Legislation Details

File #: 24-0594    Version: 1 Name:
Type: CM Action Item - Open & Responsible Government Status: Passed
File created: 7/16/2024 In control: Board of Commissioners
On agenda: 9/18/2024 Final action: 9/18/2024
Title: 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)
Attachments: 1. Contract Performance Evaluation KP, 2. Contract Performance Evaluation Anthem, 3. Contract Performance Evaluation Metlife, 4. Evaluation Committee Recommendation Letter EAP, 5. EVALUATION COMMITTEE RECOMMENDATION LETTER HSA.doc, 6. EVALUATION COMMITTEE RECOMMENDATION LETTER MEDICAL Rx.doc, 7. EVALUATION COMMITTEE RECOMMENDATION LETTER COBRA.doc, 8. EVALUATION COMMITTEE RECOMMENDATION LETTER VISION.doc

DEPARTMENT
Finance

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

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)
body

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 administer...

Click here for full text