260125_10312025_City_of_Tucson_DHMO_Report_Jan23-June23.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, providing a dental health maintenance organization (DHMO) report for the City of Tucson covering the period from January 2023 to June 2023. The report details membership demographics for the city's dental coverage, showing an average membership of 3,182 with an average family size of 1.89. The population breakdown includes 53.0% employees, 21.1% spouses, and 25.9% dependents during the current reporting period.
The related state and local contract opportunity is a comprehensive Request for Proposal (RFP #260125) for multi-year healthcare and benefits administration services, targeting 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. The current incumbent is Cigna, and the dental DHMO monthly rates range from $8.67 to $21.16, with the EAP priced at $1.96 Per Employee Per Month (PEPM). The City currently pays 100% of employee and dependent costs and offers a $100 annual wellness incentive per subscriber. The contract includes an initial one-year term with options to renew for six additional one-year periods. Bidders must submit proposals by November 12, 2025, and meet minimum requirements such as five years of business experience and 10,000 full-service covered members.
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Text version
Copyright 2025 Cigna - Confidential and Privileged - Not for Distribution City of Tucson DHMO Jan23 – June 23
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 3,182
· Average family size was 1.89. Average family size measures the ratio of members to employees
· Employees represented 53.0% of the population in the current period, spouses 21.1% and dependents 25.9%
24% 18% 12% 6% 0%
Current Period reflects claims incurred between Jan. 2023 and Jun. 2023, paid through Jun. 2023 40% 30% 20% 10% 0%
CITY OF TUCSON-Request 1587934-View 1958285-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 1,686 1,497 3,182 1.89 46.6% 53.4%
Total 1,686 1,497 3,182 1.89 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 75.0%, 10.6% 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 Jan. 2023 and Jun. 2023, paid through Jun. 2023 Savings percentage 100.0% 75.0% 50.0% 25.0% 0.0%
CITY OF TUCSON-Request 1587934-View 1958285-RPT_ID 276_CN-Tier 3
Demographic Summary
Average Number of Employees 1,686
Average Number of Members 3,182
Key Statistics
Norm Variance Services 5,679
Services per 1,000 3,599.6 3,371.6 6.8% Total Patient Copays $182,553
National Average Charges $728,481
Savings on Dental Services $545,998
Savings Percentage 75.0% 85.6% -10.6%
Norm 75.0% 85.6%
Dental Care - Utilization by Type of Service
Current Period reflects claims incurred between Jan. 2023 and Jun. 2023, paid through Jun. 2023
CITY OF TUCSON-Request 1587934-View 1958285-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
4,151 73.1%
72.1%
Basic Restorative
3.2%
5.8%
Major Restorative
4.5%
3.5%
Endodontics
0.6%
0.9%
Periodontics
11.8%
9.0%
Oral Surgery
2.0%
2.9%
Orthodontics
1.2%
Other Services
3.6%
2.3%
Total
5,679 100.0%
Services per 1,000 Members by Type
Diagnostic/Preventive
2,630.4 73.1%
2,430.4 72.1%
Basic Restorative
114.7 3.2%
195.7 5.8%
Major Restorative
161.6 4.5%
118.1
Endodontics
22.8 0.6%
29.2 0.9%
Periodontics
423.3 11.8%
304.1 9.0%
Oral Surgery
72.2 2.0%
98.1 2.9%
Orthodontics
43.7 1.2%
117.3
Other Services
129.9 3.6%
78.7 2.3%
Total
3,598.7
3,371.6
Report Parameters
Global Parameters
Overall Dates
Incurred 01/2023 to 06/2023
Incurred Runout 01/2023 to 06/2023
Catastrophic Threshold $100,000 Exclude Pharmacy No Package :1958285
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 .