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HomeMy WebLinkAboutCORRESPONDENCE - RFP - P682 BENEFITS (2)RESOLUTION 96-132 -- Page 1 of 2 RESOLUTION 96 132 OF THE COUNCIL OF THE CITY OF FORT COLLINS APPROVING THE PURCHASE OF VARIOUS INSURANCE FOR THE BENEFITS PROGRAM FROM SUN LIFE OF CANADA, FHP HEALTH PLAN, VISION SERVICE PLAN AND DELTA DENTAL PLAN WHEREAS Sun Life of Canada FHP Health Plan, Vision Service Plan and Delta Dental Plan provide insurance options needed by the City and and WHEREAS, the City is in need of these insurance options for its employee benefits program, WHEREAS funds have been allocated in the 1997 budget for such purpose and WHEREAS Section 8-160 (d) (1) b of the Code of the City of Fort Collins authorizes the Purchasing Agent to negotiate the purchase of supplies and services without utilizing a competitive process where the Purchasing Agent determines that although there exists more than one (1) responsible source a competitive process cannot reasonably be used or if used will result in a substantially higher cost to the City, will otherwise injure the City's financial interest or will substantially impede the City administrative junctions or the delivery of services to the public and WHEREAS the Purchasing Agent has made such a determination and has submitted the requisite justification for that determination to the City Manager for approval, and WHEREAS, the City Manager has reviewed and approved the determination that for this acquisition should be exempted from the competitive purchasing requirements and WHEREAS, Section 8-160 (d) (3) requires approval of this purchasing method by the City Council for items costing more than Fifty Thousand Dollars ($50 000) prior to acquisition and WHEREAS, the Council has considered the Purchasing Agent's justification for determining that circumstances are appropriate for application of City Code Section 8-160(d)(1)b and agrees with that determination NOW, THEREFORE BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FORT COLLINS that the Purchasing Agent is hereby authorized to contract for the following insurance coverages as exceptions to the City s competitive purchasing requirements (a) Life and Accidental Death and Dismemberment and Long Term Disability Insurance from Sun Life of Canada in an amount estimated to be $274,000 (b) Stop Loss Insurance from FHP Health Care in an amount estimated to be $120 000 (c) Vision Insurance from Vision Service Plan in an amount estimated to be $68 000 and (d) Dental Insurance from Delta Dental Plan in amount estimated to be $35 000 EFFECTIVE 6/1/99 EXHIBIT A Ivmson Memorial Hospital Tax ID #83-6000188 Negotiated Rates Breckenridge Medical Center agrees to a eight percent (8 %) discount off total billed charges I999PPO/P"4 10 99/dmh EFFECTIVE 6/1/99 EXHIBIT B RVP PARTICIPATING PROVIDER FEES Roaring Fork Valley Physicians IPA - (RFIP) Garfield County - The most current version of the St Anthony Publishing Relative Value for Physicians (RVP) and Guidelines (formerly known as McGraw-Hill RVS) Anesthesia shall include the St Anthony Publishing RVP unit value plus time units - July and December updates implemented on September 1st and February 1st respectively - Codes modified and approved by SLMC (Notification of CPT code modifications will be sent to the Participating Plan's claims administrator ) CONVERSION FACTORS Medicine $ 675 Surgery $ 9300 Obstetrics (59400-59581 & 59610-59622) $ 90 00 59400 $1,950 00 59510 $2 150 00 Anesthesiology $ 4050 Radiology $ 2100 Pathology (80000-87999) $ 12 25 Pathology (88000-89399) $ 1575 Participating Provider charges payable by the Participating Plan shall be based on the lesser of the Participating Provider's customary charge or the relative value study tunes the appropriate conversion factor SLMC can provide claun review for the following The fee for the claim review will be negotiated at the tune the request for the review is received 1 RNE cpt codes 2 BR cpt codes 3 Unlisted procedures 4 Multiple surgeries NOTE If the Participating Plan's ID card does not clearly show the SLMC name and/or logo, the Roaring Fork Valley Physician IPA Participating Provider is not obligated to accept the above Negotiated Rates The above discounts shall not be taken by the Participating Plan's claims administrator, if the Participating Plan's benefit design does not offer a financial incentive to use a Participating Provider (i a differential in benefit reunbursement between an in network and out of network provider) 1999PPO/PAR/4 10 99/dmh 'rSEGAL THE SEGAL COMPANY 6300 S Syracuse Way Suite 750 Englewood CO 80111 7302 T 303 714 9900 F 303 714 9990 www segalco cam October 21, 2002 Mr Vincent H Pascale Jr Benefits Administration City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 8 JNiRt3 Ft'cSOURCLS Re Western Cost Management Trust (WCMT) Proposed Renewal Dear Vincent BCS Insurance Company has submitted its proposed renewal of the organ and bone marrow transplant and drug rider coverage effective January 1, 2003 Proposed Renewal In determining its 2003 renewal rates BCS reviewed the WCMT s experience for the past six years plus the first eight months of 2002 On the transplant coverage the experience for the first eight months of 2002 produces an 88 4% loss ratio The renewal is based on BCS s previous trend analysis and application of its current trend factor to experience for 2002 The Chrommed Drug Rider which to included in yuui coveiage, will increase rtom $ 27 to $ 52 per eligible per month due to significant increases in drug costs Please note the cost of this rider has increased only once (in 2002) since its inception on January 1 1994 The rider provides an additional 12 months of antirelection drug benefits following expiration of the benefit period covered by WCMT Is base coverage The loss ratio for this coverage in 2001 was 123 7% and 183 3% for the first eight months of 2002 The current and proposed rates for both the transplant and drug coverage for your plan are as follows Current Proposed % Change $8 01 $8 79 9 7% Benefits Compensation and HR Consulting ATLANTA BOSTON CHICAGO CLEVELAND DENVER HARTFORD HOUSTON LOS ANGELES MINNEAPOLIS NEW ORLEANS NEW YORK PHILADELPHIA PHOENIX SAN FRANCISCO SEATTLE TORONTO WASHINGTON DC Multinational Group of Actuaries and COnsultantS AMSTERDAM BARCELONA GENEVA HAMBURG HONOUR MELBOURNE MEXICO CITY OSLO PARIS Mr Vincent H Pascale, Jr October 21 2002 Page 2 Coverage Options There are two coverage options available under the WCMT, one