Reso 2006-996 - Laserfiche WebLink

Home Browse Search

To: From: Date: Re: City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, Florida 33160 City Commission Norman S. Edeleup, Mayor Roslyn Brezin, Vice Mayor Lewis J. ThaJer, Commissioner Gerry Goodman, Commissioner Danny Iglesias, CommiSSIOner (305) 947-0606 City Hall (305) 949-3 113 Fax (305) 947-2150 Building Department (305) 947-5 107 Fax A John Szerlag, City Manager Hans Ottinot, City Attorney Jane A. Hines, City Clerk MEMORANDUM A. John Szerlag -r T. Acquaro, Human Resources Director August 16, 2006 CareAccess Alternative Limited-Benefit Health Care Program On June 26, 2006, representatives of CareAccess Health Plan made a presentation to us regarding their program which they presented as a voluntary, alternative health plan similar to an HMO for those City employees, and dependents, currently not eligible for the City's primary health plan (United Health), i.e., our intermittent employees. They also indicated that they were selected by the Miami-Dade School Board as their alternative health plan. You subsequently asked me to follow-up and determine if this program would be a viable voluntary benefit, such as AFLAC, for our intermittent employees. As such, I met with Bob Hollander and Samantha Alvarez with Brown & Brown, Inc., our insurance brokers and professionals in the field, and asked them to provide me more information regarding CareAccess's position in the marketplace, their claim that they are the only company licensed to offer this kind of benefit, and their general recommendation. I also had Yad check with the Miami- Dade School Board to get a copy of their RFP in which CareAccess was the only one to bid, and was subsequently selected, under the category "Medical Benefits-Alternative Medical Programs". After doing their research, Brown & Brown confirmed that CareAcces Health Plan is in fact a limited-benefit health plan that is licensed in the state of Florida (641, Part 2) to provide limited health care benefits such as doctor visits and prescriptions (but not hospitalization coverage.) Also, CareAccess is not a discount insurance provider, which there are many in Florida and many of them are currently being scrutinized by the state for their false advertising claims, i.e. EyeMed, our vision benefit, is not insurance but a discount eye product/ services provider. To date, Bob indicated that CareAccess is the only company licensed in Florida as a limited-benefit health provider and as such a sole source. Bob and Samantha both agreed that as a voluntary benefit CareAccess would be fine, however, they cautioned that our interested employees need to be properly educated to the fact that this company does not offer full benefit coverage such as