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 (Medical Insurance) within the various City organization units.
SECTION 3. That the director of finance is authorized to draw her warrant or warrants against the above account code in payment of the authorized obligations upon presentation of 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 property, and for the further reason that the ordinance must be immediately effective in order to maintain quality health care coverage for the City of Toledo’s employees and their dependents.
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