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Financial Management <br /> DATE: 11/6/2023 <br /> MEMO: <br /> TO: Honorable Mayor Moore Wolfe and <br /> City Council Members <br /> FROM: Scot Wrighton,City Manager <br /> Ruby F.James,City Treasurer&Chief Financial Officer <br /> Jenifer McCoskey,Risk Management Coordinator <br /> SUBJECT: Resolution Authorizing Agreement with BlueCross B1ueShield of Illinois for Administration of the City Group Health <br /> Benefit Plan for Calendar 2024 <br /> SUMMARY RECOMMENDATION: <br /> City Administration recommends City Council approval of the attached resolution authorizing the agreement for renewal of the <br /> administration of the City's self-insured group health benefit plans including claims administration and stop loss insurance for the <br /> period January 1,2024 to December 31,2024. <br /> BACKGROUND: <br /> BlueCross B1ueShield has been the City's third-party administrator for the city self-insured group healthcare benefit plan since <br /> 2008 and continues to be an excellent administrator for the group healthcare benefit plan. <br /> BlueCross B1ueShield continues to offer the largest network of doctors and hospitals in and out of state and offers the best pricing <br /> offerings for coverage for medical care due to its substantial network of medical providers. <br /> Current Proposed %Change <br /> 2023 2024 <br /> Illinois access fee 1.49% 1.44% -3.36% <br /> Administration fee $60.49 $ 60.30 -0.31% <br /> Rx rebate credit $ (78.44) $(128.45) -63.76% <br /> Medical rebate $ (2.50) $ (2.50) <br /> credit 0.00% <br /> Additional services $2.52 $2.52 0.00% <br /> Net administration $(17.93) $(68.13) <br /> fee -279.98% <br /> Stop loss $ 134.71 $ 161.06 19.56% <br /> Fixed cost per $ 119.46 $95.57 <br /> month -20.00% <br /> Projected cost $ 783,000 $624,000 -20.31% <br /> The proposed 2024 fixed cost fees quoted by BlueCross BlueShield will decrease in the aggregate versus the current 2023 fixed <br /> cost fees. <br /> The stop loss fee increase is the result of certain medical claim costs exceeding the stop loss level. <br /> First Mid Bank, our advisor bid out all lines and moved our entire benefit lines to Blue Cross to help keep price increases to a <br /> minimum and receive a higher rebate. <br />