R15-105 RESOLUTION NO. R15 -105
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A RESOLUTION OF THE CITY COMMISSION OF
5 BOYNTON BEACH, FLORIDA, APPROVING AN
6 AGREEMENT WITH CIGNA HEALTHCARE
CORPORATION FOR A FULLY INSURED DENTAL
8 PLAN FOR CITY EMPLOYEES FROM OCTOBER 1,
9 2015 THROUGH SEPTEMBER 30, 2016; AUTHORIZING
10 THE CITY MANAGER AND CITY CLERK TO SIGN
1: THE PROVIDER AGREEMENT AND PROVIDING AN
12 EFFECTIVE DATE.
1:
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15 WHEREAS, the City Commission of the City of Boynton Beach, upon
16 recommendation of staff, deems it to be in the best interests of the employees of the City of
r ^ Boynton Beach to approve a one (1) year Provider Agreement with CIGNA HealthCare for the
18 a fully insured dental plan for a term commencing October 1, 2015 to September 30, 2016, for
1� city employees.
2C NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF
21 THE CITY OF BOYNTON BEACH, FLORIDA, THAT:
23 Section 1. The foregoing "Whereas" clauses are hereby ratified and confirmed
22 as being true and correct and are hereby made a specific part of this Resolution upon adoption
2z- hereof.
2! Section 2. The City Commission of the City of Boynton Beach, Florida approves a
26 an Agreement with CIGNA HealthCare for a fully insured dental plan for City employees for
2' a one year term commencing October 1, 2015 to September 30, 2016, a copy of which is
2t attached hereto as Exhibit "A ".
25 Section 3. The City Manager and City Clerk are authorized to sign the Provider
3( Agreement with CIGNA HealthCare.
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3 Section 4. That this Resolution shall become effective immediately upon passage.
3 PASSED AND ADOPTED this 3 day of September, 2015.
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3 CITY OF BOYNTON BEACH, FLORIDA
3.
3 YES NO
3
3' Mayor — Jerry Taylor
41
4 Vice Mayor — Joe Casello
4.
4 Commissioner — David T. Merker
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4 Commissioner — Mack McCray L/
4 Commissioner — Michael M. Fitzpatrick
4;
4'
51 VOTE � - a
5
5 ATTEST:
5
5 A da
5 YY1 i‘
5 1 Jan: M. Prainito, MMC
5 • Clerk
5;
5' T 0_
s,
6 (Corporate Seal)
6. \
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�5 -105
PROVIDER AGREEMENT FOR
GROUP BENEFITS: FULLY INSURED DENTAL PLAN
THIS AGREEMENT is entered into between the City of Boynton Beach, hereinafter referred to
as "the City ", and Cigna Dental Health, Inc., on behalf of itself and its affiliates, hereinafter
referred to as "the Provider ", in consideration of the mutual benefits, terms, and conditions
hereinafter specified.
1. PROJECT DESIGNATION. The Provider is retained by the City to provide a FULLY
INSURED DENTAL PLAN for the City of Boynton Beach.
2. SCOPE OF SERVICES. Provider agrees to perform the services, identified on Exhibit "A"
attached hereto and incorporated herein by reference, including the provision of all labor,
materials, equipment and supplies. Including information contained in Letter of Intent dated
August 14, 2015. No modifications will be made to the original scope of work without the
written approval of the City Manager or his designee.
3. TIME FOR PERFORMANCE. Work under this agreement shall commence upon the giving
of written notice by the City to the Provider to proceed. Provider shall perform all services
and provide all work product required pursuant to this agreement for the period beginning
October 1, 2015 thru September 30, 2016, unless an extension of such time is granted in
writing by the City.
4. TERM: This Agreement shall be for a period of one (1) year commencing on October 1, 2015
thru September 30, 2016. This AGREEMENT allows for three (3) additional one (1) year
extensions at the same terms, conditions, and agreeable prices subject to the Company
acceptance, satisfactory performance and determination that the renewal is in the best interest
of the City.
5. PAYMENT. The Provider shall be paid by the City for services rendered under this
agreement as follows:
a. The monthly premium based on number of enrollees for the City's FULLY INSURED
DENTAL PLAN , as referred to herein, for services provided under this agreement for the
entire term of the Agreement
b. The Provider's records and accounts pertaining to this agreement are to be kept available
for inspection by representatives of the City and State for a period of three (3) years after the
termination of the Agreement. Copies shall be made available upon request.
6. OWNERSHIP AND USE OF DOCUMENTS. All documents, drawings, specifications and
other materials produced by the Provider in connection with the services rendered under this
Agreement shall be the property of the City whether the project for which they are made is
executed or not. The Provider shall be permitted to retain copies, including reproducible
copies, of drawings and specifications for information, reference and use in connection with
Provider's endeavors.
