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Home My WebLink About57-99 RESOLUTION• • RESOLUTION NO 57-99 A RESOLUTION AUTHORIZING STAFF TO EXERCISE THE CITY'S OPTION TO RENEW BLUE CROSS/BLUE SHIELD, U.S. ABLE LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, AND LONG TERM DISABILITY GROUP POLICIES FOR POLICY PERIOD MAY 1, 1999 THROUGH DECEMBER 31, 1999. BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FAYETTEVILLE, ARKANSAS. Section 1. That the City Council hereby authorizes staff' to exercise the City's option to renew Blue Cross/Blue Shield, U.S. Able Life, Accidental Death & Dismemberment, and Long Term Disability Group policies for policy period May 1, 1999 through December 31, 1999. There is no increase in premium and annual total city contributions for calender year 1999 will be approximately $148,606. P*SSFED AND APPROVED this • �� ► • , , .) ' - ;1 two ATTEST By eather Woodrwofffo,ma! City lerk at day of ApnL, 1999. APPROVE By• red Hanna, Mayor USAbie Lite 320 W. Capitol • P.O. Box 1650 • Little Rock, AR 72203-1650 (501) 375-7200 AMENDMENT NO. 6 This amendment forms a part of Group Policy No.: 2467 Issued to the Policyholder: City of Fayetteville The policy is hereby amended as follows: The renewal date is changed to January I of each year. The effective date of this amendment is May 1, 1999 The policy's terms and provisions will apply other than as stated in this amendment. Dated at Fayetteville, Arkansas (City. State) City of Fayetteville this 22nd day of April 19 99 _. USAble Life GPOL-A 0-93) (Policyholder) (Signature) President USAble Life Policyholder. City of Fayetteville Renewal Date: 5/15/99 Representative: Barbara Lovin Description of Classes: All regular full-time employees working a 40 hour week Current Rates Current Volume Current Premium Your New Rates Your New Premium Renewal Notification Form LIFE AL/SD 1.5 X Annual Salary Maximum of $150,000 LIFE AD&D Group #: 2467 Date Prepared: 3/9/99 DEP LIFE SID DEP LIFE STD $ .31 $ .07 $ $ $ 32,290,000.00 $ 32,290,000.00 $ $ 10,009.90 $ 2,260.30 $ $ 0.31 $ .07 $ $ $ 10,009.90 $ 2,260.30 - $ Your Group Policy contains special provisions which were requested at the date of issue. Please check your policy carefully and if you have questions, please contact your Sales Representative or USAble Comments: Voluntary Accidental Death and Dismemberment (Vol AD6D) rates will not change. UND-RNF (1-96) PLEASE COMPLETE AND SIGN EMPLOYER CERTIFICATION OF ENROLLMENT & ELIGIBILITY ON THE REVERSE SIDE. YOU'LL LL CHOOSE Us FOR LIFE P0. Box 1650 Little Rock, Arkansas 72203-1650 (501) 375-7200 (MAW L4 u Rale) A- (Eicellenl/ Dy (M AM. Pal Company nunduwo0 Mil WY NI R4 Oualla3'i1.Y Moil n afT1014V5/1 00ZL-SLE (I0S) 0S9I-£OZZL isesue51111'x3021apliq 0991 X0H'0d (ali!.L) 3,111210d sn 3S00HJ m,nox "Z i2 is -2(t. ana cCay was (£61I) dNWFUNf aa 1.01 s,aojedjslulwpy aan;eu$is s,arge1uasaadaN NOLL 133X3 HOd NOSV3H Q3HNOM ISVn ma 3WVN :pap[noad si uonewao;ui $u[Mo[[o; ay;';uawa.Imbaa anoge ayi $uggaaw;ou pa[[oiva uosaad Kue.I°d :SNOLLd33 (3 •saawas .nay; ao; sn Act paiesuadwoo Swam) air pup `awoy;e £infui ao ssau[[I W0.1; $ui3sa[RA000 1OU ale .to `S}yioe; juaosa[enuoo `awoy $uIsinu `[e;Idsoq u[ iou an pup ssawsnq aep$ad ano w $up[.IOM `;uawAo[dwa;o amid [ew.Iou a[aya ae $ui)po% 1C[an;loe an `faaM .iad smog o fj Asea[ )110M ;e S[annae ade :saaAo[dwa;o ssep a[q[$i[a ue;o saagwaw IH :an lipid alp ui papoaua suosaad [[y • pa[[oiva