HomeMy WebLinkAboutVSP - CONTRACT - RFP - P682May 16, 2002
Vincent Pascale
City of Ft.Collins, Colorado
200 W Mountain Ave.
Ft. Collins, CO 80521
Dear Vince:
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As The City of Fort Collins is a valued customer of Vision Service Plan (VSP), we hope the group has enjoyed a positive
outcome with all aspects of our services. We are pleased to offer the group another period of quality coverage. The renewal
will be in effect from January 1, 2003 for a 24-month tern.
VSP reviewed the group's program and developed rates based on the experience of the vision care program. These rates are
outlined in the enclosed renewal exhibit. VSP considers many factors when determining rates, including claim cost, utilization,
claim frequency, and trend. VSP has offered a renewal rate moving the city closer to a standard VSP allowance as well as an
alternative renewal that would leave the group with the current level of benefits. The rates are provided on the proposed rate
report enclosed with this letter. As you will see, we are comfortable with leaving our administrative fees the same for an
additional 24 months.
Please review the renewal information, and let me know if you have any questions. I am available to meet with you to further
discuss the enclosed material or provide additional information if necessary.
To renew the contract with Vision Service Plan, please sign the bottom portion of this letter and return it to VSP.
We appreciate your business and value our relationship with The City of Fort Collins
Cordially,
Tom Swartzbaugh, CEBS
Senior Account Executive
RENEWAL NOTICE
Please sign and return this letter or fax to (303)-892-7768 to acknowledge acceptance of the renewal. VSP produces the Plan
document upon receipt of the confirmation of renewal.
City of Fort Collins
Group Number 12063997 Renewal Date —January 1, 2003
Self Funded Renewal Rate $2.15
Renewal Option I Rate $2.15 Claim Cost $ 10.19
Renewal Option II Rate $2.15 Claim Cost $$9.74 (current program)
Plan Accepting-<�'^'�
Authorized Group Representative Signature
VISION SBRVICC PLAN
1050 17TH srRBc'r, SUI1 [: 1885, DENVER CO 80256 Teu 303.892.7663 FAX: 303.892.7769 800.225.3665
VISIT OUR WEB SITE AT WWW.VS[I.COM
26
PROPOSED RATES REPORT
CITY OF FORT COLLINS
Renewal Date January 1, 2003
24 month rate guarantee
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CURRENT PROPOSED PROPOSED
PLAN OPTION I OPTION II
12/12/24 12/12/24 12/12/24
Frame Allowance
34.00
39.00
34.00
Elective Contact Lenses
100.00
110.00
100.00
Exam Copayment
15.00
15.00
15.00
Material Copayment
15.00
15.00
15.00
NON-MEMBER DOCTOR REIMBURSEMENT SCHEDULE
CURRENT
PROPOSED
PROPOSED
PLAN
RENEWAL
OPTION I
12/12/24
12/12/24
12/12/24
Examination
30.00
35.00
30.00
Single Vision Lenses
30.00
30.00
30.00
Bifocal Lenses
40.00
40.00
40.00
Trifocal Lenses
50.00
55.00
50.00
Frame
30.00
45.00
30.00
Elective Contact Lenses
80.00
110.00
80.00
Necessary Contact Lenses
150.00
210.00
150.00
Administrative Fee
Estimated Claim Cost
Prepared 5/16/02
CURRENT
PLAN
$2.15
$9.32
PROPOSED
RENEWAL
$2.15
$10.19
PROPOSED
OPTION I
$2.15
$9.74
12063997
Self -funded VSP Program
Average Claims Amount (ACA):
Inflation (INF): Year 1
Year 2
Modifications to Benefit Allowances (MOD):
Reserve Establishment for Incurred but
not Reported Claims (RES):
Retention (RET):
Paid Frequency (PF):
Current Revenue per Member (REV/MBR):
FORT COLLINS COLORADO, CITY OF
RENEWAL EXHIBIT
Renewal Date:
Renewal Contract Term:
