BOARD OF POLICE COMMISSIONERS -...

BOARD OF POLICE COMMISSIONERS 1125 LOCUST

PRESIDENT- KANSAS CITY, MISSOURI 64106 MICHAEL RADER 816-234-5055VICE-PRESIDENT - Fax 816-234-5333 LELUND SHURIN www.kcpd.orgTREASURER- SECRETARY/ATTORNEY –DAVID V. KENNER ANGELA WASSON-HUNT MEMBER - MAYOR SYLVESTER”SLY” JAMES JR. MEMBER - ALVIN BROOKS

October 27, 2016

RFP No. 2017-4

HEALTH AND DENTAL INSURANCE

The Board of Police Commissioners (BOPC), Kansas City, Missouri Police Department, extends a Request for Proposals (RFP) for employee Health and Dental insurance subject to the conditions and specifications set forth. The contract period will be from May 1, 2017 through April 30, 2018 with an option to renew for four additional one-year periods based upon mutually agreeable pricing and availability of funding and quality of service.

CONDITIONS

1. Only proposals received prior to the specified opening time with Statement of Intent ofProposal form on file, and contained in a sealed container marked with the proposal numberwill be considered.

OPENING: 2:00 p.m., Tuesday, December 13, 2016 ATTN: Purchasing Section Second Floor, Police Headquarters Building 1125 Locust Kansas City, Missouri 64106

RFP 2017-4 can be downloaded at www.kcpd.org under public bid section.

2. Proposals delivered by courier will be accepted only by Purchasing Section Personnel.

3. Proposals will be received Monday through Friday, 8:00 a.m. to 4:00 p.m. The Kansas City,Missouri Police Department will not be accessible on holidays. The BOPC will NOTguarantee receipt of bids delivered to Police Department elements other than the PurchasingSection.

4. BOPC will not accept electronically transmitted or faxed proposals.

http://www.kcpd.org

http://www.kcpd.org

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5. Any questions regarding the information outlined in this request for proposal must be submitted in writing, by email, fax or mail, to be received no later than 2:00 p.m., Tuesday, November 22, 2016.

Email Address: [email protected] Fax Number: (816) 234-5307 Mailing Address: Board of Police Commissioners ATTN: Terry Headley 1125 Locust Kansas City, MO 64106 6. Any and all contacts with such persons associated with the Kansas City, Missouri Police

Department shall be made only through and in coordination with the Contact Person and will be required to be in writing. Failure to comply with the provision of this section may result in disqualification from this and future solicitations.

7. It is the responsibility of the respondent to deliver the proposal or proposal modifications on

or before the date and time of the proposal opening. Proposals will NOT be accepted after the date and time of closing except for extenuating circumstances as approved by the Financial Services Commander.

8. The BOPC strives to notify all prospective respondents of any issued addenda. It is

important to note, however, that it remains the responsibility of the respondent to determine if any addenda have been issued and to obtain those addenda prior to submitting their proposal.

9. Responding firms must submit one (1) original proposal and four (4) complete copies for

distribution to members within our organization. 10. Respondents shall comply with the Affirmative Action Program as administered by the

Director of Human Relations, City of Kansas City, Missouri. 11. The successful vendor must comply with all State of Missouri laws, which are applicable in

this area. 12. Pricing must include all costs associated with each service requested. 13. The BOPC encourages and recommends that bidders comply with the "Missouri Domestic Products Procurement Act", 34.350-34.359 RSMo. 14. Price quotes shall exclude all federal and state excise tax. 15. State whether your quotation is net or subject to a cash discount. 16. Terms and conditions of proposals must be valid for ninety (90) days from the date the

proposal is received.

mailto:[email protected]

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17. Respondent shall complete the reference information sheets, the federal award verification

form, and W-9 form, included in this request for proposal and return with vendor's submittal. 18. The BOPC reserves the right to reject any and all proposals as well as determine the lowest

and best proposal. 19. Unless otherwise stated to the contrary, it will be understood that you will accept an order for

all or any part of this bid. 20. All proposals in their entirety and resulting records shall become the property of the BOPC.

