HomeMy WebLinkAboutCity of Tamarac Resolution R-2023-127Temp. Reso. 14014
October 25, 2023
Page 1 of 4
CITY OF TAMARAC, FLORIDA
RESOLUTION NO. R-2023 — LR 7
RESOLUTION OF THE CITY COMMISSION OF THE
CITY OF TAMARAC, FLORIDA, AUTHORIZING THE
APPROPRIATE CITY OFFICIALS TO RENEW THE
AGREEMENT WITH CIGNA, PROVIDING FOR
ADMINISTRATIVE SERVICES FOR CLAIMS AND
FLEXIBLE SPENDING PLANS, THE EMPLOYEE
ASSISTANCE PROGRAM, THE TELEHEALTH
CONNECTION PROGRAM, THE MOTIVATEME VALUE
PROGRAM, THE VOLUNTARY WORK -SITE BENEFIT
PROGRAM; PROVIDING FOR CONFLICTS;
PROVIDING FOR SEVERABLITY; AND PROVIDING
FOR AN EFFECTIVE DATE.
WHEREAS the City's health insurance was re -structured as a partially self -
insured program effective January 1, 2013; and
WHEREAS the City Commission approved the renewal of an agreement with
CIGNA to provide Administrative Services for Claims and Flexible Spending
Accounts, and Employee Assistance Plan, and Telehealth Connection Program via
Resolution R-2022-125 at its October 26, 2022 meeting, a copy of such resolution is
on file with the City Clerk; and
WHEREAS, in the spring of 2022, the City's benefit consultant Lockton
Companies reviewed the City's CIGNA agreement and marketed the Voluntary
Work -site Plan for Plan Year 2022; and
WHEREAS the City desires to renew their contract with Cigna to provide
Administrative Services for Claims and Flexible Spending Accounts, and the
Employee Assistance Program, Telehealth Connection Program, MotivateMe Value
Program, and the Voluntary Work -site Benefits Program, and
Temp. Reso. 14014
October 25, 2023
Page 2 of 4
WHEREAS the City's Health Insurance Program design will remain
substantially the same with respect to cost sharing and the waiver program; and
WHEREAS, that conditions under which retirees may continue in the City's
health plan until Medicare eligibility, include that they must continue to pay the full
health insurance premium, and that the retiree's ability to opt into the City's health
insurance plan as a retiree may occur only once either (1) upon retirement at
separation of service or (2) at some later time after retirement and separation,
subject to open enrollment or qualifying life change; and
WHEREAS, that eligibility for health insurance and benefit coverage was
extended to employees and their registered domestic partners and their dependents
in a registered Domestic Partnership, and premium rates would be the same as the
rates an employee would pay to add a spouse and/or dependent children to their
coverage, with applicable resulting tax implications; and
WHEREAS available funds exist in the appropriate Governmental Funds
which are in the approved FY 2024 Budget to fund the City's Health Insurance
Program; and
WHEREAS, it is the recommendation of the City Manager, the Director of
Human Resources, and the Director of Financial Services that the City (1) renew the
agreement with Cigna for the provision of Administrative Services for Claims and
Flexible Spending Plans, and the Employee Assistance Program, Telehealth
Connection Program, the MotivateMe Value Program, and the Voluntary Work -site
Benefits Program as negotiated, and as amended and approved by the City
Manager and the City Attorney effective January 1, 2024; and (2) that the Health
Insurance Program with the changes as described in the Resolution and back-up
documents are implemented effective January 1, 2024; and
Temp. Reso. 14014
October 25, 2023
Page 3 of 4
WHEREAS, the City Commission of the City of Tamarac, Florida, deems it to
be in the best interest of the business owners, residents, and visitors of the City of
Tamarac to renew and extend such Agreements and approve the changes to the
Health Insurance Program.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF
THE CITY OF TAMARAC, FLORIDA:
SECTION 1: That the foregoing recitals are true and correct and are
hereby adopted as the legislative and administrative findings of the City
Commission; all exhibits attached hereto are incorporated herein and made a
specific part of this Resolution.
