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R-1643 - 05/23/2017 - PERSONNEL - Resolutions Supporting Documents BOARD OF TRUSTEES MEETING VILLAGE of SAMUEL E. DEAN BOARD ROOM OAK B R . K , BUTLER GOVERNMENT CENTER 1200 OAK BROOK ROAD OAK BROOK, ILLINOIS 630-368-5000 AGENDA ITEM Regular Board of Trustees Meeting of May 23,2017 SUBJECT: Health, Third Party Administrator and Stop Loss Insurance,Dental, Life/AD&D Insurance, Vision Insurance & Telemedicine Agreements for 2017 - 2018 Plan Year FROM: Riccardo F. Ginex, Village Manager BUDGET SOURCE/BUDGET IMPACT: Program 158-Employee Benefits RECOMMENDED MOTION: I move to approve Resolution R-1643 a Resolution Approving the Waiver of Competitive Bidding and Authorizing the Purchase of Insurance Benefits for Employees and direct staff to execute Agreements after receiving final attorney review with BlueCross BlueShield (BC/BS) of Illinois for Group Health Insurance Coverage, Third Party Administrator (TPA) Service, and Stop Loss Insurance for the Plan Year starting July 1, 2017 through June 30,2018. Further, I move to approve the staff recommendation and direct staff to execute an Agreement after receiving final attorney review with Delta Dental & 1-80OMD for the Plan Year starting July 1,2017 through June 30, 2018. Background/History: The Village operates a self-insured health insurance program for all PPO claims on a per individual basis for the first $85,000 ("individual specific attachment point") of claims in a given plan year (July 1 to June 30). This program has been in place in this format since 1993, but with different • specific attachment points and TPAs. The Village secures Stop Loss Coverage for claims that exceed $85,000 per individual or over 125% of the annual aggregate specific attachment point of expected claims. The Village health benefit program has approximately 152 employees, which includes approximately 34 retirees (retirees/COBRA employees on the traditional insurance plan who pay 100% of the equivalent premium for their coverage) in the program, plus eligible dependents for a total of approximately 397 participants. The Oak Brook Park District is also on our plan paying the full premium cost for all eligible individuals. The Village also offers a fully-insured HMO plan to all employees. RG BOT AGENDA Page 1 Renewal Information: Our medical and dental plans were up for renewal. The medical plan was marketed by our broker Vista National, to five providers, all who were either uncompetitive of declined to quote. The HMO medical plan was marketed to five carriers (UHC, Aetna, Humana, Mertiain and Cigna). All markets declined to quote. The primary reason for declination was due to their rates being uncompetitive. Due to our enrollment on the PPO medical plan, BCBS will not allow us to carve out the Stop Loss. They require at least 250 enrolled. Medical: After negotiations, BC/BS's final proposal has a rate increase of 0.11% (approximately $3,268) higher than our current plan year. When reviewing the BC/BS proposal, there are a few key areas to highlight. The first is the estimated fixed costs. This was increased by 0.89% or approximately $3,268. Next, was claim liability, were there was no change. There will be no increase to the HMO portion of the medical for the 2017 — 2018 policy year. Lastly, there are the Affordable Care Act (ACA) fees, which are decreasing with this plan year. The estimated total cost for the PPO policies will be around $861.49 for this plan which is now only the Patient-Centered Outcomes Research Institute Fee. The last year for the Transitional Reinsurance fee was 2016. The Village avoids paying the Insurance Industry Fee by continuing to be self-funded on the PPO policies. If we were subject to the fee, it would increase costs by approximately 3 to 4%. The Village does pay that 3 to 4%on the HMO within the premiums along with the PCORI fee. Dental: This year, the Village's dental insurance was also up for renewal. The Village will be transitioning from Lincoln Financial back to Delta Dental. The cost to ether move to Delta or stay with Lincoln was virtual the same. The Village has also decided to enhance the Dental plan by change the preventative care benefit from 80% coverage to 100% for both in and out of network services. The dental rate is being proposed for 1 year. Life/AD&D: The Village is currently in the middle of a 2 year rate guarantee with Dearborn national which will expire on July 1, 2018. Therefore, there will be no additional costs associated with this benefit. Vision: The Village is currently in the middle of a four year agreement with EyeMed for vision insurance which will expire on July 1, 