Item C27
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: March 21 and 22, 2001
Division: Management Services
Bulk Item: Yes ~
Insurance
No
Department: Administrative Services - Group
AGENDA ITEM WORDING: Approval of the 2000-2001 Revised Renewal Amendment for our Specific
and Aggregate Excess Loss Insurance Policy with John Alden Life Insurance Company (Policy
Am~ndment No. 10).
ITEM BACKGROUND: Contract originally approved through RFP in 1999. This is the first one-year
renewal of the contract. Approval of the Renewal was at the September 20, 2000 BOCC meeting. The
original Policy Amendment No. 10 was approved at the November 21, 2000 BOCC meeting.
PREVIOUS REVELANT BOCC ACTION: Approved at the September 20,2000 meeting.
CONTRACT/AGREEMENT CHANGES: Clause number 6. Changed from as follows:
Specific Monthly Premium Rate: $25.47 Per Single Employee Per Month is now $24.97.
$51.12 Per Family Employee Per Month is now $50.62.
Removed medical conversion from above prices and added as Optional Endorsement: Medical
Conversion $0.50 per employee per month. NO CHANGE IN TOTAL CONTRACT PRICE.
STAFF RECOMMENDATIONS: Approval
TOTAL COST: $635,000
BUDGETED: Yes X-
No
COST TO COUNTY: Same as above
REVENUE PRODUCING: Yes No X AMOUNT PER MONTH_ Year
APPROVED BY: County Atty _ OMB/Purchasing _ Risk Management_
DIVISION DIRECTORAPPROVAL:J ~ ~
. . ~ James L. Roberts
DOCUMENTATION: Included X
To Follow_
Not Required_
AGENDA ITEM #J.i11
DISPOSITION:
Revised 2/27/01
MAR-0S-01 12;09 FROM=MONROE COUNTY ATT~ OFFICE 1D=3052923516
PACE
1/2
MONROE COUN'TY BOARD OF COUNTY COM;..llSSWt'icRS
CONTRACT SUMMARY
Contract #
Contract with: Jolm Alden Life Insurance Effective Datc:Sca>rember 20.2000
Expiration Da\e:S~tember 19. 2001
Contract PurposclDescription:Sp~itic and Aggr~gate Excess Loss Insurance Policy with John
Alden Life Insurance Comp~jcv Amen~t No. 10).
I
I
Contract Manager:1vf~a Gonzalez
(N.........A\
1 ~l44..J
4448
(Ext,)
(
Hmrul!\ R.e~urees
(Departnlent)
for HOeC meeting on March 21-22.2001 Agenda Deadline: March 5. 2001
CONTRACT COSTS
Total Dollar Value of Contract: $635,000 c''urrent Year Ponion: $
Budgeted? Yesf81 No 0 Account Codes: ~-~-~- ~c:iD -
Gram: $ _-_-_-_
County Match: $ ___-__~_ ------
- - -
-----
ADDITIONAL COSTS
Estimated Ongoing Costs: S__/yr For:
(Not includlld in dollar value above) (e . maintenance. utilities, janitorial. salaries. elc.)
CONTRACT REVIEW
Date In
Changes Date Out
Needed Reviewer
YesDNoD
YesONoij] '(().Qilb ::S-5-()/
Yc'DNo~(}J}~3fl/OI
YcsDNo~/~~ i~1
I
Division Director
Risk Management 3-5-01
~c'rwlng3-&OI
County Anomty '3/(,(01
Comments:
OMS Form Revised 9/11195 MCP If2
'n Lincoln
Financial Group~
Lincoln Re Risk Management
February 5, 2001
Lincoln Re
Risk Management Services Inc.
7300 Corporate Center Drive
Suite 20S
Miami, FL 33126,1222
phone 305 715.6100
toll free 800 352.0042
fax 305 71 S.6197
Mr, Richard A. Capizzi
,. Arthur J. Gallagher & Co,
One Boca Place
2255 Glades Road, Suite 400E
Boca Raton, FL 33431
Re: Monroe County Board of County Commissioners
Group Number: EL 0000646
Dear Mr. Capizzi:
Enclosed please find a revised Schedule of Coverage, for the above-mentioned group.
