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AGENDA ITEM REVIEW FORM
3.B.
Special Employee Benefit Trust Board Meeting
Meeting Date:
06/24/2025
Department Head:
Adela Cortez
Submitted By:
Maria Barajas Gutierrez, Human Resources Coordinator, Human Resources Department

ITEM:

Discussion and possible action on any and all matters regarding the Employee Benefits Contract Renewals effective July 1, 2025. (Maria Barajas, Acting HR Manager).

SUMMARY:

A contract renewal strategy is essential for maximizing value, reducing risk, and reinforcing vendor relationships.  Through this review process, it was determined that the following benefit contracts are due for renewal.
 
  • Network
    • Option #1
      • Blue Cross Blue Shield 1-year contract.
      • Medical access fee of $22.50 per employee per month (PEPM) for a 12-month contract. For new bids, the group rate starts at $24.00.
    • Option #2
      • Blue Cross Blue Shield 2-year contract.
      • Medical access fee of $22.50 per employee per month (PEPM) for the 1st year, increasing to $23.00 (PEPM) the second year.
    • Option #3
      • Blue Cross Blue Shield 2-year contract.
      • Medical access fee of $22.75 per employee per month (PEPM) for the 2 years.
  • Employee Assistance Program (EAP)
    • Uprise Health 3-year contract.
    • Administrative Services Fees of $1.91 per employee per month (PEPM).
  • Stop Loss Carrier  
    • Ryan Specialty Benefits (Previously known as Matrix) – 1-year contract.
    • 16% increase to the Individual Stop Loss premium.
    • Potential laser of $200,000.
The following motions are presented for consideration.  Trustees may approve, deny or modify these recommendations in accordance with their fiduciary responsibilities.

 

RECOMMENDATION / SUGGESTED MOTION:

I MOVE TO APPROVE THE NEW CONTRACT WITH BLUE CROSS BLUE SHIELD OF ARIZONA AND SELECT OPTION NUMBER ________ AS PRESENTED.

AND,

I MOVE TO APPROVE THE NEW CONTRACT WITH UPRISE HEALTH AS PRESENTED.

AND,

I MOVE TO APPROVE THE NEW CONTRACT WITH RYAN SPECIALTY BENEFITS, AS OUR STOP LOSS INSURANCE CARRIER AS PRESENTED.
 

Fiscal Impact

Fiscal Impact:

  • Network
Blue Cross Blue Shield Network medical access fee of $22.50 PEPM for one year.

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