for an 18-month benefit period (your current coverage) and the other for a 12-month benefit period Both options otherwise provide exactly the same benefits Rates for the three alternative plans for both the 18-month and 12-month benefit periods are shown below Alternative Plans Without Drug Rider Alternative I Alternative II Alternative III 18-month Benefit Period $8 27 666 301 12-month Benefit Period $7 89 6 35 2 88 With Drug Rider Alternative I $8 79$8 41 Alternative II 7 18 687 Alternative III 353 340 N� S.So .,-i J Alternative I Covers 100% of covered charges Alternative II Covers 80% of covered charges and the participant or underlying plan covers 20% of covered charges Alternative III Benefits are subject to a $100 000 deductible and payable at 100% thereafter Drug Rider Fxtended drug and suction services coverage for 1) months after expiration of the 18 month or 12 month benefit period SEGAL believes it is important to consider the financial strength of insurance companies and managed care organizations that are candidates for initial selection or renewal as insurers or service providers to employee benefit plans Therefore we regularly provide the most recent Standard & Poor s current claims paying ability rating for the insurance company under consideration We have selected Standard & Poor s because of their excellent overall reputation as a rating service In addition they evaluate more insurance companies than any of the other comparable rating services You may wish to consult other rating services (e g Fitch and Moody s) that also provide claims paying ability evaluations of insurance companies and managed care organizations before making a decision regarding the initial selection or renewal of an insurance company or managed care organization Mr Vincent H Pascale Jr October 21 2002 Page 3 In this instance, however Standard & Poor s which only rates carriers that specifically request the service has not published a rating for BCS Insurance You may therefore wish to pursue other means of determining the financial strength of this carver SEGAL does not itself perform insurance company or managed care orgamzation credit quality evaluations and does not offer any warranty as to the scope or reliability (e g with respect to an organization s ability to meet future obligations) of the insurance company or managed care organization evaluations performed by Standard & Poor s or any other rating service Please let us know if you have any questions regarding the proposed renewal We will discuss this with you in the near future Sincerely Susan K Imming rlt cc Laurie Trujillo Robin Thompson 127977/0194> 001 Administrative Services Purchasing Division City of Fort Collins November 6 2002 The Segal Company Attn Susan K Imming 6300 S Syracuse Way Ste 750 Englewood CO 80111-7302 Re Western Cost Management Trust (WCMT) Proposed Renewal Dear Ms Imming NOV 2 5 2002 The City of Fort Collins wishes to extend the agreement term per the existing terms and conditions at a rate of $8 79 proposed in your letter dated October 21 2002 The term will be extended for one (1) additional year January 1 2003 through December 31 2003 If the renewal is acceptable to your firm please sign this letter in the space provided and return itto the City of Fort Collins Purchasing Division P O Box 580 FortCollins CO 85022 within the next fifteen days If this extension is not agreeable with your firm we ask that you send us a written notice stating that you do not wish to renew the contract and state the reason for non renewal If you have any questions regarding this matter please contact me at 221-6775 Sincerely c)x�' Ja es B ONeill II CPPO FNIGP rectos of Purchasing and Risk Management cc Jerry Rueschhoff William M Mercer Incorporated Vincent Pascale City of Fort Collins Benefits Administrator Signature 1 1Date (Please indicate your desire to renew Western Cost Management Trust (WCMT) by signing this letter and returning it to Purchasing Division within the next fifteen days ) 215 North Mason Street 2nd Floor PO Box 580 Fort Collins CO 80522 0580 (970) 221 6775 FAX (970) 221 6707 Administrative Services Purchasing Division City of Fort Collins November 14 2001 Ms Susan K Imming The Segal Company 6300 S Syracuse Way Suite 750 Englewood CO 80111-7302 Re Gty of Fort Collins Western Costs Management Trust Dear Ms Imming Nov 2 0 2001 The City of Fort Collins wishes to extend the agreement term for the above captioned proposal per the terms and conditions outlined in a proposal to W M Mercer Inc with the following rate changes $8 01 monthly per member for organ and bone marrow transplant and $0 27 per member of Chronimed benefit J4.A-, $8 a AAte-. ,e4�At y L P Q7 Urk��,C"l-A The term will be extended for one (1) additional year January 1 2002 through December 31 2002 If the renewal is acceptable to your firm please sign this letter in the space provided and return it to the City of Fort Collins Purchasing Division P O Box 580 Fort Collins CO 85022 within the next fifteen days If this extension Is not agreeable with your firm we ask that you send us a written notice stating that you do not wish to renew the contract and state the reason for non -renewal If you have any questions regarding this matter please contact Keith Ashby CPPO Buyer at (970) 416-2191 Sincerely James B O'Neill II CPPO FNIGP Director of Purchasing and Risk Management cc Vincent Pascale Human Resources Phil Goldstein William M Mercer Inc YF —Q.t� 716.v 194 aoc/ Signature V Date (Please indicate your desire to renew this program by signing this letter and returning it to Purchasing Division within the next fifteen days ) 1a 4,01 U tk 215 North Mason Street 2nd Floor PO Box 580 • Fort Collins CO 80522 0580 • (970) 221 6775 FAX (970) 221 6707 V 77 SEGAL THE SEGAL COMPANY 6300 S Syracuse Way Suite 750 Englewood CO 80111 7302 T 303 714 9900 F 303 714 9990 www segalco com November 7, 2001 Mr James B O Neill Director of Purchasing and Risk Management City of Fort Collins PO Box 580 Fort Collins CO 80522-0580 Re Western Cost Management Trust (WCMT) Proposed Renewal Dear Jim kv 9 zoo, We have received BCS Insurance Company s proposed renewal of the organ and bone marrow transplant coverage effective January 1, 2002 Proposed Renewal With the ongoing significant rate increases health plans continue to experience it is good news that BCS s proposed rate increase is approximately 5% for the various WCMT coverage options Following are the current and proposed rates for your plan s coverage Current