an Lis pup ue[d ay; u[ a;ed[of.Ied of a[gi$ga saa&oldwa Z is an any' • •Lyi11geansul;o aauaPln3 gsluan; o; paawbaa aq !pm popad $ulaieM may; $ugaldwoo nue shp T£ ueq; aaow $ui((oaua saal(o(dwa'wn!waad aga;o aced Cue Ced oa paambaa aae saakldwa;I • pa11oaua aq;snw saaKoldwa a19i$11a ii '9b00I s1 uo1;n41a;uop aaCo(dwg;I :310N ,LNV,L80dWI Q LS % 00/ - Q'9QV i' a;[n :s! uopnq[.I;uoa .Ilio Smaaaa aM •spaoaaa aa&o[dwa alio pug ueid dno4 ano ao;;uawpoaua ay; paMamaa aneq aM !IigE$iI� 22 luauiiioau3 Jo uoi}ea ggn3 aa&ojduxa !� algySn USAble. Life LONG TERM DISABILITY RENEWAL Policyholder: City of Fayetteville Renewal Date: 5/15/99 LTD Policy #: 2467-100 Date Prepared: 3/25/99 Representative: Barbara Lovin Amount of Benefit: 60% of basic monthly earnings not to exceed $6,000 Current Rates Per $100 of Covered Payroll: Your New Rates Per $100 of Covered Payroll: Monthly Covered Payroll: Your New Premium. .46 .46 $1,786,874.00 $8,215.02 Remarks: PLEASE COMPLETE THE FOLLOWING INFORMATION Percentage of Company Contribution: loo? Number of Eligible Employees: S03 Representatives Signature:-� Date: 4 - 1 - 9q Administrators Signature: .t�4 / Date: 4. -22-99 ;1-42-5. n2. Title Your Group Policy contains special provisions which were requested at the date of issue. Please check your Policy carefully. If you have questions. pease contact your Sales Representative a USAob Uhl UND-RNF(1-96) FAYETTEVILLE IME CITY OF FAYETTEVILLE. ARKANSAS DEPARTMENTAL CORRESPONDENCE To: Don Bailey, Personnel From: Heather Woodruff, City Clerk Date: April 27, 1999 Attached is a copy of the resolution authorizing renewal of Blue Cross Blue Shield polices. The original will be microfilmed and file with the city clerk. cc. Internal Auditor USAbie Life • i;, 4 -res. 57-1'1 MICROFILMED 320 W. Capitol • P.O. Box 1650 • Little Rock, AR 72203-1650 (501) 375-7200 RECEIVED ANIENDNIENT NO. 7 This amendment forms a part of Group Policy No.: LA 2467 Issued to the Policyholder: CITY OF FAYETTEVILLE The policy is hereby amended as follows: Amendment No. 2 is changed and the Classification and the Schedule of Insurance as shown on page 2 are deleted and the following shall apply: The "Basic Life and AD&D Benefits for eligible employees shall be determined by the following schedule: JUN 2 9 1999 CITY OF FAYETTEVILLE CITY CLERICS OFFICE CLASSIFICATION LIFE AND AD&D Class I: All full-time (as defined in Amendment No. 5 customarily working at least 40 hours per week) Employees. Class 2: Any Employee previously employed full- time who is a designated staged retiree and who works an average of 20 Hours per week on a regular basis. 1 '/ Times Annual Salary, Maximum $150,000* 1 '/ Times Annual Salary Last Earned When Working Full -Time, Maximum $150,000 'Insurance amount will be rounded to the next higher thousand. Evidence of insurability is required on amounts in excess of $140,000. The Reductions, Terminations and Special Provisions as shown on page 2 are deleted and the following shall apply: REDUCTIONS, TERMINATIONS AND SPECIAL PROVISIONS Class 1: Employee Life and Accidental Death & Dismemberment: Benefits reduce 33 1/3% of the pre - age 67 amount at ages 67and 70 and terminates at retirement. Class 2: Employee Life and Accidental Death & Dismemberment: Benefits reduce 33 1/3% of the pre - age 67 amount at ages 67and 70 and terminates the earlier of age 75 or retirement. The effective date of this amendment is July 1, 1999 The