HomeMy WebLinkAboutR-2022-042 Designating an Agent and Accepting Certain Health, Dental and Vision Insurance Benefits RESOLUTION NO. R-2022-042
A RESOLUTION DESIGNATING AN AGENT AND ACCEPTING CERTAIN HEALTH,
DENTAL AND VISION INSURANCE BENEFITS BEGINNING JULY 1, 2022.
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 benefits beginning July 1,
2022; and
FURTHER THAT the City accepts the 7% rate increase from United
Healthcare for the City's health plan and United Healthcare as the benefit provider
for the City's dental and visions 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 the 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 17th day of May 2022.
ayor Kathleen L. Rose
ATTEST:
Robin Kincaid, City Clerk
■BUKATY
COMPANIES
Expertise you experience
City of Riverside
Renewal-July 1.2022
Current vs.Renewal UNITED HEALTHCARE UNITED HEALTHCARE UNITED HEALTHCARE
BW8T(Premier)Rx Plan:IU BW8W(Premier)Rx Plan:IU BTKN(HSA)Rx Plan:H9-HSA
Current/Renewal Current/Renewal Current/Renewal
BENEFITS Choice Plus Network Choice Plus Network Choice Plus Network
Network ❑ Non-Network Network ❑ Non-Network Network ❑ - Non-Network
CALENDAR YEAR DEDUCTIBLE P.rtirpaM P•y ParOcip.M Pays P.nsp.nf Pey
•Individual $1.000 $5,000 $2,500 $5,000 $2,800 $5,000
•Family 02,000 $10,000 $5,000 $10,000 $5,600 $10,000
PHYSICIAN OFFICE VISITS 8 OTHER Part.ip.nr Pay Pawnenr Pay. to r,.Pays
Primary Care Physician Office Visit SO under age 19/$25 Copay Deductible,Co-Insurance $0 under age 19/$30 Copay Deductible.Co-Insurance Deductible,Co-Insurance Deductible,Co-Insurance
Specialist Physician Office Visit $50 copay Deductible.Co-Insurance $60 copay Deductible,Co-Insurance Deductible,Co-Insurance Deductible,Co-Insurance
Urgent Care Center Visit $50 copayNisit Deductible.Co-Insurance $50 copay/visit Deductible,Co-Insurance Deductible,Co-Insurance Deductible,Co-Insurance
Emergency Room Visit $250 copay+ded 8 coins/visit $250 copay+ded 8 coins/visit $250 copay+ded 8 coins/visit $250 copay+ded 8 coins/visit Deductible,Co-Insurance Deductible,Co-Insurance
Lab Services 100% Deductible.Co-Insurance 100% , Deductible.Co-Insurance 100% Deductible,Co-Insurance
X-Ray Services 100% Deductible,Co-Insurance 100% Deductible.Co-Insurance 100% Deductible.Co-Insurance
High-Tech Radiological Services Deductible,Co-Insurance Deductible.Co-Insurance Deductible.Co-Insurance Deductible,Co-Insurance Deductible,Co-Insurance Deductible,Co-Insurance
Surgery(Physicians Office) Deductible,Co-Insurance Deductible.Co-Insurance Deductible.Co-Insurance Deductible,Co-Insurance Deductible,Co-Insurance Deductible,Co-Insurance
ChiropractorVisiOSpinal Manipulations(Limits May Apply) Deductible,Co-Insurance Deductible,Co-Insurance Deductible,Co-Insurance Deductible,Co-Insurance Deductible,Co-Insurance Deductible,Co-Insurance
Inpatient/Outpatient Hospital Services(General) Deductible,Co-Insurance Deductible.Co-Insurance Deductible.Co-Insurance Deductible.Co-Insurance Deducible,Co-Insurance Deductible,Co-Insurance
Other Covered Services(General) Deductible,Co-Insurance Deductible,Co-Insurance Deductible,Co-Insurance Deductible,Co-Insurance Deductible,Co-Insurance Deducible.Co-Insurance
PLAN CO-INSURANCE Icecarp) 80% 50% 80% 50% 80% 50%
CALENDAR YEAR OUT-OF-POCKET MAX. Partcne,v Pay Parliament Pays Parten.nr Pays
(Includes The Deductible,Medical&RX Copays)
•Individual $4,000 $10.000 $6,000 $10,000 $5,600 $10,000
•Family $8,000 $20,000 $12,000 $20,000 $11,200 $20,000
Additional Info:
RETAIL PRESCRIPTION DRUGS COPAY
Mad OM.r•Pkoe Sae OwnwNwrdor Tier 1-$15 copay Tier 1-$15 copay Tier 1-$15 copay Tier 1-$15 copay Tier 1-Ded+$10 copay Tier 1-Ded+$10 copay
Dem..Summary ore.nero Tier 2-$40 copay Tier 2-$40 copay Tier 2-$40 copay Tier 2-$40 copay Tier 2-Ded+$35 copay Tier 2-Ded+$35 copay
Tier 3-$75 copay Tier 3-$75 copay Tier 3-$75 copay Tier 3-$75 copay Tier 3-Ded+$50 copay Tier 3-Ded+$50 copay
Additional RX Information
COST current updated Renewal currant updated Renewal current updated Renewal
Employee Only $633.62 13 $678.94 $584 64 0 $626.46 $461.19 19 $49418
Employee Plus One $1,470.00 0 $1,575 14 $1,356.37 0 $1,453 39 $1,069 96 11 $1,146.50
Employee Plus Family $1,742 08 1 $1,866.68 $1,607.41 2 $1,722.39 $1,268.00 18 $1,358 70
Estimated Monthly Cost $9,979 14 $10,692.90 $3,214.82 53,444.78 $43,356 17 $46,457.52
Estimated Annual Cost $119,749 68 $128,314 80 $38,577 84 $41,337 36 $520,274 04 $557,490 24
Increase/Decrease Over Current 7% 7% 7%
Current Monthly Cost of All Plans $56,550.13 Renewal Monthly Cost of All Plans $80,595.20
Current Annual Cost of All Plans $678,801.56 Renewal Annual Cost or All Plans $727,142.40
Increase/Decrease Over Current 7%
ADDITIONAL INFORMATION ACA Tax..Chant mum pay them,not included ACA Taxes:Otani mum pay them,not included ACA Taxes Clan must pay them,not included
This is an Overview of Benefits only,where this summary the contract differ,the contract will prevail.