Proposed % Change $7 67 $8 01 4 46% Coverage Options There are tv o coverage options available under the WCMT, o-e for an 18 ^ionth be^efit period (your current coverage) and the other for a 12-month benefit period Both options otherwise provide exactly the same benefits Rates for the three alternative plans for both the 18-month and 12-month benefit periods are shown below Be efits COT pen sation and HR COOS Ulti in ATLANTA 9OSTON CHGAG 0 CLEVE LAND DENVER HARTFORD HO USTON LOS A N G ELE5 MI N N EAPO LIS NEW ORLEANS NEW YORK PHILADELPHIA PHOENIX SAN FRANCISCO SEATTLE TORONTO WASHINGTON DC if" Multinational G oup of ACWa es and Consultants AMSTERDAM BARCELONA GENEVA HAMBURG LONDON MELBOURNE MEXICO CITY OSLO PARIS Mr James B O Neill November 7 2001 Page 3 Please let us know if you have any questions regarding the proposed renewal We will discuss this with you 1n the near future Sincerely, Susan K Imnung rlt cc Vincent Pascale 120597/01945 001 Keith Ashby Benefit Renewal BCS Life Transplant Insurance _ From Vincent Pascale To Ashby Keith Date Wed Oct 31 2001 2 42 PM Subject Benefit Renewal BCS Life Transplant Insurance Hi Keith Instead of BCS Life please send our renewal acceptance letter to Ms Susan K Imming The Segal Company 6300 S Syracuse Way Suite 750 Englewood CO 80111 7302 Also please revise your renewal file so that our request next year goes to Ms Imming Thanks Vincent ?tee 11 RESOLUTION 96-132 -- Page 2 of 2 Passed and adopted at a regular meeting of the City Count"-$ 11 this 5t¢ey'ofNovember, AD 1996 i ayor /, ATTEST (`C (r yrfC ��' Pt✓ �ssM7 LGs tc y 7'r SEGAL THE SEGAL COMPANY 6300 S Syracuse Way Suite 750 Englewood CO 80111 7302 T 303 714 9900 F 303 714 9990 www segalco com October 18 2001 Richard J DeLa Castro PhD Human Resources Director City of Fort Collins H R Department 200 West Mountain Ave Suite A P O Box 580 Fort Collins CO 80522-0580 Re Western Cost Management Trust (WCMT) Proposed Renewal Dear Richard We have received BCS Insurance Company s proposed renewal of the organ and bone marrow transplant coverage effective January 1, 2002 Proposed Renewal With the ongoing significant rate increases health plans continue to experience, it is good news that BCS s proposed rate increase is approximately 5% for the various WCMT coverage options Following are the current and proposed rates for your plan's coverage Current Proposed % Change $7 67 $8 01 4 46% Covelage Options There are two coverage options available under the WCMT, one for an 18-month benefit period (your current coverage) and the other for a 12-month benefit period Both options otherwise provide exactly the same benefits Rates for the three alternative plans for both the 18-month and 12-month benefit periods are shown below I T ( r , 1 , I 111Pn ATLANTA BOSTON CHICAGO ULEVELAND CANNER HARTFORD HOUSTON LU9 ANGCLES TAINT FAFOLIS NEW ORLEANS NEW YORK PHILAOELPHIA PHOENIX SAN ERAr CISGO ATTLE TORONTO WASHINcrON UG Molt natloOal Ci cup of A tua P d )d LO Ila tS AMSTERDAM BAR( ELONA GENEVA HAMBURG LONDJN MELDOURNF M XICO CITY )SLC IARIS Richard DeLa Castro PhD October 18, 2001 Page 2 18-month Alternative Plans* Benefit Period Without Drug Ride Alternative I $7 74 Alternative II 623 Alternative III 282 With Drug Rider Alternative I $8 01 Alternative 11 650 Alteme e TII 309 12-month Benefit Period $7 38 594 270 $7 65 621 207 *Rates are charged on a per employee/retiree composite basis and include coverage for eligible dependents Alternative I Covers 100% of covered charges Alternative II Covers 80% of covered charges and the participant or underlying plan covers 20% of covered charges Alternative III Benefits are subject to a $100,000 deductible and payable at 100% thereafter Drug Rider Extended drug and support services coverage for 12 months after expiration of the 18-month or 12-month benefit period Drug Rider The Chrommed Drug Rider which is included in your coverage, will increase from $ 22 to $ 27 per eligible per month due to continuing increases in drug costs Please note the cost of this rider has not increased since its inception effective ranuary l 1994 The naer provides aii additional 12 months of antirejection drug benefits following expiration of the benefit period covered by WCMT s base coverage Richard DeLa Castro PhD October 18 2001 Page 3 Please let us know if you have any questions regarding the proposed renewal We will discuss this with you in the near future Sincerely Susan K Imming rlt 12059710045 001 JUL-24-2000 10 59 If THE SEGAL COMPANY THE SEGAL CO P 02 L-I i(a— aaLl`7 MINIS Svnull Wry %wt 750 F11 lewt nl Col n1j NUI 11 67 _ 101 714 ) qNl 11T i11171+99t11 May 31 2000 VIA FACSIMILE Mr James B O Neill II CPPO Director of Purchasing and Risk Management City of Fort Collins 256 W Mountain Avenue P O Box 580 Fort Collins CO 80522 0580 Re The Segal Compaov's Service' e Pce'� RFP Proposal P-751 Dear Mr O Neill %" -u- ( cam, T� n d ej Just as as it is important to understand why we were retained for a particular assignment, it is also extremely valuable to learn why we were not In order to understand your perception of our Companv and its services I would appreciate approximately 10 minutes of your time to conduct a telephone survey The questions to be asked during this survey are attached My assistant Karen Caster will be calling your office shortly to schedule our telephone meeting Thank you to advance for providing me with your candid feedback on our proposal and our organization W FR/kcc Attachment cc Karen Caster Debra K Gassen AdUt B.t. Chtc Ck Wd D,,t EMOM- N w OR . N1w Yak P .l SL UOM Sir F.. KOCO Sint Smceereelyv William F Aobmson Jr E s Sr" y r r v i P JUL-24-2000 10 SS THE SEGRL CO P 01 THE SEGRL COMPANY 6300 South Syracuse Way Suite 750 Englewood Colorado 80111-6711 PHONE (303) 714-9900 FAX (303) 714-9990 or 714-9991 FAX TRANSMITTAL FROMo. TO FAX NO CC There will be a total of a- page(s) to follow DATE lray �o 0 MESSAGE ❑ For your information ❑ Per our conversation ❑ For your action ❑ Per your request ❑ Original to follow by tread ❑ Please advise Telecopy Operator Extension 9 314 THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED CONFIDENTIAL AND EXEMPT FROM DISCLOSURE If the reader of this message is not the Intended recipient or an emplovee or agent responsible for delivering the message to the intended recipient you are hereby notified that any dissemination distrioution or copying of this communication is strictly prohibited If you have received this communication in error please notify us immediately