Number Covered:
$ 95.08
3.0%
1.5%
$4.63
0%
12.5%
98.00 Claims per 1,000 employees
$ 2.15
January 1, 2003
24 Months
713
Renewal Formula
ACA x (1 + INF) + MOD x PF = CIm Amt RET Admin Fee ! REV/MBR = GUARANTEE
(Clm Amt / (1-RET)) - Clm Amt
$95.08 x 1.045 + $4.63 x 0.098 = $10.19 0.125 $1.46 1 $2.15 = 0.0%
Service Profile
• of Patients Seeing In -Network Providers:
• of Patients Seeing Out -of -Network Providers:
Service Percentages
Eye Examination Only:
Receiving Materials:
Single Vision Lenses:'
Bifocal Lenses:'
Trifocal Lenses:*
Elective Contact Lenses:`
Frame:
Equals 100% of claims with materials dispensed
Last Twelve Months ending: Apr-02
97%
Modifications
3%
Current
Renewal
Wholesale Frame:
$34
$39
Elective Contact Lenses:
$100
$110
29%
Examination, up to:
$30
$35
71 %
Single Vision Lenses, up to:
$30
$30
34%
Bifocal Lenses, up to:
$40
$40
28%
Trifocal Lenses, up to:
$50
$55
2%
Frame, up to:
$30
$45
36%
Elective Contact Lenses, up to:
$80
$110
47%
Vision Service Plan
)63997
Self -funded VSP Program
Average Claim Amount (ACA):
Inflation (INF): Year 1
Year 2
Reserve Establishment for Incurred but
not Reported Claims (RES):
Retention (RET):
Paid Frequency (PF):
Current Revenue per Member (REV/MBR):
FORT COLLINS COLORADO, CITY OF
RENEWAL ALTERNATIVE EXHIBIT
Renewal Date:
Renewal Contract Term:
Number Covered:
$ 95.08
3.0%
1.5%
0%
13.5%
98.00 Claims per 1,000 employees
$ 2.15
January 1, 2003
24 Months
Renewal Formula
ACA x 1 + INF x PF = Clm Amt RET Admin Fee / REVIMBR = GUARANTEE
(Clm Amt / (1-RET)) - Clm Amt
$95.08 x 1.045 x 0.098 = $ 9.74 0.135 $ 1.52 / $ 2.15 = 0.0%
Service Profile
% of Patients Seeing In -Network Providers:
97%
• of Patients Seeing Out -of -Network Providers:
3%
Service Percentages
Eye Examination Only:
29%
Receiving Materials:
71%
Single Vision Lenses:*
34%
Bifocal Lenses:*
28%
Trifocal Lenses:*
2%
Elective Contact Lenses:*
36%
Frame:
47%
* Equals 100% of claims with materials dispensed
713
Administrative Services
Purchasing Division
Citv of Fort Collins
LETTER OF TRANSMITTAL
TO: Vincent Pascale
FROM: Keith I. Ashby, CPPO, Buyer(1)
DATE: October 1, 2002
RE: VSP Renewal Contract
Enclosed please find your copy of the signed contract in the above -mentioned matter.
If you have any questions, please call me at 2191.
cpj/kia
Encl
215 North Mason Street • 2nd Floor • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6775 • FAX (970) 221-6707
LLIAM M.
November 15, 2000
Mr. Vincent Pascale
Benefits Administrator
City of Fort Collins
200 West Mountain Avenue, Suite A
P.O. Box 580
Fort Collins, Colorado 80522-0580
Subject: VSP - 2001 Vision Care Renewal
Dear Vincent:
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Enclosed is a copy of the renewal acceptance letter from Vision Service Plan (VSP) for
the City of Fort Collins' 2001 vision care renewal.
Please have the appropriate City representative sign the letter and then send it to VSP with
a copy to us. There is also a space in VSP's letter where the City needs to indicate the
plan design that is to be effective in 2001. Please insert "Current Plan" in this space since
there are to be no plan changes in 2001.
If you have any questions regarding VSP's renewal letter, please call me at (303) 376-
5989.
Sincerely,
Phil Goldstein
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Copy: Mr. Jerry Rueschhoff
Enclosure
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William M. Mercer, Incorporated
370 17th Street, Suite 4000
Denver, CO 80202
Phone 303 376 0800
An MMC Company