R-09-01-08-8C4 - 1/8/2009RESOLUTION NO. R -09-01-08-8C4
WHEREAS, the City of Round Rock previously entered into a
Health Plan Document with Aetna to provide City employees with
health care benefits, and
WHEREAS, Aetna has submitted a letter dated December 12, 2008
regarding renewal of the 2009 policy, and
WHEREAS, the City Council desires to approve said letter, Now
Therefore
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ROUND ROCK,
TEXAS:
That the Mayor is hereby authorized and directed to execute on
behalf of the City the attached letter from Aetna dated December 12,
2008 indicating acceptance of Aetna's health benefits services for
the renewal of the 2009 policy period, a copy of same being attached
hereto as Exhibit "A" and incorporated herein for all purposes.
The City Council hereby finds and declares that written notice
of the date, hour, place and subject of the meeting at which this
Resolution was adopted was posted and that such meeting was open to
the public as required by law at all times during which this
Resolution and the subject matter hereof were discussed, considered
and formally acted upon, all as required by the Open Meetings Act,
Chapter 551, Texas Government Code, as amended.
RESOLVED this 8th day of January, 2009.
ATTEST:
8714444,. arm
SARA L. WHITE, City Secretary
0:\WDOX\RESOLUTI\R90108C4.DOC/rmc
ceyh,4
ALAN MCGRAW, Mayor
City of Round Rock, Texas
We want you to know"
)(Aetna®
December 12, 2008
City Of Round Rock
Linda Gunther
221 East Main Street
Round Rock, TX 78664
Dear Ms. Gunther:
Kendra Hoduski
Account Manager
Great Hills Corporate Ctr. Bld 3 9050 Capital of Texas Highway North Suite 150
Austin, TX 78759
Phone: 512-349-1974
Fax: 512-346-7406
HoduskiKRaetna.com
Thank you for allowing us to serve your health insurance and health benefit needs over the past year. We are hopeful that
this package will provide you with the information you need in order to develop your company's future benefits program. As we
approach the January anniversary of your program with our company, we are pleased to present you with our
renewal for the 2009 policy period.
At Aetna*, we believe it is fundamental that you understand the full financial picture of your benefit plan. Therefore,
the enclosed package provides the following important information about the cost of your current program, potential
changes you may want to consider and the value that Aetna brings to you and' your company.
I. Future Program Costs - This section illustrates the cost projections to operate your current benefit
program for the period 01/01/2009 through 12/31/2009. This section contains the following:
illustrative administrative service fees, and a Stop Loss exhibit.
For the 01/01/2009 through 12/31/2009 contract period, the fee will increase
6.9% for medical and 1.2% for dental and 0% for vision.
Also included in this section is renewal information regarding your Stop Loss coverage. Aetna's
charge for maintaining your current Stop Loss protection levels will increase 6.0% over the current rate.
Your aggregate trigger factor will increase 7.3%.
II. Utilization Overview - This section contains graphs pertaining to your benefit program.
III. Program Services Included, Financial Assumptions, and Stop Loss Assumptions
Program Services Included - This section includes additional services that have been included in our
pricing or require an additional fee.
Financial Assumptions - Our renewal offer is contingent upon the parameters
outlined here. It is important to note that deviations from these assumptions may result in
additional charges and/or adjustments on our Life, Medical and Dental quotations for
conventional premiums, Service Fees, and Stop Loss rate(s) and factor(s). Customer
Notifications of any Aetna initiated changes for the upcoming contract period are
outlined here. Please review this section thoroughly.
Stop Loss Assumptions - This section includes specific information regarding what's included
and excluded from your Stop Loss quotation, plus there is a separate page explaining leveraged trend.
IV. The Aetna Difference - This section outlines the latest Aetna facts that we would like you to know
about our company. We hope that by reading this information you will better understand
the many ways we are striving to provide quality healthcare programs and services to companies like yours.
In the absence of any changes impacting the conditions of this renewal as outlined in the Financial
Assumptions section, the rates, fees, and factors presented here will remain in effect through December 31, 2009.
If you have any questions, please contact me at 512-349-1974.
We are committed to working with you to provide quality products and services that reinforce
your decision to do business with Aetna and help manage your current and future health care costs.
Sincerely,
Accepted for City of Round Rock
By:
Title:
Account Manager Date: Senior Underwriting Consultant
-"Aetna" is the brand name used for products and services provided by one or more of the Aetna group of subsidiary
companies. The Aetna companies that offer, underwrite or administer benefit coverage include Aetna Health Inc.,
Aetna Health of California Inc., Aetna Health of the Carolinas Inc., Aetna Health of Illinois Inc., Aetna Dental Inc., Aetna
Dental of California Inc., Aetna Life Insurance Company, Aetna Health Insurance Company of New York, Corporate
Health Insurance Company and Aetna Health Administrators, LLC.
These health benefit and health insurance plans contain limitations and exclusions.
Policy form numbers include GR -29, GR -700-W, GR -88435.
Administrative Service Fees
ASC
City of Round Rock
Renewal Period: 1/1/09 through 12/31/09
Contractholder Number - 819919
• The below Administrative Service Fees will become effective 1/1/09.
• The fees below exclude charges for items such as printing, special reports and late fees.
These will be billed separately.
• The below ASC fees assume that Aetna will be Claim Fiduciary for Level 1 and Level appeals. City of Round Rock
performs claim ficuciary for voluntary appeals after Levels 1 & 2 are exhausted (Option 4).
• Simple Steps to a Healthier Life is included in the below ASC fees.
• Beginning Rights"" Maternity Program is included in the below ASC fees.
• The National Advantage with Facility Charge Review programs have been included in
the renewal at a charge of 50% of any attained savings.
• Rx rebate share is 50%.
• Effective Jan 1,2009, our Healthy Outlook Disease Management program will be discontinued and replaced by Aetna
Health Connections. Our Aetna Health Connections Disease Management program includes MedQuery and is offered
for an additional $3.95 PEPM. This is included in the fees below.
Service Fee Comparison
12/12/2008
Projected Number of Enrolled Employees
Choice II/APM 756
Dental 766
Vision 766
Administrative Service Fees as Billed
Choice II/APM (PEPM)
Dental (PEPM)
Vision (PEPM)
Administrative Service Fees as Total Dollars
Current Period Projected Period
1/1/08-12/31/08 1/1/09-12/31/09 % Change
38.57 **
4.26
1.00
41.23
4.31
1.00
Choice II/APM 349,907 374,038
Dental 39,158 39,618
Vision 9,192 9,192
6.90%
1.17%
0.00%
Total Service Fee $ 398,257 $ 422,848 6.17%
"Illustrative - Includes Aetna Health Connections
www.aetna.com ASC Fees
Stop Loss Exhibit
ASC
City of Round Rock
Renewal Period: 1/1/09 through 12/31/09
Contractholder Number - 819919
• Minimum Stop Loss Aggregate Limit will be set using the first month enrollment x
Stop Loss Aggregate Limit (PEPM) Composite Factor x number of contract months.
• Premium rates are billed and Aggregate Factors are administered on a composite basis.
• Please see the Stop Loss Caveats for additional information.
• Quote assumes Plan change on High plan - In network Ded from $250 to $350.
Plan Characteristics
Individual Limit
Aggregate Limit
Stop Loss Coinsurance Level
Mental/Nervous Apply
Contract Basis
Terminal Liability Option
Benefits applied to ISL
Benefits applied to ASL
Commissions
Individual Lifetime Stop Loss Payment
Maximum Annual ASL Payment
Policy Period Length (months)
Cost & Factors
Total Expected Claims with Stop Loss
Attachment Point
Lives covered under Stop Loss
Rate Cost/ee/month
Trigger Factor
Comparisons
12/12/2008
Annual Stop Loss premium
(at proposed lives of 756)
Maximum Claim Liability
(at proposed lives of 756)
% Increase in Rate/ee/month
% Increase in Trigger Factor
Current
$ 75,000
125%
100%
Yes
Paid
No Extension (N/A)
Rx/Medical
Rx/Medical
0%
$ 1,000,000
$ 1,000,000
12
$ 4,216,067
5,270,084
718
$ 91.10
$ 611.66
$ 826,459
$ 5,549,002
www.aetna.com
Renewal with Plan
Chg - Ded $350
Option 1
$ 75,000
125%
100%
Yes
Paid
No Extension (N/A)
Rx/Medical
Rx/Medical
0%
$ 1,000,000
$ 1,000,000
12
$ 4,762,800
5,953,500
756
$ 96.56
$ 656.25
$ 875,992
$ 5,953,500
6.0%
7.3%
ASC Stop Loss
Utilization Overview
City Of Round Rock
Current Data For Claims Processed/Paid June 01, 2007 - May 31, 2008
Plan Paid by Demographic Spilt
Contractholder Number - 819919
35%
30%
25%
20%
15%
10%
5%
0%
Customer Current
Percent of Membership, Claimants and Plan Paid Comparison
®% of Members ■ % of Claimants O % Plan Paid
Top Hospitals
Top 7 Hoapltala
Valley Baptist M C Brownavllla,
TX
Round Rook M C Round Rook,
TX
12/12/2008
wonv.aetna.com Utilization Overview
Programs and Services
City Of Round Rock
Renewal Rate Period: 01/01/2009 through 12/31/2009 Contractholder Number - 819919
Programs and Services
We have provided a list, by product, of those programs and services that are included or available to City Of Round Rock.
Programs and services that are optional are noted with a $ sign and require an additional fee, for specific pricing
please contact your Account Manager, Darryl Rogers
Programs and services that are not available for particular products are identified as N/A.
12/12/2008
www.aetna.com
Program & Services ASC
Choice® POS II
General Administration
Account Management
Included
Customer Team Services
Included
Banking
Included
Communication Materials
Included
Eligibility (Standard)
Included
Customized Forms
$
Printing of Booklets or Certificates
$
Claim Fiduciary & External Review (Details on
Financial Assumption Tab)
$
HIPAA Administration
Included
Claims Subrogation
Included
Claim & Member Services
Claim Administration
Included
Member Services
Included
Network Administration
Network Management
Included
Provider Relations
Included
National Advantage Program
Included
- Facility Charge Review
Included
- Itemized Bill Review
$
Rural PPO Network Program
$
Dental Medical Integration (DMI)
N/A
Network Access Services
Medical Network Discount (Details on Medical
Network Access Charge of Financial
Assumption Tab)
$
Dental Network Discount
N/A
Patient Management
Precertification
Included
High Tech Radiology Precertification and
Steerage
$
Case Management
Included
Concurrent Review
Included
Discharge Planning
Included
Aetna Compassionate Care Program
Included
National Medical Excellence
Included
Rx Step Therapy
N/A
Save-A-Copay
N/A
Rx Check
N/A
12/12/2008
www.aetna.com
Program & Services ASC
Programs and Services
City Of Round Rock
Renewal Rate Period: 01/01/2009 through 12/31/2009 Contractholder Number - 819919
Programs and Services
We have provided a list, by product, of those programs and services that are included or available to City Of Round Rock.