2018. Therefore, there will be no additional costs associated with this benefit plans. Telemedicine: The Village has decided to move away from Healthiest You to another Telemedicine vendor by the name of 1-80OMD effective 7/1/2017. The cost will be going from$8.00 PEPM to $2.48 PEPM. Finally, we will also be looking to transition the post 65 Retirees on our current Medical plan to a post 65 retiree carve out plan through The Hartford. The Retirees will have access to the same benefits, at a reduced costs. There will be no increase this year to the premium equivalent rates and they will remain the same for the 2017—2018 policy year. The Village will continue to promote its wellness program allowing those who receive insurance up to 2% off their premium and for those without insurance the opportunity to BOT AGENDA Page 2 receive gift cards for achieving pre-determined wellness goals. Overall, the program continues to provide many opportunities for employees to continue their healthy efforts. These programs include annual wellness evaluation, lunch and learn programming and group fitness activities such as the pink 5k event at the Oak Brook Park District. Recommendation: The Board approves the Resolution as presented. BOT AGENDA Page 3 RESOLUTION 2017-PL-IS-R-1643 A RESOLUTION APPROVING THE WAIVER OF COMPETITIVE BIDDING AND AUTHORIZING THE PURCHASE OF INSURANCE BENEFITS FOR EMPLOYEES WHEREAS, the Village provides its employees with health and dental insurance benefits (collectively, "Insurance Plans'); and WHEREAS, the Village currently purchases health insurance coverage, third-party administrator services, and stop loss insurance from BlueCross BlueShield of Illinois(collectively, "BC/BS Plans'); and WHEREAS, the Village currently purchases dental insurance coverage from Lincoln Financial ("Lincoln Plan'; and WHEREAS,the Insurance Plans are up for renewal; and WHEREAS, instead of putting the purchase of the Insurance Plans out to bid or request for competitive proposals, the Village Board has once again retained Vista National Insurance Group, Inc. to market the Insurance Plans to various insurance providers to obtain the most advantageous Insurance Plans for the Village; and WHEREAS, because the Village retained Vista National Insurance Group, Inc. to obtain quotes from various insurance providers, and the Village Board believes that Vista National Insurance Group, Inc. has negotiated for the purchase of Insurance Plans that are advantageous to the Village, Village staff has recommended that the Village waive competitive bidding for the purchase of the Insurance Plans; and WHEREAS, Village staff has recommended that the Village Board renew the BC/BS Plans, but replace the Lincoln Plan and authorize an agreement with Delta Dental ("Delta's, a former vendor for the Village's dental insurance for the period July 1, 2017 through June 30, 2018; and WHEREAS, the President and Board of Trustees, being fully advised in the premises, have determined that it is in the best interests of the Village and its residents to so waive competitive bidding and to approve the Insurance Plans, all subject to the appropriation of sufficient funds for the Insurance Plans in the future fiscal year; NOW THEREFORE, BE IT RESOLVED BY THE PRESIDENT AND BOARD OF TRUSTEES OF THE VILLAGE OF OAK BROOK, DU PAGE AND COOK COUNTIES, ILLINOIS as follows: Section 1: Recitals. The foregoing recitals are hereby incorporated into, and made a part of, this Resolution as the findings of the President and Board of Trustees of the Village of Oak Brook. Section 2: Waiver of Competitive Bidding Reguirements. The advertising and bidding requirements for the purchase of the Insurance Plans are hereby waived in accordance with Section 1-7- 4 of the Village Code. Section 3: Authorization of Insurance Plan. The purchase of the Insurance Plans is hereby authorized. Section 4: Execution of Required Documentation. The President, Village Manager, and the Village Clerk shall be, and are hereby, authorized to execute and attest, on behalf of the Village all documents necessary to complete the purchase of the Insurance Plans pursuant to Section 3 of this Resolution,which documentation shall be in a final form approved by the Village Attorney. Resolution 2017-PL-IS-R-1643 Approving the Purchase of Insurance Plans Page 2 of 2 Section 5: Effective Date. This Resolution shall be in full force and effect from and after its passage by two-thirds of the Trustees and its approval in the manner provided by law. APPROVED THIS 23rd day of May, 2017 Gopal G. Lalmalani Village President PASSED THIS 23rd day of May, 2017 Ayes: Nays: Absent: ATTEST: Charlotte K. Pruss Village Clerk