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HomeMy WebLinkAbout91-0327 Washington National Insurance RESOLUTION AUTHORIZING EXECUTION OF AN AGREEMENT WITH WASHINGTON NATIONAL INSURANCE COMPANY BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN, ILLINOIS, that Larry L. Rice, City Manager, be and is hereby authorized and directed to execute an agreement on behalf of the City of Elgin with Washington National Insurance Company for an employee insurance program, a copy of which is attached hereto and made a part hereof by reference. s/ George VanDeVoorde George VanDeVoorde, Mayor Presented: March 27, 1991 Adopted: March 27 , 1991 Vote: Yeas 5 Nays 0 Recorded: Attest: s/ Dolonna Mecum Dolonna Mecum, City Clerk - wastiington national® INSURANCE COMPANY 1630 CHICAGO AVENUE■ EVANSTON. ILLINOIS 60201 REVISION/STATE OPTIONS REQUEST To: Washington National Employee Benefits Division Underwriting Dept. RE: Policyholder City of Elgin Amend Group Plan Number 62945 Requested Effective Date March 1 , 1991 As of the above effective date,it is requested that the policy for the plan shown above be amended as follows: 1 . Change the anniversary date from 3/1 to 11/1 . An Experience Statement will be prepared for the period, 3/1/91 to 11/1/91 . The next Experience Statement will be prepared from 11/1/91 to 11/1/92, and from 11/1 to 11/1 thereafter. The rate change date will remain at 3/1 to 3/1 . 2. Add routine nursery charges as an eligible expense to Medical Classes B-2, C-3 and E-5. 3. Amend Health Contract to include wording of Illinois House Bill 3406 (Continued Coverage for Retired or Disabled Municipal Employees and Surviving Spouses). A change in medical benefits or benefit amounts takes effect on the date of the change except that benefits will not change(1)for an Insured Person not actively at work or(2)for an Insured Dependent hospital confined. Increases in Life Benefits (including Dependent Life) and AD&D Benefits are effective on the date of change only if the Insured Person is actively at work. Decreases in Life Benefits(including Dependents'Life) and in some cases AD&D Benefits are effective whether or not the Insured Person is actively at work. Any changes required by State Regulations shall also be incorporated on the required dates. 1 According to state statutes, certain optional coverages shall be offered to each Policyholder with each benefit revision. Those optional benefits are set forth on the reverse of this page. •F17522 (over) (3-90) ,, • IL f N � s LL • OPTIONS REQUIRED TO BE OFFERED IN ILLINOIS State law requires that the Company offer each Policyholder certain coverages(s)which the Policyholder may either accept or reject.A Policyholder who accepts this coverage must complete and sign section I of this form. A Policyholder who rejects it must sign section II. I. In addition to the revisions shown on the reverse,I request that the Company add the optional coverage(s) • listed below to my revised group health policy. I agree to pay any additional premium required. E Optional Benefit for Mental and Nervous Disorders This optional benefit pays the insured percentage of charges for inpatient treatment(including outpatient convulsive therapy)and 50%of charges for outpatient treatment of mental and nervous disorders.There are no internal limits, but this benefit will be limited to the lesser of$10,000 or 25% of the maximum benefit payable while the insured is covered under the policy in each benefit period. PLEASE NOTE: Washington National's standard benefit also pays the insured percentage of charges for inpatient therapy(including outpatient convulsive therapy)and 50%of charges for out- patient treatment of mental and nervous disorders. However, the standard benefit is limited to a maximum of$25 per outpatient visit and 52 visits per calendar year. The standard calendar year benefit is$25,000. A Policyholder who wishes to elect or retain this standard coverage must sign section II. This additional coverage shall become effective on the date of this revision. Date Signature of Policyholder II. I want the revisions to my plan shown on the reverse,but I do not want t . 