Item G1
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: July 16,2008
Division: Employee Services
Bulk Item: Yes ---K- No
Staff Contact PersonlPhone#: Teresa Aguiar X4458
AGENDA ITEM WORDING: Discussion of County's Property, Liability, Benefit (Health) policies
and contracts.
ITEM BACKGROUND: At the July 2,2008 BOCC meeting, the County Administrator was directed
to review the County's insurance policies with consideration to solicit requests for proposals.
PREVIOUS REVELANT BOCC ACTION: N/A
CONTRACVAGREEMENTCHANGES: NM
ST AFF RECOMMENDATIONS: As determined by the Board of County Commissioners.
* All contracts and policies are bid on a regular basis in accordance with purchasing policies and
procedures. Staff does not recommend changing to a fully insured health benefit plan and recommends
that we remain self-insured with the current contracted providers.
TOTAL COST:
BUDGETED: Yes
NoX
COST TO COUNTY:
REVENUE PRODUCING: Yes No -K. AMOUNT PER MONTH_ Year
APPROVED BY: County Atty~ J ~g _ Risk Management llLY
DOCUMENT ATION:
Included
To Follow_
Not Required _
DISPOSITION:
AGENDA ITEM #
INSURANCE POLICIES:
LrrtINSURANCE-HARTFORD:
LAST BID: EFFECTIVE DATE: EXPIRES:
2007 October I. 2007 September 30, $ I 98,000 year. Includes Retirees: $.52 per $l.OOO.
2010 AD&D: $.02 per $1,000
DENTAL - Delta & VISION - Fidelit Securit - Full
LAST BID: EFFECTIVE DATE:
2007 January I, 2008
Insured (Paid b
EXPIRES:
September 30,
201 I
Paid by employee or retiree. Includes Retirees,
COBRA & LWOP em lo ees
EXCESS WORKERS' COMPENSATION - Brown & Brown:
LAST BID: EFFECTIVE DA TE: EXPIRES:
2006 October I, 2006 September 30, $170,070 year. Covers any claims which exceed
2009 $IM.
WORKERS COMPENSATION AD&D - Hartford:
LAST BID: EFFECTIVE DATE: EXPIRES:
N/A $2,370 per year. Covers full time, part time,
volunteer and auxiliary firefighters for accidental
death and dismemberment.
MEDICAL CONVERSION - Celtic:
LAST BID: EFFECTIVE DATE: EXPIRES:
N/A $.50 per employee per month = $7800 yr. Have to
provide by law (after COBRA coverage)
SUPPLEMENTAL LIFE INSURANCE - NY LIfe (PaId bv emplovee)
LAST BID: EFFECTIVE DA TE: EXPIRES:
N/A (resolution) 2008 N/A Provides voluntary supplemental life insurance for
employees.
COUNTY PROPERTY & CASUALTY POLICIES:
Covers all property, windstorm and liability (see attached)
CONTRACTS:
THIRD PARTY ADMINI T T R Workers' ompensatlOn - C
LAST BID: EFFECTIVE DATE: EXPIRES:
2006 - Next RFP October I, 2006 September 30, Administers WC claims
scheduled for 2009 2009 $l02,000.
SRAO
C
PG S
PRESCRIPTION BENEFITS MANAGER W I
H 1 hI" .
- algreens ea t filtlatIves, nc.
LAST BID: EFFECTIVE DATE: EXPIRES:
2008 October I, 2005 September 30, Currently out for bid. Will renew 101l/O8.
2008 Charge per filled prescriPtion 25 cents.
THIRD PARTY ADMINISTRATOR Wells Faro"()"
- ,"'. .
LAST BID: EFFECTIVE DATE: EXPIRES:
200 I. April. 2008, October I, 2008 September 30, Handles claims processing for approximately 1300
BOCC agreed to waive 2011 active ee's, 600 dependents and 300 retirees, 19
bid process and surviving spouses and COBRA participants. Claims
continue with Wells are sent to Wells Fargo, they review them for
Fargo. No increase in eligibility and process for payment.
PEPM for another 3 yrs. $10.59 per ee per month = $216,000 yr.
UTILIZATION REVIEW/CASE MANAGEMENT - Keys Physician Hospital Alliance:
LAST BID: EFFECTIVE DATE: EXPIRES:
200 I. April, 2008, October l, 2008 September 30, Provides pre-admission certification, medical case
BOCC agreed to waive 20ll management services and negotiates with physicians,
bid process and hospitals and other ancillary health services for
continue with KPHA discounted fee arrangements.
No increase in PEPM Provides network of providers with a 25% discount
for another 3 yrs to employees for utilizing local physicians in Monroe
County.
$55.00 hr large case management ($3,249.25 Fy
2007) & $26,000 yr.
DIMENSION HEALTH - Dade, Broward, Palm Beach & Monroe Provider network:
LAST BID: EFFECTIVE DATE: EXPIRES:
N/A $15,300 YR ($.85 x 1500 = $1,275 mo)
MULTIPLAN - Provider (Trans lant) network.
LAST BID: EFFECTIVE DATE:
2001
EXPIRES:
EMPLOYEE ASSISTANCE PROGRAM - Horizon Health:
LAST BID: EFFECTIVE DATE: EXPIRES:
2006 - May 2007 June 1,2007 May3l,201O $40,667 yr.
BOCC approved The
Allen Grp.l July 2007
sold to Horizon
Behavioral Services, Inc
GOODMAN GABLE & GOULD (Ad'
, I
I)
l)Uster s nternatlOna :
LAST BID: EFFECTIVE DATE: EXPIRES:
N/A June 21, 2006 May 31, 2009 Assists Monroe County in handling recovery
reimbursements for eligible property in the event of a
hurricane. Gets % of reimbursement.
INTERlSK:
LAST BID: EFFECTIVE DATE: EXPIRES:
2008 October I. 2005 September 30, Consultant for Risk & Benefits $l20 per hour on an
(currently out for bid) 2008 as needed basis.
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