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R-2020-0346 - 12/3/2020RESOLUTION NO. R-2020-0346 WHEREAS, the City of Round Rock (the "City") previously entered into an Administrative Services Agreement ("Agreement") with Aetna Life Insurance Company ("Aetna") for Stop Loss insurance on December 7, 2017 by Resolution No. R-2017-4987, and WHEREAS, the City Council desires to renew said Agreement for Stop Loss insurance for the period of January 1, 2021 through December 31, 2021, Now Therefore BE IT RESOLVED BY THE COUNCIL OF THE CITY OF ROUND ROCK, TEXAS, That the Council hereby authorizes renewal of the Administrative Services Agreement with Aetna for insurance coverage for the guarantee period of January 1, 2021 through December 31, 2021 as set forth in the Stop Loss Renewal document from Aetna attached as Exhibit "A." 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 3rd day of December, 2020. CRAIGORA�Q, Mayor City of tounock, Texas ATTEST: &P& 0 VG q SARA L. WHITE, City Clerk 0112.20202; 00460536 Stop Loss Renewal City of Round Rock #819919 January 1. 2021 through December 31. 2021 Firm Stop Loss Quote - This exhibit outlines your Firm renewal rates effective January 1, 2021. - Pricing assumes plan enrollment of 896 employees. If actual enrollment varies by more than 10% in total and/or the plan design changes we reserve the right to readjust the stop loss premium. - In an environment where healthcare costs are increasing, maintaining the same deductible shims more of the claim cost to the stop loss provider. - To help reduce the effect of leveraging, it is recommended that a plan sponsor consider increasing their Stop Loss deductible to keep pace with medical trend. - Please refer to the stop loss policy for detailed Stop Loss information. Current Renewal Option 1 1/1/2020 1/1/2021 1/1/2021 STOP LOSS COVERAGE SPECIFICATIONS Policy Period Length (months): 12 12 12 Number of Employees Covered Under Stop Loss: 874 896 896 Number of Single Covered Under Stop Loss: 416 420 420 Number of Family Covered Under Stop Loss: 458 476 476 Aetna Choice POS Q: 419 438 438 Aetna Select: 455 458 458 Producer Compensation: 0.0% 0.0% 0.0% Terminal Liability Option: None None None Claims Paid Basis for Medical Coverages: Cleared Cleared Cleared Claims Paid Basis for APM Rx coverage is on a cleared basis INDIVIDUAL STOP LOSS COVERAGE SPECIFICATIONS Individual Stop Loss Level: $200,000 $2002000 52252000 Contract Type: Paid Paid Paid Coinsurance %: 100% 100% 100% M/N Claims Apply to ISL (Aetna Administered only): Yes Yes Yes Rx Claims Applied to ISL (Aetna Administered only): Yes Yes Yes Individual Specific Stop Loss Limits (Lasering): No Lasering No Lasering No Lasering Individual Lifetime Stop Loss Payment Amount: Unlimited Unlimited Unlimited Reimbursement Method: Immediate Immediate Immediate EXHIBIT AGGREGATE STOP LOSS COVERAGE SPECIFICATIONS Aggregate Stop Loss Percentage: 125% 125% 125% Contract Type: Paid Paid Paid Maximum Annual ASL Payment Amount: $12000, 000 $12000, 000 $12000, 000 Reimbursement Method: Monthly Budget Feature Monthly Budget Feature Monthly Budget Feature Prior Carrier Runoff Cap: $0 $0 $0 Total Claims Applied to Aggregate Stop Loss: $1120982223 $102778,353 $1028842325 Benefits that apply to ASL-Medical: $8,4122730 $820753,480 $820752480 Benefits that apply to ASL-Drug: $226852493 $2307022873 $227022873 Lasering Adjustment: $0 $0 $0 Pooling and Coinsurance Adjustment: $0 $0 $1052972 FINANCIAL INFORNUTION Stop Loss Premium at renewal lives: $126542840 $130770,639 $126022371 State Assessment Fee $0 $0 $0 Total Stop Loss Premium: $1306542840 $127701639 $126022371 Total Premium (PEPM) Composite Rate: $153.91 $164.68 $149.03 Individual Stop Loss premium as % of Total Premium: 95.98% 96.50% 96.08% ISL rate: $148.17 $15 8.60 $142.90 ASL rate. $5.74 $6.08 $6.13 Percentage Premium Increase. 7.0% -3.2% Stop Loss Aggregate Limit*: $1328722779 $1324722941 $1326052406 Stop Loss Aggregate Limit (PEPM) Composite Factor: $19322.73 $19253.06 $1,265.38 *Minimum Stop Loss Aggregate Limit will be set using the first month enrollment g Stop Loss Aggregate Limit (PEPM) Composite Factor g # of contract Months. Premium rates are billed and Aggregate Factors are administered on a composite basis. „A„ May 2013 PI.---ork:rdfy www.aetna.com Page 1