The respondent(s) may not use this information for any reason without the expressed written consent of the BOPC.

21. The respondent selected must agree to indemnify and hold the BOPC harmless from and

against all liability, losses, damages, costs, expenses (including attorney fees), interest, and penalties arising out of or resulting from the negligence or willful act or omissions of the vendor's employees, agents, servants or contractors engaged in service related to this project. The only exception to this is to the extent such acts or omissions are based on and caused by reliance on any written information supplied by the BOPC.

22. The BOPC will not incur any expense from any proposing firm submitting a proposal. Final award of proposal will be determined through evaluation of respective proposals as to material quality, delivery schedule, and price. BOARD OF POLICE COMMISSIONERS /S/ Capt. Derek L. McCollum Captain Derek McCollum Commander Financial Services Unit

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SECTION I

STANDARDS AND CRITERIA FOR EVALUATION AND SELECTION The BOPC Employee Benefits Evaluation Committee will evaluate the proposals and make recommendations based on, but not limited to, the following criteria:

o Plan design, including pharmaceuticals, and rates, including projected total cost of plans for the BOPC and their employees/retirees;

o Network capabilities (including out-of-area) to meet the needs of the BOPC; o Multiple year rate or renewal formula guarantees, evaluated for both employer and

employee contribution amounts; o Claims Handling Assistance and Claim Information provided by Insurer; o Financial stability of carrier; o Average provider discounts for physicians, hospitals and prescription drugs; o Demonstrated effectiveness of health management and disease and case management

programs; o Operational efficiencies and performance guarantees (i.e. on-hold time, claims processing

time); o Commitment to Health and Managed Care Initiatives, including patient centered healthcare

initiatives; o Wellness programs and implementation process; o Member satisfaction; o Ability to provide quality claims, utilization and outcome data; o Self-bill, provider reconciliation and interface capability, on-line billing and payment; o Added value services; o Communication with clients and members; o Location of claim office that will be servicing the account, average turnaround time for

claims processing, accuracy of claims paid, etc.,; o Plan flexibility (i.e. wellness locations; incentive based plan design; etc.).

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SECTION II

TIMELINE The BOPC has established the following timeline for the RFP and open enrollment process. Should your proposal be selected, you must agree to adhere to this timeline: 2.1 Timeline for RFP Process: The timeline listed below is the BOPC’s estimation of time required to

complete the RFP process. All efforts shall be made to abide by this schedule but it may change due to different circumstances.

RFP Schedule Timeline RFP issued to Insurers via electronic format by no later than this date by the Purchasing Department, BOPC:

Friday, October 28, 2016

Proposer to provide “Intent To Notify” form to Purchasing Department, BOPC:

2:00 p.m., Central Time, Friday, November 4, 2016

Proposer provides RFP questions to Purchasing Department, BOPC by this time and date:

2:00 p.m., Central Time, Tuesday, November 22, 2016

Purchasing Department, BOPC, responds to questions by no later than: Tuesday, November 29, 2016

Insurer Proposals Due at BOPC 2:00 p.m., Central Time, Tuesday, December 6, 2016

Internal Proposal Summary Meeting at BOPC to determine Vendor Finalist Tuesday, December 13, 2016

Follow-Up with Details with selected carrier(s): Thursday, December 15, 2016

Insurer Interviews (if any required): Tuesday, December 20, 2016

Summary Benefit Recommendation finalized: Friday, December 30, 2016

Information Directed to BOPC – no later than: Thursday, January 5, 2017

Formal Agreement presented to BOPC for Action: Monday, January 9, 2017

Plan Implementation Process: January 10, 2017 through March, 2017

Final Information, billing established, new Payroll Data finalized: Friday, March 17, 2017

Benefit Effective Date: Monday, May 1, 2017 2.2 The BOPC reserves the right to adjust the timeline for the project.

