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File #: 17-0689    Version: 1 Name: Approving OptumHealth Contract as the City's reinsurance/stop loss provider for the 2018 Calendar Year.
Type: Resolution Status: Adopted
File created: 11/28/2017 In control:
On agenda: 12/4/2017 Final action: 12/4/2017
Title: Approving OptumHealth Contract as the City's reinsurance/stop loss provider for the 2018 Calendar Year.
Attachments: 1. Optum Quote 2018.pdf, 2. Reinsurance Quotes 2018 and Backup Reports.pdf

Title

Approving OptumHealth Contract as the City's reinsurance/stop loss provider for the 2018 Calendar Year.

 

Summary

Description of Topic: (who, what, where, when, why and how much)

Approving OptumHealth Contract as the City's reinsurance/stop loss provider for the 2018 Calendar Year to administer the Blue Cross Blue Shield of Alabama health insurance as a self-funded plan with reinsurance for claims over $50,000 being provided by OptumHealth with no changes to the health plan other than those federally mandated by the Patient Protection and Affordable Care Act (Healthcare reform). Item is budget neutral.

 

Budgetary Impact:

   Non-Capital Item:

      __X__ Budgeted under account #01-660-1xxx (discussion item)

      ____ Not budgeted, requesting transfer of $__________ from Account #______________ to Account #_____________.

      ____ Not budgeted requiring increase to account #___________ in the amount of $____________.

 

   Capital - Departmental

      ____ Budgeted under account #______________ for $___________ and described in budget as __________________________________.

                    Additional amount needed, if any: Increase in budget of  $_____________ OR, transfer of $___________ from Account #____________ to Account #_______________

      ____ Not Budgeted - account #____________ requires budget increase of $_____________.

 

   Capital Project - **THE PRE-PROJECT CHECKLIST AND BUDGET CHECKLIST MUST BE ATTACHED TO THIS FILE**

      In current year Capital Projects Plan: 

        _____ Yes, planned amount $___________, requesting $_________ as total project estimate, including contingencies, under account #_________________

        _____ No, requesting $___________ as total project estimate, including contingencies, under account #____________________

 

Body

 

                     WHEREAS, the City has received several quotes for reinsurance/stop loss coverage on health care claims, and, OptumHealth who is the City's current reinsurance/stop loss provider has provided the best quote. The City desires to renew the contract with OptumHealth for the 2018 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 accept the OptumHealth Renewal Quote (attached) to administer the Blue Cross Blue Shield of Alabama health insurance as a self-funded plan with reinsurance for claims over $50,000 being provided by OptumHealth with no changes to the health planother than those federally mandated by the Patient Protection and Affordable Care Act (Healthcare reform).     

                     SECTION 2: No budget adjustment is needed or being requested for this action.

                     SECTION 3: This Resolution shall become effective immediately upon its adoption as required by law.