SECTION 2: The plan design and rates between the City and CIGNA
attached to this Resolution as Exhibit "A", are approved and the appropriate City
Officials are authorized to extend or renew the Agreement and expend funds in an
amount not to exceed budgeted funds, or as may be amended by City
Commission.
SECTION 3: That the City's Health Insurance Program design will remain
substantially the same, including the Voluntary Work -life Benefits Program.
SECTION 4: That conditions under which retirees may continue in the City's
health plan include that they must continue to pay the full health insurance premium,
and that the retiree's ability to opt into the City's health insurance plan as a retiree
may occur only once either (1) upon retirement at separation of service or (2) at
some later time after retirement and separation, subject to open enrollment or
qualifying life change.
Temp. Reso. 14014
October 25, 2023
Page 4of4
SECTION 5: That all resolutions or parts of resolutions in conflict herewith
are hereby repealed to the extent of such conflict.
SECTION 6: 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 8: This Resolution shall become effective immediately upon
adoption.
PASSED, ADOPTED AND APPROVED this 25 day of 06106OZ- 2023.
ATTEST:
K I M B E R L Y LLON, MC
CITY CLERK
MICHELLE J. GOMEZ
MAYOR
RECORD OF COMMISSION VOTE
MAYOR GOMEZ
65
DIST 1:
V/M BOLTON_
DIST 2:
COMM. WRIGHT JR
MC-S
DIST 3:
COMM. VILLALOBOS
'Lt-5
DIST 4:
COMM. DANIEL
DES
APPR D AS TO FORM AND LEGAL SUFFICIENCY FOR THE USE AND
RELIANC OF THE CITY OF TAMARAC ONLY.
HA§ OTTINOT
C ITY ATTORNEY
PROPOSED HEALTH PLAN DESIGN SUMMARY FOR PY 2024 TR14014
EXHIBIT A
Benefit Highlights
Deductible
Open Access HMO
In Network Only
High Deductible
In Network
Health Plan
Out of Network
Individual/Family
$500/$1,000
$1,500/$3,000
$3,000/$6,000
Coinsurance
$0
10%
30%
Out -of -Pocket Limit
In Network Only
In Network
Out of Network
Individual/Family
$3,000/$6,000
$3,000/$6,000
$6,000/$12,000
Lifetime Maximum
Unlimited
Physician Services
In Network Only
In Network
Out of Network
Primary Care Office Visits
$25
$0
30%
after deductible
Specialist Office Visits
$40
Well Child Care Office Visits
$0
Routine Adult Physical or
Well Woman Exam
$0
Inpatient
$400/admission
10%
after deductible
Outpatient Sure
p g ry
$150 per visit
10%
after deductible
Emergency Services
Network Only
In Network
Out of Network
Emergency Room
$300
10%
10%
Urgent Care Center
$50
10%
30%
Convenience Care Clinic
$25
$0
30%
elehealth
$25
$0
N/A
Prescription Drugs (30-Day Supply)
Network Only
In Network
Out of Network
Generic
$10
N/A
Preferred Brand
$35
Non -Preferred Brand
$65
Mail Order - 90-day supply
2.5x copay
Open Access HMO:
EE Only
Proposed
$840.27
ER Share
$746.31
ER %
87.70%
EE Share
$93.96
EE %
12.30%
EE + Spouse
$2,152.49
$1,655.46
74.60%
$497.03
25.40%
EE + Children
$1,865.99
$1,435.11
74.60%
$430.88
25.40%
Family
HIDHP •A
EE Only
$2,344.21
$722.48
$1,802.91
$672.56
74.60%
92.40%
$541.30
$49.92
25.40%
7.60%
EE + Spouse
$1,850.75
$1,514.25
80.00%
$336.50
20.00%
EE + Children
$1,604.41
$1,312.70
80.00%
$291.71
20.00%
Family
$2,015.58
$1,649.12
80.00%
$366.47
20.00%
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