'onal optional coverage(s) offered above. AVk CL-<— Date of Policyholder The signature of the Policyholder's authorized representative appearing in conjunction with the election or rejection of these optional benefits shall indicate acceptance of this entire revision request. `� Underwriter's Approval k/�.�.J1kV 4/ 1% /9 Date F17522 APPENDIX I GROUP POLICY NO(S) : 62945 INDIVIDUAL CLAIM POOLING: is included with a $ N/A Maximum Amount per covered person per contract year and applies to N/A coverages(s) RESERVES ARE HELD BY: Washington National TContractholder POST TERMINATION LIABILITY LIMIT PROVISION: X applies does not apply CLAIM LIABILITY LIMITS ARE TO BE CALCULATED: X cumulative annually cumulative monthly LIABILITY FOR CLAIMS INCURRED PRIOR TO THE EFFECTIVE DATE OF THIS MINIMUM PREMIUM AGREEMENT BUT PAID AFTER SHALL BE: the responsibility of the prior carrier —Maid out of Contractholder's reserves currently held by Washington National X the responsibility of the Contractholder and Xincluded under this Agreement excluded under this Agreement MINIMUM PREMIUM POST TERMINATION* COVERED EMPLOYEE/DEPENDENT MONTHLY LIABILITY LIABILITY LIMIT UNITS BY COVERAGE LIMIT FACTORS FACTORS Class B-2 Employee & Dependent(s) $386.16 $1 ,199.10 Class C-3 Employee & Dependent(s) $454.30 $1 ,410.42 Class E-5 Employee & Dependent(s) $370.73 $1 , 151 . 11 NOTE: *N/A MEANS THIS PROVISION IS NOT IN EFFECT COVERAGE(S) WHICH ARE TO BE JOINTLY EXPERIENCE RATED WITH THE MINIMUM PREMIUM AGREEMENT: Life COVERAGE(S) FOR WHICH CONTRACTHOLDER IS ASSUMING LIABILITY UNDER THE MINIMUM PREMIUM AGREEMENT: Medical (This Appendix must be signed and dated on the reverse. ) F16428 021486: 150+ f / • . . . • APPENDIX I TO BE EFFECTIVE FROM March 1 , 19 91 to March 1 , 1992 AND REPLACES APPENDICIES I EFFECTIVE FaR—PRIOR PERIODS CONTRACT'. WASHINGTON NATIONAL INSURANCE COMPANY T' 1101° .OW By • ..._ 4 + BY gna ur19 aiure ' L GG c 4s,K.I.P-� , ice Pr: sident, EBD Underwriting Title `/ it e titi� yx,r/ Evanston, Illinois 4/12/91 Sig d at Date Signed at Date January 26 , 1989 MEMORANDUM TO: Mayor and Members of the City Council FROM: City Manager SUBJECT: Renewal of Group Medical and Life Insurance with Washington National PURPOSE: This memorandum will provide the Mayor and the Council with information on the renewal premium quoted by Washington National for the 3-1-89 to 3-1-90 coverage year. BACKGROUND: The City is self insured in the group medical program. Washington National provides the administrative services for the plan. Along with this, it also provides the aggregate insurance for the medical plan and the group life insurance for city employees . For these services, Washington National charges the city 10% of the annual projected claim experience as premium for aggregate insurance and administra- tive services . It also charges premium based on conventional rate for the life insurance plan. FINANCIAL IMPACT: The 3-1-89 to 3-1-90 premium is $124 ,929. 12 for aggregate insurance and administrative services . This is $28 ,087 .32 more than the 3-1-88 to 3-1-89 premium. The life insurance premium for the 3-1-89 to 3-1-90 year is $28 ,017 . 36 , same as last year. RECOMMENDATION: It is recommended that staff be allowed to explore the insurance market in the middle of the year to obtain comparable quotes from other insurance companies in anticipation of the 3-1-90 anniversary of these group plans. Ail 1 es J. .• , City Manager I'L Washington national® INSURANCE COMPANY ROBERT L.SCHMITKE,Regional Group Manager E KENNETH SPARKS,CLU,Senior Group Account Executive RODNEY J VANDER HYDEN,Group Account Executive RONALD L. NUTTER,Assistant Group Manager Woodfield Corporate Center-Suite 830 150 N January 26, 1989 Schaumburg MartinIII no is 00173 (312) 517-7170 Mr. Olufemi Folarin Human Resources Director City of Elgin 150 Dexter Court Elgin, Illinois 60120 RE: Renewal Dear Femi : The annual renewal date for the Group Life and Medical coverage is March 1 . The Group Life and AD&D insurance are on a conventionally-funded basis wherein a premium rate is established and paid monthly. The medical coverages are primarily self-funded by the City up to a maximum of 105% of projected claims in the policy year. If claims exceed the 105% "cap", Washington