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Home My WebLink AboutHR12-169 - Original - Healthcare Actuaries LLC - 2012 Renewal Report Funding Projections - 06/15/2012 Records M geme = KENT Document WASHINGTON CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to submission to City Clerks Office. All portions are to be completed. If you have questions, please contact City Clerk's Office. Vendor Name: Healthcare Actuaries Vendor Number: JD Edwards Number Contract Number: �&)Qq� I& This is assigned by City Clerk's Office Project Name: Develop the 2012 Renewal Report Funding Projections Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ❑ Contract ® Other: Engagement Letter Contract Effective Date: 6/15/2012 Termination Date: Until Completed Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: B Fowler Department: Employee Services Detail: (i.e. address, location, parcel number, tax id, etc.): 5•Public\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08 e?ealthcare u are es 1 fi519 107th Place939- 4 I Bothell,WA -0019 t(425)939-7444 1 f(425)939-0089 USmq lechnoiogv to Prowac Cost-Eftective Consuttinq w www.HealthcareActuanes.com June 7, 20122 Becky Fowler City of Kent 400 West Gowe Street Kent, Washington 98032 Re: Engagement Letter for the 2013 Renewal Report Dear Becky: This letter outlines the fees for developing a 2013 renewal report (funding projection) for the City of Kent, including incurred but not reported claim liability estimation. Project and Deliverables The purpose of this project is to provide an annual review of the City of Kent's healthcare budget and to provide a renewal rate report for the 2013 plan year. Proposed Project Plan A proposed project plan follows. Please let us know if this does not meet your needs, or if there are any other issues. ResponsibleTask Date Send information request to the City Healthcare Actuaries Completed Gather requested information and send to city 7/13 Healthcare Actuaries Provide preliminary renewal Healthcare Actuaries 8/3 City to provide feedback, meet to discuss results Healthcare Actuaries/City 8/10 Provide final renewal Healthcare Actuaries 8/15 Fees The fee for this project remains unchanged from last year at $15,000. Major revisions to the renewal are outside the scope of this project. We will bill for additional work at the following hourly rates: Lead Actuary $360 Actuary/Analyst $240 Health a Welfare Benefits Consulting•Aetuanai Valuations•Strotegu Benefits Planning•flexihle Benefits Information Request Information from R.L. Evans Company, Inc. Description of Information What We Need Paid claims by month separately for the PPO Plan medical/Rx, the HDHP medical/Rx, the PPO 80/20 Plan Premera, WDS, and VSP Group Experience medical/Rx, and the dental and vision plans Reports for July 1, 2011 through the Paid administration and stop-loss fees separately by current month month (including Rx and ID cards) Enrollment by month separately for each plan (13596, From July 2011 through the current month 17620, 13597, 17884, 22066, and the HDHP) Large medical/Rx claims (>$25,000) separately for the Calendar years 2011 and 2012 year-to-date PPO Plan, the HDHP Plan, and the PPO 80/20 plan Lag reports, separately for medical, Rx, dental and Claims paid July 2011 through the current vision month, incurred any month, separately for medical, Rx, dental, and vision Group Health premiums Administrative costs (claims admen, Rx per script fee, 2012 and 2013 rates (or an estimated and ID cards) increase for 2013) Stop-loss premiums for specific and aggregate coverage Information from the City of Kent Description of Information What We Need Health and Welfare Insurance Fund statement, Recent H&W Fund statement separately for LEOFF 1 and non-LEOFF 1 IBNR liability on City's financial statement, separately Amount and date of the most recent IBNR for LEOFF 1 and non-LEOFF 1 liability on the City's