policy's terms and provisions will apply other than as stated in this amendment. Dated at Fayetteville, Arkansas this 28th (City. State) City of Fayetteville GPOL-A (7-93) day of .luny 19 q _- USAble Life A,Voc"...A-AL President STAFF REVIEW FORM XX Agenda Request Contract Review Grant Review FOR THE FAYETTEVILLE CITY COUNCIL MEETING OF FROM: Don Bailey Name Personnel INSURANCE RENEW C.5 page 1 gs.5711 April 20, 1999 MICROITT, MED Admin. Services U Division Department ACTION REQUESTED: Exercise option to renew BCBS/U.S.Able Life, AD&D and LTD Group Policies for policy period 5-1-99 through 12-31-99. There is no increase in premium. Annualized total city contributions for calendar year 1999 will be approx. $184,606. COST TO THE CITY: $123,550 (5-1 to 12-31-99) Cost of this request Various Account Number Project Number $193,974 (Annual) Category/Project Budget $45,738 (Jan.—March) Funds used to date $148,236 Remaining Balance Life/AD&D, LTD Ins. Category/Project Name City Wide Program Name City Wide Fund BUJ GET REVIEW: F Budgeted Item udget Coordinator Budget Adjustme t Attached alive Se ces Director rector CONTRACT/GRANT/LEASE REVIEW: GRANTING AGENCY: Accountin % Ma ! ger ides Purchasing Officer a4Sa Cgaicb 47-2 Date Irflernal Auditor *—s -4g Date +-5.9q Date ADA Coordinator Date Date STAFF RECOMMENDATION: Division Head l Department D'rector inistra e Services Director Approve policy renewal 4-/- 9? Date Date Date Cross Reference New Item: Yes No Prev Ord/Res #• Orig. Contract Date Page 2 SWP RE7la Fc Description � �c 1 � �t� rLTD ? �stol � �.� .s uQ Meeting Cate r - > S 1 Comments: Budget Coordinator A plug Manager City Attorney Purchasing Officer ADA Coordinator Internal Auditor Reference Comments: INSURANCE RENEW C.5 page 2 [EVILLE THE CITY OF FAYETTEVILLE. ARKANSAS DEPARTMENTAL CORRESPONDENCE TO: Mayor Fred Hanna and the Council THRU: Kevin Crosson, Administrative Services Director FROM: Don Bailey, Personnel Director .bQJ DATE: April 1, 1999 SUBJECT: Group Life, AD&D and LTD Insurance The renewal date for our US Able Group Life, Accidental Death and Dismemberment and Long Term Disability insurance policies is May 1, 1999. You will note that the current renewal period is for only eight months. This period is at the request of the City in order to have the plan year coincide with our budget year in the future. There is no change in either coverage or premium rates for the 5-1-99 renewal. Premium rates paid by the employer are: Life 31 per 51,000 of coverage AD&D 07 per 51,000 of coverage LTD 46 per 5100 of covered payroll The rate for the voluntary AD&D which is 100% employee paid, is unchanged at 53.75 per $25,000 of coverage. There is also no change to the rates for the individual Cancer policies which are 100% employee paid. Plan costs are fully budgeted and are listed in the attached budget summary. INSURANCE RENEW C.5 page 3 1999 Budget Summary By Account - Long Term Disability (LTD) - Accidental Death & Dismemberment (ADD) - Life Insurance LTD ADD Life Insurance Fund Budget Budget Budget General (1010) $ 48,564 S 16,646 S 72,223 Street (2100) 3,374 1,485 5,018 Community Development (2180) 571 203 849 Parks Development (2250) 466 225 693 Drug Law Enforcement (2930) 395 149 588 Water & Sewer (5400) 7,562 3,322 11,241 Solid Waste (5500) 4,145 1,800 6,163 Airport (5550) 1,289 495 1,917 Shop (9700) 1,595 626 2,370 $ 67,961 S 24,951 S 101,062 D:\DATA\ 123-DATA\99A DDLTD. W K4 