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HomeMy WebLinkAboutAddenda - RFP - P832 BENEFITSCITY OF FORT COLLINS ADDENDUM No. 1 April 2, 2002 Description of PROPOSAL NO. P-832, BENEFITS OPENING DATE: 2:00 p.m. (our clock) April 29, 2002 To all prospective bidders under the specifications and contract documents described above, the following changes are hereby made. Appendix A - Monthly Claims and Enrollment: Attachments on the proposal should be in Appendix D. A new Appendix D is attached to this addendum in its entirety. The corrected Appendix A is attached to this addendum. Please replace Appendix A and D in your copy of the RFP. RECEIPT OF THIS ADDENDUM MUST BE ACKNOWLEDGED BY A WRITTEN STATEMENT ENCLOSED WITH THE BID/QUOTE STATING THAT THIS ADDENDUM HAS BEEN RECEIVED. APPENDIX A Monthly Claims and Enrollment CITY OF FORT COLLINS Monthly Paid PPO/Rx Claims Paid Claims Rx Claims EE Only EE + SP EE + CH EE + FAM Jan-00 $211,969 $31,156 191 137 50 173 Feb-00 $210,183 $24,626 191 137 50 173 Mar-00 $325,725 $31,906 191 137 50 173 Apr-00 $237,299 $37,790 191 137 50 173 May-00 $247,501 $34,841 191 137 50 173 Jun-00 $224,584 $38,824 191 137 50 175 Jul-00 $215,760 $36,622 198 132 52 174 Aug-00 $184,811 $36,972 205 127 54 173 Sep-00 $152,605 $32,381 201 130 52 172 Oct-00 $173,178 $38,743 200 130 53 176 Nov-00 $155,357 $39,475 199 129 51 176 Dec-00 $146,561 $46,139 199 129 51 176 Total 2000 $2,485,532 $429,475 Paid Claims Rx Claims EE Only EE + SP EE + CH EE + FAM Jan-01 $251,038 $28,937 187 138 49 157 Feb-01 $196,771 $32,386 188 136 47 156 Mar-01 $200,113 $30,438 189 136 47 157 Apr-01 $132,062 $39,060 189 136 46 158 May-01 $191,487 $35,715 190 138 45 159 Jun-01 $275,223 $35,597 186 138 46 158 Jul-01 $175,112 $40,410 187 138 47 157 Aug-01 $208,929 $39,007 185 137 46 160 Sep-01 $182,694 $41,635 186 135 44 163 Oct-01 $280,581 $3,745 184 134 42 165 Nov-01 $161,613 $44,864 179 134 42 167 Dec-01 $266,461 $52,287 172 132 41 168 Total 2000 $2,522,081 $424,081 Paid Claims Rx Claims EE Only EE + SP EE + CH EE + FAM Jan-02 $198,702 $29,957 149 130 33 140 Feb-02 $111,132 $16,656 142 122 32 140 Mar-02 Apr-02 May-02 Jun-02 Jul-02 Aug-02 Sep-02 Oct-02 Nov-02 Dec-02 Total 2002 $309,834 $46,613 CITY OF FORT COLLINS MONTHLY EXPERIENCE SUMMARY - HMO Date Claims Pharmacy Capitation ASO Fees Total EE Only EE + SP EE + CH Family Jan-00 $151,565 $36,514 $7,813 $27,657 $223,549 230 136 108 250 Feb-00 $135,098 $35,804 $6,883 $27,733 $205,518 230 132 107 257 Mar-00 $140,133 $32,767 $7,561 $27,810 $208,271 230 133 107 258 Apr-00 $220,333 $36,305 $648 $28,191 $285,477 229 135 109 265 May-00 $179,077 $30,403 $427 $28,306 $238,213 230 133 109 269 Jun-00 $139,319 $37,556 ($2,499) $28,420 $202,796 234 130 111 269 Jul-00 $158,551 $32,336 $2,426 $28,384 $221,697 235 129 109 270 Aug-00 $183,008 $34,866 $1,392 $28,688 $247,954 237 130 111 273 Sep-00 $141,464 $35,761 $2,485 $28,955 $208,665 238 134 110 276 Oct-00 $134,865 $38,184 $1,483 $29,109 $203,641 239 135 112 276 Nov-00 $134,337 $34,979 $2,949 $29,414 $201,679 240 137 114 279 Dec-00 $194,953 $38,193 $2,200 $29,644 $264,990 243 138 116 279 Total $1,912,703 $423,668 $33,768 $342,311 $2,712,450 2,815 1,602 1,323 3,221 Date Claims Pharmacy Capitat ion ASO Fees Total EE Only EE + SP EE + CH Family Jan-01 $166,386 $42,884 $3,136 $31,316 $243,722 246 136 119 278 Feb-01 $137,935 $37,064 $3,572 $31,316 $209,887 245 135 119 280 Mar-01 $332,013 $34,199 $2,793 $31,718 $400,723 248 139 121 281 Apr-01 $239,471 $40,775 $3,578 $31,838 $315,662 246 141 121 284 May-01 $191,738 $39,907 $3,626 $32,160 $267,431 252 141 123 284 Jun-01 $426,894 $41,698 $3,604 $32,522 $504,718 257 139 125 288 Jul-01 $186,219 $35,971 $291 $32,723 $255,204 259 141 127 287 Aug-01 $237,127 $39,401 $3,761 $32,160 $312,449 250 135 128 287 Sep-01 $297,825 $42,078 $3,561 $32,039 $375,503 248 140 119 290 Oct-01 $173,039 $43,831 $3,759 $32,281 $252,910 253 142 127 281 Nov-01 $148,821 $44,904 $3,598 $32,843 $230,166 254 144 129 290 Dec-01 $470,177 $43,858 $3,716 $33,085 $550,836 256 142 130 295 Total $3,007,645 $486,570 $38,995 $386,001 $3,919,211 3,014 1,675 1,488 3,425 Date Claims Pharmacy Capitation ASO Fees Total EE Only EE + SP EE + CH Family Jan-02 $163,396 $50,992 $3,950 $39,758 $258,096 245 170 124 321 Feb-02 $254,235 $56,201 $4,163 $39,804 $354,403 243 172 124 322 Mar-02 $0 Apr-02 $0 May-02 $0 Jun-02 $0 Jul-02 $0 Aug-02 $0 Sep-02 $0 Oct-02 $0 Nov-02 $0 Dec-02 $0 Total $417,631 $107,193 $8,113 $79,562 $612,499 488 342 248 643 CITY OF FORT COLLINS MONTHLY EXPERIENCE SUMMARY - POS Date Claims Pharmacy Capitation ASO Fees Total EE Only EE + SP EE + CH Family Jan-00 15,089 4,480 931 3,576 24,076 27 17 20 29 Feb-00 12,696 4,948 1,152 3,653 22,449 27 18 20 30 Mar-00 20,722 4,964 1,035 3,615 30,336 26 18 20 30 Apr-00 40,080 5,316 47 3,653 49,096 26 18 21 30 May-00 63,174 5,261 376 3,653 72,464 26 18 21 30 Jun-00 26,705 5,374 312 3,845 36,236 28 19 23 30 Jul-00 11,127 5,330 383 3,845 20,685 28 19 23 30 Aug-00 17,301 5,444 385 3,845 26,975 27 20 24 29 Sep-00 18,670 5,808 (45) 3,884 28,317 29 20 23 29 Oct-00 11,203 5,156 361 3,884 20,604 29 20 23 29 Nov-00 10,450 6,188 378 3,922 20,938 29 20 23 30 Dec-00 31,094 6,194 390 3,961 41,639 30 21 22 30 Total 278,311 64,463 5,705 45,336 393,815 332 228 263 356 Date Claims Pharmacy Capitation ASO Fees Total EE Only EE + SP EE + CH Family Jan-01 17,665 5,140 501 4,491 27,797 33 20 24 34 Feb-01 18,994 4,859 502 4,491 28,846 33 20 24 34 Mar-01 55,453 4,639 488 4,451 65,031 32 21 23 34 Apr-01 40,397 4,752 497 4,451 50,097 32 21 23 34 May-01 27,391 5,428 495 4,451 37,765 32 21 24 33 Jun-01 34,087 6,107 494 4,410 45,098 32 21 23 33 Jul-01 31,663 4,510 497 4,451 41,121 32 19 20 39 Aug-01 38,139 6,541 524 4,289 49,493 31 20 19 36 Sep-01 95,215 5,885 487 4,774 106,361 40 18 21 39 Oct-01 29,776 5,426 527 4,612 40,341 34 20 21 39 Nov-01 52,254 7,162 526 4,693 64,635 36 20 21 39 Dec-01 37,130 8,123 537 4,774 50,564 37 20 21 40 Total 478,164 68,572 6,075 54,338 607,149 404 241 264 434 Date Claims Pharmacy Capitation ASO Fees Total EE Only EE + SP EE + CH Family Jan-02 43,106 7,089 597 6,793 57,585 44 30 19 53 Feb-02 85,848 8,155 830 