by telephone and return the original message to us by mail Thankyou. Atlanta/Boston/Chicago/Clevelmd/Denver/Edmonton/Hattford/Housiont Los Angele$/Mnmmpohs New OrlewmlNew YorWPhoenix/S[ Louis/San Fmndsco/ SeattielrommotW ashmgton D C 95206045 em MAY-31-2000 15 46 THE SEGAL CO P 01 THE S GAL COMPANY 6300 South Syracuse Way Suite 750 Englewood, Colorado 80111-6722 PHONE (303) 714-9900 FAX (303) 714-9990 or 714-9991 FAX TRANSMITTAL FROM (�b�� ^ Sores DATE 513� 00 TO FAX NO — -1 O CC 't' be a o page(s) to follow MESSAGE Telecopy Operator ❑ For your information ❑ For your act;^n ❑ Original to J ❑ Per our conversation ❑ Per your t equest NMI /'"M __rr THIS MESSAGE IS INTENDED O! ` WHICH IT IS ADDRESSED AND CONFIDENTIAL AND EXEMPT FR intended teciplent or an employee intended recipient you are herebv n< communication is strictly prohlb1te notify us immediately by telephone a New Orley iNm 9921196045 001 MAY-31-2000 15 46 THE SEGAL CO P 02 THE SEGAL COMPANY 6100 9 Sycacuce way St tc 75U Englewood C010nd0 80111 6712 0171a 9900 FAX 3U3 714-9990 VIA FACSIMILE Mr James B O'Neill II CPPO Director of Purchasing and Risk Management City of Fort Collins 256 W Mountain Avenue P O Box 580 Fort Collins CO 80522-0580 Re The Segal Company's Services RFP Proposal P-751 Dear Mr O Neill May 31 2000 Just as it is important to understand why we were retained rot a particular assignment it is also extremely valuable to learn why we were not In order to understand your perception of our Company and its services I would appreciate approximately 10 minutes of vour time to conduct a telephone survey The questions to be asked during this survey are attached My assistant. Karen Caster will be calling your office shortiv to schedule our elephone meeting Thank you in advance for providing me with your candid feedback on our proposal and our organization Sincerely ) William Robinson, Jr L Senior Vice President W FR/kce Attachment cc Karen Caster Debra K Gassen Adman SonC cap Cl . land o ee PAme*ann itartinM llm on Ens A41IN Mom Pons A C MW.,Waamh l.aosn alundon MC 16�emve MaticnC y Uelo Ven New Q . New Yu& Ph. Se Ina San Feamlae Swdc rmm�m Wu fir. e C WM PWm 8nac11 MAY-31-2000 15 47 THE SEGAL CO P 03 THE SEGAL COMPANY LOST CLIENTS/PROSPECTS TELEPHONE SURVEY FORM WRITTEN PROPOSAL (if applicable) Compared to our competitors what were the strengths of our written proposal? Weaknesses') 2 On a scale of I to 5 (with 5 being excellent), please rate The Segal Company s written proposal 3 How could our written proposal be improved? II PERSONAL PRESENTATION (if applicable) Compared to our competitors what were the strengths of our personal presentation) Weaknesses? 2 On a scale of I to 5 (with 5 being excellent) how woulc you rate The Segal Company s presentation to you? 3 Now could we Improve our personal presentation9 III FEES t How did The Segal Company's fees compare to the firm you selocted? To other proposal fees in general? 2 Now can we improve our fee proposal in the future9 IV SELECTION CRITERIA What was the one primary factor which caused you to select another fiim9 2 How could The Segal Company have improved its proposal/presentation to better address this factor? V STRENGTHS AND WEAKNESSES What was the primary strength of The Segal Company proposal 'presentation? 2 What was the primary weakness of our presentation/proposal? Your comments and feedback are extremely important to us Thank you for assisting us with obtaining this valuable information TSC_ EN350101 THE SEGAL COMPANY MAY-31-2000 15 47 THE SEGAL CO P 04 THE SEGAL COMPANY 6300 S Syraww Way 5uue 750 Cn8lewnod Culomdn 80111 6722 03 714-9 d00 AX 103 714 9990 May 31 2000 VIA FACSIMILE Mr James B O Neill It, CPPO Director of Purchasing and Risk Management City of Fort Collins 256 W Mountain Avenue P O Box 580 Fort Collins CO 80522-0580 Re The Segal Company's Services RFP Proposal P-748 Dear Mr O Neill Just as it is important to understand why we were retained for a particular assignment, it is also extremely valuable to team why we were not In order to understand your perception of our Company and its services, I would appreciate approximately 10 minutes of your time to conduct a telephone survey The questions to be asked during this survey are attached My assistant, Karen Caster, will be calling your office shortly to schedule our telephone meeting Thank you in advance for providing me with your candid feedback on our proposal and our organization Sincgrely> iwudc�l r,J/hV'1 ��. William F Robinson Jr Senior Vice President WFR/kcc Attachment cc Karen Caster Leslie Thompson ndonl 50 am Chi I,o Clev I d Um hdlnmllan H"v M 14"m U. a �nln tvhmwapnlis $� L� MJNklatloeal 41a0p M A looks and CavfYllnllk nm x dam s Iwerp New 0 i an New Yank Phnmi Sl lsv S k,M u Swlnln Tmrinls wn MSIu U I W l rdm H h Z 0.1 rwnh E l w +nn- {,ondm M Ili wma Me vC V fSrt MAY-31-2000 15 47 THE SEGAL CO P 05 THE SEGAL COMPANY LOST CLIENTS/PROSPECTS TELEPHONE, SURVEY FORM WRITTEN PROPOSAL (if applicable) 1 Compared to our competitors what were the strengths of our written proposal? Weaknesses? 2 On a scale of I to 5 (with 5 being excellent) please rate The Segal Company s written proposal 3 How could our written proposal be improved9 II PERSONAL PRESENTATION (if applicable) 1 Compared to our competitors what were the strengths of our personal presentation Weaknesses9 2 On a scale of I to 5 (with 5 being excellent), how would you rate The Segal Company's presentation to you9 3 How could we Improve our personal presentation'? III FEES How did The Segal Company's fees compare to the firm you selected? To other proposal fees in general 2 How can we improve our fee proposal in the future? IV SELECTION CRITERIA What was the one primary factor which caused you to select another firm'7 2 How could The Segal Company have improved its proposal/presentation to better address this factor? V STRENGTHS AND WEAKNESSES 1 What was the primary strength of The Segal Company proposallpresentationl 2 What was the primary weakness of our presentation/proposal? Your comments and feedback are extremely important to us Thank you for assisting us with obtaining this valuable information TSC_Dan 3"101 THE SEGAL COMPANY TOTAL P 05 THE SEGAL COMPANY 6300 S Syracuse Rai Suite 750 wood Colorado 1 67�2 7149900 FAX 303 714 9990 June 25 1999 Vincent Pascale, Jr Benefits Administration City of Fort Collins 200 West Mountain Avenue Suite A P O Box 580 Fort Collins CO 80522-0580 Re Vision Service Plan Dear Vincent JUN 2 8 1999 HUMAN HCSuUFit,,., Following