Department
Finance
Requested Action (Identify appropriate Action or Motion, purpose, cost, timeframe, etc.)
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Request approval of a recommended proposal - 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 plans; (B) Metropolitan Life Insurance Company (MetLife) to administer the Health Savings Account (HSA); and, (C) 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. Effective date: January 1, 2025, through December 31, 2025 with four renewal options. (APPROVED)
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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 proposals will provide medical and pharmacy coverage to eligible active employees and retirees. Fulton County currently offers and is recommending to continue to offer (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) 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).
Community Impact: This contract provides medical and pharmacy as well as vision benefit coverage to eligible Fulton County active employees, retirees, beneficiaries and covered dependents.
Department Recommendation: All the benefit administrators went through a formal procurement process to ensure that Fulton partners with the highest quality vendors at the most effective price. The Finance Department recommends approval of the above options.
Project Implications: Approval is needed immediately to begin premium rate development, implementation and communication to employees, 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: Medical plans with Anthem administration fee are paid from the health care stabilization fund and are separate from the “premium” cost to employees. Below are the 2025 administrative fees by vendor, with a comparison the 2024 rates.
(A) Contract Value: $52.82 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: $52.82 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: $52.82 per employee/retiree per month
Total Certified Value: TBD
(B) Contract Value: $0.00 Administrative fee per employee/retiree per month MetLife
Prime Vendor: Metropolitan Life Insurance Company (MetLife)
Prime Status: Non-Minority
Location: New York, NY
County: New York County
Prime Value: $0.00 per employee/retiree per month
(C)
Contract Value: $0.00 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
Exhibits Attached (Provide copies of originals, number exhibits consecutively, and label all exhibits in the upper right corner.)
Contact Information (Type Name, Title, Agency and Phone)
titlHak
Hakeem Oshikoya, Director, Department of Finance, (404)
Contract Attached
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No
Previous Contracts
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Yes
Total Contract Value
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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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Approval to Award |
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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: 1/1/2025 |
End Date: 12/31/2025 |
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Cost Adjustment: Click here to enter text. |
Renewal/Extension Terms: 4 renewal options |
Overall Contractor Performance Rating:
Kaiser Permanente 85
Anthem 85
MetLife 85
Would you select/recommend this vendor again?
Yes
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Report Period Start: |
Report Period End: |
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4/1/2024 |
6/30/2024 |