260125_10312025_City_of_Tucson_DHMO_Report_23-24.ppt
PPT presentation 780 KB Posted
- Solicitation number
- 260125
- Issued by
- Pima County, Tucson City, Arizona
About this file
The document is a PowerPoint presentation by Cigna detailing a Dental Health Maintenance Organization (DHMO) report for the City of Tucson for the 2023-2024 period. The presentation provides membership and demographic insights for the City of Tucson's dental coverage, revealing an average membership of 3,591 with an average family size of 1.91. The population breakdown shows employees representing 52.3%, spouses 20.4%, and dependents 27.3% of the total membership. The current period reflects claims incurred between July 2023 and June 2024, with data paid through June 2024.
The related state and local contract opportunity is a comprehensive Request for Proposal (RFP #260125) seeking multi-year healthcare and benefits administration services for approximately 4,498 employees and 2,306 retirees. The solicitation covers Medical/Telehealth, Pharmacy, Wellness, Employee Assistance Program (EAP), and Dental Coverage, with a July 1, 2026 effective date. Cigna is the current incumbent, and the dental DHMO rates currently range from $8.67 to $21.16, with the EAP priced at $1.96 Per Employee Per Month (PEPM). The City pays 100% of employee and dependent costs and maintains a $100 annual wellness incentive fund per subscriber. The contract includes an initial one-year term with options to renew for six additional one-year periods. Bidders must have at least five years of business experience, 10,000 full-service covered members, and three clients with a minimum of 2,000 total members. Proposal questions are due by October 21, 2025, with final proposals due on November 12, 2025.
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Text version
Copyright 2025 Cigna - Confidential and Privileged - Not for Distribution City of Tucson DHMO 23/24
Table of Contents
• Dental
Percent of membership by age band and product Percent of spend by age band and product
Dental - Membership Summary Comments
· Average membership in the current period was 3,591
· Average family size was 1.91. Average family size measures the ratio of members to employees
· Employees represented 52.3% of the population in the current period, spouses 20.4% and dependents 27.3%
20% 15% 10% 5% 0%
Current Period reflects claims incurred between Jul. 2023 and Jun. 2024, paid through Jun. 2024 24% 18% 12% 6% 0%
CITY OF TUCSON-Request 1587932-View 1958284-RPT_ID 371_CN-Tier 3 <1 1-17 18-29 30-39 40-49 50-59 60-64 65+ Summary of membership
Current
Average Populations Employees Spouses & Dependents Members Average Family Size Percent Female Percent Male
Dental Care 1,878 1,713 3,591 1.91 46.6% 53.4%
Total 1,878 1,713 3,591 1.91 46.6% 53.4% <1 1-17 18-29 30-39 40-49 50-59 60-64 65+
Dental Care - Summary Comments
· Dental Care reporting is limited to encounter data submitted by providers, therefore service counts can be understated when utilization detail is not provided
· Savings percentage was 77.6%, 8.0% less than the norm of 85.6%
· Cigna DHMO is also known as Cigna Dental Care and includes Cigna Dental Care Access and Cigna Dental Care Access Plus
Current Period reflects claims incurred between Jul. 2023 and Jun. 2024, paid through Jun. 2024 Savings percentage 100.0% 75.0% 50.0% 25.0% 0.0%
CITY OF TUCSON-Request 1587932-View 1958284-RPT_ID 276_CN-Tier 3
Demographic Summary
Average Number of Employees 1,878
Average Number of Members 3,591
Key Statistics
Norm Variance Services 12,576
Services per 1,000 3,502.0 3,371.6 3.9% Total Patient Copays $337,537
National Average Charges $1,504,983
Savings on Dental Services $1,167,756
Savings Percentage 77.6% 85.6% -8.0%
Norm 77.6% 85.6%
Dental Care - Utilization by Type of Service
Current Period reflects claims incurred between Jul. 2023 and Jun. 2024, paid through Jun. 2024
CITY OF TUCSON-Request 1587932-View 1958284-RPT_ID 277_CN-Tier 3 Comments
· There are 4 categories greater in utilization per thousand and 4 category lower in cost than the norm for an overall utilization variance of 0.0%
· High utilization for Diagnostic/Preventive services can lead to lower usage of other service categories
Gross Services by Type
Count Percent of Total
Diagnostic/Preventive
9,626 76.5%
72.1%
Basic Restorative
3.5%
5.8%
Major Restorative
3.4%
Endodontics
0.6%
0.9%
Periodontics
1,282 10.2%
9.0%
Oral Surgery
1.9%
2.9%
Orthodontics
1.5%
Other Services
2.4%
2.3%
Total
12,576 100.0%
Services per 1,000 Members by Type
Diagnostic/Preventive
2,680.5 76.5%
2,430.4 72.1%
Basic Restorative
121.4
195.7 5.8%
Major Restorative
120.0 3.4%
118.1
Endodontics
22.3 0.6%
29.2 0.9%
Periodontics
357.0 10.2%
304.1 9.0%
Oral Surgery
65.4 1.9%
98.1 2.9%
Orthodontics
51.2 1.5%
117.3
Other Services
84.1 2.4%
78.7 2.3%
Total
3,502.0
3,371.6
Report Parameters
Global Parameters
Overall Dates
Incurred 07/2023 to 06/2024
Incurred Runout 07/2023 to 06/2024
Catastrophic Threshold $100,000 Exclude Pharmacy No Package :1958284
Package Name:
City of Tucson DHMO 22/23
Structure:
Status = *, Division = *, Product Codes = DHMO
Package Parameters PMPM,CN,Override:No
Normative Values 202504
CITY OF TUCSON:3342685
File details come from the government source that posted it. Updated .