Department
Finance
Requested Action
title
Request approval to renew existing contracts - Finance Department, 24RFP050124C-MH, Employee Healthcare Benefits Plans with (A) Anthem Blue Cross Blue Shield (Atlanta, GA) to administer the self-insured Point of Service (POS), Health Maintenance Organization (HMO), HMO Medicare, Medicare Indemnity and PPO Plus (Closed) Plans and Consumer Driven Health Plan (CDHP) including pharmacy for all self-insured active and under 65 plans; and including a fully-insured pharmacy for all over 65 (Medicare eligible) plans; (B) Metropolitan Life Insurance Company (MetLife) to administer the Health Savings Account (HSA); (C) Metropolitan Life Insurance Company (Superior Vision) to administer self-insured vision benefits; and, (D) Kaiser Permanente (Atlanta, GA) to administer the fully insured HMO Plan to provide Medical and Pharmacy coverage for eligible active employees, retirees (Under 65 and Over 65 (Kaiser Senior Advantage), beneficiaries and covered dependents. This action exercises the second of four renewal options. Two renewal options remain. Effective dates: January 1, 2027, through December 31, 2027.
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Requirement for Board Action
In accordance with Purchasing Code Section 102-375, all competitive sealed proposals shall be forwarded to the Board of Commissioners for approval.
Strategic Priority Area related to this item
Open and Responsible Government
Commission Districts Affected
All Districts ☒
District 1 ☐
District 2 ☐
District 3 ☐
District 4 ☐
District 5 ☐
District 6 ☐
Is this a purchasing item?
Yes
Summary & Background
Scope of Work: Renewal of current contracts to continue to provide medical and pharmacy coverage to eligible active employees and retirees. (A) a self-insured Point of Service (POS), Consumer Driven Health Plan (CDHP), and the following Medicare Supplement Plans (HMO Medicare, Medicare Indemnity and PPO Plus [closed]) administered by Anthem; a continued (B) Health Savings Account (HSA) that would now be administered by MetLife, (C) vision benefits that would be administered by Metlife (Superior Vision), (D) Kaiser Permanente (Atlanta, GA) to continue to administer the fully insured HMO Plan for both actives and retirees (Under 65 and Over 65 Kaiser Senior Advantage). In addition to continuing the fully-insured Part D Employer Group Waiver Plan for all Medicare retirees enrolled in the Anthem plans for 2027.
Community Impact: This contract provides medical and pharmacy as well as vision benefit coverage for eligible Fulton County active employees, retirees, beneficiaries and covered dependents.
Department Recommendation: Request approval of renewal for the continuous of the fully insured and self-insured plan offers.
Project Implications: Approval is needed immediately to start communication to employees, retirees and beneficiaries for planning of open enrollment.
Community Issues/Concerns: None
Department Issues/Concerns: None
Contract Modification: The Anthem Group D over 65 pharmacy employer group waiver plan is a new contract modification, all other items are renewals.
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CURRENT CONTRACT HISTORY |
BOC ITEM |
DATE |
DOLLAR AMOUNT |
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Original Award Amount |
24-0594 |
9/18/2024 |
$52.82 Administrative fees per employee/retiree per month Anthem Blue Cross/Blue Shield |
|
1st Renewal |
25-0710 |
9/17/2025 |
$45.73 Administrative fees per employee/retiree per month Anthem Blue Cross/Blue Shield |
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2nd Renewal |
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9/16/2026 |
$45.73 Administrative fees per employee/retiree per month Anthem Blue Cross/Blue Shield |
Contract & Compliance Information
Contract Value: Medical plans with Anthem administration fee are paid from the health care stabilization fund and are separate from the “premium” cost to employees. The administrative fees per enrollee(employee/retiree) per month for 2027 is $45.73 per member per month (PMPM). The COBRA administrative fees per enrollee, per month will remain flat at $11.61. The EAP administrative fees per prescriber, per month is $2.23 for the 2027 plan year.
