Item C07 C.7
Coty f � ,�� ,' BOARD OF COUNTY COMMISSIONERS
�� Mayor David Rice,District 4
The Florida Keys � Mayor Pro Tem Craig Cates,District I
y Michelle Coldiron,District 2
James K.Scholl,District 3
Ij Holly Merrill Raschein,District 5
County Commission Meeting
July 20, 2022
Agenda Item Number: C.7
Agenda Item Summary #10749
BULK ITEM: Yes DEPARTMENT: Employee Services
TIME APPROXIMATE: STAFF CONTACT: Natalie Maddox (305) 292-4450
n/a
AGENDA ITEM WORDING: Approval to renew an agreement with Vision Service Plan
Insurance Company (VSP), with no changes in cost, but an increase in frame and contract lens
allowances and continuation of the SunCare preventive coverage benefit for non-prescription
sunglasses, and authorization for the Employee Services Director to complete the necessary forms,
for fully-insured voluntary vision benefits for a term of four (4) years effective January 1, 2023
through December 31, 2026.
ITEM BACKGROUND: Approval of a four-year renewal with Vision Service Plan Insurance
Company (VSP) which continues a SunCare plan feature, and authorization for staff to execute all
needed forms and documents. SunCare, a preventive care measure, provides the plan frame
allowance for off-the-shelf non-prescription sunglasses to those who do not need to use their benefits
for prescription contact lens or glasses in a given plan year. The plan frame allowance is being
increased from $180 on the high plan to $200; and from $140 to $160 on the low plan. Members
will be able to purchase non-prescription sunglasses through an eyecare professional or order online.
With this renewal,per-payday insurance premiums remain the same as the current low and high
vision plans. With this renewal, rates will have remained steady for both low and high plans for a
period of 6 years, but now with added benefit levels in the current renewal. This renewal will
continue our current plan and rates through 12/31/2026.
A recent review of the provider network within Monroe County and nationally indicates that VSP
maintains a strong network and continues to recruit eyecare providers. The County's benefits
consultant, Gallagher Benefit Services, recommends and supports this renewal with VSP. The
current contract with VSP ends 12/31/2022.
PREVIOUS RELEVANT BOCC ACTION:
August 2020—Approval of renewal VSP 1/1/21 — 12/31/22
September 2018—Approval of renewal VSP 1/1/2019 through 12/31/2020
September 2016— Selection Committee recommended renewing with VSP. BOCC approved a term
of two (2)years to become effective 1/1/17 through 12/31/18.
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C.7
May 2016—Fully Insured Vision Benefit RFP approved by BOCC
September 2013 —Approval of renewal with VSP (1/1/14-12/3/16)
October 2011 —Approval of VSP (carrier 1/1/12-current)
November 2007—Approval of EyeMed (carrier 1/1/08-12/31/11)
October 2003 —Approval of American General (carrier 1/1/04-12/31/07)
April 2003 —BOCC approved recommendation to have the dental and vision benefits fully insured
and voluntary.
CONTRACT/AGREEMENT CHANGES:
Yes
STAFF RECOMMENDATION: Approval.
DOCUMENTATION:
Monroe County VSP Choice Plan Renewal Exhibit 2023v2
VSP Enrollment Detail rev
VSP Per Payday Renewal Comparison rev
FINANCIAL IMPACT:
Effective Date: 1/1/23
Expiration Date: 12/31/26
Total Dollar Value of Contract: N/A
Total Cost to County: NONE—Fully Insured Benefit
Current Year Portion: N/A
Budgeted: N/A
Source of Funds: Premiums paid by participants
CPI: N/A
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts: N/A
Revenue Producing: N/A If yes, amount: N/A
Grant: N/A
County Match: N/A
Insurance Required: Yes
Additional Details: N/A
REVIEWED BY:
Natalie Maddox Completed 06/22/2022 7:14 PM
Bryan Cook Completed 07/05/2022 12:02 PM
Cynthia Hall Completed 07/05/2022 12:42 PM
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C.7
Purchasing Completed 07/05/2022 1:03 PM
Budget and Finance Completed 07/05/2022 4:42 PM
Brian Bradley Completed 07/05/2022 5:14 PM
Lindsey Ballard Completed 07/05/2022 5:27 PM
Board of County Commissioners Pending 07/20/2022 9:00 AM
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Monroe County Board of County Commissioners RENEWAL RATE EXHIBIT
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CURRENT LOW PLAN CURRENT HIGH PLAN
VSP CHOICE PLAN VSP CHOICE PLAN VSP CHOICE PLAN VSP CHOICE PLAN
Frequencies
Examination Every calendar year Every calendar year Every calendar year Every calendar year
Lenses Every calendar year Every calendar year Every calendar year Every calendar year
Frame Every other calendar year Every calendar year Every other calendar year Every calendar year
Benefits with a VSP@ Network Provider
Comprehensive Eye Examination $10 copay $10 copay $10 copay $10 copay
Contact Lens Examination $0 copay $0 copay $0 copay $0 copay
Contact Lens Examination(Fitting&Evaluation) Not to exceed$60 Not to exceed$60 Not to exceed$60 Not to exceed$60
Essential Medical Eye Care $20 copay $20 copay $20 copay $20 copay
Lenses
Single Vision $20 copay $20 copay $20 copay $20 copay
Bifocal $20 copay $20 copay $20 copay $20 copay
Trifocal $20 copay $20 copay $20 copay $20 copay
Lenticular $20 copay $20 copay $20 copay $20 copay
Allowances
Retail Frame Allowance $140 $180 $160 $200
Feature Frame Brand Allowance $160 $200 $180 $220
Coatco Equivalent Frame Allowance $75 $100 $90 $110
