HomeMy WebLinkAboutHealth Benefit Admin Fees❑ -c
Deschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701 -1960
(541) 388 -6570 - Fax (541) 385 -3202 - www.deschutes.org
AGENDA REQUEST & STAFF REPORT
For Board Business Meeting of 08/26/09
Please see directions for completing this document on the next page.
DATE: 08/13/09
FROM: Ronda Connor Personnel 541- 385 -3215
TITLE OF AGENDA ITEM:
Consideration of Board approval of EBMS health benefit administration fees.
PUBLIC HEARING ON THIS DATE? No
BACKGROUND AND POLICY IMPLICATIONS:
The County's health plan insures approximately 2,500 people for a comprehensive benefit package
including medical, dental, vision, prescription and alternative care coverage. Since January 2006, the
County has contracted with EBMS (Employee Benefit Management Services) to serve as the County's
health benefits plan administrator. At its July 22, 2009 Business Meeting, the Board of Commissioners
approved the August 1, 2009 - July 31, 2010 Plan Document and Summary Plan Description with
EBMS. However, the Board directed staff to negotiate a lower fee paid to EBMS for health benefit
adminisration fees. After further discussions with EBMS, EBMS has agreed to a 3.45% increase with a
two -year rate guarantee. This amounts to an annual average increase of 1.72 %. The toal annual
administrative fee would be $378,099.
FISCAL IMPLICATIONS:
Funds for the proposed renewal rate of $378,099 are budgeted in the County's fiscal year 2009 -10
Budget in the Health Benefits Fund 675.
RECOMMENDATION & ACTION REQUESTED:
Approval of the proposed EBMS health benefit administration fees for the Employee Benefit Plan for
August 1, 2009 - July 31, 2010.
ATTENDANCE: Ronda Connor
DISTRIBUTION OF DOCUMENTS:
Singles:
Families:
'.total:
Deschutes County
203
774
977
2008
Current
2009
Renewal
Medical Claims Administration Fee
Pet- Employee
Total Monthly Cost
Dental Claims Administration Fee
Per Employee
Total Monthly Cost
Vision Claims .Administration Fee
Per Employee
"Total Monthly Cost
HIPAA Administration
Per Employee
"focal Monthly Cost
COBRA Administration
Per Employee
Total Ntonthly Cost.
Coordinated Care/Pre-Notification (CarcLink)
Per Fanployee
Total Monthly Cost
Large Case Managenment (Care.Link)
Per f-.ntploycc
Total Monthly Cost:
Health Impact Suite
Per Employee
'[otal Monthly Cost:
Providence Preferred PPO Fees
Per h :mploycc
Total r eonthly Cost
Total Monthly Administrative Cost: per hxupioycc
Total Monthly Administrative Cost
Total Annual Administrative Fee
$1.5.50
$15,143.50
$2.50
$2,442.50
$16.15
$15,778.55
$2.50
52,442.50
$0.50 $0.50
$488.50 $488..50
$1.00 $1.00
$977.00 $977.00
$1.00 $1.00
$977.00 5977.00
$2.00
$1,954.00
51.25
$1,221.25
$4.25
41,152.25
53.00
52,9.31.00
$31.00
$30,287.00
$363,444.00
$2.00
51,9:54.00
$1.60
$1,563.20
$4.25
$4,1.52.25
53.25
53,175.25
$32.25
531,508.25
$378,099.00
ADDITIONAL 13c OPTIONAL CHARGES:
Priority Maternity Cars
EBMS Rx
Flex /I- XRA /FISA Administration
Tobacco Cessation Program
Wellness Program
Communication Plan
Subro ation
.: .::... . .. . . .�. ..:. ..,. <..' ,. :<� .r. as v.l •.
PPO Access & Repricing Fees
Providence Preferred
* *PPO Rates are Sub'ect to Chan e
5340 /participant 5340 /participant
N /,1 $1.00 /filled Rx
N/A $6.00 /participant
N /A. $200 /participant:
N/A Varies
N/A Varies
15% of Recover 15% of Recover
$3.00 /participant $3.25 /participant