Title
Approval of Amendment No. 5 to Existing General Services, Agreement No. AGR18-704 with Blue Cross Blue Shield of New Mexico, A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, in an amount not to exceed $6,222,000.00, for the initial term plus first, second, third and fourth renewal terms, for the Purpose of providing medical insurance benefits to eligible Los Alamos County employees and authorize the use of approximately $206,000.00 in accumulated reserve funding towards expenses covered by the amendment.
Recommended Action
I move that Council approve Amendment No. 5 to existing Services Agreement No. AGR18-704, with Blue Cross Blue Shield of New Mexico for Employee Medical Insurance Benefits, in the form attached, and further authorize the use of the Medical Plan Fund to absorb approximately $206,000.00 of the increase to medical insurance premiums for calendar year 2023.
County Manager's Recommendation
The County Manager recommends that Council approve Amendment No. 5 to existing Services Agreement No. AGR18-704 with Blue Cross Blue Shield of New Mexico for Employee Medical Insurance Benefits, as well as the use of the Medical Plan Fund to absorb approximately $206,000.00 of the increase to medical insurance premiums for calendar year 2023.
Body
The County's group insurance benefits plans, including medical insurance, are renewed at the beginning of the calendar year. Currently, the County pays 80% of the premiums for a full-time eligible employee, 60% for a three-quarter-time eligible employee, and 40% for a half-time eligible employee.
The County's medical plan is currently self-funded. Premiums collected from both the County and the Employees fund both claims and any administrative fees associated with the Plan, including fees required by the Affordable Care Act. The Plan has very high participation. Of approximately 613 eligible regular and li...
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