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SECTION III

STATEMENT OF INTENT OF PROPOSAL # 2017-4 GROUP HEALTH AND/OR DENTAL INSURANCE

KANSAS CITY, MISSOURI POLICE DEPARTMENT

The Proposer is to confirm receipt of this RFP and submit to the following BOPC contact in order to receive any amendments, addendums or other modifications. Void of receipt, the BOPC will NOT accept any proposal from the Proposing firm. This document is due by no later than 2:00 P.M., CENTRAL TIME, FRIDAY, NOV. 4, 2016

PROPOSAL SUBMISSION INFORMATION AND PROCEUDRES

1. Proposals must be priced, signed, and returned (with all necessary attachments) by the proposal receipt date and time specified.

2. Said proposals must conform to the Specifications and Instructions.

3. Any and all questions regarding this Request for Proposal must be directed to: ATTN: Terry Headley, Purchasing Agent

Police Headquarters Building 1125 Locust Kansas City, MO 64106

Fax: (816) 234-5307 Email: [email protected]

4. The offer must respond to the RFP by submitting all data required herein in order for the proposal to be evaluated and considered for award.

5. Proposer understands that the BOPC reserves the right to reject any and all proposals and to waive formalities. Upon review of each proposal, the BOPC also reserves the right to request additional clarification, if needed, regarding networks, benefits and funding.

Company Name: _________________________________ Telephone: _________________________________ Email: _________________________________ Signature: _________________________________ Date: _________________________________

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STATEMENT OF NO PROPOSAL #2017-4

KANSAS CITY, MISSOURI POLICE DEPARTMENT We, the undersigned, have declined to submit a proposal for GROUP MEDICAL AND/OR DENTAL COVERAGE for the following reason(s). ____ Insufficient time to respond to the RFP ____ We do not offer this product or service ____ Ineligible Industry ____ We are unable to meet specifications. ____ Not Competitive at this time ____ Other (explain). Remarks: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Company Name: _________________________________ Telephone: _________________________________ Signature: _________________________________ Date: _________________________________ * NOTE: If you do not intend to provide a proposal, please return this form to:

ATTN: Terry Headley, Purchasing Agent Police Headquarters Building 1125 Locust Kansas City, MO 64106

Fax: (816) 234-5307 Email: [email protected]

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SECTION IV

MEDICAL & DENTAL PLAN SPECIFICATIONS

GENERAL INFORMATION

4.1 The pricing of this program is requested to be as follows: May 1, 2017 through April 30, 2018 with a 2nd Year Maximum Not-To-Exceed Rate. Rate history is per the following attached file (health and dental information included).

BOPC Health Premium History.xls

4.2 The census data (Active and Retiree) is attached for both Health & Dental programs:

2016 BCBS Census BOPC.xlsx

4.3 A provider network summary is to be provided in order to confirm any disruption of providers to

those currently being utilized by BOPC members. A “top 25” list of current providers will be included in the loss information – please note if “in” or “out” of your proposed network by Plan.

4.4 The current employee benefit plan includes three medical plans through Blue Cross Blue Shield of

Kansas City (two HMO’s and one PPO), one dental plan (BCBSKC). A proposal is for a fully insured program. The BOPC’s current plans are as follows:

Board of Police 2016.doc

BOP Dental base2016.doc

BOP dental buyup 2016.doc

4.5 The current medical carrier is Blue Cross/Blue Shield of Kansas City. The BOPC has been with

BCBSKC exclusively since 1992 and currently on a fully insured program. The BOPC terminated the use of the Maximum Refund agreement for the 5/1/2016 Policy inception year. Such Refund or Retro-Active rating programs are requested to be offered as an OPTION to the rate period outlined in item “4.1” above, including full disclosure of any rate surcharge for the refunding option.

4.6 BOPC retirees may enroll in the same benefits plans as the active employees. Rates are Blended,

although the BOPC reserves the right to negotiate renewal rate modifications as necessary. 4.7 Currently the BOPC pays approximately 90% of the cost for employee coverage, 85% of the cost

for covering one dependent and 80% of the cost for covering 2 or more dependents. All retirees pay 100% of the premium.

