HomeMy WebLinkAboutRes.3296.11-04-2019 BILL NO. 19-173 RESOLUTION NO. 3.Q 9(Q
A RESOLUTION AUTHORIZING THE CITY MANAGER TO
EXECUTE A CONTRACT WITH DELTA DENTAL FOR
EMPLOYEE DENTAL INSURANCE SERVICES, IN THE
CITY OF CAPE GIRARDEAU, MISSOURI
BE IT RESOLVED BY THE COUNCIL OF THE CITY OF CAPE
GIRARDEAU, MISSOURI, AS FOLLOWS:
ARTICLE 1 . The City Manager, for and on behalf of the City
of Cape Girardeau, Missouri, is hereby authorized to execute a
Contract with Delta Dental for 2020 employee dental insurance
services, in the City of Cape Girardeau. Said Contract shall
contain the terms set out in the proposal from Delta Dental . A
copy of the proposal information is attached hereto and made a
part hereof.
PASSED AND ADOPTED THIS 4th DAY OF November , 2019.
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Bob Fox, Mayor
ATTEST:
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Gayle& . Conrad City Clerk r71-21 : '
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/ Kansas City
October 10,2020
Ms. Lori Meyer
Human Resources and Risk Manager
City of Cape Girardeau, Missouri
401 Independence Street
P.O. Box 617
Cape Girardeau,MO 63702
Re: Delta Dental Plan Renewal Effective January 1,2020
Dear Lori:
Your dental plan with Delta Dental of Missouri is set to renew on January 1, 2020. The following information is
related to that renewal action.
History
As you know,the City sets their own conventional equivalent rates to fund the cost of your self-funded plan. Your
rates have remained stable for the past several years.
Effective with your January 1, 2019 renewal date, Delta Dental increased the administrative cost from $6.13 per
employee, per month (PEPM) to $6.28. The plan was amended to add enhanced coverage for implants. The City
also amended the plan to include a passive PPO option that allows the plan to leverage additional savings from
PPO contracted dentists for the plan and employees. These savings come without penalizing employees if they do
not utilize these particular dentists.
Claims Experience
Based on reporting from Delta Dental, your paid claims from 8/1/18 to 7/31/19 were $210,877. This is higher
than the total claims incurred for 8/1/17 to 7/31/18($187,798). This is also up on a PEPM basis, from $31.82
to $35.30.Your average number of covered subscribers are slightly higher this year from 492 to 498.
While it is still very early to draw any conclusions from adding the passive PPO, a little deeper dive in this year's
claims might be helpful. While submitted claims for 1/1/19 to 6/30/19 were up by 8.68%, total in-network
savings increased from $19,152 to $34,656. This resulted in paid claims, after network discounts, increasing by
only 1.75%.
Current FundingAnalvsis
Based on actual paid claims year-to-date in 2019, and estimated collected premium from July 2019,your year-to-
date expenses in 2019 are estimated as follows:
Actual Paid Claims(01/01/19-08/31/19) $138,267
Estimated Administrative Cost(3969 x$6.28) $24,925
Estimated Expenses $163,192
Estimated Collected(01/01/19-08/31/19)($21,173 x 8) $169.384
Difference $6,192
Renewal Recommendation
We have projected that the City will collect approximately $254,076 in 2019, based on current participation in
your plan as well as the current billed rates.
Based on these projections, as well as current projected expenses, we would recommend that the City leave your
current rates in place for 2020.
If we can provide any further information, please let us know. Thank you for your continued confidence and
support.
Sincerely,
c9aC2.7
David J.Johnson, CEBS Senior Benefits Consultant
City of Cape Girardeau 2020 Health Insurance Rates—ACTIVE EMPLOYEES
Effective January 1,2020
(Proposed) Monthly Premium Rate Costs
PPO Rates
Employee Only Employee& Spouse Employee&Child(ren) Employee& Family
$660.02 $438.78 $329.06 $707.08
PPO Rates—Narrow Network(New Option in 201 5)
Employee Only Employee&Spouse Employee& Child(ren) Employee& Family
$627.06* $377.12 $275.02 $636.00
•
HSA Ratest
Employee Only Employee& Spouse_ Employee&Child(ren) Employee& Family
$600.80 $398.16 $298.64 $642.24
HSA Rates—Narrow Network" (New Option in 2015)
Employee Only Employee& Spouse Employee&Child(ren) Employee& Family
$571.50** $343.32 $250.54 $578.96
Dental Rates
Employee Only Employee&Spouse Employee& Child(ren) Employee& Family
$31.40 $19.50 $16.72 $35.68
Cost of "Employee Only"plan paid by the City. All other dependent premiums paid by employee.
*PPO Narrow Network"Employee Only"will receive an additional$32 per month gross pay on their paycheck.
**HSA Narrow Network"Employee Only"will receive an additional$29 per month gross pay on their paycheck.
tAn additional$50 per month is contributed to employee's Health Savings Account.
City of Cape Girardeau 2020 Health Insurance Rates—COBRA
Effective January 1,2020
(Proposed) Monthly Premium Rate Costs*
PPO Rates
Employee Only Employee&Spouse Employee&Child(ren) Employee& Family
$673.22 $1,120.78 $1,008.86 $1,394.44
PPO Rates—Narrow Network(New Option in 2015)
Employee Only Employee&Spouse Employee& Child(ren) Employee& Family
$639.60 $1,024.26 $920.12 $1,288.32
HSA Rates
Employee Only Employee&Spouse Employee&Child(ren) Employee& Family
$612.82 $1,018.94 $917.43 $1,267.90
HSA Rates—Narrow Networks (New Option in 2015)
Employee Only Employee& Spouse Employee& Child(ren) Employee& Family
$582.93 $933.12 $838.48 $1,173.47
Dental Rates
Employee Only Employee&Spouse Employee&Child(ren) Employee& Family
$32.03 $51.92 $49.08 $68.42
*The responsible party pays all premium costs.All monthly costs are based on applicable premium rate plus 2%
administrative fees.