HomeMy Public PortalAbout15-9052 TO SELECT AVMED HEALTH PLAN Sponsored by: City Manager
RESOLUTION NO. 15-9052
A RESOLUTION OF THE CITY COMMISSION OF THE CITY
OF OPA-LOCKA, FLORIDA, AUTHORIZING THE CITY
MANAGER TO SELECT AVMED HEALTH PLAN AS THE
PROVIDER FOR THE CITY OF OPA LOCKA'S HEALTH PLAN,
METLIFE AS THE PROVIDER FOR THE CITY OF OPA
LOCKA'S DENTAL AND VISION GROUP PLANS, AND
AMERICAN PUBLIC LIFE FOR THE CITY'S GAP PLAN FOR
THE BENEFIT YEAR BEGINNINIG OCTOBER 1, 2015 AND
EXPIRING SEPTEMBER 30, 2016; PROVIDING FOR
INCORPORATION OF RECITALS; PROVIDING FOR AN
EFFECTIVE DATE.
WHEREAS, The City of Opa-locka provides health, dental, vision and gap
coverage for its employees; and
WHEREAS, The Human Resources Department has worked diligently with the
Agent of Record to obtain the providers for these services that offer the best services
and the most efficient costs; and
WHEREAS, after a diligent search, it was determined that the City and its
employees would be best served by selecting AVMED for Health Services, METLIFE for
dental and vision serves and American Public Life for Gap coverage.
NOW THEREFORE BE IT RESOLVED THAT THE CITY COMMISSION OF
THE CITY OF OPA LOCKA, FLORIDA:
Section 1. The recitals to the preamble herein are incorporated by reference.
Section 2. The City hereby authorizes the City Manager to select AVMED to
provide the City's Health Plan, METLIFE to provide the City's Dental and Vision
Plan and American Public Life to provide Gap coverage to minimize out of
pockets costs to employees, and to enter into and execute Agreements to obtain
Resolution No. 15-9052
these services for the fiscal year beginning October 1, 2015 and expiring on
September 30th, 2016.
Section 3. This Resolution shall take effect immediately upon adoption.
PASSED AND ADOPTED this 27th day of August, 2015.
' fir
yra , aylor
Mayor
Attest to: Approved as to form and legal sufficiency:
41 '
Jo! na Flores BROWN LAW GROUP, LLC
City Clerk City Attorney
Moved by: COMMISSIONER KELLEY
Seconded by: COMMISSIONER SANTIAGO
Commissioner Vote: 4-0
Commissioner Kelley: YES
Commissioner Pinder: YES
Commissioner Santiago: YES
Vice Mayor Holmes: YES
Mayor Taylor: NOT PRESENT
a�;fi;intih4.,
e.
PA uJ DI •.1.ta7' YY
•4,
•
Memorandum
TO: Mayor Myra L. Taylor
Vice-Mayor Timothy Holmes
Commissioner Joseph L.Kelley
Commissioner Luis B.Santiago
Commissioner Terence K.Pinder
FROM: ddie Br ,Interim City Manager
DATE: Augu. 2 ,20z 15
RE: Proposed Health,Dental,Vision,and GAP Carrier for Fiscal Year 2015/2016.
Request: A RESOLUTION OF THE CITY OF OPA-LOCKA, FLORIDA AUTHORIZING
THE CITY MANAGER TO SELECT AVMED HEALTH PLAN AS THE
PROVIDER FOR THE CITY OF OPA-LOCKA HEALTH PLAN, METLIFE AS
THE PROVIDER FOR THE CITY OF OPA-LOCKA'S DENTAL AND VISION _.
GROUP PLANS, AND AMERICAN PUBLIC LIFE FOR THE CITY'S GAP
PLAN FOR THE BENEFIT YEAR BEGINNING OCTOBER 1, 2015 EXPIRING
SEPTEMBER 30,2016.
Description: The Human Resources Department has worked diligently with the City's Agent of
Records, Sapoznik Insurance and Associates, Inc to assess the existing group insurance
policies and proposed employee benefit rates. A resolution of the City Commission of
Opa-locka, Florida authorizes the City Manager into an agreement with AvMed and
Metlife for the medical, dental,and vision group plans.
