Fulton County - File #: 23-0552

• File #: 23-0552
• Version: 1
• Type: CM Action Item - Open & Responsible Government
• Status: Passed
• File created: 8/7/2023
• In control: Board of Commissioners
• On agenda: 8/16/2023
• Final action: 8/16/2023
• Title: Request approval to renew existing contracts - Finance Department, 19-RFP060519C-MH, for Employee Healthcare Benefit Plans with: (A) Anthem (BCBS) of Georgia to administer the self-funded Health Maintenance Organization (HMO), Point of Service (POS), and CDHP with Health Savings Account (HSA) Plans to active employees and Pre-65 (Non-Medicare) retirees/beneficiaries, as well as the Medicare HMO, Medicare Indemnity and PPO Plus [Closed] Plans to Medicare-eligible retirees/beneficiaries and (B) Kaiser Permanente (Atlanta, GA) to administer a fully insured HMO plan to active employees and Pre-65 (Non-Medicare) retirees/beneficiaries; and the fully insured Senior Advantage Plan to Medicare retirees/beneficiaries. This action exercises the fourth of four renewal options. No renewal options remain. Effective dates: January 1, 2024, through December 31, 2024. (APPROVED)

Date	Ver.	Action By	Action	Result
8/16/2023	1	Board of Commissioners	approve	Pass

DEPARTMENT
Finance

REQUESTED ACTION (Identify appropriate Action or Motion, purpose, cost, timeframe, etc.)
title

Request approval to renew existing contracts - Finance Department, 19-RFP060519C-MH, for Employee Healthcare Benefit Plans with: (A) Anthem (BCBS) of Georgia to administer the self-funded Health Maintenance Organization (HMO), Point of Service (POS), and CDHP with Health Savings Account (HSA) Plans to active employees and Pre-65 (Non-Medicare) retirees/beneficiaries, as well as the Medicare HMO, Medicare Indemnity and PPO Plus [Closed] Plans to Medicare-eligible retirees/beneficiaries and (B) Kaiser Permanente (Atlanta, GA) to administer a fully insured HMO plan to active employees and Pre-65 (Non-Medicare) retirees/beneficiaries; and the fully insured Senior Advantage Plan to Medicare retirees/beneficiaries. This action exercises the fourth of four renewal options. No renewal options remain. Effective dates: January 1, 2024, through December 31, 2024. (APPROVED)

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REQUIREMENT FOR BOARD ACTION (Cite specific Board policy, statute or code requirement)
In accordance with Purchasing Code Section 102-394(6), the Purchasing Department shall present all renewal requests to the Board of Commissioners at least 90 days prior to the contract renewal date or 60 days if the contract term is six (6) months or less.

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 (First sentence includes Agency recommendation. Provide an executive summary of the action that gives an overview of the relevant details for the item.)

Scope of Work: This contract is for employer-sponsored group medical and pharmacy benefit coverage. The contract provides Medical Plan Administration, Claims Adjudication, Reporting? Wellness and ...