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R-21-02 03/25/02RESOLUTION NO. A RESOLUTION EXTENDING THE PERIOD OF PARTICPATION IN THE SOUTHWEST AGENCY FOR HEALTH MANAGEMENT FOR A PERIOD OF THREE ADDITIONAL YEARS WHEREAS, the Village of Lemont did previously through the passage of Ordinance No. #736, become a member of the Southwest Agency for Health Management (SWAHM), which is an intergovernmental entity providing employee benefits to the officers and employees of this municipality; and WHEREAS, the Village of Lemont did adopt Resolution #R -22 -99 extending its participation in SWAHM for an additional three (3) year term. WHEREAS, through its membership in SWARM, this intergovernmental entity gains the ability to achieve economics of scale in the administration of the benefit claims of its requisite Members and the other benefits of membership provided for in the Contract and By- Laws between SWAHM and Intergovernmental Personnel Benefit Cooperative ( "Cooperative "); and WHEREAS, the Contract and By -Laws of SWAHM provide that SWAHM shall operate in three (3) year cycles with the governing board of each Member being required to pass an ordinance or resolution agreeing to continue as a Member for the new three -year cycle; and WHEREAS, failure to pass a timely ordinance or resolution, at least ninety (90) days before the commencement date of a new three -year cycle shall constitute a withdrawal from SWAHM; and WHEREAS, the next three -year cycle of SWARM and the Cooperative commences on July 1, 2002; and WHEREAS, this municipality desires to express, through the passage of this Resolution, its desire to continue as a Member of SWARM for the three -year cycle commencing on July 1, 2002, provided that an adequate number of other Members of the SWAHM, as is set forth within the Contract and By -Laws document, also agree to continue as Members for the next three -year cycle; NOW, THEREFORE, BE IT RESOLVED BY THE PRESIDENT AND BOARD OF TRUSTEES, as follows: SECTION 1: The Village of Lemont shall continue as a member of the Southwest Agency for Health Management for a three -year term commencing on July 1, 2002, in accordance with the Contract and By -Laws of that entity as they currently exist or as they may be validly amended in the future. SECTION 2: The obligation of the Village of Lemont to be a Member of the Southwest Agency for Health Management shall obligate the Village of Lemont to make financial contributions to the Southwest Agency for Health Management only to the extent required from time -to -time by the Contract and By -Laws of the SWARM. SECTION 3: This Resolution shall take effect immediately upon its passage and approval as provided by law. 2 PASSED AND APPROVED by the President and Board of Trustees of the Village of Lemont, Counties of Cook, Will, and DuPage, Illinois, this 25TH day of March , 2002. AYES NAYS PASSED ABSENT John Benik Debby Blatzer Peter Coules Connie Markiewicz Steven Rosendahl Jeanette Virgilio v v 1/ 1 APPROVED this 25th day of March , 2002. CHARLENE SMOLLEN, Village Clerk APPROVED AS TO FORM: /5/ Villa • orney (/ Date: 3 Gallagher Benefit Services, Inc. March 13. 2002 Village of Lemont Mr. Gary Holmes 418 Main Street Lemont, IL 60439 -3788 Re: IPBC Renewal Dear Gary, A Subsidiary of Arthur J. Gallagher & Co. NPR 6 As you are aware, the SWAHM subpool of the IPBC is approaching the three year renewal cycle for July 1. 2002. The individual SWAHM members need to have a resolution approved by their Board before April 1 in order to continue to participate for health insurance. The SWAHM composite estimated increase for medical coverage is 15% for July 1. Ir► anticipation of the renewal. Gallagher Benefit Services (GBS) has requested medical insurance proposals from commercial carriers for SWAHM. GBS requested proposals from BlueCross BlueShield. UniCare. United HealthCare and Humana. They are the four major insurance carriers in the Chicago area. Only UniCare was willing to quote on the SWAHM subpool as a whole. The other carriers are unwilling to write "association' business on a fully insured basis. The UniCare rates proposed were higher than the IPBC rates with the 15% renewal increase and did not match the current PPO plan design. In addition. the UniCare quote assumes that only approximately 10 months of claims experience xy it I be paid in the first ye - .r of the plan. This is to the fact that at claims incurred but not paid in the current plan year will be paid on a self insured basis by SWAHM. This also means that the first year renewal will include a trend increase. experience increase and increase to go from an immature claim year to a mature claim year. Also to consider is the fact that the HMO and PPO networks for UniCare is significantly smaller than the current BCBS HMO Illinois network or the PHCS PPO network. This could cause disruption to employees that need to change providers. The UniCare proposal does not appear to be an attractive option. The IPBC SWAHM medical plans are self funded within the cooperative. If a member terminates the IPBC plan and moves to a fully insured coverage. there are several issues that need to be addressed and analyzed. A summary of the major financial issues include: The Gallagher Centre Two Pierce Place Itasca, IL 60143 -3141 630.773.3800 Fax 630.285.3685 www.ajg.com SWAHM Plan Parameters Total Plan Parameters RATE COMPARISON OF RENEWAL MEDICAL,, No. of EEs HMO Single Family Medicare Single Medicare Family PPO Single Family Medicare Single Medicare Family Total 54 101 0 0 155 66 173 0 0 239 Current BCIBS 510 - RX$5/10/25 HMO Illinois $203 85 $605.08 $173.28 $346.53 572,120.98 90%170% itt 5250/500 $1K12K out 5375/150 $3K /9K rx$5/10/25 $256.23 $697.45 50.00 $000 5137,570.03 COMBINED MONTHLY PREMIUM 394 5209,691.01 ESTIMATED ANNUAL PREMIUM $2,516,292.12 RATE COMPARISON OF OPTIONS MEDICAL No. of Option 1 HMO Plan Parameters Unicare vs. % of EEs Estimated Renewal Change Single 54 Single + Spouse 0 Single + Child(ren) 0 Family 101 Total j 155 PPO Plan Parameters Note: Does not match existing PPO Plan. Single 66 Single + Spouse 0 Single + Child(ren) 0 Family 173 Total 239 Combined Monthly Premium - Medical 394 $10 - rx$5/10/25 $231.70 -1% $0.00 0% $0 00 0% $687.76 -1% $81,975.56 -1% 90%/70% M- 5250/750(515) $1K/3K out - $500/1500 $3K /9K rx$5110125 $296 42 1% $0.00 0% $0.00 0% $790.29 -1 % $156,283.89 -1% $238,259.45 -1% Renewal BC /BS $10 - RX$5110125 HMO Illinois $234.43 $695.84 $199.27 $398.51 $82,939.13 90 %170% In $250/500 $1K /2K out $375/750 $3K /9K rx$5/10/25 $294.66 $802.07 $0.00 $0.00 $158,205.53 $241,144.66 52,893,735.94 of Change 15% 15% 15% 15% 15% 15% 15% 0% 0% 15% 15% 15% ESTIMATED ANNUAL PREMIUM $2,859,113.40 -1% ESTIMATED CLAIMS RUN OUT COSTS' $302,130.08 TOTAL ESTIMATED ANNUAL COSTS 1, $3,161,243.48 9% I ! I The Option rates are subject to fluidization based on review of your group medical disclosure of medical conditions submitted to Underwriting upon submission of the case. "The estimated terminal liability shown above are for illustrative purposes only. These are based on vour past claims history and what administrative fees might be from BCBS.