Label
Anthem Blue Cross and Blue Shield
Third-Party Administrator Services
Human Resources
Tyrome Alexander (xl031)
Title
Authorizing the mayor to enter into an agreement with Anthem Blue Cross & Blue Shield; for the provision of third-party administrator services related to hospitalization, surgical-medical, major medical, and medical management services for the City of Toledo's covered employees for a period of three (3) years; and further authorizing the expenditure of funds; and declaring an emergency.
Body
SUMMARY & BACKGROUND:
The City of Toledo's contract with HealthScope Benefits, Inc., the incumbent Third-Party Administrator for services related to hospitalization, surgical-medical, major medical, and medical management services, expires on May 31, 2022.
The City of Toledo's Department of Human Resources sought competitive proposals in accordance with law and received eight (8) responsive proposals. Each proposal was reviewed by representatives from the Department of Human Resources, the Department of Law, the Department of Finance, McGohan Brabender, (the City’s benefits consultant team), and the Healthcare Cost Containment Committee. It was determined that Anthem Blue Cross and Blue Shield presented the best proposal. It is estimated that the administrative fee cost associated with this agreement will be approximately $987,133.00 per year.
Summary
NOW, THEREFORE, Be it ordained by the Council of the City of Toledo:
SECTION 1. That the Mayor is authorized to enter into an agreement with Anthem Blue Cross and Blue Shield, to provide Third-Party Administrator Services over a period of three (3) years, commencing June 1, 2022, and ending May 31, 2025. Such agreement shall contain terms and conditions deemed proper and requisite according to the Mayor, the Director of Law, and the Director of Human Resources.
SECTION 2. That the expenditures for Third-Party Administrator Services are authorized from Account Code 7083-17100-537410-1156001STDSTD. That said costs shall then be allocated to Account Code 517400 (Medical Insurance) within the various City organization units.
SECTION 3. That the Director of Finance is authorized to draw their warrant or warrants against the above account code in payment of the authorized obligations upon presentation of the proper voucher or vouchers.
SECTION 4. That this Ordinance is declared to be an emergency measure and shall be in force and effect from and after its passage. The reason for the emergency lies in the fact that same is necessary for the immediate preservation of the public peace, health, safety, and properly, and for the further reason that the ordinance must be immediately effective in order to maintain quality healthcare coverage for the City of Toledo’s employees and their dependents, and as mandated by the City’s applicable collective bargaining agreements.
Vote on emergency clause: yeas _____, nays _____.
Passed: _________________, as an emergency measure: yeas _____, nays _____.
Attest: ________________________ __________________________________
Clerk of Council President of Council
Approved: _____________________ __________________________________
Mayor
I hereby certify that the above is a true and correct copy of an Ordinance passed by Council ________________________.
Attest: ________________________
Clerk of Council