Programs and services that are optional are noted with a $ sign and require an additional fee, for specific pricing
please contact your Account Manager, Darryl Rogers
Programs and services that are not available for particular products are identified as N/A.
12/12/2008
www.aetna.com Program & Services ASC
Choice® POS II
(Wellness & Health Management
Aetna Health Connections- Disease
Management
Included
MedQuerys"
- Member Messaging
$
Healthy Outlook Program® (sunset 12/31/08
group has to move to AHC - DM effective
1/1/09)
N/A
- Caring for Asthma
$
- Caring for Heart Failure
$
- Caring for Diabetes
$
- Caring for CAD
$
Enhanced Member Outreach (1,000+ ee's-
Fee will vary based on Member to employee
ratio)
$
Simple Steps To A Healthier Life®
Included
Simple Steps To A Healthier Life®Reward
Tracking
$
CareEngine® Personal Health Record
$
Wellness Counseling
$
Healthy Body, Healthy Weight Program (1,000
$
Beginning Rights"' (formerly Mom -to -Babies)
Included
Quit Tobacco Program
$
Informed Health® Line - Nurseline (800 #) only
$
Informed Health® Line - Plus
$
Value Add Programs
Fitness Program (GlobalFit)
Included
Aetna Natural Products & Services Program
Included
Vision One+ Discount Program
Included
Standard Behavioral Health
Focused Psychiatric Review
N/A
Managed Behavioral Health
Included
- Med/Psych Program
$
12/12/2008
www.aetna.com Program & Services ASC
Programs and Services
City Of Round Rock
Renewal Rate Period: 01/01/2009 through 12/31/2009 Contractholder Number - 819919
Programs and Services
We have provided a list, by product, of those programs and services that are included or available to City Of Round Rock.
Programs and services that are optional are noted with a $ sign and require an additional fee, for specific pricing
please contact your Account Manager, Darryl Rogers
Programs and services that are not available for particular products are identified as N/A.
12/12/2008
www.aetna.com Program & Services ASC
Choice® POS II
Behavioral Health Disease Management
Programs (Must have both Medical & BH with
Aetna)
- Alcohol Disease Management
$
- Anxiety Disease Management
$
- Depression Disease Management
$
Case Management Behavioral Health Programs
- Intensive Case Management
$
Member Internet Services
Public Sites
DocFind®
Included
InteliHealth®
Included
Pharmacy Information
N/A
Learning Resources
Included
Secure Sites
Staying Healthy
Included
Estimate the Cost of Care Tool
Included
Claim Research/Forms/Contact us
Included
Spanish version
Included
Plan Sponsor Internet Services
e.Plan Sponsor MonitorTM Reporting
Aetna Integrated Informatics®`
- Level A Reporting
Included
- Level B Reporting
Included
- Level C Reporting
$
- Level D Reporting
$
- Disease Management Activity Report
(DMAR)
Included
- Ad hoc Reporting (2hrs/cal years for 100 to
999 medical ees, 4hrs/cal year for 1000 to
2999, 12 hrs/cal year for 3000 to 4999)
Included
Third Party Stop Loss Reporting
$
Aetna Navigator Reporting
Included
12/12/2008
www.aetna.com Program & Services ASC
Financial Assumptions
City Of Round Rock
Renewal Rate Period: 01/01/2009 through 12/31/2009
• Services Agreement ("Contract") Period - The contract period begins on the effective date of January 01, 2009
and will be applicable for a 12 month period. Our contracts provide for automatic renewal upon the completion of each contract
period unless either party invokes the termination provision, which requires 31 days advance written notice of termination to the other
party. This provision may be invoked at any time during the continuance of the contract and is not limited to termination occurring on
the renewal date.
Contractholder Number - 819919
• Enrollment and Funding Assumptions - Based on this census information and the subsequent access analysis, we have assumed
that approximately 756 employees will be enrolled for medical coverage. Our renewal quote assumes that
coverage will not be extended to additional employees without review of supplemental census information and other underwriting
information for appropriate financial review. The following illustrates the funding arrangement and enrollment assumptions by line of
coverage:
Coverage
Funding Arrangement
Assumed Enrollment
Choice POS II
Self -Funded
756
Dental - PPO
Self -Funded
766
Basic Vision
Self -Funded
766
Total Medical Enrollment
756
• Individual Medical Conversion Policies - This policy is unavailable (excluded) for all self-insured arrangement. As a reminder,
most self insured group plans offer COBRA continuation (18, 29 or 36 months) to employees upon group termination.
Self -Funded Fee Guarantee
The mature fees are guaranteed according to the per employee per month fees as illustrated on the financial exhibits.
Advance Notification of Fee Change — We will notify City Of Round Rock of any fee change at least 60 days prior to the effective date
of the fee change.
Guarantee Parameters - Aetna reserves the right to recalculate the guaranteed fees to take effect on the date a contingent event
described below occurs. In such case, City Of Round Rock will be required to pay any difference between the fees collected and the
new fees calculated.
Aetna may recalculate:
12/12/2008
1. If, for any product:
a. There is a 15% decrease in the number of employees from our enrollment assumptions by site or by
product, or from any subsequently reset enrollment assumptions.
b. The change in member -to -employee ratio is greater than 15%. We have assumed a member -to -employee
ratio of 1.97.
c. The change in number of processed claim transactions (PCTs) per employee is greater than 15%. We
have assumed 22.7 PCTs per employee per year. We define a processed claim transaction, or PCT, for
medical or dental benefits as any transaction with respect to a benefit request or predetermination of
dental benefits for expenses incurred or expected to be incurred by one claimant in any one calendar year
for a major line of coverage, including but not limited to benefit payment, benefit denial, pended request or
decision on an appeal of a denied benefit request.
www.aetna.com Financial Assumptions ASC
Financial Assumptions
City Of Round Rock Contractholder Number - 819919
Renewal Rate Period: 01/01/2009 through 12/31/2009
d. There is a 15% increase in the retiree percentage from that assumed or from any subsequently reset
assumptions. We have assumed that 1.7% of the enrolled employees are over 65 retirees.
2. If there is a material change in the plan of benefits initiated by City Of Round Rock or by legislative or
regulatory action.
3. If there is a material change initiated by City Of Round Rock or by legislative or regulatory action in the
claim payment requirements or procedures, account structure, or any change materially affecting the
manner or cost of paying benefits and/or administering the plan.
• Run -Off Claims Processing - Your administrative service fees are mature; we have included the cost of processing self-funded run-
off claims for 12 months following the termination of our administrative service agreement.
• Mental Health/Substance Abuse Benefits - Our renewal quote assumes that mental health/chemical dependency benefits are
included.
• Prescription Drug Benefits - Our renewal quote assumes that prescription drug benefits are included and will be provided through
Aetna Pharmacy Management at the per employee per month fee shown on the financial exhibits.
• Direct Member Reimbursement (DMR) claims are Pharmacy claims (incurred in or out -of -network) submitted by eligible members
to APM and processed in APM's DMR unit. These claims are not adjudicated on-line at point of service subject to the copay. They are
paid in full by the member. A surcharge is necessary to recoup the additional cost of processing DMR claims and to provide an
additional incentive to plan sponsors to educate their employees on how to use their APM program to minimize the occurrence of DMR
claims. For 2009, the charge is $2.95 per script for Non -Off Shore and $1.80 per script for Off -Shore Processing.
• Management Formulary Rebates —
City Of Round Rock would receive 50% percent of the manufacturer volume discounts we receive based on actual utilization of
formulary drugs under contract. The percent share is based solely on the number of employees enrolled in the pharmacy benefit plan.
• MedQuery"' is a program that uses member data such as medical claims, pharmacy claims, laboratory reports, and demographic
information to identify potential gaps in care. This information is shared with physicians to help improve clinical quality and patient
safety. MedQuerysM can be included for an additional $1.75 per employee per month for our self-funded medical products.
Our MedQuery Standard Member Messaging program is included as part of our MedQuery program. Our MedQuery Member
Messaging program includes sending a consumer version of the care consideration by letter to the member. The letter encourages
the member to call his or her doctor to discuss the care consideration and is sent only after the care consideration is communicated to
the treating physician, to allow the physician time to evaluate the issue. Our Standard Member Messaging option is standardly
included.
Our MedQuery Enhanced Member Messaging program is also available as an option to our MedQuery program. Our MedQuery
Enhanced Member Messaging program is offered to those members who are not participating in Aetna Healthy Connections Disease
Management program. MedQuery Enhanced Member Messaging can be included for an additional $0.20 per employee per month for
our self-funded medical products.
Effective January 1, 2009, Healthy Outlook Programs on a per participating member per month basis charged thru the claim wire will
be discontinued. This will be replaced by Aetna Health Connections on a per member per month basis.
Aetna Healthy Outlook Program - . Effective January 1, 2009, we will no longer be offering the Healthy Outlook Program. This
program will be discontinued and replaced by Aetna Health ConnectionssM (Disease Management) programs on a per employee per
month basis. The new program expands our capabilities, allowing us to provide disease management services for more than 34
conditions. For your next renewal, please consider signing up for Aetna Health Connections. To learn more about this program, please
contact your Aetna sales representatives.
12/12/2008
www.aetna.com Financial Assumptions ASC
Financial Assumptions
City Of Round Rock Contractholder Number - 819919
Renewal Rate Period: 01/01/2009 through 12/31/2009
Aetna Health Connections Disease Management — Our Aetna Health Connections Disease Management program provides
innovative and individualized clinical programs, information and support for total, integrated health management to help members
achieve their optimal state of health. Aetna Health Connections Disease Management integrates a full suite of 34 chronic conditions
and common co -morbidities in a holistic fashion, with an Aetna nurse acting as a generalist to address the total health of those
members who will benefit most from disease management services.
Our program also includes MedQuery®, which uses member data such as medical claims, pharmacy claims, laboratory reports, self-
reported data, and demographic information to identify potential gaps in care. This information is shared with physicians to help
improve clinical quality and patient safety.
Our Aetna Health Connections Disease Management with included Medquery programs charge for City Of Round Rock will be on a
per employee per month basis at $3.95 pepm.
• National Advantage Program - Aetna's National AdvantageTM Program allows plan sponsor's access to contracted rates for many
medical claims that currently are paid at billed charges under indemnity plans, the out -of -network portion of managed care plans, or for
emergency/medically necessary services not provided within the standard network. The NAP network consists of many of Aetna's
directly -contracted hospitals, ancillary providers, and physicians as well as hospitals, ancilliary providers, and physicians accessed
through vendor arrangements where Aetna doe snot have direct contractual arrangements. The average savings to our customers -
before NAP fees - range from 15 percent to 25 percent of billed charges depending on product. Discounts vary by geographic region.
