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R96-148 AUTHORIZING APPLICATIONS
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R96-148 AUTHORIZING APPLICATIONS
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Last modified
5/3/2016 2:11:16 PM
Creation date
5/3/2016 2:11:07 PM
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Resolution/Ordinance
Res Ord Num
R96-148
Res Ord Title
AUTHORIZING APPLICATIONS FOR GROUP HEALTH INSURANCE COVERAGE
Approved Date
10/21/1996
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, Program Cost Comparison <br /> City of Decatur Self-Funded Group Health Insurance <br /> 1996-1997 Projections <br /> Broker Behnke&Co NW Mut Life Foundation AJ Gallagher C D&H Swartz <br /> Administrator Blue Cross Emp Ben Co Foun Admn Gal Bass BA Kepple&Co SF Plans Inc <br /> Excess Insurer Blue Cross IOA Reinsur Lincoln NaYI Alden RM Life of Ga. Std. Sec. <br /> Claims Administration Fee $190,993 $65,717 $54,522 $79,076 $71,398 $119,449 <br /> Cost Containment Program $22,875 $16,971 $17,360 $17,778 $14,300 $15,833 <br /> Access Fee $100,653 $0 $0 $26,135 $0 $0 <br /> Spec Stop Loss Prem&CI $131,360 $206,692 $348,114 $364,078 $218,926 $216,193 <br /> Aggregate Stop Loss Prem $22,850 $20,019 $12,676 $16,155 $16,309 $4,097 <br /> Less: Discounts 244 021 82 836 87 806 90 567 71 239 79 523 <br /> Total Costs Less Discounts $224,710 $226,563 $344,867 $412,653 $249,694 $276,049 <br /> The claims administration fees indicated in this chart are based on current enrollments <br /> in the City's comprehensive and PPO plans. Specific stop loss premiums include costs for <br /> projected claims that would not be covered by the excess insurance offered by the respective <br /> insurers. Discounts are estimated on the basis of current hospital utilization of City subscribers. <br /> Because none of the competing administrators would be able to offer an alternative to <br /> Blue Cross that would save the City any money, because Blue Cross maintains the most <br />, extensive provider network in the region, and because Blue Cross provides a consistently high <br /> quality of service as claims administrator and excess insurer, we recommend the City renew its <br /> contracts with Blue Cross for the coming year, per the attached resolution. <br /> We would be happy to answer any questions you have about the attached. <br /> attachment <br />
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