HomeMy WebLinkAbout2006-7-7146ORDINANCE NO. 2006-7-7146
AN ORDINANCE AMENDING ORDINANCE NO. 2006-1-7071
ENTITLED, "AN ORDINANCE APPROVING A CONTRACT WITH EMPLOYEE
BENEFITS CLAIMS OF WISCONSIN (EBC) FOR ADMINISTRATION OF THE
GROUP HEALTH INSURANCE PLAN FOR THE CITY OF PADUCAH,
ACCEPTING RENEWAL RATES FROM AGENCIES INCLUDED WITHIN THE
HEALTH INSURANCE PLAN, AND AUTHORIZING THE MAYOR TO EXECUTE
ALL DOCUMENTS RELATING TO SAME"
BE IT ORDAINED BY THE CITY OF PADUCAH, KENTUCKY:
SECTION 1. That the City of Paducah approves a contract with
Employee Benefit Claims of Wisconsin (EBC), to provide health insurance third party
administrative services effective January 1, 2006.
SECTION 2. That the City of Paducah accepts renewal rates, negotiated
annually, for services provided by Care Continuum, Merck Medco, CenterCare, Symetra
(formerly Safeco) partnered with EBC as part of the health insurance system and these
rates are set out as follows:
Description
Basis
Medical Admin. (EBC)
$14.00 pepm
Dental/Vision Admin. ($3.00 Dental & $.50
$3.50 pepm
Vision)
COBRA (PHFG)
$0 pepm
Merck Medco — Prescription Drug Carrier
$.60/Rx
CenterCare PPO (Beechstreet — Out of Area
Network --25% of savings, HDS--22.5% of
$5.00 pepm
savings + 2.5% EBC. Coalition America -2"d
$4.75 pepm
Out of Area Network --21% of savings + 9%
eff. 6-1-06
EBC.)
Utilization Review (CareContinuum)
$2.75 pepm
$17.44 EE
Specific Stop -Loss (Symetra)
$38.03 ES
$150,000 deductible "Paid" TLO
$28.61 EC
$52.16 ESC
Aggregate Premium - $26,500 (Paid
$424.62 EE
Contract)
$925.67 ES
Aggregate Claims Attachment Factors
$696.37 EC
"Paid" agg 13% run-in limit
$1269.61 ESC
Included in claims
EBC Online Fee (EBC)
administration fee
Claims Liaison Fee (EBC)
$5,000.00
SECTION 3. That the Mayor is hereby authorized to execute all
documents relating to same with EBC for services authorized in Section 1 above.
SECTION 4. This ordinance shall be read on two separate days and will
become effective upon summary publication pursuant to KRS Chapter 424.
Mayor
ATTEST:
Xi
Tammara S. Brock, City Clerk
Introduced by the Board of Commissioners, July 11, 2006
Adopted by the Board of Commissioners, July 25, 2006
Recorded by Tammara S. Brock, City Clerk, July 25, 2006
Published by The Paducah Sun, August 1, 2006
\ord\pers\insurance — health -renewal rates 2006 (amend)