Financial Impact: This item is budgeted and displays a reduction of $164,201.52 over the previous year's
cost.
Implementation Timeline: October 1,2015-September 30,20]"6
C X,egislative History: Resolution No. 14-8842
Recommendation(s): This approval is based staffs analysis of the proposed services, providers, and costs.
Additionally, the City is proposing to include American Public Life Insurance Company as the Gap Plan to
minimize the employee out of pocket expenses associated with receiving medical services in the proposed health
plan.
Analysis: Staff is requesting for approval of the 2015/2016 Employee Benefits Proposed Rates with a new
Provider American Public Life Insurance Company for GAP and Metlife for the dental, vision and GAP plans.
The proposed GAP plan company issues an ID card that is presented at the time of visit and allows benefits to
be used immediately eliminating the process of filing a claim for reimbursements. The City will pay 100%
coverage for employee only medical, dental and GAP coverage for employees and 50% of the cost for
dependant coverage HMO and DMHO (dental) plans. Employees are responsible for 100% of their vision
coverage.
Attachments: Employee/Employer Cost Benefit Report(Health,Dental)
PREPARED BY: Kierra Ward,Human Resources Director
Sponsored by: City Manager
RESOLUTION NO. 14-8842
A RESOLUTION OF THE CITY OF OPA-LOCKA, FLORIDA
AUTHORIZING THE CITY MANAGER TO ENTER INTO
AGREEMENT WITH AVMED AS THE PROVIDER FOR THE CITY
OF OPA-LOCKA HEALTH PLAN, SOLSTICE AS THE PROVIDER
FOR THE CITY'S VISION AND DENTAL GROUP PLANS; AND
AMERICAN PUBLIC LIFE INSURANCE COMPANY FOR THE
CITY GAP PLANS FOR THE FISCAL YEAR BEGINNING
OCTOBER 1, 2014, AND ENDING SEPTEMBER 30, 2015;
PROVIDING FOR INCORPORATION OF RECITALS;PROVIDING
FOR AN EFFECTIVE DATE.
WHEREAS, the City of Opa-locka desires to select the health, vision and dental plan for
employees for the upcoming fiscal year 2014-2015; and
WHEREAS, the City Commission of the City of Opa-locka desire to authorize the City
Manager to enter into an agreement with AVMed for its medical plan; Solstice Benefits Inc. for the
dental and vision plan; and American Public Life Insurance company for the GAP plans; and
WHEREAS, the plans are budgeted and display 6.30%reduction for the medical plan over
the previous years's cost, and a no cost increase for the dental and vision plan; and
WHEREAS,the City will pay 100%coverage for employee medical and dental,50%of the
cost for dependents' coverage, and the employees will be responsible for 100% of their vision
coverage; and
WHEREAS, the City Commission of the City of Opa-locka, approves selecting the City
health, dental and vision plan to be awarded to AvMed and Solstice Benefits Inc.. and American
Public Life Insurance Company for the City GAP Plans.
Resolution No. 14-8842
NOW, THEREFORE,BE IT DULY RESOLVED BY THE CITY COMMISSION OF
THE CITY OF OPA-LOCKA,FLORIDA:
Section 1. The recitals to the preamble herein are incorporated by reference.
Section 2. The City Commission of the City of Opa-locka hereby authorizes the City
Manager to enter into an agreement with AvMed as the provider for the City of Opa-locka health
plan, Solstice as the provider for the City's vision and dental group plans;and American Public Life
Insurance Company for the City GAP Plans, for the fiscal year beginning October 1, 2014, and
ending September 30, 2015.
Section 3. This resolution shall take effect immediately upon adoption_
PASSED AND ADOPTED this 10`h day of September, 2014.