7. COMPLIANCE WITH LAWS. Provider shall, in performing the services contemplated by
this Agreement, faithfully observe and comply with all federal, state and local laws,
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ordinances and regulations that are applicable to the services to be rendered under this
agreement.
8. INDEMNIFICATION. Provider shall indemnify, defend and hold harmless the City, its
offices, agents and employees, from and against any and all claims, losses or liability, or any
portion thereof, including attorneys fees and costs, arising from injury or death to persons,
including injuries, sickness, disease or death to Provider's own employees, or damage to
property occasioned by a negligent act, omission or failure of the Provider.
9. INSURANCE. The Provider shall secure and maintain in force throughout the duration of
this contract comprehensive general liability insurance with a minimum coverage of
$1,000,000 per occurrence and $1,000,000 aggregate for personal injury; and $1,000,000 per
occurrence /aggregate for property damage, and professional liability insurance in the amount
of $1,000,000 per occurrence to 2 million aggregate with defense costs in addition to limits.
Said general liability policy shall name the City of Boynton Beach as an additional named
insured and shall include a provision prohibiting cancellation of said policy except upon
thirty (30) days prior written notice to the City. Certificates of coverage as required by this
section shall be delivered to the City within fifteen (15) days of execution of this agreement.
10. INDEPENDENT CONTRACTOR. The Provider and the City agree that the Provider is an
independent contractor with respect to the services provided pursuant to this agreement.
Nothing in this agreement shall be considered to create the relationship of employer and
employee between the parties hereto. Neither Provider nor any employee of Provider shall be
entitled to any benefits accorded City employees by virtue of the services provided under this
agreement. The City shall not be responsible for withholding or otherwise deducting federal
income tax or social security or for contributing to the state industrial insurance program,
otherwise assuming the duties of an employer with respect to Provider, or any employee of
Provider.
11. COVENANT AGAINST CONTINGENT FEES. The Provider warrants that he has not
employed or retained any company or person, other than a bona -fide employee working
solely for the Provider, to solicit or secure this contract, and that he has not paid or agreed to
,pay any company or person, other than a bona -fide employee working solely for the Provider,
any fee, commission, percentage, brokerage fee, gifts, or any other consideration contingent
upon or resulting from the award or making of this contract.
For breach or violation of this warranty, the City shall have the right to annul this contract
without liability or, in its discretion to deduct from the contract price or consideration, or
otherwise recover, the full amount of such fee, commission, percentage, brokerage fee, gift,
or contingent fee.
12. DISCRIMINATION PROHIBITED. The Provider, with regard to the work performed by it
under this agreement, will not discriminate on the grounds of race, color, national origin,
religion, creed, age, sex or the presence of any physical or sensory handicap in the selection
and retention of employees or procurement of materials or supplies.
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13. ASSIGNMENT. The Provider shall not sublet or assign any of the services covered by this
Agreement without the express written consent of the City.
14. NON - WAIVER. Waiver by the City of any provision of this Agreement or any time
limitation provided for in this Agreement shall not constitute a waiver of any other provision.
15. TERMINATION.
a. The City reserves the right to terminate this Agreement at any time by giving thirty
(30) days written notice to the Provider.
16. DISPUTES. Any disputes that arise between the parties with respect to the performance
of this Agreement, which cannot be resolved through negotiations, shall be submitted to a
court of competent jurisdiction in Palm Beach County, Florida. This Agreement shall be
construed under Florida Law.
17. NOTICES. Notices to the City of Boynton Beach shall be sent to the following address:
City of Boynton Beach
100 E. Boynton Beach Boulevard
P.O. Box 310
Boynton Beach, FL 33425 -0310
ATTN: Pat Sholos
Notices to Provider shall be sent to the following address:
CIGNA HealthCare
1571 Sawgrass Corporate Parkway
Suite 300
Sunrise, FL 33323
ATTN: Dina D'Angelo
18. PUBLIC RECORDS. The City of Boynton Beach is a public agency subject to Chapter
119, Florida Statutes. The Contractor shall comply with Florida's Public Records Law.
Specifically, the Contractor shall:
1. Keep and maintain public records that ordinarily and necessarily would be
required by the City in order to perform the service;
2. Provide the public with access to such records on the same terms and
conditions that the City would provide the records and at a cost that does not
exceed that provided in Chapter 119, Florida Statute, or as otherwise provided
by law;
3. Ensure that public records that are exempt or that are confidential and exempt
from public record requirements are not disclosed except as authorized by law;
and
4. Meet all requirements for retaining public records and transfer to the City, at
no cost, all public records in possession of the contractor upon termination of
the contract and destroy any duplicate public records that are exempt or
confidential and exempt. All records stored electronically must be provided to
the City in a format that is compatible with the information technology
systems of the agency.
