Title
Resolution to Approve the Renewal of the City's Contract with Blue Cross Blue Shield of Michigan (BCBSM) to Provide Administrative Claims Processing Services for Group Medical and Group Pharmacy Benefits, and Related Stop-Loss Insurance through BCS Insurance Company for the City's Health Care Plan on Behalf of Employees, Retirees, and Their Dependents ($2,199,490.00)
Memorandum
The attached Resolution authorizes the City Administrator to execute the renewal of the City's contract for administrative claims processing services for the City's group health care plan, group pharmacy plan, and purchase of a related stop-loss insurance policy. Blue Cross Blue Shield of Michigan will continue to provide administrative claims processing services for the City's health plan for the period of January 1, 2025 through December 31, 2025. The annual estimated cost for claims administration provided by Blue Cross Blue Shield of Michigan is $1,372,935.00. BCS Insurance Company, a subsidiary of Blue Cross Blue Shield of Michigan, will continue to provide stop-loss insurance for the period of January 1, 2025 through December 31, 2025. The annual estimated cost for the stop-loss insurance provided by BCS is $826,555.00.
Public Act 106 requires the City to competitively bid our medical, dental and vision coverage every three years. Marsh & McLennan Agency LLC ("MMA"), our healthcare benefits advisor, conducts the bidding on our behalf and recommends a service provider. We completed this bidding process for plan year 2023. BCBS remained the best option for medical claims processing. As for stop loss insurance, MMA bids this annually. For plan year 2025, BCS remains the best option for stop loss coverage.
Budget/Fiscal Impact: The necessary funds were appropriated as part of the FY25 approved Risk Fund budget through June 30, 2025. Required funding for the portion of the contract term from July 1, 2025 through June 30, 2026 will be budgeted in the FY26 Risk Fund budget. The e...
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