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Home My WebLink AboutItem C21- - — -- - -- -- -- $$AR$-OF-C(3UNTY-CONVVH-SSIONERg- --- --- AGENDA ITEM SUMMARY Meeting Date: October 19, 2011 Division: Employee Services Bulk Item: Yes X No Department: Employee Benefits Staff Contact Person/Phone #: Maria Fernandez -Gonzalez Ext. 4448 AGENDA ITEM WORDING: Approval for completion of application and agreement, with staff completing the necessary forms, with United Concordia Insurance Company for fully -insured voluntary dental benefits for a term of two (2) years to become effective January 1, 2012 through December 31, 2013. ITEM BACKGROUND: An RFP was done earlier this year resulting in seven vendors providing proposals. United Concordia is being recommended as the new provider for a two year policy term. PREVIOUS RELEVANT BOCC ACTION: April 17, 2003 BOCC approved recommendation to make vision and dental benefits available through a fully -insured voluntary plan saving the Group Health Plan $920,000. American General was approved at the October 15, 2003 meeting to become effective January 1, 2004 and has been approved by the BOCC and remained the carrier until January 1, 2008. An RFP was distributed in 2007 and Delta Dental was approved at the November, 2007 BOCC meeting to become effective January 1, 2008 through December 31, 2009. At the September 16, 2009 BOCC meeting approval by the BOCC to renew with Delta Dental for the period of January 1, 2010 through December 31, 2011. CONTRACT/AGREEMENT CHANGES: New provider/policy with two year term. STAFF RECOMMENDATIONS: Approval for two -years effective January 1, 2012 through December 31, 2013. TOTAL COST: $696,976 approx INDIRECT COST: BUDGETED: Yes No X DIFFERENTIAL OF LOCAL PREFERENCE: COST TO COUNTY: N/A SOURCE OF FUNDS: Employee/Retiree premiums REVENUE PRODUCING: Yes _ No X AMOUNT PER MONTH Year 1� jt�- �d APPROVED BY: County Atty _OMB/Purchasing Risk Management DOCUMENTATION: Included X Not Required DISPOSITION: AGENDA ITEM # Revised 7/09 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CONTRACT SUMMARY Contract # Contract with: United Concordia Ins. Co. Effective Date:Januaryl, 2012 Expiration Date:December 31, 2013 Contract Purpose/Description:Approval for completion of application and agreement with staff completing the necessary forms with United Concordia for fully -insured voluntary dental benefits for two (2) years. Contract Manager:Maria Fernandez- 4448 Employee Services Gonzalez (Name) (Ext.) (Department) for BOCC meeting on October 19, 2011 Agenda Deadline: CONTRACT COSTS Total Dollar Value of Contract: $696,976 approx Current Year Portion: $681,761 apRrox Budgeted? Yes® No ❑ Account Codes: 502-08002-530450- - Grant: $ County Match: $ ADDITIONAL COSTS Estimated Ongoing Costs: $ /yr For: (Not included in dollar value above) (eg. maintenance utilities, janitorial, salaries etc.) CONTRACT REVIEW Changes Date Out Wae, Needed Reviewer Division Director h Yes[—] No Risk Manage ent JULLq"�l Yes❑ No� O.M.B./Purchasing Yes[—] No[2 IO -,t -I/ a 3 if County Attorney 1 Yes El No (a 3 f� Comments: V1V1173 F401111 1CCVl3CU 7! 1 1/7.3 1Vit'r ifG C UNTYMONROE KEY WEST FLORIDA 33040 (305)294-4641 Office of the Employee Services Division Director The Historic Gato Cigar Factory 1100 Simonton Street, Suite 268 Key West, FL 33040 (305) 292-4458 — Phone (305) 292- 564 - Fax TO: FROM: DATE: SUBJ: k fl Board of County Commissioners Teresa E. Aguiar, Employee Services Director September 23, 2011 Approval of fully -insured voluntary dental benefit BOARD OF COUNTY COMMISSIONERS Mayor Heather Carruthers, District 3 Mayor Pro Tem David Rice, District 4 Kim Wigington, District t George Neugent, District 2 Sylvia 3. Murphy, District 5 In accordance with purchasing policy, a request for proposals was advertised in July for fully insured dental carriers with a bid opening date of August 31, 2011. The proposals were evaluated and analyzed by the County's Benefit Consultant, Gallagher Benefit Services, Inc. (GBS), and