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It is the BOPC’s intent to continue to fund according to the current employer contribution schedule. However, please indicate on your proposal any change in the premiums rate/funding arrangement should the BOPC elect to incorporate any other funding level approach.

4.8 All deviations from the requested plans must be indicated.

4.9 A separate administered Section 125 plan is used for health and dental benefits premium

deductions. Employees who choose to decline coverage do not obtain any monetary benefit.

4.10 Premiums are requested to be quoted on a NON-BLENDED RATE method between the plans. The Early Retiree rates are to be Blended with the Active rates, with Post 65 Retiree Rates being separate.

4.11 Detailed Health and Dental Rate History, including top provider information, effective 9/1/2013 thru 8/30/2016 will be provided upon specific request immediately upon receipt of your confirmed interest document found on page 6 of this RFP.

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SECTION V

CLAIMS EXPERIENCE

DISCLOSURE PROTOCOLS

5.1 Loss Data as noted above will be provided in an Excel File format once the confirmation of interest in proposing (page 6 of this RFP) is received by the BOPC. The information is to be maintained on a confidential and professional basis.

5.2 Due to heightened sensitivity with regard to the disclosure of health conditions by employers,

health care providers, and others who have an opportunity to review confidential personal health information, BOPC has adopted the following policy: 5.2.1 BOPC will share in RFP information from only these sources:

5.2.1.1 The employer/client representative who is responsible for coordinating the bidding process;

5.2.1.2 Information disclosed by the insurance carrier either in the renewal notification or in a separate claims report.

5.3 We will forward any pertinent information we learn from the current carrier or the client after the

release of an RFP as soon as we receive it only to those that have formally notified the BOPC of their intent to participate by the date/time noted on Page 6 of this RFP.

5.4 During the bidding process, we will not give a claimant’s name or phone number to a carrier for

any reason. 5.5 BOPC respectfully request that you refrain from asking us for more data than we are able to

initially provide in our RFP unless critical to your underwriting needs. Such response may also be shared with others that are formally included in this RFP process.

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SECTION VI

PROPOSAL REQUIREMENTS

The following pages in this section outline requirements/requests of the BOPC. In your proposal please respond to each of these items.

6.1 Enrollment materials need to be in BOPC’s Benefits office by late February. Proposer should

provide the time line necessary for notification in order to provide identification cards and benefit materials which are to be mailed by carrier to participant’s home, by no later than late April (no later than April 30th). The BOPC Benefits office handles about 100 open enrollment meetings held at various locations and times typically during late February and March, with the possibility of a carrier representative at specific meetings. All meetings are to be scheduled by the BOPC’s Benefits office. If the BOPC is to mail to eligible employees and retirees, note any dollar amount your company is willing to contribute.

Insert timeline here (use as much space as necessary)

6.2 Briefly identify the enrollment process requested by your firm for both the Initial Year and

subsequent Renewals. Note if enrollment is electronic and part of the proposing insurers / administrators system and/or if a separate fee is required. Will this system also enroll any other products not offered by the insurer?

6.2.1 If firm does not have electronic enrollment capabilities, will firm provide assistance to Benefits Office, including onsite enrollment assistance with collection and submission of enrollment forms, transition assistance, communications, etc.

Insert process here (use as much space as necessary)

6.3 Note Best & Co's and Standard & Poor's rating for the insurance provider presented.

Insert Response here

6.4 Provide at least two references for the program(s) being proposed, including contact name and

phone number. Local governmental entities of 1,000+ employees as references are preferred. References will be contacted for those firms selected for interview.

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Reference Number one (1)

Reference Number two (2)

6.5 The Insurer is to provide "Detailed" loss information – identify if this is provided monthly on a secured on-line access basis.

