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Home My WebLink AboutAddenda - RFP - P985 BENEFITSCITY OF FORT COLLINS ADDENDUM No. 1 P-985 BENEFITS SPECIFICATIONS AND CONTRACT DOCUMENTS Description of Proposal P-985 BENEFITS OPENING DATE: April 22, 2005 To all prospective bidders under the specifications and contract documents described above, the following changes are hereby made. Addendum 1 — P985 Benefits RFP PROSPECTIVE BIDDER QUESTIONS: 1. Please indicate if EAP services are preferred to be included in our proposal? EAP services should not be included in this proposal If you wish to quote on an EAP plan the City of Fort Collins will be issuing an RFP towards the end of April for this service However, please note that the City of Fort Collins does have mental health benefits under our medical plan. Please refer to the Summary Plan Descriptions for information regarding our mental health benefits. 2. RFP Page 23, Question #44: Please describe what media format the City utilizes when you mention 'tape to tape" format. Any electronic format that is considered secure and HIPAA compliant may be used to transmit data. This may include, but is not limited to secure e-mail, discs or wire 3. RFP Page 25: Is Actual Vendor Performance — 2003 a possible misprint? Would the City prefer 2004 information? If the vendor has 2004 performance information that is preferable However, if that information is not available 2003 is acceptable 4. Is the monthly enrollment available? Yes. The enrollment for plans effective 3/1/2005 is as follows: POS 1 Employee Only 182 Employee + Spouse 133 Employee + Child(ren) 74 Family 245 POS 2 PPO 1 PPO 2 Employee Only 108 Employee + Spouse 94 Employee + Child(ren) 42 Family 167 Employee Only 41 Employee + Spouse 49 Emplovee + Child(ren) 9 Family 35 Employee Only 55 Employee + Spouse 49 Employee + Child(ren) 14 Family 49 5. Can we get 1 more prior year of monthly claims and enrollment? Prior to 2003, the City of Fort Collins was with Pacificare and National Health Systems That data was not is not available without a fee 6. Can we get 1 more prior year of shock loss claimants? See question #5 7. Is it possible to get a list of provider (including FEIN) utilized by the group in order to better analyze the networks? The current provider network utilized by Great West is their One Health network Providers may be accessed by going to www.mygreatwest.com and clicking on "Providers" and then selecting a network. We are not asking for a disruption analysis at this point 8. Can we get the current rates, factors and fees? Administrative Fees POS 1 and 2 $33 40 PPO 1 and 2 $28 72 Specific Stop Loss Fees POS 1 and 2 $35 92 PPO 1 and 2 $42 21 Transplant Insurance $9.65/emplovee/month 9. We typically request 15% reinsurance commission. Is this acceptable? Per page 5 of the RFP, there are to be no commissions paid in relation to this RFP. 10. In RFP Section V, Proposal Submittal, there is a requested Section V labeled Confirmation Section. What is this referring to? This is referring to those five (5) pages immediately following the Plan Design Confirmation Checklist. These pages are where a vendor would confirm that they are able to duplicate our plans or, only in cases where they are not able to duplicate they will tell us how and why their plan differs. 11. Can you provide carrier history for the past 5 years? 2003 — Present Great West Health Care 2000 — 2002 — National Health Systems for PPO plans and Pacificare for POS plans 12. Is there any additional information available on the shock claims illustrated in the Large Claim Reports? Are there any lasers currently in place and if yes, can please provide details (i.e., on which claims and the amount of the laser)? There are no lasers in place for any large claims for medical or for transplant insurance 13. Are the large claims (those in excess of $60K) open or closed? Is the individual actively at work or out on disability? See Attachment "A". 