260125_10312025_COT_Monthly_Experience_2022-2025.xls

The document is a monthly healthcare detail experience report for the City of Tucson, covering fiscal years 2022-2025, detailing healthcare claims, premiums, and membership data for a Dental PPO and Dental Choice plan. The report provides a comprehensive breakdown of in-network and out-of-network claims, total claims, billed premiums, loss ratios, and subscriber/member counts across multiple fiscal years, with the most recent data extending through July-September 2025. The report indicates a consistent enrollment of approximately 4,500-4,600 subscribers and 9,900-10,300 total members, with monthly claims ranging between $230,000 and $365,000 and billed premiums consistently around $300,000-$325,000.

The healthcare experience report supports the City of Tucson's concurrent Request for Proposal (RFP #260125) for comprehensive healthcare and benefits administration services, which seeks vendors to provide medical, telehealth, pharmacy, wellness, HSA/HRA administration, dental, and Employee Assistance Program (EAP) coverage. The RFP targets services for approximately 4,498 employees and 2,306 retirees, with a July 1, 2026 effective date, and allows vendors to bid on one or more service lines. Minimum bidder requirements include five years of business experience, 10,000 full-service covered members, and three clients with at least 2,000 total members. The current incumbent is Cigna, and the City pays 100% of employee and dependent costs, with an annual wellness incentive of $100 per subscriber. The contract will have an initial one-year term with options to renew for six additional one-year periods.