Department: Purchasing
Department Head/Elected Official: Paige McInnis
Regular or Supplemental RCA: Regular RCA
Type of Request: Contract - Renewal
Project ID (if applicable): 230107
Vendor/Entity Legal Name (if applicable): Aetna Life Insurance Company
MWDBE Contracted Goal (if applicable): 10%
MWDBE Current Participation (if applicable): 47.5%
Justification for 0% MWDBE Participation Goal: N/A - Goal is not 0% and is listed above
Request Summary (Agenda Caption):
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Request for approval of a renewal option with Aetna Life Insurance Company for group medical (including Prescription Drug Program and Stop Loss Coverage, Employee Assistance Program and Flexible Spending Accounts) for Harris County and the Flood Control District for the period of January 1, 2025 - December 31, 2025, at a cost of $450,000,000 (230107), MWDBE Contracted Goal: 10%, MWDBE Current Participation: 47.5%.
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Background and Discussion:
Harris County provides health and related benefits coverage to approximately 18,400 employees, 6,500 retirees and 18,100 of their dependents for a total of 43,000 members. Harris County is self-insured for medical benefits (including prescription drugs) and pays an administrator a monthly fee for adjudication and payment of claims (according to the plan document), network management, utilization and disease management, wellness programs, employee assistance program (EAP), flexible spending administration, etc. Stop loss coverage is also purchased by the County to mitigate high-cost claimants and the appropriate coverage amount will be determined by HRRM before renewal.
This request is for approval of the first of four (4) one-year renewal options with Aetna for the period of January 1, 2025 - December 31, 2025.
Expected Impact:
The renewal provides Harris County's covered members continuation of their medical, prescription drugs, flexible spending accounts, wellness programming and EAP benefits. The FY 25 cost indicated below represents adm...
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