Yes No "Detailed" loss information shall include, but not limited to, the following – BY PLAN and

Combined: • Monthly enrollment, Medical, Capitation, Rx, and Dental claims costs, Per Member Per

Month calculation, Monthly and YTD loss ratio. • Year To Date claim total (Aggregate Report) • Large Claim Report (minimum of 50% specific level including diagnosis/services) • Billed, Not Covered, Discount, Deductible, Co-payment Coinsurance, Coordination of

Benefits, COB with Medicare and total amount paid per month & YTD. • Rx utilization (generic, brand, non-preferred, co-payments, PMPM, retail/mail order,

discounts, fees, rebates, etc.) • Dental utilization (tier benefits, ee/dependent utilization, co-payments & claims paid,

discounts, etc.) • Top 25 Provider Listing – Inpatient, Outpatient, Physician, Pharmacy – billed and paid

amounts. • Utilization Services for Inpatient, Outpatient • Identification of Urgent Care services and Physician Office Visit services • Lag report to track timeliness of claim payments • Breakdown of Wellness Visit/Routine Care

Confirm that the proposer will provide the above and note any other unique loss data that will be

provided at no additional charge to the BOPC.


6.6 What is the estimated lag time for claim payments for similar clients in the KC Metro area, i.e.,

55% incurred month; 92% 2nd month; 98% third month; etc.?

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6.7 Location of claim office that will be servicing the account, average turnaround time for claims

processing, accuracy of claims paid, etc., is to be clearly identified.


6.8 The BOPC Benefits departments would like one main contact at the carrier for any issues (i.e.

claims, eligibility, general questions, etc.) that may arise during the year. This contact would not be made available to all the BOPC employees, but would rather be available only for the Benefit Departments use. Briefly identify that individual anticipated to be assigned, including office location.

Agree Disagree


6.9 The BOPC requires a list bill be provided each month.

Agree Disagree

6.10 The BOPC currently enrolls all members and makes eligibility through the BC/BS Blues Enroll system, allowing the BOPC immediate access to enrollment and change processes. Do you agree to offer similar capability? Briefly outline:


6.11 ID cards and booklet/certificates for those members who completed the open enrollment process

must be provided direct to employee’s homes prior to May 1, 2017. Agree Disagree

6.12 The grace period for premium payment should be 45 days. NO penalties or suspension of claim

payments should occur during this grace period. Agree Disagree

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6.13 Identify specifically how a takeover of the benefit plan will impact the Deductible and Coinsurance provisions already met on a Calendar Year Basis and IF the proposed program has a Calendar Year benefit cycle. Deductive credit must be given for all PPO members who have satisfied any portion of the deductive from January 1, 2017 through April 30, 2017. State your willingness to adhere to this requirement.


6.14 On the PPO plan, comment on the proposed plan’s Grandfather Status:

6.14.1 Copays do NOT apply to Max Out of Pocket Limit, identify if different. 6.14.2 Rx Copays do NOT apply to Max Out of Pocket Limit, identify if different.


6.15 Identify if the proposed HMO plans (or similar) would also be considered “Grandfathered” or not.

If not, be specific about the Maximum Out Of Pocket application of copays, etc.


6.16 On the HMO proposed program, what plan modifications could be made to where Urgent Care or

Tertiary Care for Out-of-Area could be better addressed than using an area Emergency Room? Several members travel outside of the KC Metro area for family events and activities.


6.17 How would you handle any treatment in progress? Please specify the types of treatment

considered. (For example, explain your coverage/treatment procedure on a takeover basis for a pregnant woman in her third trimester and who is seeing an OB/GYN doctor who is not in your network).


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6.18 Are the proposed rates the same as they would be for those individuals that reside outside the State

of Missouri? If not, how are those rates determined? Yes No 6.19 Confirm acceptance that eligibility begins the first day of employment. Eligible Employees defined:

All full-time employees, police commissioners, board employees and retirement system employees. Surviving dependents of line-of-duty death members are eligible to remain on the active plan until which time the deceased member would have attained their 32 years of service to the department. The retiree eligibility includes retirees, retired police commissioners, retired board employees, retired retirement system employees and dependents of retirees who are eligible to receive a retirement benefit. Retirees are allowed to join the plan at retirement and at open enrollment each year. If a retiree or dependent drops the coverage they have a one-time option to return to the plan before they reach age 65, with some variables applicable. Domestic Partners are included for Actives only.

