committee: fiscal accountability & government...

Office of Superintendent of Schools June 9, 2019 Board Meeting of July 24, 2019 Financial Services Mr. Ron Y. Steiger, Chief Financial Officer COMMITTEE: FISCAL ACCOUNTABILITY & GOVERNMENT RELATIONS

E-141 ITB-18-034-DP AWARD INVITATION TO BID NO. ITB-18-034-DP –

IT HARDWARE EQUIPMENT, ACCESSORIES,

PERIPHERALS, AND SUPPORT

E-142 RFP-18-022-CM AWARD REQUEST FOR PROPOSALS NO. RFP-

18-022-CM - BACKGROUND SCREENING

SERVICES

E-143 RFP-18-030-MT AWARD REQUEST FOR PROPOSALS NO. RFP-

18-030-MT - CRISIS MANAGEMENT AND/OR

SPECIAL PROJECTS COMMUNICATION

SERVICES

E-144 RFP-16-046-MT REQUEST APPROVAL OF SUPPLEMENTAL

AWARD ON TERM CONTRACT REQUEST FOR

PROPOSALS NO. RFP-16-046-MT - TITLE I

EQUITABLE SUPPLEMENTARY EDUCATIONAL

SERVICES (ESES) FOR NON-PUBLIC SCHOOL

STUDENTS AND SUBJECT TO THEIR SELECTION

BY A PARTICIPATING NON-PUBLIC SCHOOL

E-145 ITB-18-048-HR AWARD INVITATION TO BID NO. ITB-18-048-HR –

MILK AND DAIRY PRODUCTS

E-146 ITB-18-032-CM AWARD INVITATION TO BID ITB-18-032-CM -

TRAVEL AGENCY SERVICES

E-147 ITB-18-001-TR AWARD INVITATION TO BID NO. ITB-18-001-TR-

ELECTRIC CLOCKS, INTERCOM SYSTEMS, TIME

STAMP MACHINES PARTS & SUPPLIES-

MANUFACTURE DISCOUNT

E-148 ITB-18-067-DP AWARD INVITATION TO BID NO. ITB-18-067-DP –

WEBSITE DEVELOPMENT

E-149 RFP-18-043-CM AWARD REQUEST FOR PROPOSALS NO. RFP-

18-043-CM - INSTANT MESSAGING AND

PARENT NOTIFICATION SYSTEM

E-150 RFP-18-057-MT AWARD REQUEST FOR PROPOSALS NO. RFP-18-

057-MT GROUP TERM LIFE INSURANCE AND

FLEXIBLE BENEFITS PROGRAM

E-151 RFP-18-058-MT AWARD REQUEST FOR PROPOSALS NO. RFP-18-

058-MT - DISTRICT HEALTHCARE BENEFITS

PROGRAM

E-152 ITB-18-024-MJ AWARD INVITATION TO BID NO. ITB-18-024-MJ –

TRANSPORTATION FOR SPECIAL NEEDS

STUDENTS

of 13

Office of Superintendent of Schools July 9, 2019 Board Meeting of July 24, 2019 Financial Services Mr. Ron Y. Steiger, Chief Financial Officer SUBJECT: AWARD REQUEST FOR PROPOSALS NO. RFP-18-057-

MT GROUP TERM LIFE INSURANCE AND FLEXIBLE BENEFITS PROGRAM

COMMITTEE: FISCAL ACCOUNTABILITY & GOVERNMENT

RELATIONS LINK TO STRATEGIC FRAMEWORK: EFFECTIVE AND SUSTAINABLE BUSINESS PRACTICES Procurement Management Services, at the request of the Office of Risk and Benefits Management, released the above-referenced solicitation. The purpose of this Request for Proposal (“RFP”) is to identify qualified individuals and agencies to provide Group Term Life Insurance and Flexible Benefits for Miami-Dade County Public Schools employees, dependents and retirees. This RFP was advertised on the Procurement Management Services’ and DemandStar websites. The solicitation was shared with District offices for additional community outreach, including but not limited to social media, local newspapers, local radio stations and prior bid forecasting lists. The initial term of the bid shall be for a period of five (5) years, commencing January 1, 2020 through December 31, 2024, and may, by mutual agreement between The School Board of Miami-Dade County, Florida, and the successful bidders, be extended for one (1) additional two (2) year period. At the time of contract extension, additional vendors may be added and/or removed, at the discretion of the District. Strategies were employed to increase SBE/MBE (Small/Micro Business Enterprise) participation. The Goal Setting Committee recommended that this solicitation be open with 5 points SBE/MBE. M-DCPS OEO staff verified the Small, Micro, Veteran and/or M/WBE certification status.

