R96-105RESOLUTION NO. R96-/~..~'
A RESOLUTION OF THE CITY COMMISSION OF THE
CITY OF BOYNTON BEACH, FLORIDA, AUTHORIZING
AND DIRECTING CERTAIN THE MAYOR AND CITY
CLERK TO ENTER INTO A RENEWAL AGREEMENT
WITH GROUP INSURANCE SOLUTIONS, INC.
PROVIDING FOR INSURANCE RATE RENEWAL
NEGOTIATIONS, FINANCIAL ANALYSIS, CLAIMS
PROCESSING AND ADMINISTRATIVE SUPPORT
DURING FISCAL YEAR 1996197; AND PROVIDING AN
EFFECTIVE DATE.
WHEREAS, for the past two years Group Insurance SolutionS, Inc, (formerly
Business Insurance solutions, Inc.,) have provided the City with rate renewal
negotiations, insurance financial analysis, claims handling and administrative control
of our employee insurance programs, which has been both beneficial to the employee
and the City; and
WHEREAS, upon recommendation of staff, the City Commission deems it
appropriate to enter into a renewal agreement with Group Insurance Solutions, Inc.,
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE
CITY OF BOYNTON BEACH, FLORIDA, THAT:
Section 1. The City Commission does hereby authorize the Mayor and City
Clerk to execute an Agreement between City of Boynton Beach and Group Insurance
Solutions, Inc., providing for rate renewal negotiations, insurance financial analysis,
claims handling and administrative control of our employee insurance programs, a copy
of which Agreement is attached hereto as Exhibit "A".
Section 2.
passage.
That this Resolution shall become effective immediately upon
PASSED AND ADOPTED this /~ day of August, 1996.
CITY OF BOYNTON BEACH, FLORIDA
Vice~ May~r / . ~
' Commissioner
ommlssloner _ ~
Commissioner
(Corporate Seal)
GIS. 8/2/cJ6
July 31, 1996
Mr Dale Sugerman
Assistant City Manager
City of Boynton Beach
100 E Boynton Beach Blvd
Boynton Beach FL 33425
Dear Mr. Sugerman,
In consideration of the Letter of Agreement regarding The City's group insurance
plans, we will provide outstanding support and advice to The City and its employees
by performing the following services:
1. Negotiate renewal rates, benefits, and services with the City's group insurance
carriers to maximize value for The City of Boynton Beach.
2. Prepare a detailed financial analysis of year-to-date status in the new
experience period on a quarterly and then monthly basis.
3. Provide cost projections based on above analysis for use in budgeting and
renewal decisionmaking on a quarterly and then monthly basis.
* The timing of our services listed above is determined primarily by the
experience period which ends on May 31 each year.
10-1 = annual renewal date
09-1 = open enrollment meetings
08-1 = renewal offer from BCBSF
07-1 = 4th quarter pre-renewal analysis/projection
06-1 = ll-month update
05-1 = 10-month update
04-1 = 3rd quarter analysis/projection
01-1 = 2nd quarter analysis/projection
10-1 = 1st quarter analysis/projection
*Reports provided in our analysis and projection sessions i~lude:
o detailed billed vs paid claims reports
o individual "shock" claim reports
o hospital utilization by provider repozus
o network savings reports
o enrollment monitoring reports
o updated provider network reports
o projected costs based on experience
o year-end experience analysis report
o year-end renewal analysis calculation report
MANAGER'S OFF~CE
with step-by-step interpretation and assessment for accuracy
18230 RIVER OAKS DRIVE · JUPITER, FL 33458 · PHONE 561-747-5636 · FAX 561-747-3524 · 800-972-0963
Harris to Sugerman 7-31-96 p. 2
Support administrative personnel by resolving important administrative,
enrollment, and billing problems.
5. Serve employees by resolving benefit delivery issues including special
problems with providers and claims.
6. Conduct periodic meetings at The City with interested employees on a
voluntary basis for individual claim resolution and benefits counseling.
7. Provide feedback to administrative personnel on the results of our work
on behalf of individual employee problems.
8. Monitor annual open enrollment meetings for the purpose of supporting
and improving service to employees.
Sincerely,
Scott A Harris
President
LETTER OF AGREEMENT
This letter of agreement between The City Of Boynton Beach and
Group Insurance Solutions, Inc. certifies that Group Insurance
Solutions, Inc. is to receive a service fee from Blue Cross
Blue Shield and Health Options, Inc. equal to 1.6% of the group
medical premium from 10/1/96 thru 9/30/97 and 1.8% of the group
medical premium from 10/1/97 thru 9/30/98.
Group Insurance Solutions, Inc. is also to receive service fees
as they are presently payable from The City's group long term
disability, dental, and life insurance carriers for the time
period of 10/1/96 thru 9/30/98.
In return for the aforementioned service fees, Group Insurance
Solutions, Inc. will perform consultative, advisory, and
negotiatory services while such coverages are in force during
the time period of this agreement.
This letter supersedes any prior letters of certification or
agreement between The City and Group Insurance Solutions, Inc.
City Of f:al
Title Date
Witness
~'itle Date
CITY A'i'I'ORNEY