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The failure of Contractor to comply with the provisions set forth in this Article shall
constitute a Default and Breach of this Agreement and the City shall enforce the
Default in accordance with the provisions set forth in item 15.
19. INTEGRATED AGREEMENT. This agreement, together with attachments or addenda,
represents the entire and integrated agreement between the City and the Provider and
supersedes all prior negotiations, representations, or agreements written or oral. This
agreement may be amended only by written instrument signed by both City and Provider.
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DATED this 5 day of , 20_ )co.
CITY OF BOYNTON BEACH
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City Manager Provider
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Attest /Authenticated: f r , C{J�l`Y% c�
Ott.-017 1. -01 ?Pl�(i 1 U
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Ufty Clerk
Approved as to Form: Attest/Authenticated:
/
Office of the City A e ey Secretary
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EXHIBIT "A"
Scope of Services
See attached Renewal Letter dated August 14, 2015
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Cigna Medical Insurance
CURRENT (2014 -2015) RENEWAL (2015 -2016)
PPO HDHP HDHP
CIGNA CIGNA CIGNA
Lifetime Maximum Unlimited Unlimited Unlimited
Deductible In Network Out of Network In Network Out of Network In Network Out of Network
Single $150 5500 $1,500 53,000 52,500 55,000
Family Aggregate $450 $1,500 $3,000 $6,000 55,000 $10,000
Out of Pocket Maximum Includes Coins, Deductible, and Copays Includes Coins, Deductible, and Copays Includes Coins, Deductible, and Copoys
Single $3,000 55,000 $3,000 $6,000 55,000 $10,000
Family $6,000 $10,000 $6,000 $12,000 $10,000 $20,000
Coinsurance (EE Pays)
Level of Coverage 20% 40% 20% 50% 0% 50%
Physician Services I row I i "% i �, ' «
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Primary Care Office Visit $20 copay 40% after PYD PYD + 20% PYD + 50% PYD + 0% PYD + 50%
Specialist Office Visit $35 / $45 40% after PYD PYD + 20% PYD + 50% PYD + 0% PYD + 50%
Preventive Services No Charge 40% after PYD No Charge PYD + 50% No Charge PYD + 50%
Advanced Imaging $75 copay + 20% $150 copay + 40% PYD + 20% PYD + 50% PYD + 0% PYD + 50%
after PYD after PYD
Maternity Initial Visit $35 / $45 copay 40% after PYD -- PYD + 20% PYD + 50% PYD + 0% PYD + 50%
Hospital Services
Inpatient 20% after PYD 40% after PYD PYD + 20% PYD + 50% PYD + 0% PYD + 50%
Outpatient $125 copay + 20% $450 copay + 40% PYD + 20% PYD + 50% PYD + 0% PYD + 50%
after PYD after PYD
Emergency Room Facility $125 copay $125 copay PYD + 20% PYD + 20% PYD + 0% PYD + 0%
Urgent Care $75 copay $75 copay PYD + 20% PYD + 50% PYD + 0% PYD + 50%
Mental Health/ Sub. De p.
Inpatient 20% after PYD 40% after PYD PYD + 20% PYD + 50% PYD + 0% PYD + 50%
Outpatient $35 copay 40% after PYD PYD + 20% PYD + 50% PYD + 0% 1 PYD + 50%
Prescription Drug Benefit 1
Tier 1 /Generic $10 copay 40% after PYD $10 copay after PYD PYD + 50% $10 copay after PYD PYD + 50%
Tier 2 /Formulary $30 copay 40% after PYD $25 copay after PYD PYD + 50% $25 copay after PYD PYD + 50%
Tier 3 /Non - Formulary $60 copay 40% after PYD $50 copay after PYD PYD + 50% $50 copay after PYD PYD + 50%
Mail Order (90 day supply) 2x Retail Copay , Not Covered 2x Retail after CYD Not Covered 2x Retail after CYD Not Covered
Includes $5.94 PEPM H.S.A. Fee Includes $4.94 PEPM H.S.A. Fee
Rates Employee Monthly Cost Employee Monthly Cost Employee Monthly Cost
Employee $0.00 $0.00 50.00
Employee + Spouse $688.65 $619.41 $630.76
Employee + Child(ren) $586.08 5527.15 5537.81
Employee + Family _ 5901.12 $810.50 $823.31