Yes No

6.20 Attached is the Eligibility of Class members used by the current health insurer for BOPC. Confirm that this is acceptable:

BoardPoliceExhibit2016.doc

Yes No

6.21 State the insurer's position regarding the responsibilities of handling COBRA benefits, i.e., will the

COBRA participant be directing their premium payment to the insurer directly, or will it be the responsibility of the BOPC (insured) to collect such premium? Identify any charge to the BOPC for handling this service and if such service includes other benefit products (health, vision and dental).


6.22 Comment as to if any proposed Co-Payments (office, out-visit, inpatient, Rx, etc.) will aggregate

toward the Maximum Out-of-Pocket expense limit (similar to questions #14 & #15).


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6.23 Identify in the PPO plan if payments for deductibles and coinsurance for services provided by non-network providers, and vice-versa, will cross accumulate.


6.24 Definition of Dependent – confirm that grandchildren can be insured as a dependent if required by

court order. Also note if the Age 26 provision applies to December 31st of the year in which the dependent turns 26.

Yes No 6.25 Outline the proposed wellness program being offered, including sample time-line, services provided

by the insurer, including a response to anticipated results. Include, but not necessarily limited to: 6.25.1 Coordination of Wellness Activities 6.25.2 Annual Wellness Fair, including lipid testing and metric assessment 6.25.3 Secure, on-line health risk assessment (GINA & HIPAA compliant) 6.25.4 Inclusion of Member Employee, Member Plan Participating Spouse and Non-Member

Employee 6.25.5 Individual Health Risk Reports confidentially shared with member only 6.25.6 Annual Risk Summary Report of Findings to Human Resources 6.25.7 Lifestyle & Disease Management Coaching 6.25.8 Incentive Program and how funded 6.25.9 Online Education 6.25.10 Onsite Education


6.26 It is requested that the terms, rates and conditions of the proposed program be guaranteed for a

minimum of two years or a second year rate not to exceed amount. All other rate guarantee provisions are to be specifically identified for the fixed cost components (administration, network access, stop loss, etc). This will be used in the evaluation of the pricing over a multiple year period to prevent immature rate comparisons and be considered a major consideration during the evaluation process. “Illustrative Rates” or any “Contingency Rates” are not favored.


6.27 Outline any mid-term termination provisions. The BOPC must be able to terminate the agreement

any month with 30 days written notice.

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6.28 Rates/Funding are to be illustrated at Employee; Tier 2 (Employee Plus One); Tier 3 (Family).

Agree Disagree

6.29 Identify any Urgent or Medical Clinics whereby the BOPC may determine to waive office visit co-

payments in order to receive 100% benefits. Is your system able to adjudicate such a plan modification – currently using many of the Take Care Clinics in Walgreens, and Minute Clinics in CVS? What experience do you have with this plan feature and have results been positive (financially and/or absenteeism) for your insured’s?


6.30 Does the proposed plan offer any “Teledoc” type services and if so, what is the member cost of

utilization in the benefit plan?


6.31 Will the proposed insurer/program include any Managed Behavior Healthcare Services? If so, be

sure to identify the vendor/rates/services, etc. Yes No 6.32 Confirm that the proposing insurer/firm will provide forms/guidance on Mandated Notices.

Yes No

6.33 Identify if the insurer/firm will provide Retiree billing and collection on the health benefit program, including any associated costs.

Yes No


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6.34 Identify what the insurer/firm will provide regarding Early Retiree Reimbursement Program assistance, including any associated costs.


6.35 Identify insurer assistance and information regarding Healthcare Reform, notification samples and timing, seminars, etc.


6.36 Provider directory information is to be provided. The utilization of the current top 25 providers

within the provider listing is considered important.