E-150

of 13

At the regularly scheduled bid opening of April 23, 2019, responses from the following proposers were received:

Life & AD&D

Disability Dental Vision Hospital Income

Group Legal

ID Theft

Pet Insurance

Aetna

ARAG

Avesis

Cigna

Crum & Forster Pet Insurance Group (ASPCA)

CyberScout

CyberScout (via MetLife Hyatt Legal)

Davis Vision

Delta Dental

EyeMed Vision Care, LLC

The Hartford “Hartford”

ID Watchdog

InfoArmor

Legal Access “LegalEASE”

Legal Shield

Metlife

Metlife “Hyatt Legal”

Nationwide

The Standard

UnitedHealthcare

US Legal Services

The Selection Committee meetings were held on June 7, 2019, June 17, 2019 and June 28, 2019. All committee meeting dates were advertised through Citizen’s Information. The Committee reviewed all received proposals and comprehensive analyses assembled by staff from the Office of Risk and Benefits Management and the District’s Employee Benefits Consulting Firm of Aon. This item will outline each program for which the District sought and received proposals and will identify those companies which the committee determined best met the District’s needs, based upon the criteria contained in RFP# 18-057-MT, as well, as School Board Policy 6320, Purchasing – Policy. Group Term Life The committee reviewed the information received from the proposers that provided proposals for Core Life Insurance and Accidental Death and Dismemberment (AD&D), Dependent Life, Voluntary (Optional) Life Insurance, Accidental Death and Dismemberment (AD&D) and Blanket Accident Policy for Police Officers. The Committee voted unanimously to select Metropolitan Life Insurance Company (MetLife) as the District’s Group Life Insurance carrier, effective January 1, 2020 for a five (5) year period with the ability to be extended for one (1) additional two (2) year period as stipulated in the RFP subject to successful negotiations.

of 13

• Core Life Insurance and Accidental Death and Dismemberment (AD&D) The Board provides benefit eligible employees Board-paid core term life insurance and AD&D at one or two times their annual salary in accordance with their respective union or employee association contract. Employees may also purchase optional life insurance and AD&D plus dependent term life insurance at their own expense. Life insurance is also offered to retirees at their own expense.

The proposal received from MetLife provides a five-year rate guarantee. Basic life monthly premium for active employees is $0.123/$1,000 and Basic AD&D monthly premium is $.010/$1,000.

• Dependent Life The Board offers employees the opportunity of purchasing dependent life insurance for eligible Spouse/Domestic Partner and/or Child(ren).

The proposal received from MetLife provides a five-year rate guarantee. Dependent life monthly premium for active employees is age banded.

• Voluntary Life Insurance and Accidental Death and Dismemberment (AD&D) Benefit eligible employees and retirees may purchase voluntary group term life insurance in $10,000 increments from a basic $10,000 up to $100,000. The proposal received from MetLife provides a five-year rate guarantee. Life Insurance Monthly premiums for Active and Part-time employees are $0.20/$1,000. Monthly premiums for Retirees are $0.518/$1,000. AD&D Monthly premiums for Active and PT employee coverage are $0.013/$1,000. Monthly premiums for Active and PT employee dependent coverage are $0.026/$1,000. Monthly premiums for Retiree coverage are $0.013/$1,000. Monthly premiums for Retiree dependent coverage are $0.026/$1,000.

• Eligible UTD Part-Time Employees Benefit eligible UTD part-time employees who satisfy the requirements outlined in the UTD labor contract shall be eligible for a term life insurance policy of $5,000. The proposal received from MetLife provides a five-year rate guarantee. The monthly premium for this coverage is $0.123/$1,000.

