0614041.18
COMMISSIONERS' COURT AGENDA REQUEST
PLEASE FURNISH ONE ORIGINAL AND NINE COPIES OF THIS
REQUEST AND DOCUMENTS TO BE REVIEWED BY THE COURT.
-__
MADE BY: Pat Tinley OFFICE: County Jud
MEETING DATE: June 14, 2004 TIME PREFERRED:
SUBJECT: (PLEASE BE SPECIFIC) Consider and discuss reports from insurance
consultant on 2004 Stop Loss Health Insurance policy proposed by Employee Benefit
Administrators and appropriate action or response with respect to such proposed policy.
EXECUTIVE SESSION REQUESTED: (PLEASE STATE REASON}
NAME OF PERSON ADDRESSING THE COURT: County Judge
ESTIMATED LENGTH OF PRESENTATION:
IF PERSONNEL MATTER -NAME OF EMPLOYEE:
Time for submitting this request for Court to assure that the matter is posted in
accordance with Title 5, Chapter 551 and 552, Government Code, is as follows:
Meeting scheduled for Mondays: 5:00 P.M. previous Tuesday.
THIS REQUEST RECEIVED BY:
THIS REQUEST RECEIVED ON:

All Agenda Requests will be screened by the County Judge's Office to determine if adequate
information has been prepared for the Court's formal consideration and action at time of Court
Meetings. Your cooperation will be appreciated and contribute towards you request being
addressed at the earliest opportunity. See Agenda Request Rules Adopted by Commissioners'
Court.
plan Name
Funding Method
Stop-Loss insurer
Coverage Basis tional
Coverage Basis on Op
Quotes g ecific)
Covered genef~ts ( P
Covered Benefits (Agg}
Specific SIR
Specific S1R on Optional Quotes
Lazering?
Guarantees
Specific Stop-Loss Rate
(Employee)
Specific Stop-Loss Rate (Emp ~
Dependents}
Aggregate Stop-Loss Rate
(Employee)
Claim Adminlstratien
Utilization Mgmt.
COgRAIHIPPA
Network
Monthly Fixed Cost
Exp-~ng
Plans A, B & C
Self-Funded
Clarendon
12:12
nla
Medical
Medical & RX
$40,000
EBA
Plans A, B & C
Self-Funded
Fidelity Security
12:12
Medical & RX
Medical & RX
$40,000
850,000
nla
No
nta
57 A
124.21
No
3 year TPA fee,
all other one year
0
14.75
1.95
0
3
824,440
46.35
107.49
4
Greentree
Plans A, B & C
Self-Funded
Mutual of Omaha
12:12
12:12, 8:8,11:8,12:15
Medical
Medical & RX
$40,000
$50 Opp, $60,400
Yes (875,000 on 1
person} (count
toward aggregate
attachment point?)
3 year TPA fee, all
other one year
7AC
plan 300 & 1100
Self-Funded
Blue Cross
12:15
8:12
Med'~I
Medical & RX
$40,000
$60,006, $75,000,
$100,000
36.26
94.09
3.12
31.5
0
0
822,253
6,9
14
1.95
0.5
3
$22,934
No
One Year
Mutual of Omaha
Classes 1 & 2, 3 & 4
5&6
Self-Funded
Mutual of Omaha
12:12
12:15,15:12
Medical & RX
Medical & RX
$40,000
Yes ($75,000
specific on 1 person,
does not coi n ate
toward a99 Dint
attachment p )
51.62
51.62
8,49
46.18
0
0
$28,432
One Year
31,9'
86,9
6.2~
24.~
2.~
0.'~
2.9~
$23,32
Annual Fixed Cost
Claim Factors for "Maximum"
Claim Levels (High Plan)
Employee Only
Employee & Child(ren)
Employee & Spouse
Employee ~ Family
Claim Factors for "Maximum"
Claim Levels (Mid Plan)
Employee Only
Employee & Child(ren)
Employee & Spouse
Employee & Family
Claim Factors for "Maximum"
Claim Levels (Low Plan)
Employee Only
Employee & Child(ren)
Employee & Spouse
Employee & Family
Monthly Maximum Claims
Annual Maximum Claims
Monthly Admin. & Maximum
Claims
Annual Admin. & Maximum
Claims
Terminal Stop-Loss Run-Off
Liability
Based On...
Employee Only (High Plan)
EmplChild (High Plan)
$293,281 $275,207 $267,036 $341,182 $279,909
324.13	280,47	267.35	392.94	271.9E
849.73	735.25	637.47	392.94	601.2
849.73	735.25	637.47	392.94	601.2;:
849.73	735.25	637.47	392.94	601.2
324.13	250.8	267.35	362.48	223.5E
849.73	657.49	637.47	362.48	492.5
849.73	657.49	637.47	362.48	492.51
849.73	657,49	637.47	362.48	492,51
324.13	229,23	267.35	362.48	201.2£
849.73	600.93	637.47	362.48	442,8
849.73	600.93	637.47	362.48	442.8;
849,73	600.93	637.47	362.48	442.8
$117,430	$98,164	$93,055	$102,210	$86,95E
$1,409,165	$1,177,969	$1,116,659	$1,226,521	$1,043,473
$141,871	$121,098	$115,308	$130,642	$110,281
$1,702,447	$1,453,176	$1,383,695	$1,567,704	$1,323,381
nla	nla nla		$191,176 nla	
164
13
EmplSpouse (High Plan) 14
EmplFamily (High Plan) 11
Employee Only (Mid Plan) 30
EmplChild (Mitl Plan) 7
EmplSpouse (Mid Plan) 7
EmplFamily (Mid Plan) 3
Employee Only (Low Plan) 11
EmplChild (Low Plan) 2
EmplSpouse (Low Plan) 2
EmplFamily (Low Plan) 1
Total
265
Note: The figures above include retirees. Also, since TAC is quoting on{y 2 plans, this illustration assumes that all Plan C enrolles would be covered under TAC Pla
moves away from EBA, EBA will charge $12 per run-off claim for servicing.