The NAP fee is not a part of the overall per employee per month (PEPM) administrative service fee calculation for the plan sponsor. It
is automatically charged to plan sponsors as part of their claim charges. It is charged only if savings are achieved.
This standard percentage for City of Round Rock is 50 percent and has been assumed in this self-funded proposal.
• Facility Charge Review Program - The Facility Charge Review Program (FCR) is an additional feature of the National Advantage
Program (NAP) for self-funded plans which has been included as part of this proposal. It provides reasonable charge allowance
review for most inpatient and outpatient facility claims under indemnity plans, the out -of -network portion of managed care plans, or for
emergency/medically necessary services not provided within the network, where a NAP contracted rate is not available. FCR is only
available in conjunction with NAP and is not available separately. The fee for the Facility Charge Review feature of NAP is the same
as the NAP fee, 50% of savings and is not included in the per employee per month fee.
A listing of participating NAP hospitals, facilities, and physicians can be found on Docfind®, Aetna's online provider listing, on our
website at www.aetna.com.
We will recalculate plan sponsor's administrative service fee if either of the following changes are made: group discontinues the
National Advantage Program or group changes the facility charge review program.
• Claim Fiduciary (Option 4) — Our quoted Administrative fees assume Aetna will be the ERISA claim fiduciary for the first level of
mandatory plan appeal for all denied claims and for the second level of urgent care claims for the medical and dental coverages.
City Of Round Rock will be the ERISA claim fiduciary for all other second -level appeals. The claim fiduciary is responsible for final
claims determination and the legal defense of the decisions it makes.
• External Review - External Review is offered as an option to self-funded customers. Extemal review utilizes outside vendors who
coordinate a medical review through their network of outside physician reviewers. Customers who retain claim fiduciary responsibility
may choose to include this service and Aetna will pass the actual vendor charges through on a direct charge basis.
• Health Insurance Portability and Accountability Act (HIPAA) - Our proposal assumes that Aetna will be providing HIPAA
certifications of coverage for terminated employees.
• Data Transfer at Termination - Upon contract termination, we agree to cooperate with succeeding administrators in producing and
transferring required claim and enrollment data. Data will be transferred within 30 days after determination of
City Of Round Rock's specific format and content requirements, subject to a charge that is based on direct labor cost and data
processing time.
• Late Fee Payment - If City Of Round Rock fails to provide funds on a timely basis to cover benefit payments as provided in the
Agreement, and/or fails to pay Service Fees on a timely basis as provided in such Agreement, Aetna will assess a late payment
charge.
12/12/2008
www.aetna.com Financial Assumptions ASC
Financial Assumptions
City Of Round Rock Contractholder Number - 819919
Renewal Rate Period: 01/01/2009 through 12/31/2009
The charges for 2008 are:
- late funds to cover benefit payments (e.g., late wire transfers after 24-hour request): 9.0% annual rate
- late payments of Service Fees after 31 day grace period: 9.0% annual rate
Aetna will provide written notice to City Of Round Rock of late payment charges for subsequent years. The late payment charges
described in this section are without limitation to any other rights or remedies available to Aetna under the Agreement or at law or in
equity for failure to pay.
• Medical EOB Suppression — Unless required by state law, we do not produce EOBs for claims when there is no member liability.
Additionally, EOBs are always available electronically through Aetna Navigator on our website www.aetna.com.
• Claims Subrogation - Aetna has entered into an agreement with the firm of Rawlings & Associates to provide comprehensive
subrogation services. There is no administration charge from Aetna to utilize the subrogation program, however, a contingency fee is
collected upon recovery for self-funded customers. The fee currently in place with Rawlings is 27.0%.
■ Broker/Consultant Compensation - The quoted fees do not include broker/consultant compensation.
• Third -Party Audits - While in most cases we do not request reimbursement for internal costs associated with a third -party audit, we
reserve the right to recoup these expenses if significant time and materials are required. A complete description of the terms and
conditions of our audit policies is outlined in our Services Agreement.
• Additional Products and Services - Costs for special services rendered, which are not included or assumed in the
pricing guarantee will be direct billed. For example, City Of Round Rock would be subject to additional charges for customized
communication materials, as well as costs associated with custom reporting, booklet and SPD printing, etc.
The costs for these types of services would depend upon the actual services performed and would be determined at the time the
service is requested. A list of these special services can be found on the Programs and Services Sheet.
12/12/2008
www.aetna.com Financial Assumptions ASC
Stop Loss Assumptions
City Of Round Rock
Renewal Rate Period: 01/01/2009 through 12/31/2009
Contractholder Number - 819919
This caveat document outlines specific information for the quotation provided on 08/20/2008
Stop Loss is available to cover claims for all of the Plan Sponsor's eligible employees and their dependents who
are enrolled on a timely basis and are covered under the ASC plan, provided the employee satisfies the following
definition: an employee means an employee of the Insured who Aetna determines is physically able to perform all
the regular duties of employment, is regularly working at least 25 hours per week and for whom the Insured is
deducting any required U.S. FICA taxes. Retirees under65/over 65 have been included in this quotation at the Plan
Sponsor's request.
This is a firm quote
Stop Loss Policy Year - The Stop Loss policy year must agree with the ASC contract year, both of which must end on
the customer's standard renewal date.
Rate/Factor Adjustments - We reserve the right to adjust the premium rate and Aggregate factor during the policy year if
there are a) changes to the medical plan, b) deviations from any of our quote assumptions (e.g. policy period, type of
Stop Loss coverage, runoff coverage for employees who terminated prior to the renewal date, etc.), or c) changes in
other factors bearing on the Stop Loss risk that result in a combined manual change of 10% or more (e.g. , single/
family split, age/gender mix, etc.). However, we will not change the rate or factor based on changes in the make-up of
the group unless the number of covered employees (either in total, by type of medical plan, by single/family split, by age/
gender or by location) changes by more than 10% from the number assumed in the quote. We also will not change the
rate or Aggregate factor based on actual Stop Loss experience after the effective date.
Family Participation - This quotation assumes 43.5% family participation.
Large Group Acquisition - In the event that a large group (in excess of 10% of total covered lives) is acquired after the
original effective date and is covered under the Stop Loss policy, we reserve the right to underwrite the individuals within
this group based on current large claim data provided by the customer. If this information is not forthcoming, we will
apply the Actively -at -Work and Dependent Non -Confinement underwriting rules to those in the new group on the effective
date of their coverage under Stop Loss.
Coverages Excluded from Individual Stop Loss - Non-integrated (APM, PCS) drug benefits will apply to the Individual
Stop Loss limit while separate ancillary benefits such as: Dental, Vision and Temporary Disability will not apply to the
Individual Stop Loss limit.
Coverages Included under Aggregate Stop Loss - Aggregate Stop Loss coverage includes the following benefits:
Medical and Pharmacy
Mental/Nervous and Substance Abuse - Mental/Nervous and Substance Abuse claims will be covered by Individual and
Aggregate Stop Loss only when Aetna's vendor provides these benefits. If these benefits are provided by an outside
vendor, the claims resulting from these services will be excluded from Individual and Aggregate Stop Loss.
HIPAA — Stop Loss coverage for new entrants (those who become covered after the Stop Loss effective date) are subject to HIPAA's
pre-existing conditions limitation in accordance with Aetna Life Insurance Company's then current standard underwriting practices
established for applying pre-existing condition limitations to group accident and health insured plans in accordance with HIPAA,
Public Law No. 104-191.
Reimbursement for Aggregate Stop Loss Claims - The monthly budget feature standardly applies to Aggregate Stop
Loss claims as long as the Stop Loss policy remains in effect; however, this feature is not available under the following
conditions: 1) when customers choose to fund claims through multiple primary wire lines or 2) when customers choose
to fund claims through one primary wire line and report through one or more internal wire lines. For these plans,
reimbursement will be made within 120 days after the policy year end.
12/12/2008
www.aetna.com Stop Loss Assumptions ASC
Stop Loss Assumptions
City Of Round Rock Contractholder Number - 819919
Renewal Rate Period: 01/01/2009 through 12/31/2009
The Aggregate liability limit will equal the sold trigger factor times the number of months in the policy year times the total
number of covered Stop Loss lives reported for that policy year (exception: when a customer drops in size during the
policy year, the actual enrolled lives at the start of the policy year will be utilized to determine the liability limit for that
policy year).
Maximum Annual Aggregate Stop Loss Payment Amount - This quote assumes $1,000,000 Maximum Annual
Aggregate Stop Loss Payment Amount.
Individual Lifetime Stop Loss Payment Amount - This quote assumes a $1,000,000 Individual Lifetime Stop Loss
Payment Amount. The Individual Lifetime Stop Loss Payment Amount will be capped to be no greater than the
underlying lifetime medical plan maximum, for a given Participant, minus the Individual Stop Loss Amount in effect
for each policy period.
Producer Commissions - There are no producer commissions included for Stop loss
Prior to acceptance of this proposal, we reserve the right to withdraw or modify it for any reason. However, in no event
may this proposal, as it pertains to Stop Loss, be accepted after the earlier of a) 90 days from the date of this proposal,
or b) the proposed effective date for Stop Loss coverage.
12/12/2008
www.aetna.com Stop Loss Assumptions ASC
We want you to know®
)(Aetna
The Aetna Difference
Aetna* is one of the nation's leading providers of health care benefits. Our resources include one of the largest networks of physicians,
dentists, hospitals, pharmacies, and health professionals; extensive experience in claims payment and administration of innovative health
benefits and health insurance; and powerful online resources and self-service tools. Aetna is a leader, cooperating with doctors and
hospitals, employers, patients, public officials, and others to build a stronger, more effective health care system.
Broad Choice of Products and Services Helps You Provide Coverage For Your Employees
You know Aetna as a leader in health insurance. But we also offer a full range of insurance policies, including dental, pharmacy, group life,
and disability, each of which provides the high level of quality and service you demand. Whether taken individually or as a complete
package, they allow us to enhance your coverage. And Aetna harnesses the power of information to help you and your employees make
better, more informed decisions. This helps you control costs, and helps keep your employees healthy and productive.
Benefits Work Better ... Together
When Aetna's full range of benefits, Medical, Dental, Pharmacy, Disability, and Group Life are taken together, they can work in ways a
mixed bag of benefits can't. Aetna Integrated Health & Disability (IHD) is a concrete and compelling example of Aetna's strengths:
innovation, information and integration. IHD is a business process fundamentally about making the right connections early enough and at
the right time to create a better outcome for our members, plan sponsors and providers. Aetna gathers aggregated data and integrates it
across our areas of service — medical management, disability, Aetna Behavioral Health and Aetna Integrated Informatics® — to help
improve the overall health of our members, while potentially reducing medical costs for you and your employees. IHD may uncover
concerns earlier, which can help employees get back to health faster and return to work sooner. We combine predictive modeling, patient
information, early outreach, condition management and care coordination with our rehabilitation and return -to -work experience. The end
result is a holistic approach to the individual's health and ability to remain productive.