Th
/
. ./....A7 #
/MY`A 7fYLOR
MAYOR
tttest to: \\ App oved as to form form .. d leg. suffix'
) %
4cikixt 9 ----,J-ku, --,) , 1( ( ,,,, ,
nna Flores J. -ph `f Geller
City Clerk • EN'.POON MARDER,PA
ity Attorney
Moved by: COMMISSIONER SANTIAGO
Seconded by: COMMISSIONER JOHNSON
Commission Vote: 5-0
Commissioner Holmes: YES
Commissioner Johnson: YES
Commissioner Santiago: YES
Vice-Mayor Kelley: YES
Mayor Taylor: YES
••=.0
City of Opa-Locka
Agenda Cover Memo
Commission Meeting Item Type: Resolution Ordinance Other
Date:9/10/2014
(Enter X in box)
Fiscal Impact: Ordinance Reading: 1st Reading 2nd Reading
(Enter X in box) Yes No (Enter X in box)
x Public Hearing: Yes No Yes No
(Enter X in box)
Funding Source: (Enter Fund&Dept) Advertising Requirement: Yes No
(Enter Acct No.) (Enter X in box)
ITEM BUDGETED:
YES x
NO
Contract/P.O.Required: Yes No RFP/RFQ/Bid#:
(Enter X in box) N/A
Strategic Plan Related Yes No Strategic Plan Priority Area: Strategic Plan 04/Strategy: (list the
(Enter X in box) specific objective/strategy this item will address)
Enhance Organizational El
Bus.&Economic Dev fl
Public Safety El
Quality of Education El
Qual.of Life&City Image El
Communcation El
Sponsor Name City Manager Department:
Human Resources
Short Title:
Benefit Renewal
Staff Summary:
Staff is recommending AvMed, Solstice and American Public Life Insurance Company for Insurance
providers for the City Employees.
Proposed Action:
Manager entering into a contractual agreement.
Attachment:
Insurance Packet from Citrin Financial and Insurance Inc. will be distributed during the meeting.
\,,,Ja-77;i:_,- gamvak,
UQ`onaT 't
Memorandum
TO: Mayor Myra L. Taylor
Vice-Mayor Jose h L. Kelley
Commissioner Ti o by Imes
Commissioner oro y ;II son
Commissioner uis
FROM: Kelvin L. Baker, City Manag r
DATE: September, 10, 2014
RE: Proposed Health, Dental, and Vision Carrier for Fiscal Year 2014/2015.
Request: A RESOLUTION OF THE CITY OF OPA-LOCKA, FLORIDA AUTHORIZING
THE CITY MANAGER TO ENTER INTO AGREEMENT WITH AVMED AS
THE PROVIDER FOR THE CITY OF OPA-LOCKA HEALTH PLAN,
SOLSTICE AS THE PROVIDER FOR THE CITY OF OPA-LOCKA'S VISION
AND DENTAL GROUP PLANS, AND AMERICAN PUBLIC LIFE INSURANCE
COMPANY FOR GAP PLANS FOR THE FISCAL YEAR BEGINNING
OCTOBER 1, 2014 EXPIRING SEPTEMBER 30,2015.
Description: The Human Resources Department has worked diligently with the City's Agent of Record,
Citrin Financial and Insurance, Inc. to assess the existing group insurance policies and
proposed employee benefit rates. A resolution of the City Commission of Opa-locka,
Florida authorizes the City Manager to enter into an agreement with AvMed for medical
plan, Solstice Benefits Inc. for the dental, and vision plans and American Public Life
Insurance Company for GAP plans.
Financial Impact: This item is budgeted and displays a 6.30 reduction for the medical plan over the previous
year's cost. A no cost increase for the dental, and vision plans.
Implementation Timeline: October 1, 2014 - September 30, 2015
Legislative History: Resolution NO. 13-8682
Recommendation(s): This approval is based on staff analysis of the proposed services, providers, and costs.
AvMed was selected by City staff as the best option for the City.
Analysis: City staff reviewed over 12 plan choices from four vendors in selecting the new medical benefit plan.
Staff is requesting for approval of the fiscal year 2014/2015 Employee Benefits Proposed Rates with a new
provider AvMed for medical, Solstice Benefits Inc. for the dental and vision plans, and American Public Life
Insurance Company for GAP plans. Solstice Benefits has offered the City no increase in the current rate. The
City will pay 100% coverage for employee only medical and dental. The City will pay 50% of the cost for
dependent coverage. Employees are responsible for 100%of their vision coverage.
