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hrn <br />:41 <br />• <br />_h4 <br />June 14, 2000 <br />How was it <br />calculated <br />Math Ratio <br />Formula <br />Math i not <br />Ratio available. <br />not <br />available <br />Math Ratio <br />Meth Ratio <br />Agree to penalties if <br />error ratio is <br />exceeded or service <br />staadard not achieved <br />No <br />Per <br />Adminators <br />Standards <br />Negligent <br />Negouable <br />Negligent <br />Yes <br />No <br />Restores attached? <br />No <br />No <br />Yes <br />No <br />No <br />Yes <br />Yes <br />Are any TPA services <br />subcontracted? <br />RX Only <br />Pre-Cenif. <br />& UR <br />Pre-Cenif <br />& UR <br />No <br />No <br />No <br />No <br />Are references <br />attached? <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes — No <br />Govt. agys <br />No <br />Case load of adjustas <br />assigned to BCC <br />580 <br />125 per day <br />Dedicated <br />Adjuster <br />500 pa <br />week <br />Unk. <br />Not <br />available <br />1 per 1000 <br />emplovees <br />Any initial or set-up <br />fee <br />No <br />Yes S5,000 <br />No <br />Yes <br />Yes S5,000 <br />No <br />S8,500 <br />Sample claims & <br />statistical reports <br />included <br />Yes <br />Yes <br />Yes <br />Yes <br />No <br />Yes <br />Yes <br />Sample contract <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Third Party <br />Administrator <br />BCBS <br />McCreary <br />Brown & <br />Brown <br />Robev <br />Barber <br />PBA <br />PAI <br />Laovadve <br />Solations <br />Rates <br />Mod'fd <br />Employee <br />$22.78 <br />518.25 <br />517.75 <br />S266.56 <br />$9.45 <br />S17.95 <br />Fee not <br />Family <br />$61.50 <br />S <br />Included <br />S590.64 <br />$9.45 <br />Included <br />Scheduled <br />Retiree <br />Same <br />$18.25 <br />517.75 <br />5324.08 <br />$9.45 <br />$17.95 <br />On <br />response <br />Other <br />S49.89 <br />549.99 <br />S2.25 SPD <br />Various <br />Additional <br />charges <br />Plan DOC., <br />COBRA, <br />On-line <br />access, in- <br />house <br />prograntng <br />Forms <br />State enrollment <br />requirements <br />None <br />Not <br />available <br />None <br />Not <br />available <br />None <br />None <br />Will adjust <br />Assist with <br />enrollment <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Provide annual <br />enrollment <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Guaranteed Network <br />access 1 yr. <br />PPO & <br />Traditional <br />Available <br />No <br />Yes <br />No <br />No <br />Yes <br />Not <br />available <br />Excess Stop loss Insurance for Self-insured Medical Plan <br />The Stop -loss insurance protection for the Lincoln Re proposal submitted by the O'Neil. Lee & West <br />Insurance Agency is based on the lower expected claims of the Blue Cross administration proposal. <br />That proposal was used in the Blue Cross analysis and produces the lowest overall cost proposal. It is <br />recommended for selection. The proposal cannot be used with another medical administralioo <br />proposal without adjustment for expected higher claims paid under another fee schedule and network. <br />We recommend selection of the $ 100.000 specific retention level. <br />• <br />.927_3 <br />b'f <br />