Innovative Consumer -Directed Plan Designs Help To Lower Medical Costs
Our accumulated information allows us to create innovative solutions like the Aetna HealthFund® integrated suite of health, dental, and
pharmacy. Did you ever think your employees could help you control health care costs? They can with Aetna HealthFund. These
consumer -directed plans gives employees responsibility for managing their own spending, and we'll give them the information they need to
spend wisely. It's the first integrated benefits suite of its kind, and it's only from Aetna, the pioneer in consumer -directed plans.
Personal Health Record (PHR)
We seek to empower consumers by helping them make better informed health decisions — decisions that will help them achieve their
optimal state of health. In keeping with this goal we have developed the Aetna CareEngine®-Powered Personal Health Record (PHR).
The PHR can help people become better informed, organized and active with regard to their health, health information, and health care. It
combines detailed, claims -driven information gathered from across the health care spectrum — such as physician offices, labs, diagnostic
treatment and pharmacies — with user -entered information such as family history or allergies. The result is a comprehensive health profile
that the member can access anytime online, and print to share with his or her doctor.
It also features targeted messages and alerts to members, informing them of opportunities to improve their health and well-being, reminding
them to consider alternative therapies or warning them of potentially dangerous medication errors.
While the PHR is populated by claims data and kept up-to-date without effort on the member's part, the member has the option of filling
gaps by entering information not provided by claims data. In addition, through our innovative health questionnaires, we will remind and
encourage members to input data to maintain the timeliness and accuracy in the PHR.
To learn more on how you can make history with the PHR please visit us at: http://www.aetna.com/makehistorv/
or please refer to the PHR brochure included within your renewal package.
We Can Make Your Job Easier
Choice and Flexibility In Health Benefits And Financial Protection Solutions
12/12/2008
www.aetna.com Aetna Difference
We want you to know®
)Aetna
Aetna offers a product portfolio aimed at balancing the needs of both employers and employees. We strive to maintain a competitive and
comprehensive health product portfolio of HMO- and PPO -based products, as well as consumer -directed health plans. These consumer -
driven plans have been created so employers and employees can more fully share the cost of health care. The Aetna HealthFund plans
give employers flexibility to customize product design and give members choice and control in directing their health benefits.
In addition, we develop and manage value-added programs to attract and retain members by giving them access to services and products
not typically covered under their health benefits plan or insurance plan. Our other products include dental, pharmacy, life, disability, and
stop loss. You can choose one or several products to best meet the needs of you and your employees.
We Deliver a Total Service Experience
We provide City Of Round Rock with customer -specific services so the plan functions smoothly. We designate a specific field office and
account manager as your primary contact.
The account manager listens to and consults around your health care concerns and recommends adjustments as your company grows or
changes. Through ongoing interaction, the account manager understands your position and works through benefits concerns.
Easy -To -Use Technology For Benefits Planning, Eligibility And Enrollment
Aetna offers an array of Internet -based applications that are designed to make it easier for City Of Round Rock to do business with us.
e.Plan Sponsor Monitor"rm is an easy-to-use online reporting tool that helps customers identify their health care spending patterns. Eligibility
transfer solutions, such as SecureTransportr", Aetna EZConnectT"", EZLinkT"', and EZenroll®, enable customers to quickly and efficiently
transmit information to Aetna. EZLink connects to our enrollment and billing systems and provides online eligibility, enrollment, account
maintenance, billing and electronic funds transfer. EZenroll is Aetna's online enrollment application that provides our customers with online
capability to access and modify employee eligibility.
We Support Members 24/7
For your employees, Internet tools include Aetna NavigatorTM, a self-service website that provides a single source for online health and
benefits information 24 hours a day, 7 days a week. Through Aetna Navigator, members can change their Primary Care Physician (PCP),
replace an ID card, research Aetna's products and programs, contact Aetna directly, and access a vast amount of health and wellness
information. Aetna Navigator also includes secure, personalized features for registered members including access to claims and benefits
status.
Medical Management Programs Help Promote Healthier Outcomes And Reduce Benefit Costs
One of Aetna's goals is to help people maintain their health as well as to identify the need for care early, in the lower risk categories of care.
By increasing the reach and impact of our proven medical services programs, Aetna continuously strives to connect care with individual
needs. We're making it easier for employers to control costs while providing quality coverage. We offer innovative case and disease
management programs as regular components of our plans. The intention is to proactively identify members who have chronic illnesses
and intercede to provide them with educational resources to help them better manage their conditions.
Aetna Integrated Informatics, our data analysis subsidiary, uses predictive modeling and risk stratification to identify members for early
outreach.
Aetna Health Connections Disease Management — Our Aetna Health Connections Disease Management program provides innovative
and individualized clinical programs, information and support for total, integrated health management to help members achieve their optimal
state of health. Aetna Health Connections Disease Management integrates a full suite of 34 chronic conditions and common co -morbidities
in a holistic fashion, with an Aetna nurse acting as a generalist to address the total health of those members who will benefit most from
disease management services. (User Notes: If group is fully insured, pls remove the following statement. If group is ASC, pls leave
this statement on.) Please ask your account manager for pricing information regarding this program.
Our program also includes MedQuery®, which uses member data such as medical claims, pharmacy claims, laboratory reports, self-
reported data, and demographic information to identify potential gaps in care. This information is shared with physicians to help improve
clinical quality and patient safety.
Information Sharing Helps Improve Quality And Safety Of Care
12/12/2008
www.aetna.com Aetna Difference
We want you to know®
)Aetna
One of our newest efforts is Aetna's MedQuerysM program, a data -mining initiative that turns Aetna's member health data into information
that physicians can use to improve clinical quality and patient safety. Through the MedQuery program, Aetna's data are analyzed and the
resulting information gives physicians access to a broader view of a patient's clinical profile. The data that fuels this program include claims
history, current medical claims, pharmacy, physician encounter reports, patient demographics and evidence -based treatment
recommendations.
At Aetna, our medical services model is not just about return on investment and the savings you can experience through our programs and
services. It's also — and perhaps more importantly — about the people. It's about Aetna's commitment to facilitate access to quality, cost-
effective health care to affect better health outcomes.
Aetna Affordable Health ChoicessM Provides Benefits To Non -Traditional Employees
In August 2004, we announced the acquisition of Strategic Resource Company (SRC), the latest in a series of targeted acquisitions
designed to enhance the scope of our product and service offerings and increase our ability to serve new market segments. SRC, An
Aetna Company"' offers an innovative solution for unbenefitted employees (i.e. Part-time, waiting period, seasonal, temporary, per diem,
etc.) Through SRC, we can offer quality, affordable coverage to this important segment of the workforce, which provides significant value
to these individuals and plan sponsors as well. SRC offers affordable medical, dental, life, disability, vision and pharmacy insurance
administered through payroll deductions. Specifically, our experience shows that offering these benefits reduces turnover in this population
and therefore, positively impacts acquisition, hiring and training costs. Please contact your Account Manager if you would like more details.
Vital Savings by Aetna SM provides dental discount card program
Vital Savings by Aetna ski- is a program that provides access to discounts for dental services from participating dental providers, as well as
access to discounted fees for vision services and supplies through the Vision One discount program. These dental discounts are the same
as Aetna's Dental PPO discounts (average 30% nationally). This program is NOT an insurance plan. Participants simply present their
Vital Savings ID card when they visit a participating dental office. Participants are responsible for payment of 100% of the fee directly to the
dentist at the time services are rendered. There are no claims with this program.
Vital Savings provides access to a network of 64,700+ dental office locations nationwide and it targets the 40 percent of Americans who
currently lack dental insurance.
The Vital Savings Program is currently available to plan sponsors with 51+ employees who perform traditional benefit administration
functions such as collection of enrollments, payroll deduction of fees and remittance of fees via Service Fee Billing.
There are two main options available for Vital Savings — a group billing option and an individual billing option.
In addition, Vital Savings fees are eligible for pre-tax payroll deductions for employees/retirees under age 65.
"Aetna" is the brand name used for products and services provided by one or more of the Aetna group of subsidiary
companies. The Aetna companies that offer, underwrite or administer benefit coverage include Aetna Health Inc.,
Aetna Health of California Inc., Aetna Health of the Carolinas Inc., Aetna Health of Illinois Inc., Aetna Dental Inc., Aetna
Dental of Califomia Inc., Aetna Life Insurance Company, Aetna Health Insurance Company of New York, Corporate
Health Insurance Company and Aetna Health Administrators, LLC.
These health benefit and health insurance plans contain limitations and exclusions.
Policy form numbers include GR -29, GR -700-W, GR -88435.
12/12/2008
www.aetna.com Aetna Difference
INDIVIDUAL. BILLING
KEY ACCOUNTS COBRA
TION — CITY OF ROUND ROCK
SEs - 01/01/2009 -12/3112009
Installation or Restructure Fee:
For a direct billing arrangement setup within a control number. Payable only in the first
year. A full or partial charge may also be applied for restructures after the initial setup.
(e.g., whenever new records must be established for existing continuees who are being
moved to a new or revised control, suffix, plan or account structure.)
*There is a monthly service fee minimum of $150.00
Fee Per COBRA Participant Per Month (PPPM):
Monthly PPPM fee charged for each primary participant/subscriber enrolled in COBRA
Services Include:
• Billing and collection
• Delinquent monitoring
• Member record maintenance
• Dedicated Customer Call Center with toll free number for members available
Monday -Friday 8 AM — 9 PM ET
• Dedicated Processing Center
• Dedicated Account Service Representatives for Plan Sponsor issues
• Funds distribution to Insurance Carriers and Plan Sponsor
• Account maintenance
• Monthly management reports
• Electronic Eligibility (twice weekly)
Initial Notification Statement
The plan sponsor requests that Aetna sends out notification to newly hired employees
detailing COBRA rights in the event that they or a covered family member experience a
COBRA event.
Cost per notice mailed
Qualifying Event Notification:
For each Qualified Beneficiary the employer has requested Aetna to send out
enrollment/notification materials after a qualifying event. Fees vary based on method of
Aetna receiving source information from Employer:
a) FTP File
HIPAA Certification Notices (Optional Service)
Cost per certificate mailed
Fee for Specialized Services (PPPM):
Fee for Members maintained in the Individual Billing System for eligibility only.
2009 Fees
$1,000
$ 7.00
$3.25
$8.35
$3.00
$3.10
Explanation of Fees
Explanation of Services
Service Category
dministration services:
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2009 FSA Renewal_8199211106.xls
DATE: December 31, 2008
SUBJECT: City Council Meeting — January 8, 2009
ITEM: 8C4. Consider a resolution authorizing the Mayor to execute a letter from
Aetna dated December 12, 2008 indicating acceptance of Aetna's health
benefits services for the renewal of the 2009 policy period.