INSURANCE RENEW - C.5 page 4 ACTUAL JANUARY FEBRUARY MARCH ESTIMATED APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER 1999 COSTS LTD LIFE $5,315.00 $8,018.65 $5,252.30 $7,999.87 $5,306.05 $8,045.13 $5,316.66 $5,327.30 $5,337.95 $5,348.63 $5,359.32 $5,370.04 $5,380.78 $5,391.54 $5,402.33 $8,061.22 $8,077.34 $8,093.50 $8,109.68 $8,125.90 $8,142.16 $8,158.44 $8,174.76 $8,191.11 AD&D $1,935.00 $1,927.50 $1.938.75 $45,738.25 Y.T.D. $1,940.00 $1,945.00 $1,945.00 $1,945.00 $1,945.00 $1,945.00 $1,945.00 $1,945.00 $1.945.00 $138,868.66 ESTIMATED REMAINING $184,606.91 ESTIMATED ANNUAL USAble Life INSURANCE RENEW C.5 page 5 Renewal Notification Form Policyholder: City of Fayetteville Group #: 2467 Renewal Date: 5/15/99 Date Prepared: 3/9/99 Representative: Barbara Lovin Description of Classes: LIFE ADM DEP LIFE SID All regular full-time employees working a 40 1.5 X Annual Salary hour week Maximum - 5150,000 Current Rates Current Volume Current Premium Your New Rates Your New Premium Your Group Policy con ains special provisions which were requested at the date of issue. Please check your policy LIFE AD&D DEP LIFE STD S 31$ .07$ $ $ 32.290.000.00 $ 32,290,000.00';;: '-"6. -i->— �. 'q'-` ¢_ 'r $ $ 10,009.90 $ 2.260.30 $ $ .31$ 07$ $ $ 10.009.90 $2.260.30 -- -, *fv $ carefully and if you have questions, please contact your Sales Representative or USAble Life. Comments: Voluntary Accidental Death and Dismemberment (Vol AD&D) rates will not change. PLEASE COMPLETE AND SIGN. EMPLOYER • CERTIFICATION OF ENROLLMENT & ELIGIBILITY ON THE REVERSE'SIDE. UND-RNF (1-96) You'u. CHOOSE Us FOR LIFE P0. Box 1650 Little Rock, Arkansas 72203-1650 (501) 375-7200 US4ble Lie is Bated A' (Etrettrnll by the AM Bal Company INSURANCE RENEW C.5 page 6 USAble Life LONG TERM DISABILITY RENEWAL Policyholder: City of Fayetteville Renewal Date: 5/1/99 Representative: Barbara Levin LTD Policy #: 2467-100 Date Prepared: 3/25/99 mount of Benefit: 60% of basic monthly eamin$s not to exceed $6,000 Current; Rates Per $100 of Covered Payroll:, Your New Rates' Per $100 of Covered Payroll: Monthly Covered Payroll: Your New Premium:. Remarks: PLEASE COMPLETE THE FOLLOWING INFORMATION Percentage of Company Contribution: Number of Eligible Employees: Representatives Signature: Administrators Signature: L. Title Date: A -1-R5 Date: Your Group Podcy contains special provisions which were requested at the dare d issue. Please check your Policy carefully. If you have questions. pease contact your Sales Representative or USAb!e Life. UND-RNF(1-96) April 1, 1999 Arkansas BlueCross BlueShield Mr. Don Bailey City of Fayetteville 113 West Mountain Fayetteville, AR 72701 RE: USAble Life Renewal Cancer Series Dear Don: . INSURANCE RENEW - C.5 page 7 Barbara C. Lovi n, C11E Croup \larkettng Representative 237 MUusap Road — Suite NI Fayetteville. Arkansas 72703 Phone: (501) 527-2317 FAX: (501) 527-2323 This letter serves as written confirmation of the renewal rates for the Cancer Series policy in effect for the City of Fayetteville. The new rates for the period 05/01/99 — 12/31/99 will remain the same as your current rates. Please feel free to call me if you have questions. Sincerely, Barbara l,ovin Group Marketing Representative Cc: Lisa Mann Scott I-luse Brenda Hall Together. For A State of Better Health. Arkansas Blue Cross and Blue Shield. A ',Lanai Insurance Company An Independent Licensee of the Blue Crass and Bloc Shield Association