R04-1341
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RESOLUTION NO. R04-I~q
A RESOLUTION OF THE CITY COMMISSION OF
BOYNTON BEACH, FLORIDA, APPROVING
NEGOTIATED RENEWAL BENEFITS AND
PREMIUMS FOR 2004-2005 HEALTH INSURANCE
COVERAGE WITH BLUE CROSS/BLUE SHIELD OF
FLORIDA, METLIFE DENTAL, AND VISIONCARE, A
PREPAID VISION BENEFIT PLAN; AND PROVIDING
AN EFFECTIVE DATE.
WHEREAS, the City Commission of the City of Boynton Beach, upon
recommendation of staff, deems it to be in the best interests of the residents and citizens
of the City of Boynton Beach to approve the negotiated renewal benefits and premiums
for 2004-2005 health insurance coverage with Blue Cross/Blue Shield of Florida,
MetLife Dental, and VisionCare a prepaid vision benefit plan, for all city employees,
with the exception of the members of the Police Benevolent Association.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION
OF THE CITY OF BOYNTON BEACH, FLORIDA, THAT:
Section 1. Each Whereas clause set forth above is true and correct and
incorporated herein by this reference.
Section 2. Upon recommendation of staff, the City Commission of the City
of Boynton Beach, Florida does hereby approve the negotiated renewal benefits and
premiums for 2004-2005 Health Insurance coverage with Blue Cross/Blue Shield of
Florida, MetLife Dental, and VisionCare, a prepaid vision benefit plan, as outlined in
the attached Exhibits A through E.
Section 3. That this Resolution shall become effective immediately upon
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passage.
PASSED AND ADOPTED this
t'l day of August, 2004.
ATTEST:
CITY OF BOYNTON BEACH, FLORIDA
Vice
cl~~~S :...~ted Renewal Health Benefits 04-05
2004-2005 Health Insurance Renewal
Exhibit A
2004-2005. Health Insurance Renewal
Exhibit B
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2004-2005 Health Insurance Renewal
Exhibit C
CITY OF BOYNTON BEACH
PAYROLL DEDUCTION COMPARISON EFFECTIVE 1011/2004
CURRENT PLANS CURRENT PLANS ALTERNATE PLANS
TYPE COVERAGE (#) CURRENT RATES RENEWAL RATES RENEWAL RATES
PER PAY PERIOD
Employee Only (628) $ 0 $ 0 $ 0
Employee/Spouse (64) $180.54 $192.89 $191.51
Employee/Child(mn) (73) $155.66 $166.27 $165.59
E mp./Spouse/Child(ren) ( 147) $231.19 $247.06 $244.26
PER MONTH
'Employee Only (628) $ 0 $ 0 $ 0
Employee/Spouse (64) $391.17 $417.93 $414.92
Employee/Child(mn) (73) $337.17 $360.25 $358.78
Emp./Spouse/Child(ren) (147) $500.91 $535.30 $529.23
PER YEAR
Employee Only (628) $ 0 $ 0 $ 0
Employee/Spouse (64) $4,694 $5,015 $4979
Employee/Child(ren) (73) $4,047 $4,323 ' $4,305.
Emp./Spouse/Child(ren) (147) $6,011 $6,424 $6,351
Note: Includes Blue Cross Medical and MetLife Dental
2004-2005 Health Insurance Renewal
Exhibit D
CITY OF BOYNTON BEACH DENTAL OPTIONS 10/1/2004
Benefits Current I Alternate
Plan I Plan
In-Network Plan Deductible $25/100 I $25/$100
Design:
(sUbject to (Type B & C) ~ (Type B & C)
deal)
Coinsurance:
Type A 100% ' 100%
Type B 90% 190%
Type C 50%
Type D 50% 150%
Annual Max $1.000
o ho Max $750
to 19
Out-of-Network Deductible $25/100 I $25/100
Plan Design:
(subject to (Type B & C)
ded)
Coinsurance: · ~
Type A ' 100%
Type B 70%
Type C 50% I 50O/o
Type D 50% {50%~
Annual Max $1,000
Ortho Max $750 ~
Child sealants no
to 19
$ Total Premium $461,585 $530,823
$ Change Total $20,718 $89,956
$ Employer Cost $295,255 $335,184 ·
$ change Employer $11,948 $39,929
% Increase 4.7% 20.4%
Single Rate (monthly) $26.05 $29.96
Family Rate (monthly) $72.88 $83.81
Single EE Mo. Cost $ 0 $ 0
Family EE Mo. Cost $39.83 $46.85
2004-2005 Health Insurance Renewal
Exhibit E
JOIN THE
!COMPBENEFITS
FAMILY
V~sionCare Plan offers you and your family a benefit
that covers all routine eye care, including eye exams
and eyeglasses (lenses and frames) or contacts. The
plan features:
In-network and out-of-network benefits
Exam Plus means if you prefer contacts
you get your exam plus an allowance for
contacts in place of lenses and frames.
