ESBD_360338_1716477846456_Attachment N - PY 2024 Funded Insurance Rates.pdf

PDF 142 KB Posted

Attached to
RFP 2024-P11 Employee Group Health, Dental, and Employee Assistance Plans
Solicitation number
RFp2024-P11
Issued by
Hays County, Texas

About this file

This document is the Scope of Work for the RFP 2024-P11 Employee Group Health, Dental, and Employee Assistance Plans issued by Hays County, Texas. The County is seeking proposals from qualified companies to provide a comprehensive package of employee benefits including Medical, Pharmacy, Dental, and Employee Wellness/Assistance Plan. The County intends to implement the chosen plans effective January 1, 2025, with open enrollment starting October 1, 2024. Hays County is looking to partner with insurance companies that can offer competitive long-term and stable financial solutions while providing a robust benefits package.

The document outlines the monthly premium rates for various medical, dental, and vision plan options, including the County's contribution and the employee's semi-monthly and monthly costs. The medical plans include a Choice Plus (OAP) Plan, an Open Access Plus In-Network Plan, and a High Deductible Health Plan with a Health Savings Account. The dental plans include a PPO and a DHMO option. The County contributes a fixed amount per month towards the premiums, with employees responsible for the remaining costs based on the plan and coverage tier selected.

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Other files

File Type Posted
ESBD_360338_1716477848050_Attachment K - Medical Disruption File.xlsx XLSX spreadsheet
ESBD_360338_1716477854452_Attachment L - Rx Usage for Disruption and pricing April 2023-March 2024.xlsx XLSX spreadsheet
ESBD_360338_1717797769305_Attachment S - DHMO Fee Schedule.pdf PDF
ESBD_360338_1716477843854_Attachment G - Hays County Structure.pdf PDF
ESBD_360338_1717797769699_Attachment R - Dental PPO Summary of Benefits.pdf PDF
ESBD_360338_1716477849668_Attachment A - Response Forms.xlsx XLSX spreadsheet
ESBD_360338_1716477845643_Attachment H - March 2024 Invoice with Counts.pdf PDF
ESBD_360338_1717797768907_Addendum 1 - RFP 2024-P11.pdf PDF
ESBD_360338_1716477853396_Attachment B - Hays County Census (April 2024).pdf PDF
ESBD_360338_1716477849236_Attachment P - 2024 Medical Renewal.pdf PDF
ESBD_360338_1717797770098_Attachment B - Hays County Census (April 2024) Excel.xlsx XLSX spreadsheet
ESBD_360338_1716477847667_Attachment Q - 2024 Dental Renewal.pdf PDF
ESBD_360338_1716477852919_RFP 2024-P11 Employee Group Health, Dental and Employee Assistance Plans.pdf PDF
ESBD_360338_1717797768324_Attachment I - Updated - Additional Supporting Claims and Enrollment Information.xlsx XLSX spreadsheet
ESBD_360338_1716477846068_Attachment O - Stop Loss amendment (2024).pdf PDF
ESBD_360338_1716477847276_Attachment D.3 - Large Loss Claim Payments CY 2021-March 2024.pdf PDF
ESBD_360338_1716477844264_Attachment D.1 - Aggregate Stop-Loss 2021-March 2024.pdf PDF
ESBD_360338_1716477853901_Attachment E - Deer Oaks EAP Utilization.pdf PDF
ESBD_360338_1716477843084_Attachment I - Additional Supporting Claims and Enrollment Information.xlsx XLSX spreadsheet
ESBD_360338_1716477846878_Attachment D.2 - March 2024 invoice with counts.pdf PDF
ESBD_360338_1716477844656_Attachment J - Dental PPO and DHMO Disruption Information.xlsx XLSX spreadsheet
ESBD_360338_1716477845223_Attachment M - PY 2024 Retiree Rates.pdf PDF
ESBD_360338_1716477852456_Attachment F - Hays County SBCs 2022-2024.pdf PDF
Show all 23

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Text version

2024 MEDICAL, DENTAL & VISION FUNDING

NOTE: THESE AMOUNTS ARE FOR FUNDING THE PREMIUMS

United Healthcare - Choice Plus (OAP Plan 1) Total Monthly

Premium Hays County Contributes

SEMI-MONTHLY

Employee Pays

MONTHLY

Employee Pays

Employee Only: $1,043.54 $991.60 $25.97 $51.94 Employee + Spouse $1,436.80 $991.60 $222.60 $445.20

Employee + Child(ren) $1,330.52 $991.60 $169.46 $338.92 Employee + Family $1,746.94 $991.60 $377.67 $755.34

United Healthcare - Open Access Plus IN-NETWORK (Plan 2) Total Monthly

Premium Hays County Contributes

SEMI-MONTHLY

Employee Pays

MONTHLY

Employee Pays

Employee Only: $1,019.10 $991.60 $13.75 $27.50 Employee + Spouse $1,228.20 $991.60 $118.30 $236.60

Employee + Child(ren) $1,207.30 $991.60 $107.85 $215.70 Employee + Family $1,376.60 $991.60 $192.50 $385.00 United Healthcare High Deductible Health Plan w/ Health Savings Account (Plan 3)

Hays County’s contributes $83.33 per month to H.S.A.

Total Monthly

Premium Hays County Contributes

To Insurance

SEMI-

MONTHLY

Employee Pays

MONTHLY

Employee

Pays Employee Only: $991.60 $908.27 $0.00 $0

Employee + Spouse $1.163.60 $908.27 $86.00 $172.00 Employee + Child(ren) $1,147.60 $908.27 $78.00 $156.00

Employee + Family $1,271.60 $908.27 $140.00 $280.00 United Healthcare National Options Dental PPO 30 Plan

Total Monthly Premium

Hays County Contributes

SEMI-MONTHLY

Employee Pays

MONTHLY

Employee Pays

Employee Only: 33.74 $33.74 $0.00 $0.00 Employee + Spouse $58.24 $33.74 $12.25 $24.50

Employee + Child(ren) $53.24 $33.74 $ 9.75 $19.50 Employee + Family $85.24 $33.74 $25.75 $51.50

United Health Care Texas Dental Health Maintenance Organization (DHMO) Plan Total Monthly

Premium Hays County Contributes

SEMI-MONTHLY

Employee Pays

MONTHLY

Employee Pays

Employee Only: 33.74 33.74 $0.00 $0.00 Employee + Spouse $36.58 33.74 $ 1.42 $ 2.84

Employee + Child(ren) $38.72 33.74 $2.49 $ 4.98 Employee + Family $52.16 33.74 $9.21 $18.42

File details come from the government source that posted it. Updated .