• Eligible AFSCME Part-Time Employees Benefit eligible AFSCME part-time employees who satisfy the requirements outlined in the AFSCME labor contract shall be eligible for a term life insurance policy of $10,000. The proposal received from MetLife provides a five-year rate guarantee. The monthly premium for this coverage is $0.123/$1,000.

of 13

• Blanket Accident Policy for Police Officers The Board provides blanket accident policies for its police officers in compliance with Section 112.19, Florida Statutes, Law Enforcement, Correctional, and Correctional Probation Officers; Death Benefits. The proposal received from MetLife provides a five-year rate guarantee at a monthly premium of $.009/$1,000 coverage.

Dental The committee reviewed the submitted proposals and voted unanimously to allow Delta Dental, MetLife and UnitedHealthcare to make oral presentations on Monday, June 17, 2019. During the oral presentations, committee members heard overviews of the companies’ proposals. The committee then voted to direct Procurement Management Services to seek best and final terms and pricing from all three companies to be considered at the next meeting of the committee. The committee met on June 28, 2019, and discussed all three proposals (Delta Dental, MetLife and UnitedHealthcare). A consensus recommendation was made to select Delta Dental and UnitedHealthcare as the District’s Dental providers for both the Dental Health Maintenance Organization (DHMO) and Preferred Provider Organization (PPO) Dental products. The specifics of the pricing and terms provided through this solicitation are as follows:

High PPO Standard PPO High DHMO Standard DHMO

Coverage Tier Delta UHC Delta UHC Delta UHC Delta UHC

Monthly Premium Rates for Calendar Year 2020

Employee Only/Retiree Only $31.37 $38.40 $19.46 $17.51 $13.05 $9.87 $8.06 $7.52

Employee+Family/Retiree+Family $93.82 $114.51 $59.61 $53.64 $33.32 $25.37 $20.53 $19.27













of 13

Vision The committee met on June 17, 2019, to discuss and score received proposals. The committee then voted to direct Procurement Management Services to seek best and final terms and pricing from the top five ranked proposers (Aetna, Cigna, Davis Vision, EyeMed Vision Care, LLC, and UnitedHealthcare). At the June 28, 2019 meeting, a consensus recommendation was made to select EyeMed Vision Care, LLC. The specific terms and pricing for this coverage are as follows:

EyeMed Vision Care, LLC – Vision coverage (four-year rate guarantee) with monthly premiums as follows:

Vision Plan Employee Only $ 5.60 Employee & Family $13.99

Long Term/Short Term Disability The committee reviewed the information received from the companies, which provided proposals for Short-Term and Long-Term Disability coverage. At the June 28, 2019 meeting, committee members voted unanimously to select Standard Insurance Company effective January 1, 2020, for a five (5) year period with the ability to be extended for one (1) additional two (2) year period as stipulated in the RFP subject to successful negotiations. The specific terms and monthly premiums for this coverage (five-year rate guarantee) are as follows: Short Term Disability Rate Board Paid $0.185/$10 of benefit Upgrade $0.097/$10 of benefit Rate Long Term Disability $0.651/$100 of base salary Hospital Indemnity The committee reviewed the information received from the companies, which provided proposals for Hospital Indemnity Coverage. At the June 17, 2019 meeting, committee members voted unanimously to select Metropolitan Life Insurance Company as the District’s Hospital Indemnity provider (five-year guarantee), effective January 1, 2020 for a five (5) year period with the ability to be extended for one (1) additional two (2) year period as stipulated in the RFP subject to successful negotiations.

of 13

The specific terms and pricing for this coverage are as follows:

Coverage Tier CY 2020-2024 Monthly Rates

$50/ Day Benefit Active Employee Only $1.81 Active Employee + Family $4.57 $150/ Day Benefit Active Employee Only $5.37 Active Employee + Family $13.55 $50/ Day Benefit Retiree Only $7.30 Retiree + Family $16.17 $150/ Day Benefit Retiree Only $21.36 Retiree + Family $47.27 AFSCME PT $350/ Day Benefit Employee $14.58

Group Legal The committee reviewed the information received from the companies, which provided proposals for Group Legal coverage. At the June 28, 2019 meeting, committee members voted unanimously to select ARAG and Metropolitan Life Insurance Company (Hyatt Legal) as the District’s Group Legal providers, effective January 1, 2020 for a five (5) year period with the ability to be extended for one (1) additional two (2) year period as stipulated in the RFP subject to successful negotiations. The specific terms and monthly premiums for this coverage are as follows (five-year rate guarantee):

