Loading...
Item C22- -BOARD-OF-COUNTY C0MMISSIONERS - -- ---- - - --- --- - - -- AGENDA ITEIVIAY- 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 Vision Service Plan Insurance Company for fully -insured voluntary vision benefits for a term of two (2) years to become effective January 1, 2012 through December 31, 2013. ITEM BACKGROUND: RFP done 2011 resulting in eight vendors providing proposals. Vision Service Plan Insurance Company 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 dental and vision 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 Eye Med 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 Eye Med 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: $83,210 approx INDIRECT COST: BUDGETED: Yes _No X DIFFERENTIAL OF LOCAL PREFERENCE: COST TO COUNTY: N/A SOURCE OF FUNDS: Eml2loyee/Retiree premiums REVENUE PRODUCING: Yes N ' X AMOUNT PER MONTH Year APPROVED BY: Count Att `1'� `�" O B/Purchasing Risk Management Al?-� DOCUMENTATION: Included X Not Required DISPOSITION: AGENDA ITEM # Revised 7/09 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CONTRACT SUMMARY Contract # Contract with: Vision Service Plan 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 Vision Service Plan for fully insured volunt4a vision benefits for two (2) years. Contract Manager:Maria Fernandez - Gonzalez (Name) for BOCC meeting on 4448 Employee Services (Ext.) (Department) Deadline: CONTRACT COSTS Total Dollar Value of Contract: $83,210 approx Current Year Portion: $85 831 approx Budgeted? Yes® No ❑ Account Codes: 502-08002-530450- Grant: $ - County Match: $ ADDITIONAL COSTS - Estimated Ongoing Costs: $ ADDITIONAL For: (Not included in dollar value above) (e . maintenance, utilities, janitorial, salaries, etc.) Date In Division Director Llit f Risk Manage nt O.M.B./Purcasing County Attorney I� 3 if Comments: OMB Form Revised 9/11/95 MCP #2 CONTRACT REVIEW Changes Needed Yes❑ NoLj Yes❑ No❑ Yes❑ No[j Yes❑ No[� �' Reviewer Date Out BOARD OF COUNTY COMMISSIONERS Mayor Heather Carruthers, District 3 U N TY oM O N R O E Mayor Pro Tem David Rice, District 4 Kim Wigington, District 1 O CKEY WEST F�oRioa s3oao George Neugent, District 2 tsos� 2sa-asal Sylvia I Murphy, District 5 Office of the Employee Services Division Director The Historic Gato Cigar Factory 1100 Simonton Street, Suite 268 r� K West, FL tY 33040 (305) 292-4458 - Phone (305) 292-4564 - Fax TO: Board of County Commissioners FROM: Teresa E. Aguiar, Employee Services Director DATE: September 23, 2011 SUBP Approval of fully -insured voluntary vision benefit In accordance with purchasing policy, a request for proposals was advertised in July for fully insured vision 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): VSP HUMANA 2 METLIFE (Safe Health) 3 AETNA 4 SOLSTICE 5 STANDARD 6 BCBSF (Davis) 7 UNITED CONCORDIA 8 VSP was the better choice in regards to network providers and current benefits compared to those which are being proposed by the provider. R ATFQ Current Provider: B eMedaE Employee: $4.75 mo Proposed Provider: VSP : $4.44 mo Em Io ee/S ouse: $9.21 mo Ern/S ouse: $8.88 mo Employee/Children: $9.59 mo /Children: $9.50 mo Em toee/Famil : $15.25 mo /Famil $15.18 mo The proposal includes a two year rate guarantee. It is recommended that the County accept the proposal from VSP and for the BOCC to also provide approval to complete the application in order to renew the County's fully insured vision 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. CATEGORY EyeMed VSP - r. — Regular Exam with Dilation as Needed $10pay -. $10Copay s10copay $45 Contact Lens exac#darWp and evaduatkoa5) Lip [ $40 N/A tatfaatt 5 % discount N'.+'A NlA no more than $60 Contact Lens exam (fitidn0 and evalua60n) 10% off Retail N/ t 644 dks aunt N, A Premium F"if. N/A no more than $60 Any avaktabie at provider locations $0 Copay $45 $0 Copay $230allowan€e $130allowance S€l Copay 5130allowance at $TO 20% Discount on 20% Discount an Visionworks { g t Single Vasiart $20 Copay $40 mlm $20 Copay 1 so= $20 Caney' — $30 llifoctl $20 �rpay _ $GU _ $20 Cdpay' $20 Copay - $50 Trifocal $20 Copay $80 $20 Copay- §2tlCsspay - - $sr5 UV Coating $15 N/A $16 20r.a, off rctaktl Vlsionworkss Costco's - Tint {solid or gradient)own _ $15 — - pricing _ N/A 2CY%, off refill - N/A Viskonworks,. Ctastco's Standard Scrat:h•resrstance $15 N/A sawn prkcing $17 nr" off retail- N/A Vkveonwork,•?s' cost€d's. Standard Pofy aabonate $40 own pricing --N/A - N/A $33 - $37 2(yX off retail, No charge for children Vi donworks, Cost€o's Standard Antk•reflectivtr ccratang _ $45 N/A own pricinll - - -N/A $4:1 20"4 off retail - Vksionwarks, Costco's Standard Progressive $65 Own pricing (add on to isi•focal} N/A $55 2#rit, off retail • $50 Other Add -ores and services 20% off Retail N/A 1 20y( Gaff Retail own pticmg 2irrA; off retail . N/A Vlsionworks, costco's _ own pricing i Conventional $105 Allowance $84 5105 Allowant f ii: a.d $90 15% off remaining plUs renta=sang balance balance Disposable $105 Allowance $84 $105Ail owance 77-7,n plus remaining balance plus remaining balance litedW€ally necessary $0 Copay Paid in full $200 20 Copay paid in futd `sly u., ai,; _, +., i 59## ,, frequency Limits Exam every 12 months F,xan, every 1.2 3nonths Lenses every 12 months k.ense`; every 12 nionth:s Frames every 24 months frames every 24 months 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