National then reimburses the City for any amount in excess. The funding factors, which determine the City's annual liability, are reviewed each policy year, and are in direct relationship to the paid claims of the prior policy year. The factors can fluctuate up or down depending upon the prior paid claims being reviewed. For example, paid claims for the current policy year have increased 16.1% over the prior year. Therefore, the funding factors have been adjusted to compensate for this increase, and will increase 17.7% as illustrated on the attached sheet. The premium portion of the arrangement is equal to 10% of projected claims in any one year. Therefore, due to the fact that claims increased over the prior year, likewise, the premium portion shows an increase to reflect the increased claims. The medical premium equivalent for Class E-5 develops an increase of 18.7%, which closely aligns the increase in claims which was experienced of 16. 1%. The new rate for Medical Class E-5 is $261 .01 whereas the current policy year rate was $219.72. Evanston,Illinois 60201 • A Washington National Corporation Financial Service Company Mr. Olufemi Folarin Page 2 January 26, 1989 We have provided various projections and illustrations of prior year's projections and results for your review. Also enclosed are Amendments to be signed, which reflect the new factors and rates for the policy year commencing March 1 , 1989. We look forward to meeting with you, and discussing the new factors and rates in more detail . Sinerely, obert L. Schmitke Regional Group Manager RLS:sg encl . CITY OF ELGIN Claim and Liability Projections Percent Percent Percent 3/1/85 to 3/1/86 of Change 3/1/86 to 3/1/87 of Change 3/1/87 to 3/1/88 of Change Annual Liability Limit $820,451 +2. 1% $917,419 +11 .8% $1 , 159,993 +26.4% Paid Claims $812, 108 +28.3% $995,048 +22.5% $ 874,801 -12. 1% Estimated Percent Projected Percent 3/1/88 to 3/1/89 of Change 3/1/89 to 3/1/90 of Change Annual Liability Limit $1 , 112,363 -4. 1% $1 ,309,925 +17.7% Paid Claims $1 ,015,452 +16. 1% $1 ,247,972 +22.9% Washington National Insurance Company January 26, 1989 City of Elgin 3/1/85 to 3/1/86 Paid Claims $ 812,108.00 Based on an average monthly enrollment + Minimum Premium Premium $ 88,577.28 of 427 employees, the actual monthly Actual Annual Cost $ 900,685.28 per person cost is $175.78. Maximum Annual Actual Annual Cost is $8,343.45 Claim Liability Limit $ 820,451 .45 less than the Maximum Annual + Minimum Premium Premium $ 88,577.28 Cost. Maximum Annual Cost $ 909,028.73 ($909,028.73 less $900,685.28) . ******************************************************************************************* 3/1/86 to 3/1/87 Paid Claims $ 995,048.00 Based on an average monthly enrollment + Minimum Premium Premium $ 91 ,624.51 of 424 employees, the actual monthly Actual Annual Cost $1 ,086,672.51 per person cost is $213.59. Maximum Annual Actual Annual Cost is equal to Claim Liability Limit $ 917,418.56 the Maximum Annual Cost. + Minimum Premium Premium $ 91 ,624.51 Washington National reimbursed the Maximum Annual Cost $1 ,009,043.07 City of Elgin $77,629.44. ******************************************************************************************* 3/1/87 to 3/1/88 Paid Claims $ 874,800.88 Based on an average monthly enrollment + Minimum Premium Premium $ 97,293.58 of 429 employees, the actual monthly Actual Annual Cost $ 972,094.46 per person cost is $188.83. Maximum Annual Actual Annual Cost is $285, 192.57 Claim Liability Limit $1 , 159,993.45 less than the Maximum Annual + Minimum Premium Premium $ 97,293.58 Cost. Maximum Annual Cost $1 ,257,287.03 ($1 ,257,287.03 less $972,094.46). ******************************************************************************************* 3/1/88 to 3/1/89 (Estimated) Paid Claims $1 ,015,452.00 Based on an average monthly enrollment + Minimum Premium Premium $ 96,842.00 of 437 employees, the Estimated Actual Actual Annual Cost $1 , 112,294.00 monthly per person cost is $212.11 . Maximum Annual Actual Annual Cost is $96,911.00 Claim Liability Limit $1 ,112,363.00 less than the Maximum Annual + Minimum Premium Premium $ 96,842.00 Cost. Maximum Annual Cost $1 ,209,205.00 ******************************************************************************************* Washington National Insurance Company January 26, 1989 CITY OF ELGIN Enrollment Assumptions: Life and AD&D Volume - $5,559,000 Class B-2 Medical - 88 Employees Class C-3 Medical - 73 Employees Class E-5 Medical - 277 Employees Monthly Liability Limit Factors Current Renewal effective March 1 , 1989 Cl. B-2 $210.52/EE x 88 = $18,525.76 Cl . B-2 $248.20/EE x 88 = $ 21 ,841 .60 Cl. C-3 $247.66/EE x 73 = $18,079. 