Department:
Staff Person:
Justification:
Human Resources
Teresa Bledsoe, Director of Human Resources
The agreements for the services Aetna provides will terminate December 31, 2008. This
resolution will ensure continuity of service for the 2009 Plan year. Beginning mid -year of 2009,.
we will beginning the soliciting proposals for all services for Plan Year 2010.
Funding:
Cost: General Fund, Water/Wastewater Utility Fund
The cost of this insurance is a function of the number of employees and
dependent units covered.
Source of funds: City contribution and employee paid premiums for health care.
Outside Resources: N/A
Background Information:
For the past three years we have utilized Aetna to provide health benefit services. These
services include third party administration for COBRA, FSA, Claims processing, Stop Loss,
prescription drugs and other related services. Good program management dictates that we
explore other providers for these services.
Public Comment: N/A
EXECUTED
DOCUMENT
FOLLOWS
We want you to know®
)(Aetna"
December 12, 2008
City Of Round Rock
Linda Gunther
221 East Main Street
Round Rock, TX 78664
Dear Ms. Gunther:
Kendra Hoduski
Account Manager
Great Hills Corporate Ctr. Bld 3 9050 Capital of Texas Highway North Suite 150
Austin, TX 78759
Phone: 512-349-1974
Fax: 512-346-7406
HoduskiKaetna.com
Thank you for allowing us to serve your health insurance and health benefit needs over the past year. We are hopeful that
this package will provide you with the information you need in order to develop your company's future benefits program. As we
approach the January anniversary of your program with our company, we are pleased to present you with our
renewal for the 2009 policy period.
At Aetna*, we believe it is fundamental that you understand the full financial picture of your benefit plan. Therefore,
the enclosed package provides the following important information about the cost of your current program, potential
changes you may want to consider and the value that Aetna brings to you and your company.
I. Future Program Costs - This section illustrates the cost projections to operate your current benefit
program for the period 01/01/2009 through 12/31/2009. This section contains the following:
illustrative administrative service fees, and a Stop Loss exhibit.
For the 01/01/2009 through 12/31/2009 contract period, the fee will increase
6.9% for medical and 1.2% for dental and 0% for vision.
Also included in this section is renewal information regarding your Stop Loss coverage. Aetna's
charge for maintaining your current Stop Loss protection levels will increase 6.0% over the current rate.
Your aggregate trigger factor will increase 7.3%.
II. Utilization Overview - This section contains graphs pertaining to your benefit program.
III. Program Services Included, Financial Assumptions, and Stop Loss Assumptions
Program Services Included - This section includes additional services that have been included in our
pricing or require an additional fee.
Financial Assumptions - Our renewal offer is contingent upon the parameters
outlined here. It is important to note that deviations from these assumptions may result in
additional charges and/or adjustments on our Life, Medical and Dental quotations for
conventional premiums, Service Fees, and Stop Loss rate(s) and factor(s). Customer
Notifications of any Aetna initiated changes for the upcoming contract period are
outlined here. Please review this section thoroughly.
Stop Loss Assumptions - This section includes specific information regarding what's included
and excluded from your Stop Loss quotation, plus there is a separate page explaining leveraged trend.
IV. The Aetna Difference - This section outlines the latest Aetna facts that we would like you to know
about our company. We hope that by reading this information you will better understand
the many ways we are striving to provide quality healthcare programs and services to companies like yours.
In the absence of any changes impacting the conditions of this renewal as outlined in the Financial
Assumptions section, the rates, fees, and factors presented here will remain in effect through December 31, 2009.
If you have any questions, please contact me at 512-349-1974.
We are committed to working with you to provide quality products and services that reinforce
your decision to do business with Aetna and help manage your current and future health care costs.
Sincerely, Accepted for City of Round Rock
By: v
Title: Vi Ali a1 -
Account Manager Date: 1. g • U 9
Senior Underwriting Consultant
."Aetna" is the brand name used for products and services provided by one or more of the Aetna group of subsidiary
companies. The Aetna companies that offer, underwrite or administer benefit coverage include Aetna Health Inc.,
Aetna Health of California Inc., Aetna Health of the Carolinas Inc., Aetna Health of Illinois Inc., Aetna Dental Inc., Aetna
Dental of California Inc., Aetna Life Insurance Company, Aetna Health Insurance Company of New York, Corporate
Health Insurance Company and Aetna Health Administrators, LLC.
These health benefit and health insurance plans contain limitations and exclusions.
Policy form numbers include GR -29, GR -700-W, GR -88435.
11.--09.0 - o9-ticz(-
Administrative Service Fees
ASC
City of Round Rock
Renewal Period: 1/1/09 through 12/31/09
Contractholder Number - 819919
• The below Administrative Service Fees will become effective 1/1/09.
• The fees below exclude charges for items such as printing, special reports and late fees.
These will be billed separately.
• The below ASC fees assume that Aetna will be Claim Fiduciary for Level 1 and Level appeals. City of Round Rock
performs claim ficuciary for voluntary appeals after Levels 1 & 2 are exhausted (Option 4).
• Simple Steps to a Healthier Life is included in the below ASC fees.
• Beginning Rights"' Maternity Program is included in the below ASC fees.
• The National Advantage with Facility Charge Review programs have been included in
the renewal at a charge of 50% of any attained savings.
• Rx rebate share is 50%.
• Effective Jan 1,2009, our Healthy Outlook Disease Management program will be discontinued and replaced by Aetna
Health Connections. Our Aetna Health Connections Disease Management program includes MedQuery and is offered
for an additional $3.95 PEPM. This is included in the fees below.
Service Fee Comparison
12/12/2008
Projected Number of Enrolled Employees
Choice II/APM 756
Dental 766
Vision 766
Administrative Service Fees as Billed
Choice II/APM (PEPM)
Dental (PEPM)
Vision (PEPM)
Administrative Service Fees as Total Dollars
Current Period Projected Period
1/1/08-12/31/08 1/1/09-12/31/09 % Change
38.57 **
4.26
1.00
41.23
4.31
1.00
Choice II/APM 349,907 374,038
Dental 39,158 39,618
Vision 9,192 9,192
6.90%
1.17%
0.00%
Total Service Fee $ 398,257 $ 422,848 6.17%
Illustrative - Includes Aetna Health Connections
www.aetna.com ASC Fees
Stop Loss Exhibit
ASC
City of Round Rock
Renewal Period: 1/1/09 through 12/31/09
Contractholder Number - 819919
• Minimum Stop Loss Aggregate Limit will be set using the first month enrollment x
Stop Loss Aggregate Limit (PEPM) Composite Factor x number of contract months.
• Premium rates are billed and Aggregate Factors are administered on a composite basis.
• Please see the Stop Loss Caveats for additional information.
• Quote assumes Plan change on High plan - In network Ded from $250 to $350.
Plan Characteristics
Individual Limit
Aggregate Limit
Stop Loss Coinsurance Level
Mental/Nervous Apply
Contract Basis
Terminal Liability Option
Benefits applied to ISL
Benefits applied to ASL
Commissions
Individual Lifetime Stop Loss Payment
Maximum Annual ASL Payment
Policy Period Length (months)
Cost & Factors
Total Expected Claims with Stop Loss
Attachment Point
Lives covered under Stop Loss
Rate Cost/ee/month
Trigger Factor
Comparisons
12/12/2008
Annual Stop Loss premium
(at proposed lives of 756)
Maximum Claim Liability
(at proposed lives of 756)
% Increase in Rate/ee/month
% Increase in Trigger Factor
Current
$ 75,000
125%
100%
Yes
Paid
No Extension (N/A)
Rx/Medical
Rx/Medical
0%
$ 1,000,000
$ 1,000,000
12
$ 4,216,067
5,270,084
718
$ 91.10
$ 611.66
$ 826,459
$ 5,549,002
www.aetna.com
Renewal with Plan
Chg - Ded $350
Option 1
$ 75,000
125%
100%
Yes
Paid
No Extension (N/A)
Rx/Medical
Rx/Medical
0%
$ 1,000,000
$ 1,000,000
12
$ 4,762,800
5,953,500
756
$ 96.56
$ 656.25
$ 875,992
$ 5,953,500
6.0%
7.3%
ASC Stop Loss
Utilization Overview
City Of Round Rock
Contractholder Number - 819919
Current Data For Claims Processed/Paid June 01, 2007 - May 31, 2008
Plan Paid by Demographic Split
35%
30%
25%
20%
15%
10%
5%
0%
Customer Current
Percent of Membership, Claimants and Plan Paid Comparison
0 to 19 Males
0 to 19 Females
20 to 44 Males
20 to 44 Females
45 to 64 Males
45 to 04 Females
D % of Members • % of Claimants 0 % Plan Paid
65/Ozer Males
65/O,er Females
Top Hospitals
Top 7 Hospitals
Valley Baptist M C Brownsville,
TX
University Health System San
Antonio, TX
Staten M ed Ctr Austin, TX
Round Rook M C Round Rock,
TX
Heart Hospital or Austin
Austin, TX
N Austin MC - HCA AM.
Austin, TX
12/12/2008
txvw.aetna.com Utilization Overview
Programs and Services
City Of Round Rock
Renewal Rate Period: 01/01/2009 through 12/31/2009 Contractholder Number - 819919
Programs and Services
We have provided a list, by product, of those programs and services that are included or available to City Of Round Rock.
Programs and services that are optional are noted with a $ sign and require an additional fee, for specific pricing
please contact your Account Manager, Darryl Rogers
Programs and services that are not available for particular products are identified as N/A.
12/12/2008
www.aetna.com
Program & Services ASC
Choice® POS II
General Administration
Account Management
Included
Customer Team Services
Included
Banking
Included
Communication Materials
Included
Eligibility (Standard)
Included
Customized Forms
$
Printing of Booklets or Certificates
$
Claim Fiduciary & External Review (Details on
Financial Assumption Tab)
$
HIPAA Administration
Included
Claims Subrogation
Included
Claim & Member Services
Claim Administration
Included
Member Services
Included
Network Administration
Network Management
Included
Provider Relations
Included
National Advantage Program
Included
- Facility Charge Review
Included
- Itemized Bill Review
$
Rural PPO Network Program
$
Dental Medical Integration (DMI)
N/A
Network Access Services
Medical Network Discount (Details on Medical
Network Access Charge of Financial
Assumption Tab)
$
Dental Network Discount
N/A
Patient Management
Precertification
Included
High Tech Radiology Precertification and
Steerage
$
Case Management
Included
Concurrent Review
Included
Discharge Planning
Included
Aetna Compassionate Care Program
Included
National Medical Excellence
Included
Rx Step Therapy
N/A
Save-A-Copay
N/A
Rx Check
N/A
12/12/2008
www.aetna.com
Program & Services ASC
Programs and Services
City Of Round Rock
Renewal Rate Period: 01/01/2009 through 12/31/2009 Contractholder Number - 819919
Programs and Services
We have provided a list, by product, of those programs and services that are included or available to City Of Round Rock.