In order to ensure that the Excess Loss Insurance Policy is complete, please disregard the
Schedule of Coverage previously mailed to you on October 24, 2000.
This letter also serves as a reminder to have an officer of the group sign and return a
copy of renewal Policy Rider No.1 0 with an attached copy of this Schedule,
We apologize for any inconvenience that this may have caused, If I may be of further
assistance, you may contact me at (800) 352-0042.
I've also enclosed important information regarding your Medical Conversion program
through Celtic Life Insurance Company.
,<~:IY'
Vivian G1:8
Administrative Associate
cc: Maria F. Gonzalez - Monroe County soee
This notice is to advise you that LNC Administrative Services Corporation (LNCASC) has entered into an
Administrative Services Agreement with John Alden Life Insurance Company ("John Alden") effective'
November 10 1999. Pursuant to the Agreement, LNCASC will be aoministering your policy on behalf of John
Alden,
FEB 1 2 2001
f~'tuur
www.1incolnre.com
Lincoln Financial Group is the marketing name for Lincoln National Corporation and its affiliates.
MAR-08-01 12,10 FROM,MONROE COUNTY ATTY OFFICE 10,3052923518
~.
lirE INSu~NCf COM:NY
Amendment No.:
Effective Date:
. '
Policy No.:
Policyholder:
PAGE
2/2
John Alden lite In$Ut'ance Company
Home office: St, louis Pm, MN
EXecMiw ofli~: P,O, Box 02~72. Miami. Fl 33102-5472
A Srock Complf'lY
POLICY AMENDMENT
10
10/01/2000
EL 0000646
MONROE COUNTY BOARD OF COMMISSIONERS
As of the Effective Datej and in spite of anything in the Policy to the contrary, the Amendment
changes the Policy as fo lows:
This Policy is renewed with the revised terms and conditions hereby shown on the attached
Schedule of Coverage.
The expIratIon date on the Face Page is changed to 09/3012001.
The Policy is changed only as stated in this Amendment. All provisions not changed by this
Amendment shall apply,
AGREED:
By:
Title:
(Policyholder)
Date:
J -l:I.33 -J'.:"i
JOHN ALDEN LIFE INSURANCE COMPANY
~#
Chief Executive Officer
SCHEDULE OF COVERAGE
(Herein called Schedule)
Policyholder:
Monroe County Board of Commissioners
Address:
5825 Junior College Road; Public Service Building, Rm. 217
Key West, FL 33040
Admin;strator or Plan Supervisor: Acorida National
Address: 2665 So. Bayshore Drive, Suite 900, Coconut Grove, FL 33133
ALL AMOUNTS AND NUMBERS SHO"(oTN IN THIS SCHEDULE APPLIES ONLY TO THE POLICY PERIOD IN
EFFEC:-;', .u. .N2:r't- SCHEDULE WILL BE ISSUED FOR EACH NEW POLICY PERIOD,
[Xl SPECIFIC EXCESS LOSS (Provided if marked.)
1. Benefits Covered: Medical Expenses Only
2. Benefit period:
Eligible Expenses Paid From 10/01/2000 Through 09/30/2001,
If this Policy terminates prior to the Expiration Date, the Benefit period will
not extend past the date or termination,
3. Specific Deductible: $100,000
4. JALIC's percentage payable (Excess of the Specific Deductible): 100%
5. Maximum Specific Benefit payable by JALIC
per lifetime per Covered Person, while this Policy is in force: $900,000
6. Specific Monthly Premium Rate:
$24,97 Per Single Employee Per Month
$50,62 Per Family Employee Per Month
[Xl AGGREGATE EXCESS LOSS (Provided if marked.)
1. Benefits Covered: Medical/Prescription Drugs/Dental/Vision
2. Benefit period:
Eligible Expenses Paid From 10/01/2000 Through 09/30/2001.
If this Policy terminates prior to the Expiration Date, no Aggregate Excess
Loss Benefits will be payable.
