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Home My WebLink AboutCity of Tamarac Resolution R-2018-1441 CITY OF TAMARAC, FLORIDA RESOLUTION NO. R-2018- Temp. Reso. #13199 October 16, 2018 Page 1 A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF TAMARAC, FLORIDA, AUTHORIZING THE APPROPRIATE CITY OFFICIALS TO RENEW AND EXECUTE AN AGREEMENT WITH CIGNA, PROVIDING FOR A DENTAL INSURANCE PROGRAM, AND TO MAKE CERTAIN MODIFICATIONS TO THE PROGRAM FOR EMPLOYEES AND RETIREES; PROVIDING FOR THE CONTINUATION OF THE EXISTING COST ALLOCATION OF THE DENTAL INSURANCE PREMIUM BETWEEN THE CITY AND EMPLOYEES; PROVIDING FOR CONFLICTS; PROVIDING FOR SEVERABILITY; AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, the City's dental insurance was awarded to CIGNA effective January 1, 2017 via Resolution R-2016-118 at its October 27, 2016 meeting, a copy of such resolution is on file with the City Clerk; and WHEREAS, the City's contract with CIGNA is scheduled to expire on December 31, 2018; and WHEREAS, in the summer of 2018, the City's benefit consultant Lockton Companies competitively marketed the City's dental insurance coverage for Plan Year 2019; and WHEREAS, as a result of the marketing of the dental plan, Lockton Companies presented the City with three (3) proposals: CIGNA, Aetna and United Heathcare; and Temp. Reso. #13199 October 16, 2018 Page 2 G WHEREAS, the City reviewed the City's plan design and determined that minor plan design changes are necessary for 2019, guaranteed for two (2) years as described in Exhibit #1, attached hereto and made a part hereof; and WHEREAS, the City staff has worked with representatives of Lockton Companies to negotiate the most comprehensive and cost effective dental plan for the City's employees, dependents and retirees; and WHEREAS, after further evaluation of the proposals by the Benefits Manager and Director of Human Resources, it was determined that CIGNA provided the most comprehensive dental insurance program; and WHEREAS, it is the recommendation of the City Manager and the Director of Human Resources that the City award the dental insurance program to CIGNA, as described in the Agreement, attached as Exhibit #1, subject to any revisions consistent with the benefit plan as may be negotiated by and between City staff and CIGNA and as approved by the City Manager and the City Attorney for two (2) plan years effective January 1, 2019; and WHEREAS, these negotiations and plan design improvements will result in an overall premium increase of approximately 8.5% from the 2018 premiums, guaranteed for two (2) years as described in Exhibit #1, attached hereto and made a part hereof; and WHEREAS, available funds exist in the appropriate Governmental Funds which are in the approved FY2019 Budget; and WHEREAS, the City Commission has deemed it to be in the best interest of the health, safety and welfare of citizens and residents of the City of Tamarac �l Temp. Reso. #13199 October 16, 2018 Page 3 to execute the dental insurance contract with CIGNA for dental insurance for City of Tamarac employees, as outlined in Exhibit #1, attached hereto and made a part hereof, subject to any revisions consistent with the benefit plan as may be negotiated by and between City staff and CIGNA and as approved by the City Manager and the City Attorney effective January 1, 2019 for a two year period. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF TAMARAC, FLORIDA: SECTION 1: That the foregoing "WHEREAS" clauses are hereby ratified and confirmed as being true and correct and are hereby made a specific part of this Resolution. All exhibits attached hereto are incorporated herein and made a specific part of this Resolution. SECTION 2: That the appropriate City officials are hereby authorized to execute the CIGNA agreement for dental insurance coverage for City of Tamarac employees, dependents and retirees as outlined in Exhibit #1, subject to any revisions consistent with the benefit plan as may be negotiated by and between City staff and CIGNA and as approved by the City Manager and the