TITLE
Recommendation to authorize City Manager to execute the renewal of contracts with Anthem Blue Cross, the City’s Third Party Administrator for the Preferred Provider Organization (PPO) and the Health Maintenance Organization (HMO) group health plans and Medicare Supplement group health plans; Scan Health Plan for the Medicare Advantage Plan; United HealthCare for the closed-panel dental plan; Delta Dental for the fee-for-service dental plan; Medical Eye Services (MES) for the vision plan; Standard Insurance Company for life insurance and Long- and Short-Term Disability; and Union Mutual Life Insurance Company (UNUM) through Larry Lambert & Associates Insurance Services for the long-term care benefits; execute a contract with CVS Caremark as the Prescription Benefit Manager (PBM) for the Prescription Drug Plan; and any subsequent amendments necessary to maintain current benefit levels and remain in compliance with state and federal laws on all plans. (Citywide)
DISCUSSION
In accordance with Memoranda of Understanding (MOU) between the City of Long Beach and its employee organizations, the Health Insurance Advisory Committee (HIAC), composed of representatives from each of the employee associations, has met and submitted its recommendations (Attachment A) for health, dental, vision and life insurance programs.
It is recommended that the above contracts be approved for the 2014 benefit year, from January 1, 2014 to December 31, 2014, for active and retired employees.
There will be no material plan design changes for the 2014 plan year. However, the City will make the following mandatory design changes in order to comply with federally mandated Affordable Care Act (Healthcare Reform): add coverage for clinical trials; eliminate the pre-existing condition clause on the PPO; out-of-pocket maximums must consist of all medical expenses, including the deductible; all dollar limits on essential health benefits must be removed (if any).
The Department of ...
Click here for full text