ARAG Group Legal Plan Employee & Family $14.76

MetLife Hyatt Legal Plan Employee & Family $14.30 ID Theft The committee reviewed the information received from the companies, which provided proposals for ID Theft coverage. At the June 28, 2019 meeting, committee members voted unanimously to select ID Watchdog as the District’s ID Theft provider, effective January 1, 2020, for a five (5) year period with the ability to be extended for one (1) additional two (2) year period as stipulated in the RFP subject to successful negotiations.

of 13

The specific terms and monthly premium for this coverage are as follows (five-year rate guarantee):

ID Watchdog Employee Only: $5.60 Employee & Family: $9.40 Pet Insurance The committee reviewed the information received from the companies, which provided proposals for Pet Insurance. At the June 17, 2019 meeting, committee members voted unanimously to reject all proposals received. Based on the review of the committee, employees would be able to obtain similar or better pricing terms and coverage by purchasing individual policies as opposed to the Board sponsoring a group policy. RECOMMENDED: That The School Board of Miami-Dade County, Florida:

1. AWARD REQUEST FOR PROPOSALS NO. RFP-18-057-MT - GROUP TERM LIFE INSURANCE AND FLEXIBLE BENEFITS PROGRAM, to identify qualified individuals and agencies to provide Group Term Life Insurance and Flexible Benefits for Miami-Dade County Public Schools employees, dependents and retirees, with initial effective date of January 1, 2020 through December 31, 2024, and may, by mutual agreement, be extended for one (1) additional two (2) year period subject to successful negotiations:

a. Core Life Insurance and AD&D; Voluntary Life and AD&D;

and Blanket Accident Policy for Police Officers: METROPOLITAN LIFE INSURANCE COMPANY (METLIFE) 200 PARK AVENUE NEW YORK, NY 10166 OWNER/OFFICER: MICHAEL PRINCE, SR. ACCOUNT EXECUTIVE at the following monthly premiums per $1,000 coverage:

Life Insurance MetLife Guarantee Period for Rates (Monthly Premium) 1/1/20 - 12/31/24 Per $1,000 Volume Core Board Paid Life $0.123 Core Board Paid AD&D $0.010

of 13

Optional Core Dependent (Spouse) Per $1,000 Volume

<34 $0.338 35-44 $0.381 45-54 $0.423 55-59 $0.635 60-64 $0.973 65-69 $1.819 70-74 $2.792 +75 $5.373

Optional Core Dependent Life (Child) Per $1,000 Volume

<34 $0.198 35-44 $0.214 45-54 $0.091 55-59 $0.076 60-64 $0.042 65-69 $0.030 70-74 $0.030

Core Buy-up (Optional Life) Per $1,000 Volume <25 $0.040 25-29 $0.049 30-34 $0.065 35-39 $0.073 40-44 $0.081 45-49 $0.121 50-54 $0.186 55-59 $0.348 60-64 $0.534 65-69 $1.028 70-74 $1.668 75+ $1.668

Core Buy-up (Optional AD&D) Per $1,000 Volume Composite $0.020

Voluntary Life $0.200/$1,000 Voluntary AD&D-Employee $0.013/$1,000 Voluntary AD&D-Family $0.026/$1,000

of 13

Retirees Voluntary Life Plan $0.518/$1,000 Voluntary AD&D-Employee $0.013/$1,000 Voluntary AD&D-Family $0.026/$1,000 $2k, $5k, or $10k Retiree Life Plan $4.783 Option $2k $8.964 Option $5k $22.428 Option $10k $44.856

b. Dental Coverage: i. DELTA DENTAL INSURANCE COMPANY

5200 BLUE LAGOON DRIVE, SUITE 110 MIAMI, FL 33126 OWNER/OFFICER: MICHAEL MANER, VP, SALES

SUBCONTRACTOR: JNICK MANAGEMENT GROUP, INC. MBE/MWBE 2425 NW 43RD STREET MIAMI, FL 33142 AFRICAN AMERICAN

ii. UNITED HEALTHCARE SERVICES, INC.