our review we are enclosing Vision Service Plan's (VSP) Administrative Services Program effective January 1, 1999 Listed below are the changes that were requested and VSP s response 1 Section H Term Termination and Renewal — The previous contract reflected early termination due to the 24 month term of the contract VSP's response was that because the authorization to use VSP services is valid for 60 days from the time the participant requests services from the providers, they would leave the provision as is They further explained that if VSP allowed for early termination this would make VSP liable for the claims incurred in the 30 day window between the termination date and the expiration of the benefit authorization 2 Section IV Obligations of the Group — VSP has complied with our request to change the renewal notice to 120 days 3 Section VI Eligibility for Coverage — We requested a change in dependent lunitmg age to the end of the month in which the dependent child reaches age 19 or 25 Because VSP accepts information via tape they follow your eligibility, therefore it appears this may not be an issue %tl r H I (h (I 1 I D r l n n H it. d H i 1 c 1 %1 P I �2-� Multi t nal —" o p tP A to ies ad (meulte is 4m i d m lmwerp 4 w n l l A 1 1I I 1 5 nl 7 R 1 p< w P B b t 110 C B I n 11 mbu a L ann L dun M Ib um, %1 ( p 01 Fan JUL-24-2000 10 59 THE SEGAL CO P 03 THE SEGAL COMPANY LOST CLIENTS/PROSPECTS TELEPHONE SURVEY FORM WRITTEN PROPOSAL (if applicable) Compared to our competitors what were the strengths of our written proposal? Weaknesses? 2 On a scale of i to 5 (with 5 being excellent) please rate The Segal Company s written proposal 3 How could our written proposal be improvedl 11 PERSONAL PRESENTATION (if applicable) Compared to our competitors, what were the strengths of our personal presentatio0 Weaknesses? 2 On a scale of I to 5 (with 5 being excellent) how would you rate The Segal Company s presentation to you? 3 How could we improve our personal presentation? III FEES 1 How did The Segal Company s fees compare to the firm you selected? To other proposal fees in generate 2 How can we improve our fee proposal in the future? IV SELECTION CRITERIA What was the one primary factor which caused you to select another firm I 2 How could The Segal Company have improved its proposal/presentation to better address this factor? V STRENGTHS AND WEAKNESSES What was the primary strength of The Segal Company proposal/presentation? 2 What was the primary weakness of our presentation/proposal? Your comments and feedback are extremely important to us Thank you for assisting us with obtaining this valuable information tic oeN.3aalo 1 THE SEGAL COMPANY TOTAL P 03 AAmimcfi'attve Services Purchasing Division —ity of Fort Collins November 6 2002 Todd Junker Sun Life Assurance Company of Canada 1401 17`h Street Denver CO 80202 Re City of Fort Collins 98544 Group Office Denver Dear Mr Junker The City of Fort Collins wishes to extend the agreement term per the existing terms and conditions and accepts the rate proposed in your letter dated July 29 2002 The term will be extended for one (1) additional year January 1 2003 through December 31 2003 If the renewal is acceptable to your firm please sign this letter in the space provided and return it to the City of Fort Collins Purchasing Division P O Box 580 FortCollins CO 85022 within the next fifteen days If this extension is not agreeable with your firm we ask that you send us a written notice stating that you do not wish to renew the contract and state the reason for non renewal If you have any questions regarding this matter please contact me at 221-6775 Sincerely 9e� C s B O'Neill II CPPO FNIGP Director of Purchasing and Risk Management Encl Renewal proposal Basic Life ADD Renewal proposal Long Term Disability cc Jerry Rueschhoff William M Mercer Incorporated Vincent Pascale City of Fort Collins Benefits Administrator Signature Date (Please indicate your desire to renew City of Fort Collins 98544 Group Office Denver by signing this letter and returning it to Purchasing Division within the next fifteen days ) 215 North Mason Street 2nd Floor PO Box 580 Fort Collins CO 80522 0580 (970) 2216775 FAX (970) 221 6707 Renewal Proposal For City of Fort Collins Group Number — 98544 Effective 01/01/2003 Benefit Basic Employee Life Basic AD&D Eligible Employees 1,449 1,797 Volume $65,731,928 $95,398,287 Rate Basis per $1,000 volume per $1,000 volume Current Rate $0 170 $0 040 Current Annual Premium $134,093 $45,791 Renewal Rate $0 200 $0 040 Estimated Renewal Premium $157,757 $45,791 Guarantee 24 months 24 months Comments • Optional Dependent Life rates remain unchanged • Employee Optional Life rates remain unchanged • Assist America offering on the following page Authorized signature required • This renewal includes the addition of global travel assistance provided by Assist America for all non retired employees and their dependents Assist America s medical and personal emergency assistance is available to employees traveling 100 or more miles away from home Should an employee or a family member become ill, have an accident or need other assistance covered under the program, with one simple phone call he or she can access proper medical care anywhere in the world Unless you indicate otherwise your signature verifies that you have accepted global travel assistance services For Sun Life Assurance Company of Canada to process this renewal in a timely manner, please sign this form and return it to me by December 17 2002 If renewal alternatives are elected, or if there are any changes to the underlying plan's benefit structure, please have the policyholder sign and returnthis form Otherwise, your signature as broker is the only signature required Authorized Signature JAMES Q. O'NEILL II. CPPO. FNIGP Name (Printed) Underwriter Brian Lynch Date DIRECTOR OF PURCHASING AND RISK MANAGEMENT Title SLPC7157 7/01 Sun Life Assurance Company of Canada is a member of the Sun Life Financial group of companies www sunlife-usa com J Renewal Proposal For City of Fort Collins Group Number — 98544 Effective O1/O1/2003 For Sun Life Assurance Company of Canada to process this renewal in a timely manner, please sign this form and return it to me by December 17, 2002 If renewal alternatives are elected, or if there are any changes to the underlying plan's benefit structure, please have the policyholder sign and return this form Otherwise, your signature as broker is the only signature required Authorized Signature Name (Printed) Underwriter Brian Lynch Date Title SLPC7157 7/01 Sun Life Assurance Company of Canada is a member of the Sun Life Financial group of companies www sunlife usa com Benefit Eligible Employees Volume Rate Basis Current Rate Current Annual Premium Renewal Rate Estimated Renewal Premium Guarantee Renewal Proposal For City of Fort Collins Group Number — 98544 Effective 01/01/2003 Long Term Disability 1 079 $4,327,761 % eligible payroll 0 640% $332,372 0 790% $410 272 24 months Comments • Your Long Term Disability rate is increasing 23% due to the incurred loss ratio of 128% compared to target loss ratio of 80% Please see the enclosed experience exhibit • Change the Benefit percentage to 60% at a revised rate of 640% For Sun Life Assurance Company of Canada to process this renewal in a timely manner, please sign this form and return it to me by December 17, 2002 If renewal alternatives are elected, or if there are any changes to the underlying plan's benefit structure, please have the policyholder sign and return this form Otherwise your signature as broker is the only signature required O —� L. J' O Authorized Signature IDate JAMES B O'NEILL II, CPPO, FNIGP DIRECTOR OF PURCHASING AND RISK MANAGEMENT Name (Printed) Title Underwriter Brian Lynch SLPC7157 7/O1 Sun Life Assurance Company of Canada is a member of the Sun Life Financial group of companies www o ni fn_ co n.m Administrative Services Purchasing Division City of Fort Collins July 29 2002 Mr Randy Savona Denver Group Manager SunLife of Canada 1401 17th Street Suite 350 Denver Colorado 80202 Re City of Fort Collins January 1 2003 Renewal Dear Mr Savona As you are aware the City of Fort Collins (the City) life and long-term disability plans renew effective January 1 2003 Please provide us with the renewal for all life and LTD premium rates effective January 1 2003 In addition to receiving the new premium rates we would like to see the calculations that are used to develop the new rates We need to receive this renewal as soon as possible Please also send copies of the renewal to Vincent Pascale at the City and Phil Goldstein of Mercer Human Resource Consulting at the following address 370 17th Street Suite 4000 Denver Colorado 80202 If you have any questions please call me at (970) 221-6779 Si e ly"FN J m B Oedl11 CP Director of Purchasing and Risk Management Copy Mr Vincent Pascale Mr Phil Goldstein 215 North Mason Street 2nd Floor PO Box 580 Fort Collins CO 80522 0580 (970) 221 6775 FAX (970) 221 6707 s Sun Life Financials" September 4 2002 James B O Neill II Director of Purchasing and Risk Management City of Fort Collins 215 N Mason St PO Box 580 Fort Collins CO 80522 0580 RE Life and Long Term Disability Renewal Dear James SE P (1 6 2002 Enclosed you will find the 1/l/03 Life and Long Term Disability renewal for the City of Fort Collins I am currently working with Phil Goldstein of William Mercer to address some of his questions Please let me know if you have any questions or would like to discuss Best Regards I N-e"& Todd A Junker Group Representative Renewal Proposal For City of Fort Collins Group Number — 98544 Effective 01/01/2003 Benefit Basic Employee Life Eligible Employees 1449 Volume $65 731 928 Rate Basis per $1 000 volume Current Rate $0 170 Current Annual Premium $134,093 Renewal Rate $0 200 Estimated Renewal Premium $157 757 Guarantee 24 months Basic AD&D 1 797 $95 398,287 per $1 000 volume $0 040 $45 791 $0 040 $45 791 24 months Comments • Basic Dependent Life will increase 10% Current rates for billing group 001 and 002 are $0 55 and $1 00 renewal offering is $0 55 and $1 10 respectively • Optional Life rates remain the same • Assist America offering on the following page Authorized signature required • This renewal includes the addition of global travel assistance provided by Assist America for all non retired employees and their dependents Assist America s medical and personal emergency assistance is available to employees traveling 100 or more miles away from home Should an employee or a family member become ill have an accident or need other assistance covered under the program with one For Sun Life Assurance Company of Canada to process this renewal in a timely manner please sign this form and return it to me by December 17 2002 If renewal alternatives are elected or if there are any changes to the underlying plan's benefit structure please have the policyholder sign and return this form Otherwise your signature as broker is the only signature required Authorized Signature Name (Printed) Underwriter Brian Lynch SLPC7157 7/O1 Date Title Sun Life Assurance Company of Canada is a member of the Sun Life Financial group of companies www sunl fe usa com Benefit Eligible Employees Volume Rate Basis Current Rate Current Annual Premium Renewal Rate Estimated Renewal Prenuum Guarantee Renewal Proposal For City of Fort Collins Group Number — 98544 Effective 01/01/2003 Long Term Disability 1 079 $4 327 761 % eligible payroll 0 640% $332 372 0 790% $410 272 24 months Comments • Your Long Term Disability rate is increasing 23% due to the incurred loss ratio of 128% compared to target loss ratio of 80% Please see the enclosed experience exhibit • Change the Benefit percentage to 60% at a revised rate of 640% For Sun Life Assurance Company of Canada to process this renewal in a timely manner, please sign this form and return it to me by December 17 2002 If renewal alternatives are elected or if there are any changes to the underlying plan s benefit structure, please have the policyholder sign and return this form Otherwise your signature as broker is the only signature required Authorized Signature Name (Printed) Underwriter Brian Lynch SLPC7157 7/01 Date Title Sun Life Assurance Company of Canada is a member of the Sun Life Financial group of companies www sunlife usa com Sun1,� Life Financial' July 29 2002 Jerry Rueschhoff William M Mercer Incorporated 370 17th Street Suite 4000 Denver, CO 80202 Re Group Policy Group Office Dear Mr Rueschhoff Sun Life Assurance Company of Canada 1401 17th Street Suite 350 Denver CO 80202 Tel 303 293 8955 Fax 303 293 0142 City of Fort Collins 98544 Denver Thank you for working with us to serve this important customer We are pleased to present the enclosed renewal proposal for City of Fort Collins for the policy year ending December 31, 2002 At Sun Life Assurance Company of Canada, we are dedicated to providing quality benefits in a cost effective manner The enclosed rates are based on the current distribution