Title
A Resolution Approving Provider Contract Renewals for Employee Benefits for the 2014 Calendar Year
Summary
DESCRIPTION OF TOPIC: (who, what, when, where, why, and how much)
A Resolution Approving Provider Contract Renewals for Employee Benefits for the 2014 Calendar Year
SOURCE OF FUNDING:
Please provide the amount requested: ____________
Is this a budgeted item? Yes /No
Please provide the budgeted amount: $_____________ Account No. ___________________________
If budgeted, is this a capital purchase, capital project, or special fund? _________________________
Was this item included in the Fiscal Year Capital Projects Plan? Yes/No
If yes, please provide the amount included in Capital Projects Plan: $___________
Body
WHEREAS, Blue Cross Blue Shield of Alabama currently provides administrative claims payment services for the City of Foley and the City wishes to renew this contract for the 2014 calendar year, and
WHEREAS, American Behavioral currently provides Integrated Behavioral Healthcare Services for the City of Foley and the City wishes to renew their contract for the 2014 calendar year, and
WHEREAS, The City has received four quotes for re-insurance coverage on health care claims, and, OptumHealth who is the City's current re-insurance provider, has provided the lowest quote. The City desires to renew the contract with Optum Health for the 2014 calendar year.
NOW THEREFORE BE IT RESOLVED that the City Council of the City of Foley, Alabama, as follows:
SECTION 1: The City elects to renew the Blue Cross Blue Shield contract for administrative claims payment services for the 2014 calendar year as reflected on the attached BCBS Self-Funded Health Change Agreement, effective January 1, 2014. A copy of the contract becomes a part of this resolution upon adoption.
SECTION 2: The City elects to renew the American Behavioral contract for integrated behavioral healthcare services as reflected on the attached American Behavioral Integrated Behavioral Healthcare Services Agreement for the 2014 calendar year. A copy of the contract becomes a part of this resolution upon adoption.
SECTION 3: The City elects to accept the OptumHealth Renewal Quote (attached) to administer the Blue Cross Blue Shield of Alabama health insurance as a self-insured plan with reinsurance for claims over $50,000 being provided by OptumHealth with no changes to the health plan other than those as federally mandated by the Patient Protection and Affordable Care Act (Healthcare Reform).
SECTION 4: No budget adjustment is needed or being requested for this action.
SECTION 5: this Resolution shall become effective immediately upon its adoption as required by law.