Item Coversheet
City of Independence
AGENDA ITEM COVER SHEET
Approved

Agenda Title:

Approval of specific and aggregate stop loss insurance renewal for the City's self-insurance program for the 2021 Plan Year in the amount of $1,657,083.
Recommendations:

Accept the stop loss insurance renewal proposal from CIGNA
Executive Summary:

Action is recommended to renew the City's stop loss coverage for the Stay Well Health Care Program for 2021 Plan Year. The City's current stop loss carrier, Cigna, provided the most competitive cost and coverage proposal.
Background:

The City operates a self-funded health insurance program (Stay Well plan) for eligible employees, retirees, and dependents.  The Stay Well plan has carried stop loss insurance for claims that go over the specific amount determined, currently $275,000.

 

Lockton presented to the Stay Well committee the results of the RFP that was issued for Stop Loss insurance for 2021, keeping the specific stop loss amount at $275,000.  This proved to be somewhat of a challenge because carriers did not have truly accurate numbers to analyze due to the Covid 19 pandemic and subsequent restrictions that occurred earlier in the year.  When the RFP came back, the potential rate increase was anywhere from 14% (Cigna) all the way up to a 58% increase.  In addition to the companies that bid on the Stop Loss, several firms were unable to bid due to our historical claim experience or were just not going to be competitive.  The bid from Cigna came in at a 13.6% increase from the current year with a 2nd year rate cap and no new laser provisions.  This represents roughly a $200,000 year over year increase for a total fixed cost of $1,657,083. Since 2015, the premium has increased 100% (2015 premium was $830,799).    



Fiscal Impact:

Cigna's proposal represents a 13.6% increase (roughly $200,000) over the current premium for a total cost of $1,657,083. Lockton advises that this pricing is competitive based on the proposals received and market trends for growing costs in the health care industry. The cost of this reinsurance is provided for in the Stay Well Fund.

Department:          Finance and AdministrationContact Person:          Bryan Kidney


REVIEWERS:
DepartmentAction
Finance DepartmentApproved
Finance DepartmentApproved
City Managers OfficeApproved
City Clerk DepartmentApproved

Council Action:          Council Action:         

ATTACHMENTS:
DescriptionType
Stoploss Renewal PresentationPresentation
Stop Loss HistoryBackup Material