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Home My WebLink AboutReso 2002-417 RESOLUTION NO. 2002 - 41 '7 A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF SUNNY ISLES BEACH, FLORIDA, AWARDING BID NO. 01-11-01 TO AETNA US HEAL THCARE AS SUBMITTED BY BROWN & BROWN, INC., FOR EMPLOYEE HEALTH INSURANCE SERVICES AS OUTLINED IN THE SCOPE OF SERVICES ATTACHED HERETO AS EXHIBIT "A"; AUTHORIZING THE CITY MANAGER TO EXECUTE A CONTRACT FOR SUCH BID AND TO DO ALL OTHER THINGS NECESSARY TO EFFECTUATE THE INTENT OF THIS RESOLUTION; PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, the City of Sunny Isles Beach issued Request for Proposals No. 01-11-01 for the provision of health insurance to its employees and their families, and WHEREAS, three (3) brokers submitted bid proposals for five different health care providers, each with various health plan options; and WHEREAS, a health insurance committee, comprised of City Hall and Police Department employees, has reviewed all bids received and has made a recommendation to the City Manager that the Aetna US Healthcare proposal submitted by Brown & Brown, Inc., attached hereto as Exhibit "A", offers the broadest scope of services and the most competitive pricing of all proposals received, offering a duel option HMO/POS plan. NOW THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF SUNNY ISLES BEACH, FLORIDA, AS FOLLOWS: Section 1. Award of Bid. Bid No. 01-11-01 is hereby awarded to Brown & Brown, Inc. representing Aetna US Healthcare for health insurance services as outlined in Exhibit "A" attached hereto. Section 2. Authorization of City Manager. Provided the Aetna US Healthcare contract is approved as to form and legal sufficiency by the City Attorney, the City Manager is hereby authorized to execute same and to do all other things necessary to effectuate the intent of this resolution. Section 3. Effective Date. This Resolution shall become effective upon adoption PASSED AND ADOPTED this 5th day ofFebrua, (j~L - 1 - Draft R2002-_ Aetna Health Insurance ,.. .. , {' . ArTEST~ 1" ,.~'t) ~, /' ~.' .;) './ ""'::t< '" ~.".~ APPROVED AS TO FORM AND LEGAL SUFFICIENCY ~~ yon M. DannheIsser, CIty Attorney Moved by: C DmrY\.1 ~ ~IONER +{A-t-tFFW\~\.J\1 Seconded by: Y I c.... t. OJ A-\.{u ~ Ie; L ~<;'I ~ Vote: 5-0 Mayor Samson Vice Mayor Iglesias Commissioner Edelcup Commissioner Goodman Commissioner Kauffman ~Yes) _~..JY es) _k~':iY es) ~Yes) V'(Yes) _(No) _(No) _(No) _(No) _(No) - 2- Draft R2002-_ Aetna Health Insurance FEB-4-2002 09:43 FROM:BROWN & BROWN 305 822 5687 TO: 9P3059493113 P:2/3 AETNA US HEAL. THeN<<: HMO 15 FINANCIAL Dedl.lCti:lle: SioglelFamily Coinsurance CoinGurance limit: Single/Family LIfetime M"Qmum Benerlt Fa Referred NlA N/A NlA NlA PRIMARY CARE PHYSICWI VISITS Office HOln After HoursIHome VISits $15 c>>-pay $15 co-pay SPECIAL TV CARE Office VIsits OIaQn~tic Outpatient Testing Outpatient Therapy OUTPATIENT SURGERY $15 COopay $15 co-pay $15 eo-pay $ 0 co-pay HOSPITALIZATION SKILLED NURSING FACIUTY EMERGENCY ROOM $ 0 ~pay/A $ 0 c~/A _eo.pay HoME CARE MATERNITY F"1I'St 08 visit Hospital MENTAL HEALTH Inp81ient outpat\ent SUBSTANCE ABUSE DsloIdflcation Inpatient Rehabilitation OUtpatient Rehabilitation Naco-pay $15 ClO-pay $0 co-p~/A $ 0 et>-pe:fIA, 30 days $25 co-payN, 20 visits $ 0 co-pay/A $ 0 co-payl3O days $15000p?IJN P~IVE CAR.e Routine Eye Exam Routine Physicals Immurriz.atiorl$ Routine Mammography Routine GYN Exam CHIROPRACTIC CARE $15 co-pay $15 co-pay $151>>f)8Y $15 co.pay $15 co-pay $15 oo-payl2O visits DURABLE MEDICAL EQUIPMENT $ 0 e>>pay PRESCRIPTIONS $10115130 wlBC To mccIYe maximum beoefils ilH1etWOl'k (rel'elmd} ~ must be provldB;l or mtlrred by lhe PlIItiClpaling primary care physiciarr you ~. In-networl( (refBn'ed) berKJGtt; 8fe provided by the fla'NA U.S. I-Ieallhcare. All benefits are prlMded in ~ with the appllcoblG group contract and irl5\ll1mC9 CIi!I1ificate. Exhibit" N' FEB:4-2002 09:43 FROM:BROWN & BROWN 305 B22 56B7 TO:9P3059493113 P:3/3 Aetna U.S. Healthcare USAccess Piau - Option 4 ~rida llt-Nawm; F10rida OId4N~rfc FINA/VCIA.L ~ SdF-RdmaI Sdl'-RdCIftd Deductible: SineIclFamily N/A. N/A SSOO/I. SO<> Coi~ N/A NIl>.. io'~ Coill!lA'anCe limit: Si~amily N1^ N1A ~s ,/)()QJS I 0.000 Lif~me Ma:a/t1UlJl Bt!ncfil NtA. N1A $1,000.000 PR.IMA/CY CARE PIUS/CIAN VISITS Office Hour.; ~IO l:0piIy $:2 5 copay ?O"/. afler dcdlll;lible I\fter Hwn .' H.xnc V illts $15 copay S2S~ 70% alkr d.roucliblc SPECIAL 11' CAR,e OffiQ: VisilS SIO oopsy S25~ ]0"/0 a.'icr lleclul:liblc Dillgl105lic OUtpatieft\ T cSling $.\ 0 CCl\liIy !l2S copay 70% after dcd~ble Phys.Occ.~h Thef\tpy SIO~ $25 cOIlI1Y 70% ;.ltc: deductible' OIITPATIJ;NT SURGEII t ~ 1 00 copay uso copl\y 10".1. ~rdeductible' HOS",ULIZA 77Q/V S240 cOlBY SSOO ~y 70% after dcduc:tiblc' SKJLIA~D N(lRS1NG FACIUTY $:240 Cllp;\y ';500 copay 10"A. al'lcr dcd\J;!ible' eMERGENCY ROOM 535 oopay $35 c~y 53 S copsy IIOME Cdlt No cQpay I'll) <;Op8Y 70"~ after decluctiblc' M..t TE/(JV'/TY I'Il'!ilOBVi!lit $10 copay See mfCf1'ed caro iO% aftcr dW.udiblc' Hosp;~l S240 ~y 1500 copay 70"/0 "ftcr ckductiblc' MENTAL HEALTH lntlilticnt (30 dayS) $;:40 cops~' $500 oopay 10% after deductible. Outpat.m (20 v;51tsl S2S c~yN SZS cOfIaYN SO"!. afte! 6.dlo1C1iblc SVIlST ANCE AB{J.fl! Detoldfic8Iion S240.ccpay SSOO .copay 70% aft<< ded\leciblc. (npatlml Rctbb,l;latian $~ro ~yl)O SSOQ copayf30 days 7<l".r. at\e\' deductibla.' d:lys per yest ~t YeN 30 days ~r )'$'l~ ' Outpatiel1t RehabililtlUOCl S10 coply 30 $25 topayJ.44 lrisits 70% .ner deductible! visls per y...r per YCIIl 44 v;w ~ y....r ' PREVE/V1TYft CARE Routine E~e l!;l<i'Im S HhO?llY See ref~ care NQI ~avercd ROUIine> PhysiCllI SIO copt.y S2, copay (lhtough 70%. no dedllCtible 8f,fl! 16 only) (through age 16 only) IMmuni7.atioos (chil d hox1d 1 $10 copay S2S c~y (throtlfJ\ 'TOO/G. 110 deductible lIgt: 16 cnIy) (t~ age 16 only) Itollline MammoBf;tplly SIO CWi1y $25 copay 70% after ~~\ib1e RoutlllC (] YN ElW1l SIO copa~' See n:flmtld c~ Not cnW:~ l'~dialn<: Prcvcmi\<e DcnlJlllj~ S 10 copay See n:fel'l'llld care !-lot covered CHIROPRACTIC CARE SIO ~120 visit~ 525 ~yl 70% ,Ill;:r deductible! pcr~r Sloo0 1IIIIlIl811111L"1:' 5 1000 3M1.Il1.I ma."(' /)ME /'10 c;opay No Cll\l8Y' 70",(, aftcr de4t,K:liOle' PRESCRIPTIONS S I 011 500 Sce refe~ care IIIa'! e~vemd . Member Dl'e'CI!11iIiOltiClllI'Cllllin!d qr beadllo peid ""II ~ ~li8l1y~. Tn TO<Civc _imum btftcfi"" In-l'fctwOllr. (rd'cmocfJ se....._ m\lSt be ptevided 01 r1!~ by ~ peItlaplting ~ all': ~ !W 1AYc!lCfccmd. ID-Network (~ bc1lcfit:< om; pnMdccI by Iho AETI'oIA U.S. !1(~ I-lMO in ~ "'* ~Ir..rc~ belIcfits _ underwrilllCll!ly 11\ -... U.S. IiaiI1Ilcn at'filiated im;anmce O)mPl"l)'. All WnmtlIlR prIMded ill .