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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. 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