(A)
Contract Value: $45.73 Administrative fees per employee/retiree per month Anthem Blue Cross/Blue Shield
Prime Vendor: Anthem Blue Cross/Blue Shield
Prime Status: Non-Minority
Location: Atlanta, GA
County: Fulton County
Prime Value: $45.73 per employee/retiree per month
Subcontractor: Brown Financial Group, LLC
Subcontractor Status: African American Male Business Enterprise
Location: Conyers, GA
County: Rockdale County
Contract Value: TBD (Employee Engagement and Wellness)
Subcontractor: SCR Consulting
Subcontractor Status: African American Male Business Enterprise
Location: Smyrna, GA
County: Cobb County
Contract Value: TBD (Actuarial Consulting/Overnight Management of Wellness Fund)
Subcontractor: Resurgens Risk Management
Subcontractor Status: African American Male Business Enterprise- Non-Certified
Location: Atlanta, GA
County: Fulton County
Contract Value: TBD (Cobra Administration)
Subcontractor: Aegias Corporation
Subcontractor Status: African American Male Business Enterprise- Certified
Location: Atlanta, GA
County: Fulton County
Contract Value: TBD (New Hire Orientation, Open Enrollment Support & Wellness Program Support)
Total Contract Value: $45.73 per employee/retiree per month
Total Certified Value: TBD
(B)
Contract Value: $0.00 Administrative fee per employee/retiree per month MetLife HAS
Prime Vendor: Metropolitan Life Insurance Company (MetLife) HAS
Prime Status: Non-Minority
Location: New York, NY
County: New York County
Prime Value: $0.00 per employee/retiree per month
(C)
Contract Value: $0.45 per enrolled employee/subscriber per month
(to administer: Superior Vision)
Prime Vendor: Metropolitan Life Insurance Company aba/MetLife
Prime Status: Non-Minority
Location: Atlanta, GA
County: Fulton County
Prime Value: $0.45 per enrolled employee/subscriber per month
(to administer: Vision Benefits)
(D)
Contract Value: $0.00 Administrative fee per employee/retiree per month
Prime Vendor: Kaiser Permanente
Prime Status: Non-Minority
Location: Atlanta, GA
County: Fulton County
Prime Value: $0.00 (per insured admin fees included in premiums)
Subcontractor: All Supply Company
Subcontractor Status: African American Female Business Enterprise
Location: Atlanta, GA
County: Fulton County
Contract Value: TBD (Copiers, Fax, Printers, Sales and Services)
Subcontractor: Fuentes Enterprise dba Interprint Communications
Subcontractor Status: Hispanic Female Business Enterprise
Location: Decatur, GA
County: DeKalb County
Contract Value: TBD (Copiers, Fax, Printers, Sales and Services)
Subcontractor: Union Latina, Inc.
Subcontractor Status: Non-Minority
Location: Lawrenceville, GA
County: Gwinnett County
Contract Value: TBD (Translation & Interpretation)
Subcontractor: Americare
Subcontractor Status: African American Male Business Enterprise
Location: Suwanee, GA
County: Gwinnett County
Contract Value: TBD (Medical Supplies)
Total Contract Value: $0.00 per employee/retiree per month
Total Certified Value: TBD
Grand Contract Value: TBD
Grand Certified Value: $00.00 or 00.00%
Exhibits Attached
Exhibit 1: Contract Renewal Agreements
Exhibit 2: Performance Evaluations
Contact Information (Type Name, Title, Agency and Phone)
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Ray Turner, Director, Department of Finance, (404) 612-7737
Sabrinna McTier, Deputy Director, Department of Finance (404) 612-7646
Verna Thomas, Benefits Manager, Department of Finance (404) 612- 7639
Contract Attached
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No
Previous Contracts
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Yes
Total Contract Value (See Contract Value)
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Original Approved Amount: |
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This Request: |
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Grant Information Summary
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Amount Requested: |
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Cash |
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Match Required: |
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In-Kind |
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Start Date: |
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Approval to Award |
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End Date: |
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Apply & Accept |
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Match Account $: |
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Fiscal Impact / Funding Source
Funding Line 1:
426-999-P003-1560: Group Insurance Stabilization, Non-Agency, Administrative
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Key Contract Terms |
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Start Date: 1/1/2027 |
End Date: 12/31/2027 |
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Cost Adjustment: Click here to enter text. |
Renewal/Extension Terms: 2 renewal options remain |
Overall Contractor Performance Rating:
Kaiser Permanente 88
Anthem 88
MetLife 88
Would you select/recommend this vendor again?
Yes
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Report Period Start: |
Report Period End: |
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4/1/2026 |
6/30/2026 |