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R2006-137 AUTHORIZING AGREEMENT
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R2006-137 AUTHORIZING AGREEMENT
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Last modified
11/2/2015 2:33:14 PM
Creation date
11/2/2015 2:33:13 PM
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Resolution/Ordinance
Res Ord Num
R2006-137
Res Ord Title
AUTHORIZING AGREEMENT HEALTH PLAN CONSULTANT REVIEW - THE SEGAL COMPANY
Approved Date
9/5/2006
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� The Honorable Paul Osborne <br /> ' City of Decatur <br /> August 30, 2006 <br /> Page 6 <br /> ❑ A review of contractual arrangements with Consociate Dansig and Express Scripts, focusing <br /> on: <br /> �� Access to network providers; <br /> >> Costs associated with service; <br /> �- Quality of services rendered; ' <br /> » Performance evaluation, including comparison against any performance guarantees, if <br /> applicable; <br /> » Administrative efficiency; and <br /> » Employee satisfaction. <br /> Deliverables for Analyses Described Above <br /> We will deliver the results of our analyses in two reports that address each of the bullets discussed <br /> above. As indicated, this will include an initial planning meeting to better understand current <br /> objectives and relative market positioning on benefits matters, thereby providing guidance for our <br /> analysis. It will also include two extended meetings to discuss the results of our analyses, allowing <br /> the City to understand its implications going forward, clarify questions, and respond to ideas that <br /> management may consider for future implementation. <br /> Fees <br /> It is Segal's practice to work exclusively for our clients on a fee for service basis. Nearly 100% of <br /> our revenue is generated by fees collected from our clients and is not tied to the cost of products <br /> and services provided by vendors, nor do we collect non-5500 commissions. This enables us to <br /> provide completely objective advice without a financial incentive to recommend an arrangement <br /> that might not be in the best interest of the City. <br /> Fundin Anal sis $16,000* <br /> Evaluation of Vendors $13,500* <br /> * The fees quoted above include Segal's attendance at three(3) meetings. Additional meetings will <br /> be billed separately. <br /> I I l. Claims Audit <br /> Approach to the Claims Audit <br /> The City's concerns and objectives will guide our approach. Individual components of our review <br /> are identified below. Following authority to proceed with this assignment, we will discuss <br /> administrative matters (i.e., dependent verification, procedures for requesting additional <br /> information, and tracking of benefit and lifetime accumulators) in greater detail to ensure our <br /> review identifies any concerns you may express. <br />
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