Item E2BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date:
Juiv
27, 2015
Division:
Employee
Services
Bulk Item: Yes
X
No _
Department:
Employee
Benefits
Staff Contact Person/Phone #: Maria Gonzalez Ext. 4448
AGENDA ITEM WORDING: Approval to allow staff to begin contract negotiations with Florida
Blue (BCBSF) for Medical Third Party Administration Services, including Claims Administration,
Case Management and Utilization Review Services, Disease Management (DM), Network
Management, Wellness Programs.
ITEM BACKGROUND: On March 18, 2015 the BOCC granted approval to advertise a solicitation
for proposals for Medical Third Party Administration Services, including Claims Administration, Case
Management and Utilization Review Services, Disease Management (DM), Network Management,
Wellness Programs and other Related Services. The bid opening was held on May 12, 2015 with two
proposals received, Meritain Health an Aetna Company and Florida Blue (BCBSF). Analyses of the
bids were done by Gallagher Benefits Services and Adams Benefit and distributed to the Selection
Committee. The Selection Committee met on June 26, 2015 for the public ranking meeting with
Florida Blue (BCBSF) ranking number One and Meritain Health an Aetna Company ranking number
Two by all Selection Committee members (Teresa Aguiar, Maria Gonzalez, Danise Henriquez, Joyce
Griffin, Ron Saunders, Mike Rice and Scott Russell).
PREVIOUS RELEVANT BOCC ACTION: Medical RFP's were done in 2001, 2009 & 2011 and
most recent done March 2015.
CONTRACT/AGREEMENT CHANGES: N/A
STAFF RECOMMENDATIONS: Approve staff to begin contract negotiations with Florida Blue
(BCBSF)
TOTAL COST:$_ INDIRECT COST: BUDGETED: Yes No
DIFFERENTIAL OF LOCAL PREFERENCE:
COST TO COUNTY: $0 SOURCE OF FUNDS:
REVENUE PRODUCING: Yes _ No AMOUNT PER MONTH Year
APPROVED BY: County Atty _ OMB/Purchasing Risk Management
DOCUMENTATION: Included Not Required
DISPOSITION: AGENDA ITEM # 6 Z