File #: O-332-18    Version: 1 Name:
Type: Ordinance Status: Approved
File created: 8/17/2018 In control: Human Resources Department
On agenda: 9/11/2018 Final action: 9/11/2018
Title: Authorizing the mayor to enter into an agreement with HealthScope Benefits, Inc. for the provision of Third Party Administrator Services related 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.
Attachments: 1. Calvin W. Brown memo, 2. Review Summary

Label
HealthScope Benefits
Human Resources
C.W. Brown (x1563)
(Revised)

Title
Authorizing the mayor to enter into an agreement with HealthScope Benefits, Inc. for the provision of Third Party Administrator Services related 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 expires on September 30, 2018.

The City of Toledo's Human Resources Department sought competitive proposals in accordance with law and received eight (8) responsive proposals for third party administration services. The Human Resources Department reviewed each proposal, with consultation from representatives of the Law and Finance Departments, Risk Management and an external consultant, and determined that HealthScope Benefits, Inc. presented the best proposal. The Health Care Cost Containment Committee also recommended that the city continue with this provider. It is estimated that the administrative fee cost associated with this agreement will be approximately $321,750, year one; $347,490 year two; and $373,230 year three.

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 HealthScope Benefits, Inc. to provide third party administrator services over a period of three (3) years commencing October 1, 2018 and ending September 30, 2021. Such agreement shall contain terms and conditions deemed proper and requisite according to the Director of Law and Director of Human Resources.

SECTION 2. That expenditures for third party administrator services are authorized from Account Code 1098-150320. That said costs shall then be allocated to Account Code 517400 (Medica...

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