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):
title
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%.
end
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 administration fees (net of credits) for the medical and prescription drug plan, flexible spending accounts, an EAP with dedicated mental health clinicians, a wellbeing portal, and stop loss insurance, as well as projected medical and pharmacy claims with the selected vendor.
Alternative Options:
N/A
Alignment with Goal(s):
_ Justice and Safety
_ Economic Opportunity
_ Housing
_ Public Health
_ Transportation
_ Flooding
_ Environment
X Governance and Customer Service
Prior Court Action (if any):
|
Date |
Agenda Item # |
Action Taken |
|
8/8/2023 |
371 |
Award |
|
11/14/2023 |
303 |
Agreement Approval |
Location:
Address (if applicable): N/A
Precinct(s): Countywide
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Fiscal and Personnel Summary |
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Service Name |
Benefits & Wellness |
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Current Fiscal Year Cost |
Annual Fiscal Cost |
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Labor |
Non-Labor |
Total |
Recurring Expenses |
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Funding Sources |
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Existing Budget |
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Other |
$ |
$ |
$ |
$ |
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$ |
$ |
$ |
$ |
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$ |
$ |
$ |
$ |
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Total Current Budget |
$ |
$ |
$ |
$ |
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Additional Budget Request (Requires Fiscal Review Request Form) |
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$ |
$ |
$ |
$ |
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$ |
$ |
$ |
$ |
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$ |
$ |
$ |
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Total Additional Budget Request |
$ |
$ |
$ |
$ |
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Total Funding Request |
$ |
$ |
$ |
$ |
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Personnel (Fill out section only if requesting new PCNs) |
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Current Position Count for Service |
- |
- |
- |
- |
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Additional Positions Request |
- |
- |
- |
- |
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Total Personnel |
- |
- |
- |
- |
Anticipated Court Date: 10/8/2024
Anticipated Implementation Date (if different from Court date): 01/01/2025
Emergency/Disaster Recovery Note: Not an emergency, disaster, or COVID-19 related item
Contact(s) name, title, department: Sarah Acosta, Director, HRRM; Jeremy Woodard, Sourcing Manager, Purchasing
Attachments (if applicable): Letter