File #: 23-0548    Version: 1 Name:
Type: CM Action Item - Open & Responsible Government Status: Passed
File created: 7/5/2023 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, Employee Healthcare Benefit Plan with Aetna Insurance Company Inc. (Atlanta, GA) to provide medical and pharmacy benefits as a fully-insured option to Medicare eligible retirees/beneficiaries and dependents. The plans administered are: (1) Basic Medicare Advantage Plan and (2) Enhanced Medicare Advantage Plan (Buy-Up Option). This action exercises the fourth of four renewal options. No renewal options remain. Effective dates: January 1, 2024, through December 31, 2024. (APPROVED)
Attachments: 1. Exhibit 1 Contract Renewal Agreement MAPD, 2. Exhibit 2 Contract Renewal Evaluation Form 2024 Dental, 3. Exhibit 3 Contractor Performance Report MA Plan, 4. 2023-0548

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, Employee Healthcare Benefit Plan with Aetna Insurance Company Inc. (Atlanta, GA) to provide medical and pharmacy benefits as a fully-insured option to Medicare eligible retirees/beneficiaries and dependents. The plans administered are: (1) Basic Medicare Advantage Plan and (2) Enhanced Medicare Advantage Plan (Buy-Up Option). This action exercises the fourth of four renewal options. No renewal options remain. Effective dates: January 1, 2024, through December 31, 2024. (APPROVED)
body

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: Aetna insures the County's Basic and Enhanced Medicare Advantage Plans. Under a fully insured arrangement, the carrier pays claims from their own funds and sets premium rates to support expected payments. This contract provides all-inclusive medical, pharmacy, wellness and disease management and claims administration. Eligible Medicare retirees and dependents have the option to buy-up and pay the cost difference to enroll in the Enhanced Medicare Advantage Plan which pays 100% for...

Click here for full text