Department
Finance
Requested Action (Identify appropriate Action or Motion, purpose, cost, timeframe, etc.)
title
Request approval of a recommended proposal - Finance Department, 25RFPMAPD052325C-MH, Employee Healthcare Benefit Plan- MAPD with Humana Insurance Company Inc. (Atlanta, GA) to administer: (1) Basic Medicare Advantage Plan and (2) Enhanced Medicare Advantage Plan to provide medical and pharmacy benefits as a fully insured option to Medicare eligible retirees/beneficiaries and dependents. Effective dates: January 1, 2026, through December 31, 2026, with four renewal options.
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Requirement for Board Action (Cite specific Board policy, statute or code requirement)
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 (If yes, note strategic priority area below)
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: The recommended proposal will provide Employee Healthcare Benefit Plan – MAPD with Humana Insurance Company Inc. (Atlanta, GA) to administer: (1) Basic Medicare Advantage Plan and (2) Enhanced Medicare Advantage Plan to provide medical and pharmacy benefits as a fully insured option to Medicare eligible retirees/beneficiaries and dependents. Transitioning County retirees from the existing vendor administering the Medicare basic and enhanced plan to a new vendor, while not unprecedented, is important to oversee. This change provides no disruption in coverage, all participants will receive new ID cards and other communication well in advance of January 1st, 2026, and the Benefits team in Finance in collaboration will the new vendor will provide extra assistance and orientation sessions to any retiree with concerns.
Community Impact: This contract provides a Medicare Advantage plan (MAPD) benefit coverage to eligible Fulton County retirees, beneficiaries and covered dependents.
Department Recommendation: Finance and Human Resources personnel participated as the recommendation committee for this formal procurement process to ensure that the County selects the highest quality vendor at the most effective price. The Finance Department recommends approval of the above option.
Project Implications: Approval is needed immediately to begin premium rate development, implementation and communication to retirees and beneficiaries for planning of open enrollment.
Community Issues/Concerns: None
Department Issues/Concerns: None
Contract Modification: This is a new procurement.
Contract & Compliance Information (Provide Contractor and Subcontractor details.)
Contract Value: Based on enrollment per approved rates.
Prime Vendor: Humana
Prime Status: Non-Minority
Location: Atlanta, GA
County: Fulton County `
Prime Value: TBD (Agreed to Rate)
Subcontractor: PB Marketing Group LL, dba Printing and Branding
Subcontractor: African American Male Business Enterprise
Location: West Palm Beach, FL
County: Palm Beach County
Contract Value: TBD (Agreed to Rate)
Subcontractor: SCR Consulting
Subcontractor Status: African American Male Business Enterprise
Location: Smyrna, GA
County: Cobb County
Contract Value: TBD (Agreed to Rate)
Subcontractor: LL AMIS
Subcontractor Status: African American Male Business Enterprise
Location: Buford, GA
County: Gwinnett County
Contract Value: TBD (Agreed to Rate)
Total Contract Value: $TBD (Agreed to Rate)
Total Certified Value: $TBD (Agreed to Rate)
Exhibits Attached (
Exhibit 1:Evaluation Committee Recommendation
Exhibit 2: Performance Evaluation
Contact Information (Type Name, Title, Agency and Phone)
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Ray Turner, Interim Director, Department of Finance, (404) 612-7747
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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No
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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:
1/1/2026 |
End Date:
12/31/2026 |
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Cost Adjustment:
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Renewal/Extension Terms:
4 renewal options |
Overall Contractor Performance Rating: New Vendor
Would you select/recommend this vendor again?
Yes
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