Programs and services that are optional are noted with a $ sign and require an additional fee, for specific pricing
please contact your Account Manager, Darryl Rogers
Programs and services that are not available for particular products are identified as N/A.
12/12/2008
www.aetna.com Program & Services ASC
Choice® POS II
Wellness & Health Management
Aetna Health Connections- Disease
Management
Included
MedQuerysM
- Member Messaging
$
Healthy Outlook Program® (sunset 12/31/08
group has to move to AHC - DM effective
1/1/09)
N/A
- Caring for Asthma
$
- Caring for Heart Failure
$
- Caring for Diabetes
$
- Caring for CAD
$
Enhanced Member Outreach (1,000+ ee's-
Fee will vary based on Member to employee
ratio)
$
Simple Steps To A Healthier Life
Included
Simple Steps To A Healthier Life® Reward
Tracking
$
CareEngine® Personal Health Record
$
Wellness Counseling
$
Healthy Body, Healthy Weight Program (1,000
$
Beginning RightsM (formerly Mom -to -Babies)
Included
Quit Tobacco Program
$
Informed Health® Line - Nurseline (800 #) only
$
Informed Health® Line - Plus
$
Value Add Programs
Fitness Program (GlobalFit)
Included
Aetna Natural Products & Services Program
Included
Vision One® Discount Program
Included
Standard Behavioral Health
Focused Psychiatric Review
N/A
Managed Behavioral Health
Included
- Med/Psych Program
$
12/12/2008
www.aetna.com Program & Services ASC
Programs and Services
City Of Round Rock
Renewal Rate Period: 01/01/2009 through 12/31/2009 Contractholder Number - 819919
Programs and Services
We have provided a list, by product, of those programs and services that are included or available to City Of Round Rock.
Programs and services that are optional are noted with a $ sign and require an additional fee, for specific pricing
please contact your Account Manager, Darryl Rogers
Programs and services that are not available for particular products are identified as N/A.
12/12/2008
www.aetna.com Program & Services ASC
Choice@ POS II
Behavioral Health Disease Management
Programs (Must have both Medical & BH with
Aetna)
- Alcohol Disease Management
$
- Anxiety Disease Management
$
- Depression Disease Management
$
Case Management Behavioral Health Programs
- Intensive Case Management
$
Member Internet Services
Public Sites
DocFind®
Included
InteliHealth®
Included
Pharmacy Information
N/A
Learning Resources
Included
Secure Sites
Staying Healthy
Included
Estimate the Cost of Care Tool
Included
Claim Research/Forms/Contact us
Included
Spanish version
Included
Plan Sponsor Internet Services
e.Plan Sponsor MonitorTM Reporting
Aetna Integrated Informatics'
- Level A Reporting
Included
- Level B Reporting
Included
- Level C Reporting
$
- Level D Reporting
$
- Disease Management Activity Report
(DMAR)
Included
- Ad hoc Reporting (2hrs/cal years for 100 to
999 medical ees, 4hrs/cal year for 1000 to
2999, 12 hrs/cal year for 3000 to 4999)
Included
Third Party Stop Loss Reporting
$
Aetna Navigator Reporting
Included
12/12/2008
www.aetna.com Program & Services ASC
Financial Assumptions
City Of Round Rock Contractholder Number - 819919
Renewal Rate Period: 01/01/2009 through 12/31/2009
• Services Agreement ("Contract") Period - The contract period begins on the effective date of January 01, 2009
and will be applicable for a 12 month period. Our contracts provide for automatic renewal upon the completion of each contract
period unless either party invokes the termination provision, which requires 31 days advance written notice of termination to the other
party. This provision may be invoked at any time during the continuance of the contract and is not limited to termination occurring on
the renewal date.
• Enrollment and Funding Assumptions - Based on this census information and the subsequent access analysis, we have assumed
that approximately 756 employees will be enrolled for medical coverage. Our renewal quote assumes that
coverage will not be extended to additional employees without review of supplemental census information and other underwriting
information for appropriate financial review. The following illustrates the funding arrangement and enrollment assumptions by line of
coverage:
Coverage
Funding Arrangement
Assumed Enrollment
Choice POS II
Self -Funded
756
Dental - PPO
Self -Funded
766
Basic Vision
Self -Funded
766
Total Medical Enrollment
756
• Individual Medical Conversion Policies - This policy is unavailable (excluded) for all self-insured arrangement. As a reminder,
most self insured group plans offer COBRA continuation (18, 29 or 36 months) to employees upon group termination.
Self -Funded Fee Guarantee
The mature fees are guaranteed according to the per employee per month fees as illustrated on the financial exhibits.
Advance Notification of Fee Change — We will notify City Of Round Rock of any fee change at least 60 days prior to the effective date
of the fee change.
Guarantee Parameters - Aetna reserves the right to recalculate the guaranteed fees to take effect on the date a contingent event
described below occurs. In such case, City Of Round Rock will be required to pay any difference between the fees collected and the
new fees calculated.
Aetna may recalculate:
12/12/2008
1. If, for any product:
a. There is a 15% decrease in the number of employees from our enrollment assumptions by site or by
product, or from any subsequently reset enrollment assumptions.
b. The change in member -to -employee ratio is greater than 15%. We have assumed a member -to -employee
ratio of 1.97.
c. The change in number of processed claim transactions (PCTs) per employee is greater than 15%. We
have assumed 22.7 PCTs per employee per year. We define a processed claim transaction, or PCT, for
medical or dental benefits as any transaction with respect to a benefit request or predetermination of
dental benefits for expenses incurred or expected to be incurred by one claimant in any one calendar year
for a major line of coverage, including but not limited to benefit payment, benefit denial, pended request or
decision on an appeal of a denied benefit request.
www.aetna.com Financial Assumptions ASC
Financial Assumptions
City Of Round Rock Contractholder Number - 819919
Renewal Rate Period: 01/01/2009 through 12/31/2009
d. There is a 15% increase in the retiree percentage from that assumed or from any subsequently reset
assumptions. We have assumed that 1.7% of the enrolled employees are over 65 retirees.
2. If there is a material change in the plan of benefits initiated by City Of Round Rock or by legislative or
regulatory action.
3. If there is a material change initiated by City Of Round Rock or by legislative or regulatory action in the
claim payment requirements or procedures, account structure, or any change materially affecting the
manner or cost of paying benefits and/or administering the plan.
• Run -Off Claims Processing - Your administrative service fees are mature; we have included the cost of processing self-funded run-
off claims for 12 months following the termination of our administrative service agreement.
• Mental Health/Substance Abuse Benefits - Our renewal quote assumes that mental health/chemical dependency benefits are
included.
• Prescription Drug Benefits - Our renewal quote assumes that prescription drug benefits are included and will be provided through
Aetna Pharmacy Management at the per employee per month fee shown on the financial exhibits.
• Direct Member Reimbursement (DMR) claims are Pharmacy claims (incurred in or out -of -network) submitted by eligible members
to APM and processed in APM's DMR unit. These claims are not adjudicated on-line at point of service subject to the copay. They are
paid in full by the member. A surcharge is necessary to recoup the additional cost of processing DMR claims and to provide an
additional incentive to plan sponsors to educate their employees on how to use their APM program to minimize the occurrence of DMR
claims. For 2009, the charge is $2.95 per script for Non -Off Shore and $1.80 per script for Off -Shore Processing.
• Management Formulary Rebates —
City Of Round Rock would receive 50% percent of the manufacturer volume discounts we receive based on actual utilization of
formulary drugs under contract. The percent share is based solely on the number of employees enrolled in the pharmacy benefit plan.
• MedQuerysM is a program that uses member data such as medical claims, pharmacy claims, laboratory reports, and demographic
information to identify potential gaps in care. This information is shared with physicians to help improve clinical quality and patient
safety. MedQuerysM can be included for an additional $1.75 per employee per month for our self-funded medical products.
Our MedQuery Standard Member Messaging program is included as part of our MedQuery program. Our MedQuery Member
Messaging program includes sending a consumer version of the care consideration by letter to the member. The letter encourages
the member to call his or her doctor to discuss the care consideration and is sent only after the care consideration is communicated to
the treating physician, to allow the physician time to evaluate the issue. Our Standard Member Messaging option is standardly
included.
Our MedQuery Enhanced Member Messaging program is also available as an option to our MedQuery program. Our MedQuery
Enhanced Member Messaging program is offered to those members who are not participating in Aetna Healthy Connections Disease
Management program. MedQuery Enhanced Member Messaging can be included for an additional $0.20 per employee per month for
our self-funded medical products.
Effective January 1, 2009, Healthy Outlook Programs on a per participating member per month basis charged thru the claim wire will
be discontinued. This will be replaced by Aetna Health Connections on a per member per month basis.
Aetna Healthy Outlook Program - . Effective January 1, 2009, we will no longer be offering the Healthy Outlook Program. This
program will be discontinued and replaced by Aetna Health ConnectionssM (Disease Management) programs on a per employee per
month basis. The new program expands our capabilities, allowing us to provide disease management services for more than 34
conditions. For your next renewal, please consider signing up for Aetna Health Connections. To learn more about this program, please
contact your Aetna sales representatives.
12/12/2008
www.aetna.com Financial Assumptions ASC
Financial Assumptions
City Of Round Rock Contractholder Number - 819919
Renewal Rate Period: 01/01/2009 through 12/31/2009
Aetna Health Connections Disease Management — Our Aetna Health Connections Disease Management program provides
innovative and individualized clinical programs, information and support for total, integrated health management to help members
achieve their optimal state of health. Aetna Health Connections Disease Management integrates a full suite of 34 chronic conditions
and common co -morbidities in a holistic fashion, with an Aetna nurse acting as a generalist to address the total health of those
members who will benefit most from disease management services.
Our program also includes MedQuery® which uses member data such as medical claims, pharmacy claims, laboratory reports, self-
reported data, and demographic information to identify potential gaps in care. This information is shared with physicians to help
improve clinical quality and patient safety.
Our Aetna Health Connections Disease Management with included Medquery programs charge for City Of Round Rock will be on a
per employee per month basis at $3.95 pepm.
• National Advantage Program - Aetna's National Advantageml Program allows plan sponsor's access to contracted rates for many
medical claims that currently are paid at billed charges under indemnity plans, the out -of -network portion of managed care plans, or for
emergency/medically necessary services not provided within the standard network. The NAP network consists of many of Aetna's
directly -contracted hospitals, ancillary providers, and physicians as well as hospitals, ancilliary providers, and physicians accessed
through vendor arrangements where Aetna doe snot have direct contractual arrangements. The average savings to our customers -
before NAP fees - range from 15 percent to 25 percent of billed charges depending on product. Discounts vary by geographic region.