of employees by age gender and insurance amount These rates also reflect our current rating practices Please sign and date the enclosed renewal form indicating whether City of Fort Collins accepts the renewal or would like to select an alternative renewal option You can return the renewal form to me by mail or by fax It has been our pleasure to serve City of Fort Collins and we look forward to continuing our relationship with you and your customer in the coming year Our mission is to understand your customers needs and deliver the products and services to meet those needs Please call me at 303 293-8955 if you have any questions Sincerely Todd Junker Sales Representative Underwriter Brian Lynch SLPC 7155 7/01 Sun Life Assurance Company of Canada is a member of the Sun Life Financial group of companies www wnhfP iien onm Vincent H Pascale Jr City of Fort Collins June 25 1999 Page 2 Please review the contract and let us know if you have any changes If you should have any questions, please feel free to contact our office Sincerely, De Anne Head DMH Enclosure cc Tom Swartzbaugh Don Heilman 103905/00386 001 Administrative Services Purchasing Division City of Fort Collins November 2 2001 Randy Savona Group Manager SunLife Assurance Company of Canada 1401 Seventeenth Street STE 350 Derver CO 80202 Re Renewal Life AD&D Optional Life and LTD-2002 Dear Mr Savona NOV 8 200, The City of Fort Collins wishes to extend the agreement term for the above captioned programs per the terms and conditions outlined in your September 2001 letter The term will be extended for one (1) additional year January 1 2002 through December 31 2002 If the renewal is acceptable to your firm please sign this letter in the space provided and return it to the City of Fort Collins Purchasing Division P O Box 580 Fort Collins CO 85022 within the next fifteen days If this extension is not agreeable with your firm we ask that you send us a written notice stating that you do not wish to renew the contract and state the reason for non -renewal If you have any questions regarding this matter please contact Keith Ashby CPPO Buyer at 416- 2191 S erelyntl- Ja sB 0Neill11 CPPO FNIGP i ctor of Purchasing and Risk Management cc Vincent Pascale Human Resources Phil Goldstein William M Mercer Inc Signature llkQ Date (Please iMicate your desire to renew these programs for the City of Fort Collins by signing this letter and returning it to Purchasing Division within the next fifteen days ) 215 North Mason Street 2nd Floor PO Box 580 Fort Collins CO 80522 0580 (970) 221 6775 FAX (970) 221 6707 \i 11 I• Sun �.►`�. Sun Life Assurance Company of Canada Life Financials" 1401 Seventeenth Street Suite 350 Denver CO 80202 Tel (800) 488 3278 Tel (303) 293 8955 Fax (303) 293 0142 SEP 1 7 P001 James B O Neill II CPPO FNIGP City of Fort Collins 215 North Mason Street 2 Floor Fort Collins CO 80522 0580 RE City of Fort Collins — January 1 2002 Renewal Dear James This is to confirm that your existing rates for Life AD&D Optional Life and LTD are guaranteed through 12/31/2002 At last year s renewal we provided a 24 month rate guarantee If you have any questions please feel free to contact me Best Regards R y Savona Group Manager Cc Mr Vincent Pascale Mr Phil Goldstein Sun Life Assurance Company of Canada is a member of the Sun Life Financial group of Companies www sunhfe com Administrative Services Purchasing Division I ity of Fort Collins September 5 2001 Mr Randy Savona SunLife of Canada 1401 17th Street Suite 350 Denver Colorado 80202 Subject City of Fort Collins - January 1 2002 Renewal Dear Randy As you are aware the City of Fort Collins (the City) life and long-term disability plans renew effective January 1 2002 Please provide us with the renewal for all life and LTD plan premium rates effective January 1 2002 In addition to receiving the new premium rates we would like to see the calculations that are used to develop these new rates We need to receive this renewal as soon as possible Please also send copies of the renewal to Vincent Pascale at the City and Phil Goldstein of William M Mercer Inc at the following address 370 17th Street Suite 4000 Denver Colorado 80202 If you have any questions please call me at (970) 221-6779 Sincerely J me B O Neill II CPPO Di or of Purchasing and FNIGP Risk Management Copy Mr Vincent Pascale Mr Phil Goldstein 215 North Mason Street 2nd Floor PO Box 580 • Fort Collins CO 80522 0580 (970) 221 6775 FAX (970) 221 6707 Rick Tensley sun726 doc Page 1 August 24, 2001 Mr Randy Savona SunLife of Canada 1401 17th Street, Suite 350 Denver Colorado 80202 Subject City of Fort Collins - January 1, 2002 Renewal Dear Randy As you are aware, the City of Fort Collins (the City) life and long-term disability plans renew effective January 1, 2002 Please provide us with the renewal for all life and LTD plan premium rates, effective January 1, 2002 In addition to receiving the new premium rates, we would like to see the calculations that are used to develop these new rates We need to receive this renewal as soon as possible Please also send copies of the renewal to Vincent Pascale at the City, and Phil Goldstein of William M Mercer, Inc at the following address 370 17th Street, Suite 4000 Denver, Colorado 80202 If you have any questions please call me at (970) 221 6779 Sincerely, James B O Neill II, CPPO PEG GLR lkb Copy Mr Vincent Pascale Mr Phil Goldstein G \Practice\H&g\CltyFtC\Pnnng\2002\sun726 dm RESO',IftTION 96-132 -- Page 1 of 2 RESOLUTION 96-132 OF THE COUNCIL OF THE CITY OF FORT COLLINS APPROVING THE PURCHASE OF VARIOUS INSURANCE FOR THE BENEFITS PROGRAM FROM SUN LIFE OF CANADA, FHP HEALTH PLAN, VISION SERVICE PLAN AND DELTA DENTAL PLAN WHEREAS Sun Life of Canada FHP Health Plan Vision Service Plan and Delta Dental Plan provide insurance options needed by the City and and WHEREAS, the City is in need of these insurance options for its employee benefits program, WHEREAS funds have been allocated in the 1997 budget for such purpose and WHEREAS Section 8-160 (d) (1) b of the Code of the City of Fort Collins authorizes the Purchasing Agent to negotiate the purchase of supplies and services without utilizing a competitive process where the Purchasing Agent determines that although there exists more than one (1) responsible source, a competitive process cannot reasonably be used or if used will result in a substantially higher cost to the City, will otherwise injure the City s financial interest or will substantially impede the City's administrative junctions