City Attorney for two (2) years effective January 1, 2019. SECTION 3: That the appropriate City officials are hereby authorized to continue the existing cost allocation of the dental insurance premium between the City and employees. SECTION 4: That all resolutions or parts of resolutions in conflict herewith are hereby repealed to the extent of such conflict. Temp. Reso. #13199 October 16, 2018 Page 4 SECTION 5: That if any clause, section, or other part or application of this Resolution is held by any court of competent jurisdiction to be unconstitutional or invalid, in part or application, it shall not affect the validity of the remaining portions or applications of this Resolution. SECTION 6: This Resolution shall become effective immediately upon adoption. PASSED, ADOPTED AND APPROVED this ��day of J� 2018. ►- W'.��r�, HARRY ,. MAYOR ATTEST: PATRICIA TEUFEL, CITY CLERK 1. RECORD OF COMMISSION VOTE MAYOR DRESSLER DIST 1: COMM. BOLTON DIST 2: V/M GOMEZ DIST 3: COMM. FISHMAN DIST 4: COMM. PLACKO I HEREBY CERTIFY THAT I HAVE APPROVED THIS RESOLUTION AS TO FORM AMUEL S. GORE CITY ATTORNEY 1 1 C City of Tamarac CIGNA Dental Summary Effective Date: January 1, 2019 DENTAL HMO Preventive Services - Type 1 . • Code CIGNA Proposed Member Pays Office Visit $5 Oral Exams _ 0120 _ No charge~� Bitewing X-rays 0270 No charge X-rays Intraoral complete 0330 No charge Cleanings (2 annually) 1110 No charge Addl Cleanings Adult/Child 1110 & 1120 $45 / $35 Fluoride Treatment 1206 No charge Sealants - per tooth 1351 $7 Basic Services - Type 2T,- Amalgam Restorations — 2150 No charge Resin Restorations 2331 No charge Root Canal Treatment 3330 $195 Root Planing_- per quad 4341 $35 Periodontal Surgery �— _ 4260 _ $250-- Surgical Extractions 7240 $80 Major Services - Type 3 Crowns �— 2720 or 2740 _ $130 Pontics 6241 $130 Partials 5214 $140 Upper denture 5110 $135 _ Bleaching 9975 $125 Orthodontia - Type 4 Orthodontic Treatment - Child 8670 $1,224 Orthodontic Treatment - Adult 8670 $1,728 PREMIUM ANALYSIS Employee Proposed $17.31 Employee + 1 $30.30 Employee + 2 or more Monthly Premium $47.61 7,094 Annual Premium 85,126 $ Difference in Current $6,294 % Difference In Current 8.0% Rate Guarantee Notes/Comments 2 years Additional lab fees may apply; Prior authorizaion required for Speciaity Care except for Pediatric, Ortho and Endo services. Some auto Isubs n' THIS BENEFIT SUMMARY IS FOR ILLUSTRATION PURPOSES ONLY. This insurance proposal is not to be construed as an exact or complete analysis of the policies nor as legal evidence of insurance. The provisions of the actual policies will prevail. EXHIBIT I DENTALPPO CIGNA Proposed Benefits In Network Out of Network �T — Deductible , Single $50 $100 Family $150 i $300 Waived for Preventive Plan Year Maximum Yes Yes $2.000 i $1,000 Maximum Rollover , NA ; NA Out of Network Payment Basis NA ; MAC Preventive Services Member Pays Oral Exams 0% ; 20% _ Bitewing X-rays 0% ; 20% X-rays Intraoral complete 0% 20% Cleanings 0% i 20% Basic Services' t Fillings — — - - 20% i 50% Periodontics 20% ; 50% Root Canal Therapy/Endondontics 20% i 50% Major Services — Dentures 40% i 50% Bridges 40% ; 50% Stainless Steel/Resin Crowns 40% , 50% Implants 40% Not Covered - Orthodontia Deductible None None ; Orthodontic treatment _None 50% Lifetime maximum $1,000 Eligible Dependent children, up to age 19 PREMIUM ANALYSIS Packaged with Medical $38.20 $7T06 $129.45 $8,863 $106,353 $8,778 9.00% Employee Employee + 1 Employee + 2 or more Monthly Premium_ Annual Premium — — $ Variance in Current % Variance in Current — — — Rate Guarantee Notes/Comments 2 years Out of Network benefit changes are shown as 22% of membership is utilizing Non-PPO providers based on utilization 1/2017-2/2018; " There were no Implant services paid Out -of - Network for the 16 month period ending A' ril 2018. THIS BENEFIT SUMMARY IS FOR ILLUSTRATION PURPOSES ONLY. This insurance proposal is not to be construed as an exact or complete analysis of the policies nor as legal evidence of insurance. The provisions of the actual policies will prevail.