The NAP fee is not a part of the overall per employee per month (PEPM) administrative service fee calculation for the plan sponsor. It
is automatically charged to plan sponsors as part of their claim charges. It is charged only if savings are achieved.
This standard percentage for City of Round Rock is 50 percent and has been assumed in this self-funded proposal.
• Facility Charge Review Program - The Facility Charge Review Program (FCR) is an additional feature of the National Advantage
Program (NAP) for self-funded plans which has been included as part of this proposal. It provides reasonable charge allowance
review for most inpatient and outpatient facility claims under indemnity plans, the out -of -network portion of managed care plans, or for
emergency/medically necessary services not provided within the network, where a NAP contracted rate is not available. FCR is only
available in conjunction with NAP and is not available separately. The fee for the Facility Charge Review feature of NAP is the same
as the NAP fee, 50% of savings and is not included in the per employee per month fee.
A listing of participating NAP hospitals, facilities, and physicians can be found on Docfind®, Aetna's online provider listing, on our
website at www.aetna.com.
We will recalculate plan sponsor's administrative service fee if either of the following changes are made: group discontinues the
National Advantage Program or group changes the facility charge review program.
• Claim Fiduciary (Option 4) — Our quoted Administrative fees assume Aetna will be the ERISA claim fiduciary for the first level of
mandatory plan appeal for all denied claims and for the second level of urgent care claims for the medical and dental coverages.
City Of Round Rock will be the ERISA claim fiduciary for all other second -level appeals. The claim fiduciary is responsible for final
claims determination and the legal defense of the decisions it makes.
• External Review - External Review is offered as an option to self-funded customers. External review utilizes outside vendors who
coordinate a medical review through their network of outside physician reviewers. Customers who retain claim fiduciary responsibility
may choose to include this service and Aetna will pass the actual vendor charges through on a direct charge basis.
• Health Insurance Portability and Accountability Act (HIPAA) - Our proposal assumes that Aetna will be providing HIPAA
certifications of coverage for terminated employees.
• Data Transfer at Termination - Upon contract termination, we agree to cooperate with succeeding administrators in producing and
transferring required claim and enrollment data. Data will be transferred within 30 days after determination of
City Of Round Rock's specific format and content requirements, subject to a charge that is based on direct labor cost and data
processing time.
• Late Fee Payment - If City Of Round Rock fails to provide funds on a timely basis to cover benefit payments as provided in the
Agreement, and/or fails to pay Service Fees on a timely basis as provided in such Agreement, Aetna will assess a late payment
charge.
12/12/2008
www.aetna.com Financial Assumptions ASC
Financial Assumptions
City Of Round Rock Contractholder Number - 819919
Renewal Rate Period: 01/01/2009 through 12/31/2009
The charges for 2008 are:
- late funds to cover benefit payments (e.g., late wire transfers after 24-hour request): 9.0% annual rate
- late payments of Service Fees after 31 day grace period: 9.0% annual rate
Aetna will provide written notice to City Of Round Rock of late payment charges for subsequent years. The late payment charges
described in this section are without limitation to any other rights or remedies available to Aetna under the Agreement or at law or in
equity for failure to pay.
• Medical EOB Suppression — Unless required by state law, we do not produce EOBs for claims when there is no member liability.
Additionally, EOBs are always available electronically through Aetna Navigator on our website www.aetna.com.
• Claims Subrogation - Aetna has entered into an agreement with the firm of Rawlings & Associates to provide comprehensive
subrogation services. There is no administration charge from Aetna to utilize the subrogation program, however, a contingency fee is
collected upon recovery for self-funded customers. The fee currently in place with Rawlings is 27.0%.
• Broker/Consultant Compensation - The quoted fees do not include broker/consultant compensation.
• Third -Party Audits - While in most cases we do not request reimbursement for internal costs associated with a third -party audit, we
reserve the right to recoup these expenses if significant time and materials are required. A complete description of the terms and
conditions of our audit policies is outlined in our Services Agreement.
• Additional Products and Services - Costs for special services rendered, which are not included or assumed in the
pricing guarantee will be direct billed. For example, City Of Round Rock would be subject to additional charges for customized
communication materials, as well as costs associated with custom reporting, booklet and SPD printing, etc.
The costs for these types of services would depend upon the actual services performed and would be determined at the time the
service is requested. A list of these special services can be found on the Programs and Services Sheet.
12/12/2008
www.aetna.com Financial Assumptions ASC
Stop Loss Assumptions
City Of Round Rock
Renewal Rate Period: 01/01/2009 through 12/31/2009
Contractholder Number - 819919
This caveat document outlines specific information for the quotation provided on 08/20/2008.
Stop Loss is available to cover claims for all of the Plan Sponsor's eligible employees and their dependents who
are enrolled on a timely basis and are covered under the ASC plan, provided the employee satisfies the following
definition: an employee means an employee of the Insured who Aetna determines is physically able to perform all
the regular duties of employment, is regularly working at least 25 hours per week and for whom the Insured is
deducting any required U.S. FICA taxes. Retirees under65/over 65 have been included in this quotation at the Plan
Sponsor's request.
This is a firm quote
Stop Loss Policy Year - The Stop Loss policy year must agree with the ASC contract year, both of which must end on
the customers standard renewal date.
Rate/Factor Adjustments - We reserve the right to adjust the premium rate and Aggregate factor during the policy year if
there are a) changes to the medical plan, b) deviations from any of our quote assumptions (e.g. policy period, type of
Stop Loss coverage, runoff coverage for employees who terminated prior to the renewal date, etc.), or c) changes in
other factors bearing on the Stop Loss risk that result in a combined manual change of 10% or more (e.g. , single/
family split, age/gender mix, etc.). However, we will not change the rate or factor based on changes in the make-up of
the group unless the number of covered employees (either in total, by type of medical plan, by single/family split, by age/
gender or by location) changes by more than 10% from the number assumed in the quote. We also will not change the
rate or Aggregate factor based on actual Stop Loss experience after the effective date.
Family Participation - This quotation assumes 43.5% family participation.
Large Group Acquisition - In the event that a large group (in excess of 10% of total covered lives) is acquired after the
original effective date and is covered under the Stop Loss policy, we reserve the right to underwrite the individuals within
this group based on current large claim data provided by the customer. If this information is not forthcoming, we will
apply the Actively -at -Work and Dependent Non -Confinement underwriting rules to those in the new group on the effective
date of their coverage under Stop Loss.
Coverages Excluded from Individual Stop Loss - Non-integrated (APM, PCS) drug benefits will apply to the Individual
Stop Loss limit while separate ancillary benefits such as: Dental, Vision and Temporary Disability will not apply to the
Individual Stop Loss limit.
Coverages Included under Aggregate Stop Loss - Aggregate Stop Loss coverage includes the following benefits:
Medical and Pharmacy
Mental/Nervous and Substance Abuse - Mental/Nervous and Substance Abuse claims will be covered by Individual and
Aggregate Stop Loss only when Aetna's vendor provides these benefits. If these benefits are provided by an outside
vendor, the claims resulting from these services will be excluded from Individual and Aggregate Stop Loss.
HIPAA — Stop Loss coverage for new entrants (those who become covered after the Stop Loss effective date) are subject to HIPAA's
pre-existing conditions limitation in accordance with Aetna Life Insurance Company's then current standard underwriting practices
established for applying pre-existing condition limitations to group accident and health insured plans in accordance with HIPAA,
Public Law No. 104-191.
Reimbursement for Aggregate Stop Loss Claims - The monthly budget feature standardly applies to Aggregate Stop
Loss claims as long as the Stop Loss policy remains in effect; however, this feature is not available under the following
conditions: 1) when customers choose to fund claims through multiple primary wire lines or 2) when customers choose
to fund claims through one primary wire line and report through one or more internal wire lines. For these plans,
reimbursement will be made within 120 days after the policy year end.
12/12/2008
www.aetna.com Stop Loss Assumptions ASC
Stop Loss Assumptions
City Of Round Rock Contractholder Number - 819919
Renewal Rate Period: 01/01/2009 through 12/31/2009
The Aggregate liability limit will equal the sold trigger factor times the number of months in the policy year times the total
number of covered Stop Loss lives reported for that policy year (exception: when a customer drops in size during the
policy year, the actual enrolled lives at the start of the policy year will be utilized to determine the liability limit for that
policy year).
Maximum Annual Aggregate Stop Loss Payment Amount - This quote assumes $1,000,000 Maximum Annual
Aggregate Stop Loss Payment Amount.
Individual Lifetime Stop Loss Payment Amount - This quote assumes a $1,000,000 Individual Lifetime Stop Loss
Payment Amount. The Individual Lifetime Stop Loss Payment Amount will be capped to be no greater than the
underlying lifetime medical plan maximum, for a given Participant, minus the Individual Stop Loss Amount in effect
for each policy period.
Producer Commissions - There are no producer commissions included for Stop loss
Prior to acceptance of this proposal, we reserve the right to withdraw or modify it for any reason. However, in no event
may this proposal, as it pertains to Stop Loss, be accepted after the earlier of a) 90 days from the date of this proposal,
or b) the proposed effective date for Stop Loss coverage.
12/12/2008
www.aetna.com Stop Loss Assumptions ASC
We want you to know®
)Aetna
The Aetna Difference
Aetna* is one of the nation's leading providers of health care benefits. Our resources include one of the largest networks of physicians,
dentists, hospitals, pharmacies, and health professionals; extensive experience in claims payment and administration of innovative health
benefits and health insurance; and powerful online resources and self-service tools. Aetna is a leader, cooperating with doctors and
hospitals, employers, patients, public officials, and others to build a stronger, more effective health care system.
Broad Choice of Products and Services Helps You Provide Coverage For Your Employees
You know Aetna as a leader in health insurance. But we also offer a full range of insurance policies, including dental, pharmacy, group life,
and disability, each of which provides the high level of quality and service you demand. Whether taken individually or as a complete
package, they allow us to enhance your coverage. And Aetna harnesses the power of information to help you and your employees make
better, more informed decisions. This helps you control costs, and helps keep your employees healthy and productive.
Benefits Work Better ... Together
When Aetna's full range of benefits, Medical, Dental, Pharmacy, Disability, and Group Life are taken together, they can work in ways a
mixed bag of benefits can't. Aetna Integrated Health & Disability (IHD) is a concrete and compelling example of Aetna's strengths:
innovation, information and integration. IHD is a business process fundamentally about making the right connections early enough and at
the right time to create a better outcome for our members, plan sponsors and providers. Aetna gathers aggregated data and integrates it
across our areas of service — medical management, disability, Aetna Behavioral Health and Aetna Integrated Informatics® -- to help
improve the overall health of our members, while potentially reducing medical costs for you and your employees. IHD may uncover
concerns earlier, which can help employees get back to health faster and return to work sooner. We combine predictive modeling, patient
information, early outreach, condition management and care coordination with our rehabilitation and return -to -work experience. The end
result is a holistic approach to the individual's health and ability to remain productive.
