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. Emphesys Insurance Company, a Humana affiliate (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. (APPROVED AS AMENDED)
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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 assista...
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