Summary:
The contract with United HealthCare for Health Plan Administrative Services expires on December 31, 2015. The Human Resources Division and Procurement and Contracts Division is requesting approval to extend the current contract for one (1) additional year. The following terms have been negotiated with United HealthCare for plan year 2016:
- Administrative fees of $36.40 per employee per month (PEPM) inclusive of $1.00 PEPM for third party stop loss administration.
- $100,000.00 contribution toward the City’s Wellness Program initiatives.*
- $25,000.00 communications budget to be used towards wellness programs and promotion.*
- Continuation of the onsite nurse liaison.
2016 United Healthcare Renewal – Estimated Savings
|
2015
|
2016
|
Savings
|
ASO Fee, Per Subscriber Per Month
|
$38.43
|
$36.40
|
|
Subscribers
|
4,620
|
4,620
|
|
Estimated Annual Cost
|
$2,130,559
|
$2,018,016
|
-$112,543
|
|
2015
|
2016
|
Additional Funds
|
*Funds toward Wellness and Health Promotion
|
$85,000
|
$125,000
|
$40,000
|
*The 2016 United Healthcare Renewal included an increase in the amount United Healthcare will provide for wellness and health promotion. Note that the expenses paid with these funds must be approved by United Healthcare.
All other terms of the current United HealthCare contract for Health Plan Administrative Services (RFP07-0593) will remain unchanged from Plan Year 2015. |