3100 SW 145 AVENUE, SUITE 200 MIRAMAR, FL 33027 OWNER/OFFICER: GINA CICCIA, VP OF FLORIDA PUBLIC & LABOR SALES

Core Part-Time Basic Life $10k $0.123/$1,000

Core Part-Time Basic Life $5k $0.123/$1,000

Occupational AD&D Per $1,000 Volume Blanket Accident Policy (Enforcement Officers) $0.009

of 13

Delta Dental and UnitedHealthcare at the following monthly premiums:

c. Vision Coverage: EYEMED VISION CARE, LLC 4000 LUXOTTICA PLACE MASON, OH 45040 OWNER/OFFICER: MATTHEW MACDONALD, SR. VICE PRESIDENT EyeMed Vision Care, LLC at the following monthly premiums as follows (four-year rate guarantee):

Vision Plan Employee Only $ 5.60 Employee & Family $13.99

High PPO Standard PPO High DHMO Standard DHMO

Delta UHC Delta UHC Delta UHC Delta UHC Monthly Premium Rates for Calendar Year 2020

$31.37 $38.40 $19.46 $17.51 $13.05 $9.87 $8.06 $7.52

$93.82 $114.51 $59.61 $53.64 $33.32 $25.37 $20.53 $19.27 Monthly Premium Rates for Calendar Year 2021

$31.37 $38.40 $19.46 $17.51 $13.05 $9.87 $8.06 $7.52


$31.37 $38.40 $19.46 $17.51 $13.05 $9.87 $8.06 $7.52


$31.37 $40.32 $19.46 $18.39 $13.05 $9.87 $8.06 $7.52


$31.37 $40.32 $19.46 $18.39 $13.05 $9.87 $8.06 $7.52

$93.82 $120.24 $59.61 $56.32 $33.32 $25.37 $20.53 $19.27

of 13

d. Short-Term Disability (STD) and Long-Term Disability (LTD): STANDARD INSURANCE COMPANY 4350 W. CYPRESS STREET, SUITE 920 TAMPA, FL 33607 OWNER/OFFICER: GRAEME QUEEN, 2ND VP, STRATEGIC ACCT. SERVICES

SUBCONTRACTOR: QUINLAN DISABILITY MANAGEMENT, INC. SBE/MWBE dba QUINLAN MEDICAL MANAGEMENT 600 SANDTREE DRIVE, SUITE 210C PALM BEACH GARDENS, FL 33403 WOMAN OWNED

Standard Insurance Company with monthly premium as follows (five-year rate guarantee): STD Rate Board Paid $0.185/$10 of benefit Upgrade $0.097/$10 of benefit Rate LTD $0.651/$100 of base salary

e. Hospital Income Coverage: METROPOLITAN LIFE INSURANCE COMPANY (METLIFE) 200 PARK AVENUE NEW YORK, NY 10166 OWNER/OFFICER: MICHAEL PRINCE, SR. ACCOUNT EXECUTIVE

Metropolitan Life Insurance Company with monthly premiums as follows (five-year rate guarantee):

Coverage Tier CY 2020-2024 Monthly Rates

$50/ Day Benefit Active Employee Only $1.81 Active Employee + Family $4.57 $150/ Day Benefit Active Employee Only $5.37 Active Employee + Family $13.55

of 13

f. Group Legal (five-year rate guarantee): i. ARAG INSURANCE COMPANY

500 GRAND AVENUE, SUITE 100 DES MOINES, IA 50309 OWNER/OFFICER: ANN COSIMANO, GENERAL COUNSEL

ARAG

Group Legal Plan Employee & Family $14.76

ii. METROPOLITAN LIFE INSURANCE COMPANY (METLIFE) 200 PARK AVENUE NEW YORK, NY 10166 OWNER/OFFICER: MICHAEL PRINCE, SR. ACCOUNT EXECUTIVE

SUBCONTRACTOR: HYATT LEGAL PLANS OF FLORIDA, INC. 1111 SUPERIOR AVENUE, SUITE 800 CLEVELAND, OH 44114 OWNER/OFFICER: ROGER ELDER, ASST. VP & GENERAL COUNSEL

MetLife Hyatt Legal Plan Employee & Family $14.30

$50/ Day Benefit Retiree Only $7.30 Retiree + Family $16.17 $150/ Day Benefit Retiree Only $21.36 Retiree + Family $47.27 AFSCME PT $350/ Day Benefit Employee $14.58

of 13

g. Identity Theft Protection: IDENTITY REHAB CORPORATION DBA ID WATCHDOG 1560 BROADWAY, SUITE 2090 DENVER, CO 80202 OWNER/OFFICER: ASSAD LAZARUS, SR. VP – GENERAL MANAGER ID Watchdog with monthly premiums as follows (five-year rate guarantee):