Innovative Consumer -Directed Plan Designs Help To Lower Medical Costs
Our accumulated information allows us to create innovative solutions like the Aetna HealthFund® integrated suite of health, dental, and
pharmacy. Did you ever think your employees could help you control health care costs? They can with Aetna HealthFund. These
consumer -directed plans gives employees responsibility for managing their own spending, and we'll give them the information they need to
spend wisely. It's the first integrated benefits suite of its kind, and it's only from Aetna, the pioneer in consumer -directed plans.
Personal Health Record (PHR)
We seek to empower consumers by helping them make better informed health decisions — decisions that will help them achieve their
optimal state of health. In keeping with this goal we have developed the Aetna CareEngine®-Powered Personal Health Record (PHR).
The PHR can help people become better informed, organized and active with regard to their health, health information, and health care. It
combines detailed, claims -driven information gathered from across the health care spectrum — such as physician offices, labs, diagnostic
treatment and pharmacies — with user -entered information such as family history or allergies. The result is a comprehensive health profile
that the member can access anytime online, and print to share with his or her doctor.
It also features targeted messages and alerts to members, informing them of opportunities to improve their health and well-being, reminding
them to consider alternative therapies or warning them of potentially dangerous medication errors.
While the PHR is populated by claims data and kept up-to-date without effort on the member's part, the member has the option of filling
gaps by entering information not provided by claims data. In addition, through our innovative health questionnaires, we will remind and
encourage members to input data to maintain the timeliness and accuracy in the PHR.
To learn more on how you can make history with the PHR please visit us at: http://www.aetna.com/makehistory/
or please refer to the PHR brochure included within your renewal package.
We Can Make Your Job Easier
Choice and Flexibility In Health Benefits And Financial Protection Solutions
12/12/2008
www.aetna.com Aetna Difference
We want you to know®
)Aetna
Aetna offers a product portfolio aimed at balancing the needs of both employers and employees. We strive to maintain a competitive and
comprehensive health product portfolio of HMO- and PPO -based products, as well as consumer -directed health plans. These consumer -
driven plans have been created so employers and employees can more fully share the cost of health care. The Aetna HealthFund plans
give employers flexibility to customize product design and give members choice and control in directing their health benefits.
In addition, we develop and manage value-added programs to attract and retain members by giving them access to services and products
not typically covered under their health benefits plan or insurance plan. Our other products include dental, pharmacy, life, disability, and
stop loss. You can choose one or several products to best meet the needs of you and your employees.
We Deliver a Total Service Experience
We provide City Of Round Rock with customer -specific services so the plan functions smoothly. We designate a specific field office and
account manager as your primary contact.
The account manager listens to and consults around your health care concerns and recommends adjustments as your company grows or
changes. Through ongoing interaction, the account manager understands your position and works through benefits concerns.
Easy -To -Use Technology For Benefits Planning, Eligibility And Enrollment
Aetna offers an array of Internet -based applications that are designed to make it easier for City Of Round Rock to do business with us.
e.Plan Sponsor MonitorTM is an easy-to-use online reporting tool that helps customers identify their health care spending patterns. Eligibility
transfer solutions, such as SecureTransport'M, Aetna EZConnectTm, EZLinkT", and EZenroll®, enable customers to quickly and efficiently
transmit information to Aetna. EZLink connects to our enrollment and billing systems and provides online eligibility, enrollment, account
maintenance, billing and electronic funds transfer. EZenroll is Aetna's online enrollment application that provides our customers with online
capability to access and modify employee eligibility.
We Support Members 24/7
For your employees, Internet tools include Aetna NavigatorTm, a self-service website that provides a single source for online health and
benefits information 24 hours a day, 7 days a week. Through Aetna Navigator, members can change their Primary Care Physician (PCP),
replace an ID card, research Aetna's products and programs, contact Aetna directly, and access a vast amount of health and wellness
information. Aetna Navigator also includes secure, personalized features for registered members including access to claims and benefits
status.
Medical Management Programs Help Promote Healthier Outcomes And Reduce Benefit Costs
One of Aetna's goals is to help people maintain their health as well as to identify the need for care early, in the lower risk categories of care.
By increasing the reach and impact of our proven medical services programs, Aetna continuously strives to connect care with individual
needs. We're making it easier for employers to control costs while providing quality coverage. We offer innovative case and disease
management programs as regular components of our plans. The intention is to proactively identify members who have chronic illnesses
and intercede to provide them with educational resources to help them better manage their conditions.
Aetna Integrated Informatics, our data analysis subsidiary, uses predictive modeling and risk stratification to identify members for early
outreach.
Aetna Health Connections Disease Management — Our Aetna Health Connections Disease Management program provides innovative
and individualized clinical programs, information and support for total, integrated health management to help members achieve their optimal
state of health. Aetna Health Connections Disease Management integrates a full suite of 34 chronic conditions and common co -morbidities
in a holistic fashion, with an Aetna nurse acting as a generalist to address the total health of those members who will benefit most from
disease management services. (User Notes: If group is fully insured, pis remove the following statement. If group is ASC, pis leave
this statement on.) Please ask your account manager for pricing information regarding this program.
Our program also includes MedQuery®, which uses member data such as medical claims, pharmacy claims, laboratory reports, self-
reported data, and demographic information to identify potential gaps in care. This information is shared with physicians to help improve
clinical quality and patient safety.
Information Sharing Helps Improve Quality And Safety Of Care
12/12/2008
www.aetna.com Aetna Difference
We want you to know®
)Aetna
One of our newest efforts is Aetna's MedQuerysM program, a data -mining initiative that turns Aetna's member health data into information
that physicians can use to improve clinical quality and patient safety. Through the MedQuery program, Aetna's data are analyzed and the
resulting information gives physicians access to a broader view of a patient's clinical profile. The data that fuels this program include claims
history, current medical claims, pharmacy, physician encounter reports, patient demographics and evidence -based treatment
recommendations.
At Aetna, our medical services model is not just about return on investment and the savings you can experience through our programs and
services. It's also — and perhaps more importantly — about the people. It's about Aetna's commitment to facilitate access to quality, cost-
effective health care to affect better health outcomes.
Aetna Affordable Health ChoicessM Provides Benefits To Non -Traditional Employees
In August 2004, we announced the acquisition of Strategic Resource Company (SRC), the latest in a series of targeted acquisitions
designed to enhance the scope of our product and service offerings and increase our ability to serve new market segments. SRC, An
Aetna CompanySM offers an innovative solution for unbenefitted employees (i.e. Part-time, waiting period, seasonal, temporary, per diem,
etc.) Through SRC, we can offer quality, affordable coverage to this important segment of the workforce, which provides significant value
to these individuals and plan sponsors as well. SRC offers affordable medical, dental, life, disability, vision and pharmacy insurance
administered through payroll deductions. Specifically, our experience shows that offering these benefits reduces turnover in this population
and therefore, positively impacts acquisition, hiring and training costs. Please contact your Account Manager if you would like more details.
Vital Savings by Aetna sM provides dental discount card program
Vital Savings by Aetna sM- is a program that provides access to discounts for dental services from participating dental providers, as well as
access to discounted fees for vision services and supplies through the Vision One discount program. These dental discounts are the same
as Aetna's Dental PPO discounts (average 30% nationally). This program is NOT an insurance plan. Participants simply present their
Vital Savings ID card when they visit a participating dental office. Participants are responsible for payment of 100% of the fee directly to the
dentist at the time services are rendered. There are no claims with this program.
Vital Savings provides access to a network of 64,700+ dental office locations nationwide and it targets the 40 percent of Americans who
currently lack dental insurance.
The Vital Savings Program is currently available to plan sponsors with 51+ employees who perform traditional benefit administration
functions such as collection of enrollments, payroll deduction of fees and remittance of fees via Service Fee Billing.
There are two main options available for Vital Savings -- a group billing option and an individual billing option.
In addition, Vital Savings fees are eligible for pre-tax payroll deductions for employees/retirees under age 65.
"Aetna" is the brand name used for products and services provided by one or more of the Aetna group of subsidiary
companies. The Aetna companies that offer, underwrite or administer benefit coverage include Aetna Health Inc.,
Aetna Health of California Inc., Aetna Health of the Carolinas Inc., Aetna Health of Illinois Inc., Aetna Dental Inc., Aetna
Dental of Califomia Inc., Aetna Life Insurance Company, Aetna Health Insurance Company of New York, Corporate
Health Insurance Company and Aetna Health Administrators, LLC.
These health benefit and health insurance plans contain limitations and exclusions.
Policy form numbers include GR -29, GR -700-W, GR -88435.
12/12/2008
www.aetna.com Aetna Difference
INDIVIDUAL BILLING ADMINISTRATION — CITY OF ROUND ROCK
KEY ACCOUNTS COBRA ADMINISTRATIVE FEES — 01/01/2009 -12/31/2009
2009 Fees
Installation or Restructure Fee:
For a direct billing arrangement setup within a control number. Payable only in the first $1,000
year. A full or partial charge may also be applied for restructures after the initial setup.
(e.g., whenever new records must be established for existing continuees who are being
moved to a new or revised control, suffix, plan or account structure.)
*There is a monthly service fee minimum of $150.00
Fee Per COBRA Participant Per Month (PPPM):
Monthly PPPM fee charged for each primary participant/subscriber enrolled in COBRA
Services Include:
• Billing and collection
• Delinquent monitoring
• Member record maintenance
• Dedicated Customer Call Center with toll free number for members available
Monday -Friday 8 AM — 9 PM ET
• Dedicated Processing Center
• Dedicated Account Service Representatives for Plan Sponsor issues
• Funds distribution to Insurance Carriers and Plan Sponsor
• Account maintenance
• Monthly management reports
• Electronic Eligibility (twice weekly)
Initial Notification Statement
The plan sponsor requests that Aetna sends out notification to newly hired employees
detailing COBRA rights in the event that they or a covered family member experience a
COBRA event.
Cost per notice mailed
Qualifying Event Notification:
For each Qualified Beneficiary the employer has requested Aetna to send out
enrollment/notification materials after a qualifying event. Fees vary based on method of
Aetna receiving source information from Employer:
a) FTP File
HIPAA Certification Notices (Optional Service)
Cost per certificate mailed
Fee for Specialized Services (PPPM):
Fee for Members maintained in the Individual Billing System for eligibility only.
$ 7.00
$3.25
$8.35
$3.00
$3.10
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