Frequently Asked Questions
How does the plan work?
The plan is easy to use!
1. Obtain a Benefit Form from CompBenefits by calling our
Member Services Department (number listed below) or from
our website at www.visioncare.com.
2. CompBenefits will send you a personalized Benefit Form that
ouUines your benefits, along with a list of providers. Then
schedule your appoinbnenL
3. Give the Benefit Form to the doctor during your first visit. You'll
pay any copaymenls at that time as well.
, _., have nothing more to do! The doctor provides you with services
]nd bills CompBenefits directly for the balance of your bill.
-~ince the plan is designed to meet your eye care needs, optional
Jpgrades (like frames costing more than the plan limits, progressive
enses, or contacts that are not medically necessary) will cost extra.
Jowever~ since all upgrades are on a wholesale basis, your cost will
)e lower than what you would pay on youi* own.
~/hat are the advantages of using a network provider?
)ur national netwo~ of providers can proVide you with one-stop
;hopping. You get your eye exam and materials with nothing more
tten.your copayment (cosmetic opfions will include addilJonal
Jlarges).
Vhat if I want to see a provider, not in your network?
you prefer, you can visit a nonmelwork doctor. If you do, you will
ay lhe doctor's regular charges and CompBenefils will reimburse
ou according to the plan's non-network benefit schedule.
Iow can I get further questions answered?
ou may contact the Member Services Deparlment with any
ueslJons or concerns at 1-800-749-5855, M-F 8am - 6pm EST.
~cate us on the web at www. vtsioncare.com,
The CompBenefits Family of Companies
CompDent * CompBenefits Ir~Umnce Company :
ie~ican Dental Plan, Inc. · American Dental Plan of North Carolina, Inc.
Oral Health Services,. Inc. - National Dental Plans, Inc.
Texas Dental Plans, Inc. o VisionCare, Inc. - V'ksionCare Plan
Primary Plus - UllJmate Optical, Inc.
Monthly rates for: City of Boynton Beach
Effective date: October 1, 2004
Employee
Employee + Family
$18.82
Exam every 12 months
Lenses every 12 months
Eye Exam Paid in full
Leuses (per pair)
Single Paid in full
Bifocal Paid in full
Trifocal Paid in full
Lenticutar Paid in full
Contact Lenses
! FJective $105'*
(fitting, follow-up & lenses)
Medically necessary* Paid in full
Frame $40 wh(~esale
Lasik*** Members will receive p discount
if Services are rendered by a TI_C
pay no more than $1800/eye.
$35
$25
$40
.$6O
$100
$210
$40 retail
* Medically necessary (pdor authorization required) is def~ad as 1)
following cataract surgery w/o inbaocular lens; 2) correctk~ of
extreme visual acuity problems not*con'ectable wilb glasses; 3)
with spectacles; 4) Keratoeom~; or 5) monocular aphalda and/or
medically necessary for safely and rehabilitation to a produc~ve life.
contacts instead of lenses and frames.
***Plan members r~mst f~*t contact CompBeneffis for a list of providers
and to receive a Refractive Care ID card.
your Benefit AdminiSl~tor for a complete schedule. 'This schedule is
detem~ned by the ConlracL For a complete ~ of benefits and
exclusions and limitations, please reference your cediflcate of COverage.