6,840 101,673 44 30 19 54 Mar-02 0 Apr-02 0 May-02 0 Jun-02 0 Jul-02 0 Aug-02 0 Sep-02 0 Oct-02 0 Nov-02 0 Dec-02 0 Total 128,954 15,244 1,427 13,633 159,258 88 60 38 107 APPENDIX D Stop Loss Report REPORT: CL851 GENERATED: 05 MAR 2002 09:04 RUN: THURSDAY 2002MAR21 09:10 PAGE 1 Group : 17 S T O P L O S S R E P O R T > $ 50000.00 BY DATE PAID 0.00 CITY OF FORT COLLINS 20010101 TO 20011231 Date paid span INSURED SOC SEC # IX DEPENDENT REL DOB S AMOUNT CH 19800425 F 68263.28 Diagnoses: 783.0, 307.1, 307.51, 783.2, 733.0, 263.9, 307.5 Prognosis: unknown/patient’s condition appears to be stable at this time SP 19490926 M 55332.38 Diagnoses: 453.2, 154.0, 154.8, V58.1, V58.61, 996.74, V66.2, V15.3, 839.21, 728.85, 353.8, 453.8, 153.9, 786.2, V58.81, 998.89, V15.82, 309.81, 239.2, 724.5, 296.32, 239.1, 782.2, 789.30, 607.84, 789.07 Prognosis: unknown SB 19420906 M 82302.30 Diagnoses: 153.9, 199.1, 996.74, 592.1, 593.4, V58.1, 153.0, 154.1, V58.61, 284.8, 598.8, 153.8, 285.9,154.0, 789.0, 780.6, 789.06, 593.4, 788.0, 996.76, V10.05, V44.3, 195.3, 198.89, 719.45, 782.3, 733.19, 786.09, 153.0, 198.5, 808.8, 235.2, 307.9, 733.9 Prognosis: very poor-in hospice treatment CH 19830104 F 55135.68 Diagnoses: 805.4, E849.4, 884.1, 724.5, E884.1, 722.83, V67.09, V45.4 Prognosis: unknown SP 19500720 F 75010.42 Diagnoses: 710.0,583.81, V58.69, 726.10, 719.45, 733.40, 583.81, 733.42, 719.45, 719.95, 039.8, 279.3, 486, 039.9, V12.5, V43.64, 786.5, 799.0, 786.05, 715.15, 583.81, V10 Prognosis: unknown SP 19520411 F 82025.62 Diagnoses: 277.1, 784.0, V72.3, V76.12, 789.00 Prognosis: unknown ND 20000209 M 51395.80 Diagnosis: 752.61, 765.10, 742.4, V65.9, V65, 382.9, 367.0, 520.7, 461.9, V20.2 Prognosis: unknown CH 19800927 F 55241.58 Diagnosis: 735.0, 739.2, 739.1, 739.0, 724.1, 728.35, 737.1, 724.2, 564.1, 787.01, V72.3, 477.0, 795.0, 287.3, 719.45, 382.9, 784, 784.7 Prognosis: unknown/condition appears to be stable and she has resumed normal activities Aggregate Stop Loss is 2506893.55 City of Fort Collins Large Claimant Report January 1, 2001 thru December 31, 2001 Updated as of 3/20/02 Product Diagnosis Prognosis Paid Amt HMO Intertrohantic fracture Fair $ 44,295.71 POS Intestinal obstruction Good $ 38,843.10 HMO S/p laminectomy Good $ 45,063.53 POS Intestinal obstruction Good $ 64,419.84 HMO Malign. Neo/lymph,axillary Guarded $ 51,529.43 HMO Submucous leiomyoma Good $ 29,690.89 HMO Malign. Neo/orbit Fair $ 71,660.10 HMO Pre-term birth Good $ 47,113.95 HMO High risk pregnancy Good $ 25,237.40 POS Cellulitis/multiple personality Guarded $ 38,185.99 HMO MI/cardiac arrest Guarded $ 45,546.16 HMO Cervical disc displacement Good $ 75,939.51 POS Acute pancreatitis Fair $ 35,695.86 HMO C-section, respiratory distress Fair $ 35,141.66 HMO Post partum infection/HIV disease Guarded $ 38,579.60 HMO Obesity, cholelithiasis Fair $ 38,045.21 HMO Pulmonary embolism Fair $ 33,487.22 City of Fort Collins Large Claimant Report January 1, 2002 thru February 28, 2002 Product Diagnosis Prognosis Paid Amt POS Cellulitis/multiple personality Guarded $ 55,875.71