ID Watchdog Employee Only: $5.60 Employee & Family: $9.40

2. REJECT all proposals received for Pet Insurance Coverage.

3. AUTHORIZE Procurement Management Services to award the

contract to provide Group Term Life Insurance and Flexible Benefits Program, subject to the availability of funding, for the initial contract term, and for each subsequent extension period. Board authorization of this recommendation does not guarantee any estimated quantities will be purchased.

RYS:mgf

of 7

Office of Superintendent of Schools July 9, 2019

Board Meeting of July 24, 2019

Financial Services

Mr. Ron Y. Steiger, Chief Financial Officer

SUBJECT: AWARD REQUEST FOR PROPOSALS NO. RFP-18-058-MT

- DISTRICT HEALTHCARE BENEFITS PROGRAM

COMMITTEE: FISCAL ACCOUNTABILITY & GOVERNMENT RELATIONS

LINK TO STRATEGIC BLUEPRINT: EFFECTIVE AND SUSTAINABLE BUSINESS PRACTICES

Procurement Management Services, at the request of the Office of Risk and Benefits Management, released the above-referenced solicitation. The purpose of this Request for Proposal (“RFP”) is to identify qualified individuals and agencies to provide Administrative Services Only (ASO) Medical, Administrative Services Only (ASO) Prescription Drug services, Fully-Insured Stop Loss Coverage and Medicare Plan Offerings for Miami-Dade County Public Schools employees, dependents and retirees. This RFP was advertised on the Procurement Management Services’ and DemandStar websites. The solicitation was shared with District offices for additional community outreach, including but not limited to social media, local newspapers, local radio stations and prior bid forecasting lists. The initial term of the bid shall be for a period of five (5) years, commencing January 1, 2020 through December 31, 2024, and may, by mutual agreement between The School Board of Miami-Dade County, Florida, and the successful bidders, be extended for one (1) additional two (2) year period. At the time of contract extension, additional vendors may be added and/or removed, at the discretion of the District. Strategies were employed to increase SBE/MBE (Small/Micro Business Enterprise) participation. The Goal Setting Committee recommended that this solicitation be open with 5 points SBE/MBE. M-DCPS OEO staff verified the Small, Micro, Veteran and/or M/WBE certification status. At the regularly scheduled bid opening of April 23, 2019, responses from the following companies were received: Medical Aetna AvMed Cigna United Healthcare (“UHC”)

E-151

of 7

Pharmacy Aetna Capital Rx Cigna CaremarkPCS Health LLC (CVS Health) United Healthcare Medicare AvMed Cigna Humana United Healthcare Additionally, declinations to bid were received from Blue Cross and Blue Shield of Florida. The Selection Committee meetings were held on May 28, 2019, June 10, 2019 and June 17, 2019. All committee meeting dates were advertised through Citizen’s Information. The Committee reviewed all received proposals and comprehensive analyses assembled by staff from the Office of Risk and Benefits Management and Aon the Board’s Employee Benefits Consulting Firm. This item will outline each program for which the District sought and received proposals and will identify those companies which the committee determined best met the District’s needs based upon the criteria contained in RFP# 18-058-MT as well as School Board Policy 6320, Purchasing – Policy. Medical Administrative Services Only (ASO) Proposals were received for Medical ASO services from Aetna, AvMed, Cigna and United Healthcare. The committee at its meeting of May 28, 2019 voted to allow all the proposers to make oral presentations on Monday June 10, 2019. During the oral presentations, which were held on June 10, 2019, the committee members heard overviews of the companies’ proposals and then asked representatives from each company several questions regarding their proposal. The committee then voted to direct Procurement Management Services to seek best and final terms and pricing from all the proposers to be considered at the next committee meeting. The committee then met on its final day on June 17, 2019 and discussed at length the strengths of the proposals. As a result of that meeting, a unanimous decision was made to select Cigna as the Medical ASO provider effective January 1, 2020 for a five (5) year period with the ability to be extended for one (1) additional two (2) year period as stipulated in the RFP. The specifics of the pricing and terms provided through this solicitation as are as follows: Per-Employee/Per-Month (PEPM) monthly rate:

2020 2021 2022 2023 2024

$22.32 $22.32 $22.32 $22.32 $22.32

of 7

Pharmacy The committee voted to have oral presentations from all proposers who responded to the Pharmacy portion of the RFP. Aetna, Cigna and United Healthcare provided imbedded pharmacy programs as part of their Medical ASO proposals, as well as two companies which provided Carved Out (or stand alone) Pharmacy proposals, including Capital Rx and CVS Health. During the oral presentations, which were held on June 10, 2019, the companies were provided the opportunity to present an overview of their pharmacy proposals and the members of the committee asked each provider specific questions regarding their proposals. The committee discussed the pros and cons of offering an imbedded pharmacy program with its medical ASO contract, as opposed to a Carved-out Pharmacy Program. Ultimately the committee voted to keep the pharmacy program embedded with the Medical ASO; based upon concerns over a disruption of coordination of care, integration of multiple claim adjudication systems as well as adding another layer of complexity for employees navigating and utilizing their board provided benefits. This decision disqualified carved out pharmacy proposals from Capital Rx and CVS Health as well as AvMed who did not submit a pharmacy benefit management program. The committee then voted to direct Procurement Management Services to seek best and final terms and pricing from Aetna, Cigna and UnitedHealthcare to be considered at the next committee meeting. The committee met on its final day on June 17, 2019 and discussed at length the strengths of the proposals. Cigna provided the lowest total combined projected medical and Rx expense over a five-year period. A unanimous decision was made to select Cigna as the Board’s Medical ASO Provider and Pharmacy Benefits Manager, effective January 1, 2020 for a five (5) year period with the ability to be extended for one (1) additional two (2) year period as stipulated in the RFP. Stop Loss One of the components of this RFP includes Stop Loss Coverage. Historically the Board has purchased Stop Loss Coverage to insulate the Board from catastrophic claims. The Board’s current stop loss coverage has an attachment point of $1 million. Any claim which exceeds the attachment point becomes fully insured. As the selected ASO provider, the committee voted unanimously to select Cigna to be the Stop Loss Coverage provider in the event the Board chooses to maintain this coverage. Staff and the District’s benefit consultant, Aon, will provide a final recommendation to the Board on the necessity of continuing the purchase of stop loss coverage and if so, the recommended attachment point. This recommendation will be contained in the annual premium equivalent rate board item.

of 7

Group Medicare Program The District provides healthcare offerings for retirees and their eligible dependents who are eligible for Medicare benefits. Currently the District sponsors a variety of Medicare plan options for its Medicare retirees:

• Medicare Advantage Plans with Part D Prescription Drugs (MAPD)

• Medicare Supplement Plans (MedSupp)

• Stand-alone Prescription Drug Plans (PDPs) Proposals were received for various Medicare Plans from AvMed, Cigna, Humana and United Healthcare as displayed below:

At the June 10, 2019, meeting, committee members expressed their desire to provide Medicare eligible retirees and their dependents ultimate access to these proposals. Committee members voted to approve all plans, except for the proposals specific to the Medicare Supplement. The committee instructed Aon to provide additional information for both Medicare Supplement proposals (Cigna and UHC) to be discussed at its next meeting of June 17, 2019. Committee members met on June 17, 2019, and discussed at length the strengths of the proposals. A unanimous decision was made to select UnitedHealthcare as the provider for the Medicare Supplement offering. Rates for the plans are as follows:

Medicare Advantage Plans (MAPD)*

Medicare Supplement* Prescription Drug Plans (PDP)*

Zero

Premium HMO

PPO

Plan A Plan F Plan N Standard Generic in Gap

Comprehensive

AvMed ✓

Cigna Leon ✓

Cigna $142.07 $128.50 $198.95

Humana ✓ $296.97

& $469.43

United Healthcare

$187.53 &

$312.38

✓

✓

✓

$127.18 $120.75 $298.98

Monthly Premium Range

$0 $187.53- $469.43

Varies by Age

Varies by Age

Varies by Age

$127.18-$142.07

$120.75 - $128.50

$198.95 - $298.98

Type AvMed Cigna Humana UHC

Medicare Advantage Plan ✓ ✓ ✓ ✓

Medicare Supplement ✓ ✓

Prescription Drug Plans ✓ ✓

of 7

* The Medicare Plan offering and associated premiums for calendar year 2020, are subject to final approval

by the Center of Medicare and Medicaid Services (CMS). The CMS Final Call Letter and CMS approval will most likely be published after October, 2019. Fund Source