the County's Selection Committee made up of Maria Gonzalez, Sr. Benefits Administrator, and me. The Selection Committee reviewed the proposals individually and a public meeting was held on September 22, 2011. Below are the final average rankings of the Selection Committee in order of preference (1 being the top pick): UNITED CONCORDIA 1 DELTA 2 METLIFE 3 HUMANA 4 STANDARD 5 BCBSF 6 SOLSTICE 7 United Concordia was the better choice in regards to network providers and current benefits compared to those which are being proposed by the provider. RATPS Current Provider: Delta Proposed Provider: United Concordia Employee: $32.26 mo Employee: $28.33 mo Employee/Spouse: $61.06 mo $53.62 mo Em to ee/Children: $65.89 mo —Employee/Spouse: Employee/Children: $57.86 mo Em to ee/Fami► : $95.44 mo Em to ee/Famil : $83.81 mo The proposal includes a two year rate guarantee. It is recommended that the County accept the proposal from United Concordia and for the BOCC to also provide approval to complete the application in order to renew the County's fully insured dental benefit for the period of January 1, 2012 — December 31, 2013. If you have any questions, please do not hesitate to contact me at X4458. -- --------- MONROE COUNTY BOARD OF COUNTY COMMISSIONERS FULLY INSURED DENTAL AND VISION RFP NUMBER: RFP-GRP-243-122-2011-PURICV DENTAL PPO Benefits CATEGORY Delta Dental insurance CornDaniv --r'Unitej Concordia ANNUAL DEDUCTABLE INDI'VIDUAL FAMILY 4�AIVFD �FQR DIAGNOSTIC/PREVENTWEIORTHO ikNNUAL MAXIMUM ORTHODONTIA - Child I Adult WAITING -PERIOD Dut of Network Reimbursement (re. UCR IMACp AM office visit exams, ProPhYlaxis, space maintainers, luorlde ap,11caltIons 'Ieanlngs: 2 in 12 months I ull mouth or Panoramic X-Rays I every 5 years Htewing X-Rays - Annually apical Fluoride up to 19 years pare maintainers 1time &uplolillyears laternny benefit: one additional oroorvlaxis I I surgery, EndWontl4s, Periodontics, rants, iemture repairs, etc.Eiltirtgt rants: Permanent firs t molars to age 8, 'nanent second molars to age 15 tacements of Sealants or Fifflngs. 24 months 5�dontalscafin �.Otpa,,in�gc�nc�!p,,��rquat�,j 24 month Perlod Heplacement of Crowns, inlaysjonhiys,7east restorations after 5 years Replacement of Bridges, or dentures after 5 years, except as a restitt of structural changes Standard dentures only covered Implants excluded - will credit the cost of crown or denture toward the cost of implant . ........ . Braces for members UP to age 25 $150 Yes 1nL----L-100% Same as current Same as current Same as current Same as current Sarre ascurrent -- Sarre as current In -Network out-of-Neb $50 S50 15 Tame SameI per 6 months under -14 I Per 12 months over 14 2 treatments per 12 months under 19 Lper I years under 19 Same Same as current Toage l6o permanent first and second molars Same as current 1Per tooth per 3 years - Same as current 1 per 24 months per area of the mouth ""'g grCl, 60% 50% 60% 50% -- Same as current After 5 years Same as current After 5 years Same as current Alternate benefit provision; see below Same as current Excluded 50% 50% 50% 50% ayment or ort a1 ontoc im9ces 5 a cease a end of the month after termination by the Sanitl as Current Replacement or repair is not towered Same as curfew Same Optdonai serwces hrnitjjrronrf Treatment is a Alternate benefit provision; if lower cost higher cost than I hat cuslormartly Provided under treatment is PFOfessinnally acceptable, the a accepted dental Practice standards, rnernbve Pays addjIGfW COST of an alternate trOalrnent will be Optional Services Llrnitation, V10 additional co"t. -- -. - - barnO by the meynbor. IMPORTANT: This analysis is an outline of the coverages proposed by the carrier(s), based on information provided by your company. It does not include all of the terms, coverages, exclusions, limitations, and conditions of the actual contract language. The policies and contracts themselves must be read for those details. Policy forms for your reference will be made available upon request.