City of Riverside
Dental-July 1st,2022 Current Renewal Alternate Option
Carrier Blue Cross Blue Shield of KC Blue Cross Blue Shield of KC UHC
Plan Type 75+Enrolled 10-74 Enrolled
BENEFITS Network Non-Network Network Non-Network Network Non-Network
CALENDAR YEAR DEDUCTIBLE Psnccysn,Pays Parfr pan,Pays Particpan,Para
Individual $50 $50 $50
Family $150 $150 $150
Plan Pays Plan Pays Plan Pays
A.DIAGNOSTIC 8 PREVENTIVE SERVICES 100% 80% 100% 80% 100% 80%
B.BASIC SERVICES 80% 60% 80% 60% 80% 60%
C.MAJOR SERVICES 50% 40% 50% 40% 50% 40%
D.ORTHODONTIC SERVICES 50% 50% 50% 50% 50% 50%
CALENDAR YEAR MAXIMUM BENEFIT(A,B,8 C) $1,500 S1 500 $1,500
ORTHODONTIC LIFETIME MAXIMUM(D) Si 000 Si.000 $1,000
COST COUNTS COUNTS COUNTS
Employee Only 25 $27.60 25 $30.40 25 $21.83
Employee+Spouse 4 $55.20 4 $60.80 4 $43.66
Employee+Child(ren) 9 $74.90 9 $81.00 9 $57.54
Employee Plus Family 25 $106.30 25 $115.60 25 $84.13
Estimated Monthly Cost $4.242.40 $4,622.20 $3,341.50
Estimated Annual Cost $50,908.80 $55,466.40 $40,098.00
Increase/Decrease Over Current 0.0% 9.0% -21.2%
Increase because of how many are enrolled
Total Current Montly Cost $4,242.40
Total Current Annual Cost $50,908.80
Additional Information Dependents to age 26 Dependents to age 26 Dependents to age 26
•
Prepared by 5hameon Harm 5/13/2022
__BUKATY
COMPANIES
Expertise you experience
City of Riverside
VISION -July 1,2022 - Option Option
Carrier Blue Cross Blue Sheild of KC UHC UHC
Network Blue Vue 10/130 12/12/24 S1076 12/12/24 S1106 12/12/24
Plan Type1
p
BENEFITS Network Non-Network Network II
II Non-Network Network 1 Non-Network
Participant Pays Plan Allowance Participant Pays Plan Allowance Participant Pays Plan Allowance
VISION EXAM
Once every 12 Months $10 Up to$30 $10 Up to$40 $10 Up to$40
FRAMES Plan Allowance Plan Allowance Plan Allowance Plan Allowance Plan Allowance Plan Allowance
$130 Allowance $65 $130 Allowance I $45 $130 Allowance $45
STANDARD PLASTIC LENSES Participant Pays Plan Allowance Participant Pays Plan Allowance Participant Pays Plan Allowance
Once every 12 Months
Single Vision $25 Copay Up to$25 $25 Copay Up to$40 $25 Copay Up to$40
Bifocal $25 Copay Up to$40 $25 Copay Up to$60 $25 Copay Up to$60
Trifocal $25 Copay Up to$55 $25 Copay Up to$80 $25 Copay Up to$80
Lenticular $25 Copay Up to$55 $25 Copay $25 Copay
CONTACT LENSES Participant Pays Plan Allowance Participant Pays Plan Allowance Participant Pays Plan Allowance
Once Every 12 Months-In Lieu Of Frames/Lenses
CONTACT LENS FIT&FOLLOW-UP Up to$55 Up to$30 Up to$40 Not Covered Up to$60 Not Covered
Conventional $130/15%off over balance $104 Allowance $125 Allowance $100 Allowance $150 Allowance $100 Allowance
Disposable $130 Allowance $104 Allowance $125 Allowance $100 Allowance $150 Allowance $100 Allowance
Medically Necessary $0 $210 Allowance $0 $210 Allowance $0 $210 Allowance
See Summary of Benefits for mom details See Summary of Benefits for more details See Summary of Benefits for more details
COST Counts Monthly Rate Counts Monthly Rate Counts Monthly Rate
Employee Only 24 $5.80 24 $5.92 24 $6.14
Employee Plus Spouse 6 $10.44 6 $11.24 6 $11.65
Employee Plus Child(ren) 9 $10.73 9 $13.19 9 $13.66
Employee Plus Family 23 $20.30 23 $18.57 23 $19.24
Estimated Monthly Cost $765,31 $755.34 $782.72
Estimated Annual Cost $9,183.72 $9,064.08 $9,392.64
Increase/Decrease Over Current -1.30% 2.27%
Dependents to age 24 Dependents to age 24 Dependents to age 26
This is an Overview of Benefits only,where this summary&the contract differ,the contract will prevail.
II II R III