-dance: \oid\ th;:, ;wIicablc IVOUP llp~l. polley i1Ud CMi~, The cul~f-lltlWorlc coin_ ~.. rdte0 t~ p1"'1'~ p&yIIlelll. lo(MO(FL Opt 4 CI $.1 7 .,.l MEMORANDUM To: The Honorable Mayor and City Commission From: Christopher J. Russo, City Manager Date: February 4, 2002 Re: EMPLOYEE HEALTH INSURANCE SUBMISSIONS: City Commission David Samson, Mayor Danny Iglesias, Vice Mayor Norman S. Edelcup, Commissioner Gerry Goodman, Commissioner Lila Kauffman, Commissioner Christopher J. Russo, City Manager Lynn M. Dannheisser, City Attorney Richard Brown- Morilla, City Clerk On December 10, 2001, after a formal RFP process, the City opened bids submitted for City Employee Health Insurance. Three brokers submitted bid proposals for five different health care providers (each with various health plan options): 1) Axa, Inc.; Neighborhood Health Partnership, Inc. 2) Brown & Brown, Inc.; Aetna, Blue Cross -Blue Shield, Cigna, Humana 3) Resource One, Inc.; Aetna RECOMMENDATION: It is recommended that the City Commission adopt the attached resolution accepting the employee health insurance bid from the Aetna Insurance Company submitted by the broker Brown & Brown, Inc. REASONS: The City will remain with Aetna which will allow employees to retain their current Aetna doctors albeit in a less rich, and less costly (to the City), health care plan. The plan is a "duel option" HMO /POS plan; an HMO plan paid by the City (100% employee cost and 50% dependent cost) and an optional "pay up" POS plan (the difference in cost is paid by the employee). Agenda Item � C Date 2 -s City of Sunny Isles Beach ° 0 17070 Collins Avenue, Suite 250 U = Sunny Isles Beach, Florida 33160 ;. (305) 947 -0606 City Hall \ °P.�P (305) 949 -31 13 Fax 0-\ F c,T F No ' (305) 947 -2150 Building Department Y OF 5 u N P (305) 947 -5107 Fax MEMORANDUM To: The Honorable Mayor and City Commission From: Christopher J. Russo, City Manager Date: February 4, 2002 Re: EMPLOYEE HEALTH INSURANCE SUBMISSIONS: City Commission David Samson, Mayor Danny Iglesias, Vice Mayor Norman S. Edelcup, Commissioner Gerry Goodman, Commissioner Lila Kauffman, Commissioner Christopher J. Russo, City Manager Lynn M. Dannheisser, City Attorney Richard Brown- Morilla, City Clerk On December 10, 2001, after a formal RFP process, the City opened bids submitted for City Employee Health Insurance. Three brokers submitted bid proposals for five different health care providers (each with various health plan options): 1) Axa, Inc.; Neighborhood Health Partnership, Inc. 2) Brown & Brown, Inc.; Aetna, Blue Cross -Blue Shield, Cigna, Humana 3) Resource One, Inc.; Aetna RECOMMENDATION: It is recommended that the City Commission adopt the attached resolution accepting the employee health insurance bid from the Aetna Insurance Company submitted by the broker Brown & Brown, Inc. REASONS: The City will remain with Aetna which will allow employees to retain their current Aetna doctors albeit in a less rich, and less costly (to the City), health care plan. The plan is a "duel option" HMO /POS plan; an HMO plan paid by the City (100% employee cost and 50% dependent cost) and an optional "pay up" POS plan (the difference in cost is paid by the employee). Agenda Item � C Date 2 -s