18 Cl . C-3 $291 .99/EE x 73 = $ 21 ,315.27 Cl . E-5 $202. 10/EE x 277 = $55,981 .70 Cl . E-5 $238.28/EE x 277 = $ 66,003.56 Total Mo. Liability Limit $92,586.64 Total Mo. Liability Limit $109, 160.43 Total Annual Liability Total Annual Liability Limit $1 ,111 ,039.68 Limit $1 ,309,925.16 Minimum Premium Premium Rates Current Renewal effective March 1 , 1989 Cl . B-2 $18.35/EE x 88 = $ 1 ,614.80 Cl . B-2 $23.67/EE x 88 = $ 2,082.96 Cl. C-3 $21 .57/EE x 73 = $ 1 ,574.61 Cl . C-3 $27.83/EE x 73 = $ 2,031.59 Cl . E-5 $17.62/EE x 277 = $ 4,880.74 Cl . E-5 $22.73/EE x 277 = $ 6,296.21 Total Mo. Mini-Prem Prem. $ 8,070. 15 Total Mo. Mini-Prem Prem. $10,410.76 Total Annual Minimum Total Annual Minimum Premium Premium $96,841 .80 Premium Premium $124,929. 12 Medical Premium Equivalents Medical Premium Equivalents Class B-2 $228.87 Class B-2 $271 .87 Class C-3 $269.23 Class C-3 $319.82 Class E-5 $219.72 Class E-5 $261 .01 Life and AD&D Rates Life and AD&D Rates Current Renewal Life Rate - $.36/$1 ,000 Life Rate - $.36/$1 ,000 AD&D Rate - $.06/$1 ,000 AD&D Rate - $.06/$1 ,000 Total Monthly Life and Total Monthly Life and AD&D Premium $ 2,334.78 AD&D Premium $ 2,334.78 Total Annual Life and Total Annual Life and AD&D Premium $28,017.36 AD&D Premium $28,017.36 TOTAL MONTHLY MAXIMUM COST $ 102,991.57 TOTAL MONTHLY MAXIMUM COST $ 121,905.97 TOTAL ANNUAL MAXIMUM COST $1,235,898.84 TOTAL ANNUAL MAXIMUM COST $1,469,739.72 Post Termination Liability Post Termination Liability Limit $279,021 Limit $347, 102 Washington National Insurance Company January 26, 1989 Elm . nV rik ;`y°`14 Memorandum March 6, 1991 TO: City Council FROM: Larry Rice SUBJECT: Renewal of Group Medical and Life Insurance Purpose: This is to request that the Council authorize the City Manager to sign the contracts renewing the City's Group Life and Health Insurance with Washington National and H.M.O. Illinois. fik Background: The City has two group health insurance programs. The minimum premium (self-insurance) plan is through Washington National. Washington National is paid premium for providing aggregate insurance, claims administration and life insurance. The H.M.O. option is through H.M.O. Illinois. There was a 68. 3% increase in paid claims in the 1990/1991 claim year compared to a 1.8% increase in the prior year. This has therefore, led to an increase in paid claims projected for the 1991/1992 year and the annual liability limit, the aggregate insurance attachment point, which is used for determining the Medical Premium Equivalent. A review of our claims show that we are only experiencing heavy utilization of the plan instead of shock loss claims. In anticipation that the PPO's will reduce the City's chances of reaching the aggregate insurance attachment point in 1990/1991, Washington National is asking for only a 2% increase in the Minimum Premium. The Life Insurance premium will remain the same as the 1990/1991 year. Quotations were received from Chicago H.M.O. , Health Chicago and Rush-Anchor H.M.O. and compared to the renewal quote from our present carrier, H.M.O. Illinois . H.M.O. Illinois proposed rate increase is found to be in line with competition. Financial Impact: The March 1, 1991 to March 1, 1992 411 Minimum Premium is $147,601.68 which is $2,850 (2%) more than the 1990/1991 premium. The Life Insurance and AD & D rate remains the same as last year $ .24/$1,000 and $.06/$1,000 respectively. H.M.O. rate is $340 . 13 compared to $318 . 77 in the 1990/1991 premium year. Recommendation: It is recommended that the Council authorize the City Manager to sign the contracts necessary to renew these plans for the 1991/1992 year. -)/1)4//77) F LarrRicelty Manager LR/vls 410 I