HomeMy WebLinkAboutPackets - Council Packets (196)Town of Oro Valley 2014 Dental Renewal In Network Out-of-Network In Network Out-of-Network In Network Out-of-Network In Network Out-of-Network $1,500 $1,500 $1,000 $1,500 $1,500 $1,000 $50/$150 $50/$150 $50/$150 $50/$150 $50/$150 $50/$150 Yes Yes No Yes Yes No 100%100%80%100%100%80% 80%80%60%80%80%60% 50% Endo & Perio 50% Endo & Perio 40% Endo & Perio 50% Endo & Perio 50% Endo & Perio 40% Endo & Perio Rates Low High 1 Year Rate Guarantee 2 Year Rate Guarantee 1 Year Rate Guarantee 2 Year Rate Guarantee Employee Only 79 12 $21.42 $22.49 $29.03 $30.48 Employee + Spouse 48 11 $43.35 $45.52 $58.72 $61.66 Employee + Child(ren)37 2 $52.70 $55.33 $71.75 $75.34 Employee + Family 72 9 $77.74 $81.63 $105.68 $110.96 Estimated Monthly Cost 236 34 $11,320 $11,886 $2,089 $2,193 Estimated Annual Cost $135,842 $142,635 $25,067 $26,320 Combined Annual Premium $160,909 $168,955 Premium Difference $0 $8,046 Percentage Change 0%5% $2,089 $43.35 $58.72 $52.70 $71.75 See Below See Below 1 Year Rate Guarantee 2 Year Rate Guarantee 270 $135,842 $25,067 $77.74 $105.68 $11,320 $21.42 $29.03 $160,909 Rate Guarantee Major 24 months 24 months 24 months 24 months Orthodontia 24 months 24 months 24 months 24 months Preventive None None None None Basic 12 months 12 months 12 months 12 months Orthodontia (Child Only) No Deductible Covered at 50% to a max of $1,000 No Deductible Covered at 50% to a max of $1,000 No Deductible Covered at 50% to a max of $1,000 No Deductible Covered at 50% to a max of $1,000 Late Entrant Waiting Periods Annual Maximum Not Covered Not Covered Deductible Waived for Preventive Preventive Basic Major DENTAL Principal - Current Dual Option Principal - Renewal Dual Option Low High Low High Page 1 4/17/2014 Town of Oro Valley 2014 Dental Renewal In Network Out-of-Network In Network Out-of-Network Administration Rate PEPM $5.50 $17,820 12% $1,500 $1,500 $1,000 Commissions PEPM $0.00 $0 0% $50/$150 $50/$150 $50/$150 Total Fixed Cost $5.50 $17,820 12% Yes Yes No Estimated Incurred Claims PEPM (Recommendation) $40.45 $131,058 88% 100%100%80%Administration Rate + Incurred Claims Total $45.95 $148,878 80%80%60%Employees Enrolled 270 50% Endo & Perio 50% Endo & Perio 40% Endo & Perio Premium Difference Compared to ASO Percentage Difference Compared to Total Fully Insured Cost Based on Proposed Renewal $160,909 -$12,031 -7% Rates Low High Employee Only 79 12 Employee + Spouse 48 11 Employee + Child(ren)37 2 Employee + Family 72 9 Estimated Monthly Cost 236 34 Estimated Annual Cost Combined Annual Premium Premium Difference Percentage Change -8% 270 $125,145 $23,096 $148,241 -$12,668 $48.55 $66.11 $71.62 $97.37 $10,429 $1,925 $19.73 $26.75 $39.94 $54.10 Rate Guarantee Major 24 months 24 months Orthodontia 24 months 24 months Preventive None None Basic 12 months 12 months DENTAL Principal - Self Funded Option Low High Annual Maximum Not Covered Deductible Waived for Preventive Preventive Basic Major Annualized Costs (PEPM x Enrolled Employees x 12) Fixed Cost/Claims % of Total Principal Self Funding Option PEPM Rates/Factors Orthodontia (Child Only) No Deductible Covered at 50% to a max of $1,000 No Deductible Covered at 50% to a max of $1,000 Late Entrant Waiting Periods Page 2 4/17/2014