6.37 Recognizing that claim discounts vary by service, hat is your average provider discount for both physicians and hospitals (inpatient & outpatient) in the KC Metro area? Please provide this answer in terms of the discount off billed charges. Insert Response here

6.38 Are the primary care physicians in your network under a capitation or fee for services arrangement?

Yes No 6.39 Identify the Pharmacy Benefit Manager and provide a provider network listing (both retail and

mail-order). Address applicable average discounts for Generic and Brand drugs, dispensing fees, rebates, etc. that may directly impact the BOPC’s program. Identify if the proposed plan has a Generic Mandate requirement. Also briefly outline any separate Pharmacy managed care services/notifications.


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6.40 Does the insurer utilize any on-line/mobile notification application on advising members if their cost could be lower by either a different drug or dispensing location?


6.41 Provide a sample copy of a Renewal Premium Calculation worksheet that would be used by the

carrier, including a funding model exhibit that is typically used by the proposing insurer/administrator.


6.42 For budgeting purposes the BOPC requires a preliminary renewal evaluation to be completed in

October of each year, with Board Approval required during the month of January. The stipulation is that when the actual renewal is calculated, it cannot exceed the result of the preliminary evaluation.

Agree Disagree

6.43 Identify any Health and Productivity Management initiatives or personnel available to the BOPC in order to lower future claims experience and to improve health for the membership.


6.44 Provide a proposal for inclusion of an Employee Assistance Program (EAP) that has a minimum of

6 visits per member per year (currently with New Directions). Visits thereafter are to follow the specialist copayment thereafter. Outline what is provided, suggested to include, but not limited to:

6.44.1 Short-term clinical support (max of 6 face-to-face counseling; telephonic consultations and web-video consultations)

6.44.2 Work & Life services 6.44.3 Secure website with self-help programs, tools and information 6.44.4 Management consultation (employee situation concerns) and orientation services 6.44.5 Legal and Financial referral services 6.44.6 Copy of current program attached:

Kansas City MO Police Department EAP Services Summary 2016.pdf


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SECTION VII

FUNDING REQUIREMENTS HEALTH PLAN FUNDING OPTIONS:

7.1 Plan funding option for a Fully Insured Plan, Three Tier Plan – for Each the Current Three Plans. 7.1.1 May 1, 2017 through April 30, 2018 with NO REFUND Agreement (per current) 7.1.2 May 1, 2017 through April 30, 2018 WITH a REFUND Agreement (sample agreement

required) 7.1.3 May 1, 2017 through April 30, 2018 with a 2nd Year Maximum Not-To-Exceed Rate, NO

REFUND agreement.

7.2 Plan funding option for a Fully Insured Plan, Three Tier Rate – to ADD Qualified High Deductible Health Plan – similar to the following provisions: 7.2.1 $2,600 Individual/$5,200 Family Deductible 7.2.2 No Coinsurance 7.2.3 All other Services subject to Deductible/Coinsurance 7.2.4 Maximum OOP = $2,600/$5,200 7.2.5 Confirm Provider Network same as PPO network 7.2.6 Identify proposed Health Savings Account administrator and their summary of proposed

services and fees. 7.2.7 Identify “IF” the BOPC eliminates the HMO1 Plan or not, would the PPO Rates noted

above require to be changed? DENTAL PLAN FUNDING OPTIONS:

7.3 Plan funding option for a each of the two Fully Insured Plans, Three Tier Plan enrollment: 7.3.1 May 1, 2017 through April 30, 2018 with a 2nd Year Maximum Not-To-Exceed Rate 7.3.2 May 1, 2017 through April 30, 2019 (2-Year Rate).

EMPLOYEE ASSISTANCE PREMIUM

7.4 Plan funding for EAP to be provided as follows: 7.4.1 With BOPC Health Coverage (PEPM): 7.4.2 Without BOPC Health Coverage (PEPM):

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Federal Award Verification Form We here by certify:

Vendor certifies that neither it nor its principals are suspended or debarred from contracting for goods or services that are purchased from federal awards.

___________________________________________________________ Signature of Authorized Person Certifying Date ___________________________________________________________ Print Name and Title

Name of Company _________________________________________________________________

Street Address:__________________________________________________________ City, State, Zip Code:________________________________________________

Phone Number:__(_____)________________________________

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