Attachments or handout: Insurance package from Citrin Financial and Insurance Inc.will be distributed
during the meeting.
PREPARED BY: Human Resources Department
0 x
ji 8 E g
„}`'
<'` g 8 g E
i8
8
ova
§ Io
• � g g� ��X( a� oo�,o -6?- 1'g a7 , a
• $�n uTi u4,Q v� 3�p N c. �`� > 0.N V in
N °6 7 > tS d .-
We W oZ oM gs� °ate a
3 ° a
a _
O a ro a in
c� 8 g � 8§ m
gg,,g ° o p a� a.
is 8 § S 8 8 8 9 ea 881-1- a° 8
R
O ca a as = oC aS g of c o0 oa g w a
ug 8 u°f ° ° °> m 8 8
0>
O ❑ a ❑ a ❑ D ro O a ❑O N .9 0�
n a n 0
Q > o y d R
_U
0• a U a p > Q .J
4 m t` f° ❑
x
c > a 3 °°0 8 8 C . o
U fa'Q a was aU8 ° 'D..°�°„
• 4C7cr(7 s= n m a n"uricvui 0 22 m>� 3U 3 >0 U> o 2 NNco2
u a n
15 a y g 69 :j4g 69 a g.¢y o "s
c > a a0 �yy aC E. 0.
O t S O L °
"'` 8 g �8g� 8 o
� _ a � > g —g m
LUO } o ,g 8- N W
>Z
W o cA 8- 88'.1- n
N v$ hi NI fill
° I 10 lU ; w ' ?_F»efl<n
a� 0• gOw A ° W ❑ 8 a W W x�
�� g �7 ❑C' ° oC' C7 °R y7 ca a�C
a •- o g °�
° O
ae 34 3E > '� ae aq o `Q 3e o 0 ;8 sn @M EM
8 pp ^Q 8 p y F
` 8 CDD fD.18 4 8 8 8 !00 f00 8 88~ 8Cn N r.
3 0 0 080 0 0 0 0 a a a 0o- o� 8 ° °
Z a 0 u 0 0 0 w 0 w a 0080 0 2.
�,
oe _
u+ M� NO
o n0 >—-z
v
• d a 2 co o
cr, W N U Z g
a a= as a oy as o > Q 7 g
°U ° 8 O ❑ ,� $ Z a
Va a ¢ 8 o w a 0 e�n o 2e o 0 oo„ gE a 1 ° r.
` O O w b R as otl oe at 6 e otl> o > u, W Q O O O O 1
M _
o ° 08 8 W 1 z�*co�ca
a Uo o° v W''q 0min E
z r4 d Nv co r- D
O U 69 OU U en En
m
;t a n .8
U U a ., 'a.c 4j
u
e .x y i c g.m
.
0.
M ' E :32T8.
E E � v - z y i t « g — 8 E s a
c a= 4; � a z g a2EEo _ 21
a °'
1 .c c E� ro M g 10 4. Tom £ ° £ 5 6 II 2 W Ofn OQ aQ O O O 06 Uf6a Ja W W W W.
1Z g ce
(7 QJ QVJ O V1 W
y};8 ',FU", pN In W
z
G z1 i a
O W m F . 0 6
t4 U f NN=
14 0 D Q' 0 tD O
J Ls' } } C 6 (G .:-II N
_' } {{{h{ Wj J N fh N
M k _1
I Y jd jd 26¢. MC.) MG 4.
Z � 3o 4u zU sA$ °0 0 {�
W i aw aW ja a-
e
A Z v
a 6
i t 1 k
m W m it 5 if
10 ' ' t
E A i C e pp E o. 3 E 'E° Z .. 8 (L d E w w w
I O I
° • ,n o a °�
cm is,1$ 4 41 ° fi g � � � N la
PI 11-1 LII r•J
J _^ U w'j Q tds Q 0 0 Z 0, CO ,.O M U g • D }a a � b p0 O � X o6-= .-' O 0 z `. 4.
