HomeMy WebLinkAbout10-26-2009 EMPLOYEE BENEFIT PLAN & TRUSTEE MTG �, .
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CITY OF CALDWEL
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EMPLOYEE BENEFIT PLAN
TRUSTEE MEETING
HELD ON October 26, 2009
The meeting was called to order by Monica Jones at 9:05 a.m.
Those in attendance: Monica Jones, ElJay Waite, and Mary-Kaye Stewart
DISCUSSION ITEM(S):
• Reviewed financial reports as of September 30, 2009. Reports included balance
sheet, income statement, and bank statement. All accounts are balanced.
• Reviewed the renewal for Blue Cross and the recommended premiums for active
• employees, Cobra, and Disability Cobra as provided by Moreton & Co. MOTION
by Monica Jones to adopt renewal and recommended premiums as provided by
Moreton & Co. SECONDED by ElJay Waite.
MOVED by ElJay Waite, SECONDED by Monica Jones to adjourn at 9:30 a.m. and
schedule the next Trustee Meeting for January 25, 2010 at 9:00 a.m.
Those voting yes: Unanimous.
MOTION CARRIED
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• 12639 West Explorer Drive,
Suite 200 Mvr�ton � Corrt�nany (208) 321-9300
Boise, ID 83713 Fax (208) 321-0101
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September 15, 2009
Brandon Simon
Blue Cross of Idaho
3000 E. Pine Ave.
Meridian,lD 83642
Re: City of Caldwell Renewal
Effective: October 1, 2009
Dear Brandon:
Please be advised that the City of Caldwell wishes to renew their medical plan with Blue Cross of Idaho
effective October 1, 2009. Below aze the renewal terms in which the City agrees to:
Benefit Changes: None
Administration:
Medical/R�c: $39.49 PEPM
Vision: $1.37 PEPM
Commission: $7.15 PEPM
COBRA: $1.00 PEPM
� EAP: $1.76 PEPM
Reinsurance:
Contract Basis: Paid in 12
Covered Lines: Medical/R�c
Specific Deductible: $60,000
Specific Premium: $117.76 PEPM
Aggregate Corridor: 120%
Aggregate Premium: $11.00 PEPM
Aggregate Factor: $573.34 PEPM
Attached please find the signed Proposed ASC Rates and Fees document as well as calculated funding and
COBRA rates.
Should you have any questions or concerns, feel free to contact me directly at (208) 321-2028.
Regards,
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Kim Marshall
Account Manager
cc: Monica Jones, City of Caldwell
Nate Marshall, Moreton & Co.
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Salt Lake City, Utah . Boise, Idaho . Denver, Colorado
MORETON COM
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. City of Caldwell
Group #10031719
Revlsed & Discounted Renewal Rstes EtYective 10/1/09 - 9/30/10
10/1/OB 1 /1 % han e
Administration PEPM:
Medical, Rx $39.49 $39.49 0.00%
Vision $�1 137 0.00%
Total $40,86 540.86 0.00°r6
EAP: 1-3 Visits $1.76 51.76 0.00%
COBRA Fee PEPM: �1.00 51.00 0.00%
Commission PEPM: 57.15 $7.15 0.00%
Administrative Fee for Runout: 10% of Paid Claims for 12 Months
Excess Loss Coverage Basis: Paid in 12
Lines of Business included in Specific: Medicsl, Rx
Lines of Business included in Aggregate: Medical, Rx
560,000 Specific Fee PEPM: $112.15 �117.76 5.00%
120% Aggregate Fee PEPM: a12.88 $11.00 -14.55°/a
Aggregste Factor PEPM: 5637.05 $573.34 -I0.00°k
Mioimum Aggregate Percentsge: 90% 90%
Suggested Medicsl Funding Rates*:
• Enrollee $335.62 $323.73 -3.54%
Enrollee+Spouse $662.24 $638.77
Enrollee+ 1 Child E407.55 $393.10
Enrollee+Children 5632.23 5609.82
Ee+Sp+Child(ren) $925.93 $893J2
Vision Funding Rates*: •
Enrollee 56.69 56.74 0.78%
Enrollee+Spouse $13.14 $13.24
Enrollee+ 1 Child ag,� 1 $g,��
Enrollee+Children $12.59 $12.69
Ee + Sp + Child(ren) $18.42 $18.56 �
*Please provide funding rates ifdifferent than shown.
The Group agrees to pay out-of area processing, access, surcharge and / or fees,
if any, as outlined in the Group's Administrative Servicq Agreement.
The Croup is self-funding its healtii benet3t pfan(s) and agrees to set up t6e appropriate •
trnst agreement and comply with any other ERISA and I or state requirements.
On behalf ot the Group, l accept the rstes and terms as outlined.
Authorized Group Administrator. ► � 1�n � (� �
Printed Name: �pj�1 lC� ���� 5 ,
Date: •
Authorized lndependend Agency Producer: .c ,� b
PrintedName: y�y� a12Sµ�}�, •
Date: � � '
• Confidential Blue Cross of Idaho ' ���
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i City of Caldwell
'09 -'l0 Pte»uurn Equivilents for Adive & COBRA
EJfective October 1, 2009
Tier Active Rates COBRA Rates COBRA Disability Rates
Med / Rx / Vis Dental Med / Rx / Vis Dental Med / Rx / Vis Dental
Employee $346.87 $35.00 $353.81 $35.70 $520.31 $52.50
Emp + Spouse 810.88 62.00 $827.10 63.24 1,216.32 93.00
Emp + Child 571.78 60.50 $583.21 61.71 857.66 90.75
Emp + Children 664.10 60.50 $677.39 61.71 996.16 90.75
Family 949.37 86,00 $968.36 87.72 1,424.06 129.00
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