R2020-149 Resolution Authorizing Agreement with BlueCross BlueShield of Illinois for Administration of the City Group Health Benefit Plan for Calendar Year 2021

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10k00 : 067 ��Xlf City Of Decatur ASO Projection January 1,2021-December 31,2021 1/1/2021 ASO Medical Renewal CONDITIONS AND CAVEATS Please refer to the ACA Disclaimer regarding benefits and final pricing. HCSC's current estimate of the rebates it will receive from the PBM,for drugs covered under the medical benefit on an aggregate basis for the policy period,is approximately$1.10 per employee per month. The Administrative charge includes a network access fee for employees residing in HCSC service areas(IL,MT,OK,NM,TX). Claims incurred outside HCSC service areas through the BlueCard program may be assessed a BlueCard access fee of no more than 3.79%of the discount applied,not to exceed$2,000 per claim.An estimate of this access fee is included in our projected claim figures. This quote is contingent upon the account signing new contract documents in a timely manner.If not signed,then HCSC may withdraw and/or revise the quote. Pharmacy Rebate Credit includes estimate of rebates for all categories of drugs,including specialty drugs,based on our book of business. If the prescription drug program is not administered by Prime today but is awarded the administration of the prescription drug program,the medical claim cost will be reduced due to the integration of the medical and prescription drug program. We reserve the right to revise or withdraw our offer if,at any time during the projected coverage period: -The actual number of enrolled contracts(in total,by product,or by benefit plan),the Single/Family mix,or the Medicare/Non-Medicare mix varies by+/-10%from our projections. -The information upon which our projections were based(benefit levels,census/demographics,commissions,etc.)becomes outdated or inaccurate. Wellbeing Management(Health Management&Advocacy program)is included in the quoted administration fee. Lock-In requirements for all stop loss proposals and renewals as follows: Stoo Loss quotes/renewals released 10 or more months prior to effective date: -All such offers are illustrative and cannot be locked in. See note below. -Stop Loss quotes/renewals released 4 to 9 months prior to effective date: -Can be locked in(via written acceptance)up to 45 calendar days after quote is released. -After 45 calendar days without written acceptance,those offers become illustrative.See note below. -Stop Loss quotes/renewals released within 3 months prior to effective date: -Can be locked in at any time prior to effective date.(Stop Loss cannot be purchased after the policy period begins.) Note:For quotes/renewals that are illustrative or otherwise not locked in,HCSC will require/review updated claim data which is within 120 days of the quoted effective date. A revised and final stop loss quote/renewal will be issued at that time. Projected Net Paid Claims for non-HMO Medical coverages on these exhibits include Estimated Value Based Care Payments and Savings. Value Based Care payments apply to Stop Loss Coverage. BCBSIL retains the right to recoup monetary credits provided,any remaining implementation costs,shared savings or PG incentive fees from the plan sponsor in the event of early termination of the proposed coverage or contract,either in its entirety or with respect to certain custom services or programs included in this offer. If a third party stop loss carrier is selected,a Third-Party Stop Loss Carrier fee will apply. Offer is contingent upon proposed Wellbeing Management package design. Any modifications to the proposed package will impact the Wellbeing Management fee and Administrative Fee. Administration Fee assumes Monthly claim funding. Proprietary and Confidential Information of BCBSIL Not for use or disclosure outside BCBSIL,Employer,their respective affiliated companies and third-party representatives,except with written permission of BCBSIL.