Item F07
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: November 15. 2006
Bulk Item: Yes.lL. No
Division: Employee Services
Department: Benefits Office
Staff Contact Person: Maria Fernandez
AGENDA ITEM WORDING: Approval to advertise a Request for Proposals (RFP's): 1)
Contract - Self-insured Group Health Program Third Party Administrator for claims
administration 2) Contract - Utilization Review and Large Case Management administration 3)
Contract - Pharmacy Benefits Manager 4) Contract - Employee Assistance Program 5)
Insurance Policy - Group Life Insurance 6) Insurance Policy - Voluntary Vision and Dental
Coverage 7) Insurance Policy - Voluntary (additional) Life Insurance and Dependent Life
Insurance
ITEM BACKGROUND: Monroe County bas been self-insured for their Group Health Plan
since 1984.
PREVIOUS RELEVANT BOCC ACTION: BOCC directed on Marcb 13,2001 tbat a Request
for Proposals be done for a self-funded, fully-funded and cafeteria plan. During a Special
meeting of the BOCC on July 18, 2003 the Board directed stall'to seek bids on the County's
group bealth insurance program.
CONTRACT/AGREEMENT CHANGES: N/A
STAFF RECOMMENDATIONS: Approval to advertise
TOTAL COST: APprox $900.00
BUDGETED: Yes -L No_
COST TO COUNTY: APprox $900.00
SOURCE OF FUNDS:
Ad Valorem
REVENUE PRODUCING: Yes_ N~~ERMONTH_ Year
APPROVED BY: County Att~. OI@iIPu~ing _ Risk Management ~
DOCUMENTATION:
Included
Not Required_
DISPOsmON:
AGENDA ITEM #
Revised 8106
OKl!~Y ~~~~E
(305) 294-4641
Office of tbe Employee Services Division Director
The Historic Gato Cigar Factory
1100 Simonton Street, Suite 268
Key West, FL 33040
(305) 292-4458 - Phone
(305) 292-4564 - Fax
(-- ..-......-
BOARD OF COUNTY COMMISSIONERS
Mayor Charles "Sonny" McCoy, District 3
Mayor Pro Tern Dixie M. Spehar, District 1
George Neugent, District 2
Mario Di Gennaro, District 4
Glenn Patton, District 5
TO:
Board of County Commissioners
FROM:
Teresa E. Aguiar,
Employee Services Director
DATE:
October 16,2006
SUBJ:
Approval to advertise for bids
This item requests approval to advertise a Request for Proposals for the following contracts and insurance
policies:
1) Contract - Self-insured Group Health Program Third Party Administrator for claims administration:
Currently, the vendor is Acordia National. The BOCC waived the bid process on June 15,2005 due to a
guaranteed 3 year rate. The contract expires September 30,2008.
2) Contract - Utilization Review and Large Case Management administration: Currently, KPHA (Keys
Physican Health Alliance) provides Pre-admission Certification and Medical Case Management services of
the County's Health Insurance Program. The last bid was February 18, 2004 and the contract expires
February 30,2007.
3) Contract - Pharmacy Benefits Manager: Currently, the contract is with WHI (Wallgreens Health
Initiatives). The contract is a joinder with KPHA. This company reviews drug utilization, outcome
management and disease management for the County's prescription program. The bid was approved on
September 21,2005 and the contract expires September 30,2008.
4) Contract - Employee Assistance Program: Currently, the County contracts with The Care Center for
services in the lower, middle and upper keys. Last year the BOCC waived the bid process. The contract
expires in March, 2007.
5) Insurance Policy - Group Life Insurance: Hartford is the carrier for the County's Life Insurance program.
Life Insurance coverage for employees is $20,000.00 up to age 70; $14,000 age 70-74 and $10,000 age 75
and over (ACCIDENTAL DEATHS - DOUBLE THE BASIC POLICY (NOT APPLICABLE TO RETIREES).
Retiree coverage for those retired on or after 10/1/87 is $20,000; $10,000 at age 70. The policy was last bid
in 2001 and expires September 30,2007.
6) Insurance Policy - Voluntary Vision and Dental Coverage: American General handles the Vision and
Dental Coverages. The third renewal of the policy expires December 31,2007.
7) Insurance Policy - Voluntary (additional) Life Insurance and Dependent Life Insurance: Employees have
requested that the County offer additional life insurance coverage for themselves and their dependents.
Therefore, at this time, we should also request proposals for employees that wish to voluntary pay to have the
additional coverage.