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1999-099
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Last modified
7/27/2023 2:43:18 PM
Creation date
7/27/2023 2:41:03 PM
Metadata
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Template:
Official Documents
Official Document Type
Miscellaneous
Approved Date
04/16/1999
Control Number
1999-099
Entity Name
The Gehring Group
Subject
IRC Heakth Care Consultant to review the employee health care plan
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C-1 <br />171 <br />FINALIST EVAJLATION <br />CIGNA and Blue Cross & Blue Shield were named as the two finalists for health insurance; <br />m <br />therefore, all aspects of their programs were analyzed in greater detail. <br />Both carriers proposed triple option programs (PPO, POS, HMC) with similar benefits and <br />premiums generating an approximate 16% increase over the current rates. Since both carriers <br />proposed programs similar in cost and coverage, the MCSD Insurance Committee iaadc and <br />passed the motion to have both carriers give presentations to the Committee on January 11. 1999. <br />FINALIST PRESENTATIONS <br />Both carriers gave impressive and convincing presentations to the Committee; however, upon <br />further consideration and discussion, the Committee came to the conclusion that CIGNA was <br />better able to provide a more comprehensive level of benefits to MCSD for the following <br />reasons: <br />i ) CIGNA has a larger I•iMO/POS physician network in Martin County than Blue Cross & <br />Blue Shield. This is a significant benefit because 75% of the active employee population <br />are HMO/POS participants. To further limit the number of participating physicians in the <br />local area will result in an increased number of employee complaints regarding the <br />benefit program. <br />2) There is no significant cost savings associated with switching the Health program to Blue <br />Cross & Blue Shield. Both CIGNA and l3lue Cross & Blue Shield proposed premiums <br />generating an approximate I5%a rate increase for the upcoming plan year. <br />3) There are no significant benefit enhancements associated with switching the health <br />program to Blue Cross & Blue Shield. Both finalists proposed programs with benefits <br />that mirror the current program. <br />4) Blue Cross & Blue Shield's PPO program, however, does reduce the benefit payable to <br />retirees for whom Medicare is primitry and the CIGNA Ppo is secondary. Under the <br />current CIGNA program, retirees on Medicare receive full benefit coordination. hider the <br />proposed BC&BS program, all benefits payable to retirees on Medicare will be reduced <br />by the amount paid by Medicare. `Phis is a significant benefit reduction in comparison to <br />the existing coverage. <br />
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