File #: O-068-22    Version: 1 Name:
Type: Ordinance Status: Approved
File created: 2/17/2022 In control: Human Resources Department
On agenda: 3/1/2022 Final action: 3/1/2022
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.
Attachments: 1. Audio: City Council 3/1/2022, 2. Audio: Agenda Review 2/22/2022
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 Co...

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