J-1l33-AM
[Xl AGGREGATE EXCESS LOSS
(continued)
3. Aggregate Monthly Factor(s):
Medical/RX - $545.40 Composite
Dental/Vision - $ 37.61 Composite
4. Aggregate Deductible (all Covered Persons). This amount is determined at the
end of the Policy Period, The Aggregate Deductible is the greater of the:
a, Product of the Aggregate Monthly
Covered Units for the Policy Period;
Factor(s)
or
times
the
actual
number
of
b, Minimum Aggregate Deductible.
number of Covered Units for
times 12 months,
This cl;"Cu~~t is 85% of the product of the
the first month times the Monthly Factor (s)
5. JALIC's percentage payable (Excess of the Aggregate Deductible): 100%
6. Maximum Aggregate Benefit payable by JALIC: $1,000,000
7. Aggregate Monthly Premium Rate:
$2.40 Per Employee Per Month
8. Payment Mode:
Monthly
[Xl OPTIONAL ENDORSEMENTS ELECTED
Medical Conversion
$,50 Per Employee Per Month
J-1133-AM
Revised 3/99
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: 09/20/2000
Bulk Item: Yes ~ No 0
Division: MANAGEMENT SERVICES
Department: HUMAN RESOURCES /
GROUP INSURANCE
AGENDA ITEM WORDING: Approval to renew the contract with LINCOLN Re (formerly
the John Alden Life Insurance Company) for Specific and Aqqreqate Stop Loss
!DSl.lranCe for the County's Employee Benefit Plan.
ITEM BACKGROUND: This is the second year renewal of the contract. LINCOLN Re
has aqreed to renew at the same rates with a specific deductible of $100,000 per
individual. The current $85,000 deductible has been in place since 1994,
PREVIOUS RELEVANT BOCC ACTION: Approved throuqh RFP IN 1999. First
contract year (1999-2000) was approved at meetinq of 09/08/1999,
STAFF RECOMMENDATION: Approval.
TOTAL COST: $ 635,000,00
BUDGETED: Yes ~ No 0
COST TO COUNTY: Same as above.
REVENUE PRODUCING: Yes 0 No ~ AMOUNT PER MONTH
YEAR
APPROVED BY: COUNTY ATTY D OMS/PURCHASING D RISK MANAGEMENT g' c,J. rz.. .
DIVISION DIRECTOR APPROVAL: k n =- ~~~ 1
DIVISION DIRECTOR NAME: r JAMES L. ROBERTS
DOCUMENTATION: INCLUDED: ~
TO FOLLOW: 0
NOT REQUIRED: 0
DISPOSITION:
AGENDA ITEM #:
SEP-06-2000 14:04
FROM-
T-551 P 002/002 F-OIS
LINCOLN RE RISK MANAGEMENT SERVICES
'(HIS IS NOT A l3INDER OR CONTRACT Or: INSURANCE
Excess Loss Carrier: John Alden Life Insurance Company
Proposed Coverage for:
Monroe County BOCC
Benefits Covered: Medical/Rx
Effective t:=rom:
10/1/00
to
9/30/01
Assumed Enrollment:
Single
Family
Total
1071
515
1586
Aggregate Excess Loss: Maximum Benefit $1,000,000
Attachment Factors: Single
Family
Estimated Annual Attachment Point
A~greqate Coveraqe Basis
Specific Excess Loss: Max Benefit
Specific Deductible per Individual
SpecifiC Rate Single
Family
Estimated Annual Promium
Specific Coverage BaSIS
Aggregate Rate
SIngle
Family
S 11,068,992
Estimated Annual Premium
Total Estimated Maximum Cost
545.40
545.40
$10,380,053
PAID
$900,000
$100,000
$25.47
$51.12
$643.262
PAID
$2.40
$2.40
545.677
DentalNislon Aggregate Factors are an additional 37.61 per employee per month.
Aggregate terms include a 20% corridor
Conversion cost is included,
Y1IJ.'W .Iln';v~(ll (,;.cu1\\
LlIlc(\I.\ FlOUnCl..ll Group hi lhe m.llkchns ni1O\C rOf 1.lncntn N,,!ilJl)~t Cnq>Ofution .1IIdl\~ Dllthulr::~.