Q.▪ z . Z . - .z. � 1g at ' 8
tS by
tA-
9
O.
IR E A ']'r _
a I lo E E I „ $
O i0a at E c e lo 23 p YJ '5 1 m g c'`3 LT
E E w c�oZ o 0 0 0 A - 183
G ° I- e e wL e ., $9 // ) 17g� i E 4 n n
O G U Z8 aZz 6W 00Z. OL < V w w w w
d
I
a°i cn M :R w 0.) I
NJ E z a ( Q qua (("��) Q ((`O��u o a z 2 r. 8n, 8
�. W 0 O U >. t0 OW ` � ¢ V } 0 Q .'4-i N N M
d W Z .. ¢ } �y a w a 4++ Q Q .-I Z 0 ut is- if► *R-
C
w W w III O 9.
'8 fix= x0u) 2 O O
O Z J] (n EL
RI It
O 0 ( of e
O 0
m m x E �Qy� v 'c
RI
d y > a7 7 I. Y v a ,,,
ow 0 ( .jaL E 0 {��1.. xE 0 o —E E
'� 61 y a, 0 C C r •l0 m (A U lL
$ O( $4, i OOE E
V 7 '� C V C 1 'E O O
~ y` (o az ` ttof a e z E o. a n
O razz 00 6 d if, if, ww
City of Opa Locka 24 PAYROLL DEDUCTIONS 10/1/2015
Amount THEN Employer Monthly Employee Bi-
Employer Initial Contributes an Total monthly Employee Weekly
Monthly Contributes Employee additional 50% Employer Cost Cost Deduction
AvMed towards Contribution of the dependent (column C&E (column F based on 24
HMO 6102 HMO Rate Health Ins. (B-C) (50%of Col.D) combined minus B) paychecks
EE Only $361.79 $361.79 $0.00 $0.00 $0.00_ $0.00_ $0.00
EE t SP $723.59 $361.79 $361.80 $180.90 $542.69 $180.90 $90.45
EE+CH $687.41 $361.79 $325.62 $162.81 $524.60 $162.81 $81.41
FAM $1,121.56 $361.79 $759.77 $379.89 $741.68 $379.89 $189.94
Amount THEN Employer Monthly Employee Bi-
Employer Initial Contributes an Total monthly Employee Weekly
Monthly Contributes Employee additional 50% Employer Cost Cost Deduction
1 AvMed toward Health Contribution of the dependent (column C&E (column F based on 24
PS-AP-6231 POS Rate Ins. (B-C) (50%of Col.D) combined minus B) paychecks
EE Only $624.26 $361.79 $262.47 $0.00 $131.24 $65.62
EE+SP $1,248.52 $361.79 $886.73 $443.37 $805.16 $443.37_ $221.68
EE+CH $1,286.10 $361.79 $924.31_ $462.16_ $823.95_ $462.16_ $231.08
FAM $1,935.20 $361.79 $1,573.41 $786.71 $1,148.50 $786.71 $393.35
METLIFE
MET290 ER Mo.EE Bi-Weekly P/R
Dental HMO Mo.Prem. Contribution Payroll Cost deductions
EE Onl $11.86 $11.86 $0.00 $0.00
EE i.SP $20.75 $11.86 $8.89 $4.45
lug= $24.90 $11.86 $13.04 $6.52
$34.99 $11.86 $23.13 $11.57
METLIFE ER Mo.EE Bi-Weekly P/R
Dental PPO Mo.Prem. Contribution Payroll Cost deductions
EE Only $35.93 $11.86 $24.07 $12.04
EE+SP $71.85 $11.86 $59.99 $30.00
EE+CH $86.65 $11.86 $74.79 $37.40
FAM $129.32 $11.86 $117.46 $58.73
METLIFE Bi-Weekly P/R
Vision Mo.Prem. Deduction
EE Only $6.80 _ $3.40
EE+SP $13.62 $6.81
EE+CH $14.02 $7.01
FAM $21.79 $10.90