books Projected employment levels Number of FTEs to add or subtract from current employment levels for the 2013 budget Enrollment by plan and tier July 2012 enrollment by plan, tier, and contribution level (see attached exhibit) Rates and employee contributions Need to confirm the final 2012 rates Plan design changes . Confirmation of any changes made as of 1/1/2012 A description of any plan design changes contemplated for 2013 Target reserve levels 2013 year-end target reserve level over and above the IBNR liability (2 x IBNR was used last year) 16519 107`" Place Northeast I Bothell,Washington 98011 1(425)939-7444 1 f(425)939-0089 1 w www HealthcareActuanes com If you have any questions or require clarification, please feel free to call us at (425) 939-7444. Best regards, Roger T. Burton, FSA, MAAA, FCA c: Douglas Evans, R.L. Evans Company, Inc. Approved: X ette C ke ayor, y of t Date: 16519 107`"Place Northeast I Bothell,Washington 98011 t(425)939-7444 1 f(425)939-0089 1 w www HealthcareActuaries com A CERTIFICATE OF LIABILITY INSURANCE °a06/29=11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Marie Me s CB Malaga Insurance Services LLC PHONE t FAXIAIC No WA License#762661 EadalL Jac ADRESS 840 Apollo Street,Suite 125 INSURERS AFFORDING COVERAGE NAIC0 El Segundo CA 90245 INSURER Evanston Insurance Company INSURED INSURER B Healthcare Actuaries LLC 16519 107th Place Northeast INSURER C INSURER D Bothell WA 98011 NSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR ADDTYPE OF INSURANCE INSR Y4 R POLICY NUMBER MMDIDYIYYYY EFF POLICY rr� LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE S LNTLD COMMERCIAL GENERAL LIABILITY PREMISES Ea occunence) S CLAIMS-MADE 7 OCCUR MED EXP(Any one person) S PERSONAL 8 ADV INJURY S GENERAL AGGREGATE $ GEML AGGREGATE LIMIT APPLIES PER PRCDUCTS-COMPIOP AGG S POLICY PE LOC S COMBINED SINGLE LIMIT GT AUTOMOBILE LIABILITY r f CO accident S ANY AUTO BODILY INJURY(Per person) I S ALL CS CANED SCHEDULED BODILY INJURY(Peracudent)S AUTOS HIREOAUTOS NON-OWNED PROPERTY DAMAGE S AUTOS Per am an I is UMBRELLA LIAII HOCrUR r EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DEO I RETENTIONS I S WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY t ER ANY PROPRIETORIPARTNEP/EXECUTIVE YIN CRY NIA EL EACH ACCIDENT S OFFICE/MEMBER EXCLUDED? (Mandatory in NH) EL DISEASE-EA EMPLOYE $ It yes describe under EL DISEASE-POLICY LIMIT S A Professional Liability,Claims-made I EO-847364 06/26/2011 06/26/2012 $2,000,000 Each Claim I basis $2,000,000 Aggregate $10,000 Deductible,each claim DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required), Location 16519 107th Place Northeast,Bothell,WA 98011 Healthcare Actuarial Consulting Services CERTIFICATE HOLDER CANCELLATION City Of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 220 Fourth Avenue South ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESEN,c TAT Kent WA 98032 I kt��s 1988-2010 ACO�R'D CORPORATION. All rights reserved. ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD 4^4�� REQUEST FOR MAYOR'S SIGNATURE KENT Please Fill in All Applicable Boxes WASH IN GTON Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) Originator UDL�2 Phone (Originator) �/ rj Date Sent _ l2 Date Required: _ Return Signed Document to* 13tc.�z CONTRACT TERMINATION DATE: LAP0N O VENDOR NAME: � DATE OF COUNCIL APPROVAL: Pl 14CT UPtS2.l�S Brief Explanation of Document: L FI.IJJD LN4y MILD C�1 �i�S� F'pi;;Z, -T- t, I u.? Imo? jZ J P_T�D cLA•Lt'1'1 Ll pre Arty All Contracts Must Be Routed Through the Law Department =•Ci'` E (i (This Area to be Completed By the Law Department) Received: RECEIVE Approval of City Attorney: (�\ ��,x,, " JIJN Lutz �,., , l City Attorney Comments: � '�G� ' ` 'h avru1 KENT LAW DEPT v� Date Forwarded to Mayor Shaded Areas to Be Completed by Administration Staff Received: Recommendations & Comments Disposition; Date Returned: Iage5870 • 2/04