $843,309.12 IncreaselDecrease over current 1290% This is an Overview of Benefits only,where this summary the contract differ,the contract will prevail. BUKATY COMPANIES Expertise you experience, City of Riverside 7/1/2020 Carrier MetLife Blue Cross Blue Shield of KC Network m«bh BCBSKC Network Non-Network Network Non-Network Calendar Year Deductible v p,�, I,,,,,,,, .pnnl ..I Individual $50 $50 Family $150 $150 Plan 1., Plan I., Pcl-lo i E Jo I ypc B Perio/Endo l ype B A.Diagnostic&Preventive Services 100% 100% 100% 8016 B.Basic Services 80% 80% 80% 60% C.Major Services 50% 50% 50% 40% D.Orthodontic Services 50% 50% 50% 40% Calendar Year Benefit Maximum(A,B,C) $1,250 $1,500 Orthodontic Lifetime Maximum(D) $1,250 $1,500 COST COUNTS COUNTS Employee Only 30 $27.07 30 $30.40 Employee Plus Spouse or EE+1 5 $80.13 5 $60.80 Employee Plus Child(ren) 9 $80.13 9 $81.00 Employee Plus Family 29 $80.13 29 $115.60 Estimated Monthly Cost $4,2S7.69 $S,297.40 Estimated Annual Cost $51,092.28 $63,568.80 Increase/Decrease Over Current Additional Information m�6i=� tiw a o�orelvr<w of sMrrym o�p.wh.re w::va.,nn s a,s ronuxt ..rh cnno-at.a prerua BUKATY COMPANIES Expertise you experience= City of Riverside 7/1/2020 Carrier MetLife Blue Crozz Blue Shield of KC ��7 Network MetLife BCBSKC In-Network Benefits In-Network Benefits COPAYS Vision Exam Copay $10 Copay $10 Copay Material Copay $20 Copay $25 Copay ALLOWANCES: Frame Allowance $130 Allowance;20%Off Over$130 $130 Allowance;20%Off Over$130 Contact Lenses Allowance $130 Allowance $130 Allowance FREQUENCIES: Exams Frequency 12 Months 12 Months Lenses Frequency 12 Months 12 Months Frames Frequency 24 Months 24 Months COST COUNTS COUNTS Employee Only 28 $6.78 28 $S.80 Employee Plus Spouse or EE+1 16 $12.74 16 $10.44 Employee Plus Child(ren) 0 $12.74 0 $10.73 Employee Plus Family 23 $18.14 23 $20.30 Estimated Monthly Cost $810.90 $796.34 Estimated Annual Cost $9,730.80 $9,556.08 Inueose/Decrense Over Current Additional Information This a on Overnew of Benepts only.where this sunrrnry R the contract dim r,the contract will prevail