14. Are the Large Case Manager notes available on the claims in excess of $60K? Can you provide? Case Manager notes are not readily available. We may provide to finalists 15. Are the police on the plan now? Explain the collective bargaining with the Fraternal Order of Police. Is this a new bargaining entity? Yes, the police are covered by all of our benefits at this time and that is not expected to change in the future. The Fraternal Order of.Police will representing our sworn police officers and that may result in some plan changes This is a new bargaining entity to the City. 16. Can we get updated claims and enrollment? See Questions # 4 and #20. 17. Are the large claims over $100,000 still on the plan? See Attachment "A". 18. Can we get the current rates and prior year rates? See #8 for current rates. 2004 rates were: Administrative Fees POS 1 and 2 $32.43 PPO 1 and 2 $27 88 Specific Stop Loss Fees POS 1 and 2 $28 51 PPO 1 and 2 $33 50 Transplant Insurance $9.65/employee/month 19. There is an option to change the x-ray and lab benefit. How is it paid today for both hospital services and physician office based services? Currently, x-ray and diagnostic are paid with a $15 cooay 20. We have claims and large claims through December 04. Can we get any more current data for the initial quote? Amounts that have been paid for claims in 2005. 1/11/2005 $ 169,380.56 1/19/2005 $ 171,258.69 1/25/2005 $ 127,519.31 2/2/2005 $ 152,624.50 2/7/2005 $ 244,582.27 2/14/2005 $ 170,591.20 2/22/2005 $ 167,103.58 2/28/2005 $ 212,672.85 3/7/20 55 $ 154,801.41 3/14/2005 $ 370,512.29 3/21/2005 $ 257,461.21 3/28/2005 $ 170,722.47 4/4/2005 $ 229,059.27 21. Will you be providing current/renewal fees, Stop Loss Rates, etc? See #8 and #18 22. Will you provide monthly lives to match the monthly claims? See #4. Turnover within the City is approximately 6% so the monthly lives will not change dramatically. 23. Member months by plan as well as experience by month broken out for each plan. See Attachment "B" and Attachment "C" 24. Current GWL pricing (administration, stop loss, and aggregate attachment). See #8 and #18 25. Prognosis for large claimants for last 12 months. Information is not readily available 26. Diagnosis for large claimants for time period 1 /03 — 12/03? Information is not available for that. All claims from 2003 that were still open in 2004 are listed with a diagnosis on Attachment A. 27. Contribution levels by plan. For 2005 employees contribute 15% of the market premium for all plans For 2006 employee only coverage will be set at 15% and employee + dependent coverage will be set at 20% of market premium. These levels exclude the PPO 1 plan This plan has no employee contributions for 2005. For 2006 the employee only coverage will be free to employees. Employees with dependents will be covered at 5% of market premium 28. What is the dependent status of the retirees? RETIREES HEALTH INSURANCE PLANS Single Single/Spouse EE/CH/FAM 1 Medicare/ Total 1 Non -medicare PPO 1- Non -medicare 2 1 0 1 4 PPO 1- Medicare 3 1 0 0 4 PPO 2- Non -medicare 4 0 0 0 4 PPO 2- Medicare 4 4 0 0 8 POS 1- Non -medicare 1 0 0 2 3 POS 1- Medicare 1 0 0 0 1 POS 2- Non -medicare 1 0 0 0 1 POS 2- Medicare 0 0 0 0 0 TOTAL: 25 29. We didn't see that the City of Fort Collins was requesting ASL coverage. We wondering if you could confirm that the City only carries ISL coverage? The City does not have aggregate stop loss only individual stop loss 30. Could we provide enrollment by plan by month by coverage for last 24 months? Using the March enrollment (see Question #4) you should have an accurate portrayal of our enrollment. We had a small shift to the PPO 1 plan during Open Enrollment (maybe 20 employees) but other than that, it's good. Also we only have a 6% turnover so that shouldn't affect it. If you have any questions please contact David Carey, C.P.M., Buyer, at 970-416-2191. RECEIPT OF THIS ADDENDUM MUST BE ACKNOWLEDGED BY A WRITTEN STATEMENT ENCLOSED WITH THE BID/QUOTE STATING THAT THIS ADDENDUM HAS BEEN RECEIVED.