Elective Contact Lenses $115 $130 $135 $150
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$140 Allowance for ready made non- $180 Allowance for ready made non- $160 Allowance for ready made non- $200 Allowance for ready made non-
prescription sunglasses or ready-made prescription sunglasses or ready-made prescription sunglasses or ready-made prescription sunglasses or ready-made
LightCare non-prescription blue light filtering non-prescription blue light filtering non-prescription blue light filtering non-prescription blue light filtering
glasses,instead of prescription glasses or glasses,instead of prescription glasses or glasses,instead of prescription glasses glasses,instead of prescription glasses
contact contact or contact or contact L
Necessary Contact Lenses Covered in full after$20 copay Covered in full after$20 copay Covered in full after$20 copay Covered in full after$20 copay
o
Lens Enhancement Out-of-pocket Cost >
Anti-Reflective Coating $41 $40 $41 $40 5
Polycarbonate Lenses $31-$35 $10 $31-$35 $10
Standard Progressives Covered in full Covered in full Covered in full Covered in full
Custom and Premium Progressive $95-$175 $55 $95-$175 $55
Tinte/Photochromic $15-$17 $30 $15-$17 $30
UV Protection $10 $10 $10 $10
Scratch Coating $17 $17 $17 $17
Non-VSP Provider Allowances
Examination $45 $45 $45 $45 o
Single Vision $30 $30 $30 $30
Bifocal $50 $50 $50 $50
Trifocal $65 $65 $65 $65
Lenticular $100 $100 $100 $100
Progressive Lenses $50 $50 $50 $50
Frame $70 $70 $70 $70
Elective Contact Lenses $105 $105 $105 $105
Necessary Contact Lenses $210 1 $210 $210 $210
I —TUMUM7,7177,177 Z'
RATES-Self Insured Current Rates Current Rates
'b Employee Only $4.49 $9.38 $4.49 $9.38
Employee,Spouse $8.98 $18.74 $8.98 $18.74
Employee+Child(ren) $9.61 $20.04 $9.61 $20.04
Employee+Family $15.36 1 $32.04 $15.36 $32.04 A
Please have the appropriate group representative sign the renewal and email a copy to Mark.Tafuri@vsp.com and Fab ian.Whipple@vsp..om.
We appreciate your business and value our relationship with your organization.
an
Renewal Terms: 48monthe >
Commission Scale NET
Sincerely,
Mark Tafuri
VSP Market Director Authorized Group Representative Signature E
@2 21 Vision Service Plan All rights reserved
VSP is a registered trademark,and"See well Be well is a trademark of Vision Service Plan All other brands or marks are the property of their respective owners 89080 VCCL Classification::Confidential
C.7.b
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Vision care
Current Enrollment Detail
Actives High Member Only 428
Actives High Member+One 111
Actives High Member+Child(ren) 102 U)
Actives High Member+ Family 70
Actives High Total Members: 711
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Actives Low Member Only 194 >
Actives Low Member+One 26 0
Actives Low Member+Child(ren) 37
Actives Low Member+ Family 24
Actives Low Total Members: 281
Retirees High Member Only 105
Retirees High Member+One 52
Retirees High Member+Child(ren) 4
Retirees High Member+ Family 6
Retirees High Total Members: 167 0
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Retirees Low Member Only 106
Retirees Low Member+One 30 0
Retirees Low Member+Child(ren) 3 CL
Retirees Low Member+ Family 4 <
Retirees Low Total Members: 143
Grand Total Members: 1 �'
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Cost Comparison Per Payday
Renewing with addition of Suncare
Current Contract Expires: 12/31/2022
RENEWAL:
ADD
PER PAYDAY SUNCARE TO
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Two Year Offer DEDUCTIONS CURRENT BOTH PLANS Difference %Change
HIGH U)
Emp Only $ 9.27 9.38 $ 0.11 1%
Emp +Spouse Only $ 18.52 18.74 $ 0.22 1%
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Emp +Child(ren) Only $ 19.81 20.04 $ 0.23 1%
Family $ 31.67 32.04 $ 0.37 1%
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LOW
Emp Only $ 4.44 4.49 $ 0.05 1%
Emp +Spouse Only $ 8.88 8.98 $ 0.10 1%
Emp +Child(ren) Only $ 9.50 9.61 $ 0.11 1%
Family $ 15.18 15.36 $ 0.18 1%
SUNCARE: 0
With no eye exam required, provides the plan frame
allowance benefit for off-the-shelf sunglasses to
those who are not using their benefits for 0
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prescription contact lens or glasses. A member can CL
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forgo prescription contact lens/glasses and get <
sunglasses instead. Members can purchase
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Cost Comparison Per Payday
Renewing with addition of Suncare
Renewal Contract: Eff. 1/1/2023- 12/31/2026
PER PAYDAY
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DEDUCTIONS %Change
HIGH U)
Emp Only 9.38 0%
Emp +Spouse Only 18.74 0%
Emp +Child(ren) Only 20.04 0% .
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Family 32.04 0%
0
LOW
Emp Only 4.49 0%
Emp +Spouse Only 8.98 0%
Emp +Child(ren) Only 9.61 0%
Family 15.36 0%
0
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Added Benefits: Additional $ 20.00 toward frame
allowance on both plans and additinal
$ 20.00 toward contact lens allowance. 0
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Suncare Continues: <
With no eye exam required, provides the plan frame >
allowance benefit for off-the-shelf sunglasses to
those who are not using their benefits for 0
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