0711 – Self Insured Healthcare Fund

RECOMMENDED: That The School Board of Miami-Dade County, Florida:

1. AWARD REQUEST FOR PROPOSALS NO. RFP-18-058-MT -

DISTRICT HEALTHCARE BENEFITS PROGRAM, to identify qualified individuals and agencies to provide Administrative Services Only (ASO) Medical, Administrative Services Only (ASO) Prescription Drug services, Fully-Insured Stop Loss Coverage and Medicare Plan Offerings, initial effective date of January 1, 2020 through December 31, 2024, and may, by mutual agreement between The School Board of Miami-Dade County, Florida, and the successful bidders, be extended for one (1) additional two (2) year extension periods thereto, as follows:

Administrative Services Only (ASO) Medical, Administrative Services Only (ASO) Prescription Drug services, Fully-Insured Stop Loss Coverage

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND HEALTHSPRING OF FLORIDA, INC 1571 SAWGRASS CORPORATE PARKWAY, SUITE 140 SUNRISE, FL 33323 OWNER/OFFICER: SCOTT E. EVELYN, VICE PRESIDENT Pricing for Administrative Services Only (ASO) Medical:

SUBCONTRACTOR(S): LITHOGRAFIKOS,LLC MBE 8850 SW 129 TERRACE MIAMI, FL 33176-5931 OWNER/OFFICER: ZACHARY S. HALL, MANAGER

2020 2021 2022 2023 2024

$22.32 $22.32 $22.32 $22.32 $22.32

of 7

A & ASSOCIATES STAFFING, INC MWBE 951 SANSBURY'S WAY - SUITE. 204 WEST PALM BEACH, FL 33411 OWNER/OFFICER: EVELYN Y. LOONEY, PRESIDENT AFRICAN AMERICAN HOLSEN, INC BE/MWBE 1176 NW 163RD DRIVE MIAMI, FL 33169 OWNER/OFFICER: DARRYL HOLSENDOLPH AFRICAN AMERICAN AYYM HOLDINGS dba CULTURE 44 MBE/MWBE 1490 NW 3RD AVE, SUITE106 MIAMI, FL 33136 OWNER/OFFICER: MYYA PASSMORE, MANAGER AFRICAN AMERICAN

2. AWARD REQUEST FOR PROPOSALS NO. RFP-18-058-MT -DISTRICT HEALTHCARE BENEFITS PROGRAM, to identify qualified individuals and agencies to provide Medicare Plan Offerings, initial effective date of January 1, 2020 through December 31, 2024, and may, by mutual agreement between The School Board of Miami-Dade County, Florida, and the successful bidders, be extended for one (1) additional two (2) year extension periods thereto, as follows:

Medicare Advantage Plans (MAPD)*

Medicare Supplement* Prescription Drug Plans (PDP)*

Zero

Premium HMO

PPO

Plan A Plan F Plan N Standard Generic in Gap

Comprehensive

AvMed ✓

Cigna Leon ✓

Cigna $142.07 $128.50 $198.95

Humana ✓ $296.97

& $469.43

United Healthcare

$187.53 &

$312.38

✓

✓

✓

$127.18 $120.75 $298.98

Monthly Premium Range

$0 $187.53- $469.43

Varies by Age

Varies by Age

Varies by Age

$127.18-$142.07

$120.75 - $128.50

$198.95 - $298.98

* The Medicare Plan offering and associated premiums for calendar year 2020, are subject to final approval by the Center of Medicare and Medicaid Services (CMS). The CMS Final Call Letter and CMS approval will most likely be published after October 2019. Rates are subject to annual filing by the carriers and approval by CMS.

of 7

3. AUTHORIZE Procurement Management Services to award the

contract to provide the District Healthcare Benefits Program, subject to the availability of funding, for the initial contract term, and for each subsequent extension period. Board authorization of this recommendation does not guarantee any estimated quantities will be purchased.

committee: fiscal accountability & government...

Documents