or the delivery of services to the public and WHEREAS the Purchasing Agent has made such a determination and has submitted the requisite justification for that determination to the City Manager for approval, and WHEREAS, the City Manager has reviewed and approved the determination that for this acquisition should be exempted from the competitive purchasing requirements and WHEREAS, Section 8-160 (d) (3) requires approval of this purchasing method by the City Council for items costing more than Fifty Thousand Dollars ($50 000) prior to acquisition and WHEREAS, the Council has considered the Purchasing Agent's justification for determining that circumstances are appropriate for application of City Code Section 8-160(d)(1)b and agrees with that determination NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FORT COLLINS that the Purchasing Agent is hereby authorized to contract for the following insurance coverages as exceptions to the City s competitive purchasing requirements (a) Life and Accidental Death and Dismemberment and Long Term Disability Insurance from Sun Life of Canada in an amount estimated to be $274,000 (b) Stop Loss Insurance from FHP Health Care in an amount estimated to be $120 000 (c) Vision Insurance from Vision Service Plan in an amount estimated to be $68 000 and (d) Dental Insurance from Delta Dental Plan in amount estimated to be $35 000 R6So',ATION 96-132 -- Page 2 of 2 Passed and adopted at a regular meeting of the City Counr,"-ekjDthis 5t of November, A A 1996 �l�T-` mayor G ATTEST THE SEGAL COMPANY 100 5 S' I 1 11 v% " 1[, 00 I d ( I I 714 ))00 U 14 IUO Ms Kelly Redpath Account Manager Sloans Lake Managed Care 1355 South Colorado Boulevard Suite 902 Denver CO 80222 Re City of Fort Collins, Colorado September 28 1998 As previously communicated by the City of Fort Collins the City selected your company to provide PPO and UR services for participants and dependents participating in the PPO plan effective January 1 1999 The following items are noted ♦ The City has elected to increase the PPO lifetime maximum from $1 000 000 to $2 000 000 effective January 1 1999 The current EPO and POS lifetime maximum is $2 000 000 ♦ The fees per participant per month for the period January 1 through December 31 1999 will be as follows PPO Network Access Fee $2 00 UR 2 65 Case Management $100/hour ♦ Enclosed in the original Request for Proposal from the City was a sample of the City s professional services contract Please indicate your acceptance to this contract or provide anv requested changes ♦ The third party administrator for the PPO plan is as follows Mr Phillip G Reisbeck National Health Svstems Inc 155 Inverness Drive West Suite 300 Englewood CO 80112 Telephone (303) 799 6882 Fax (303) 799 6894 Vtl It t p D n r it I1 A AI �I VI II ' I (ry p 14 I nJ L pan' A l Aux L n L J %I h , AI l u l I May 27 1999 Don Heilman The Segal Company 6300 S Syracuse Way Ste 750 Englewood, CO 80111-6722 Re City of Ft Collins Dear Mr Heilman, r- •J SLOANSLAKE MANAGED CARE JUN 0 1999 +1 AESOURCES 1355 South Colorado Blvd Suite 902 Denver Colorado 80222 Telephone (303) 691 2200 Facsimile (303) 691 0460 This letter is to confirm that Sloans Lake Managed Care has agreed to perform the following services at no additional cost to the City of Ft Collins through December 31, 1999 • Pre -authorization of home health care services • Early pregnancy screening, to include notification to claim administrator indicating the expected date of confinement when a patient calls for the initial OB pre authorization • Assess the OB patient at the time the initial call is made for pre authorization to determine if the pregnancy is a potential high -risk pregnancy If it is determined that it is a potential high risk pregnancy the claim will be referred to Sloans Lake's Case Management team The City of Ft Collins will be billed the agreed upon hourly rate for any services provided by Case Management subject to authorization by the City of Ft Collins If you have aay questions, please do not hesitate to contact me at 303-504-5312 Sincerely ,.. J n n f Marketing Operations cc Vincent H Pascole Jr City of Ft Collins Mary Schlobohm, NHS Dallas Franks The Segal Company Elizabeth Shugarts SLMC UM THE SECAL COMPANY 6101)S Sxraeu,Wn Sure 7,0 I'lewood Colorado 11673' iO3 761 9900 PAX 4)1 714 9990 FROM De Anne Head TO Plan Administrators MEMORANDUM RE Sloans Lake Managed Care Network Notice DATE May 3 1999 Enclosed for your files is a nonce trom Sloans Lake Managed Care regarding certain network changes Should you have any questions please contact our office Best regards DMH Enclosure cc Interested Parties 102752/96045 006 4d , B I (1 U d Den Ldmo 10 Harto d Ho I L A g le M eap I N� G Multlnar anal G up a Arlluartm and Con ulfants A lerdam Antwerp N x 0 1 \ w Y A Ph SI L San F co S vl T raw W h ngl DC W r Palm B h \ C B celon H mbu g Lausanne London Melboume M xmo Cdy 0 1 Pan TO Dallas Franks The Segal Company 6300 S Syracuse Way, Ste 750 Englewood, CO 80111-6722 FROM Judy Green, Director of Marketing Operations DATE April 23, 1999 RE City of Fort Collins �J SLOANSLAKE MANAGED CARE 1355 South Colorado Blvd Suite 902 Dtnver Colorado 80222 Tilephont (303) 691 2200 Facsimdt (303) 691 0460 BRECKENRIDGE MEDICAL CENTER (Tax ID #84-1206844) Effective June 1, 1999, Breckenridge Medical Center has agreed to increase their discounts from a five percent (5%) discount to a ten percent (10%) discount off of billed charges A new Exhibit A is attached COLORADO ORTHOPEDIC Sk REHABILITATION EQUIPTMENT, INC (C O RE) (Tax ID #84-1039270) Effective June 1, 1999, this provider will be terminating their relationship with Sloans Lake Managed Care IVINSON MEMORIAL HOSPITAL (Tax ID #83-6000188) Effective June 1, 1999, Ivmson Memorial Hospital will be added to the above group's SLMC PPO network access Attached is an Exhibit A which reflects the discount rates They are located at 255 N 30d St Laramie, WY 82072- 5195 (307-742-2141) ROARING FORK VALLEY PHYSICIANS IPA (RFIP) Effective June 1, 1999, the conversion factors for Roaring Fork valley Physicians IPA will change The new Exhibit B is attached Please be sure the above client is notified of the above changes If you have any questions, please do not hesitate to contact me at 303-504-5312 or Donna Hayden at 303-504-5313 EFFECTIVE 6/1/" EXHMIT A Breckenridge Medical Center Tax ID k84-1206844 Negotiated Rates Breckenridge Medical Center agrees to a ten percent (10%) discount off total billed charges 1999PPO/PAR/4 10 99/dmh