05-A Health Ins. Consultant
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H:\JANICE\RESWORK\PROF SERVICE CONTRACT CITY HEALTH INSURANCE
RESOLUTION NO.
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF PARIS,
PARIS, TEXAS, APPROVING AND AUTHORIZING A PROFESSIONAL
SERVICES CONTRACT WITH REGARD TO CITY HEALTH INSURANCE
FOR THE PERFORMANCE OF A BENEFITS REVIEW AND TO PROVIDE
ADDITIONAL CONSULTING SERVICES RELATING THERETO;
PROVIDING FOR AN ANNUAL CONTRACT; STIPULATING A
MAXIMUM FEE; MAKING OTHER FINDINGS AND PROVISIONS
RELA TED TO THE SUBJECT; AND PROVIDING AN EFFECTIVE DATE.
WHEREAS, the City Manager of the City of Paris has solicited informal bids from qualified
entities to act as a consultant to assist the City in modifying the City's health insurance plan, including
the implementation of an Internal Revenue Code § 125 Premium Conversion Plan; and,
WHEREAS, other consulting services will likewise be required with regard to the possible
restructuring of the City's health insurance plan; and,
WHEREAS, the City is prepared to enter into a professional consulting services agreement
payable from current year revenues in an amount not to exceed $25,000.00;NOW, THEREFORE,
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PARIS, PARIS,
TEXAS:
Section 1. That the findings set out in the preamble to this resolution are hereby in all things
approved.
Section 2. That the City Council does hereby authorize the City Manager to execute and the
City Clerk to attest to a professional services contract for consulting services associated with the
creation of an Internal Revenue Code § 125 Program and for assisting in making other possible
changes to the City of Paris health insurance program, as said agreement is attached hereto as Exhibit
A and incorporated herein for all purposes.
Section 3. That all funds for said contract shall be paid from current year revenues, and that
the sum total of all fees paid for said services shall not exceed $25,000.00.
Section 4. That this resolution shall be effective from and after its date of passage.
PASSED AND APPROVED this 8th day of November, 2004.
Curtis Fendley, Mayor
ATTEST:
Sherian Dixon, Assistant City Clerk
APPROVED AS TO FORM:
Larry W. Schenk, City Attorney
PROPOSALS FOR BENEFITS CONSULTING SERVICES
Infonnal proposals were received from Grizzaffi Darby, LLC and Effective Plan Management, Inc.
Both proposals offered similar services which are outlined below.
Services Offered:
1. Review all aspects of current plan including:
a. Third party administrator contract
b. PPO contracts
c. Prescription benefit manager contract
d. Specific / Aggregate stop loss contracts
e. HIPP A & Cobra compliance
f. Claims and loss data
g. Premium adequacy
h. Coverage levels
2. Set Up of Section 125 Plan
a. Premium conversion
b. Flexible spending accounts
3. Recommendations Based on Review.
a. Long range planning
b. Employee insurance committee
4. Prepare request for proposals, identify vendors, analyze responses, and make recommendations.
5. Aid in administrative procedures caused by vendor changes if necessary.
6. Aid in open enrollment/education meetings.
7. Engage in follow up activities.
The costs of services are estimated to be $40,716 for Grizzaffi Darby, LLC and $24,000 for Effective
Plan Management. Both finDS advocate a multi-year agreement.
ø Effective Plan Managen:ent, Inc.
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Jim C. Mosley
President
October 11, 2004
Mr. Larry Shaw
Interim City Manager
City of Paris
P.O. Box 9037
Paris, TX 75461-9037
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Re: Benefits Review and Consulting Services Proposal
Dear Larry:
Thank you for the opportunity to meet with you and Mr. Gene Anderson to discuss the
prospect of providing our services to you once again. We enjoyed a lengthy and pleasant
relationship with you at the City of Duncanville and we are honored that your confidence
in our services prompted you to contact us once more. If we are fortunate enough to earn
your business we shall be pleased to work with you, Mr. Anderson and the City of Paris.
As you and Mr. Anderson have agreed, one of the most immediate changes to the benefit
plans sponsored by the City should be the implementation of IRC Section 125 Premium
Conversion Plan. The adoption of the Plan will allow eligible employees to pay for their
medical and dental premiums pre-tax. Participating employees will realize an increase in
net take home pay because of the tax-favored treatment that results from participation.
The City will recognize an immediate payroll tax decrease because of the reduction of
taxable income to employees. We shall provide the City with the Plan Document for a
premium conversion plan that is required by the Internal Revenue Code and the necessary
election fonn for employees. The City will realize immediate cost reductions as you
aware of over $3,000 per month based upon projections provided by the Mr. Anderson.
We will prepare the Plan Document and the necessary forms for an implementation date
of November 1, 2004 with the first year being from November 1, 2004 through December
31, 2004. The first Plan Year will be a short one. Subsequent Plan Years will operate on
a calendar/tax-year basis commencing January 1,2005. Meetings must be held to explain
the new approach and election forms must be distributed and collected prior to your last
payroll period in October if a November 1 date is to be accomplished.
104 Houston Street, Suite B . Roanoke, Texas 76262
(817) 430-7100. Fax (817) 430-7105
Mr. Larry Shaw
October 11, 2004
Page 2
Larry, you will find enclosed a description of services in which you have shown
particular interest. You will observe that the list of services prepared for your
consideration has been separated into three (3) distinct and logical phases. The first
phase determines what you have within the context òf what you want. The second phase
assumes that a market.$earch is required for some or all of your benefit plans and the
third phase allows review and managelnent of the adopted planes).
Our proposal provides you with the option of Phase I only or Phases I and II or all three
(3) phases of service. If you choose all phases, the annual fee presented will be
guaranteed for a second year. Indeed, the services have been priced for two (2) years in
order to amortize acquisition costs over a longer term. Annual pricing for each of the
options is provided below:
PHASE I, including up to two (2) trips to Paris $8,000
PHASE II, including up to two (2) additional trips to Paris $12,000
PHASE III, including up to two (2) additional trips to Paris $4.000
Total $ 24,000
Larry, thank you again for the invitation to us to offer this proposal. The confidence that
have shown is us is greatly appreciated. We recognize the significance of the task before
us and we look forward to being of service to the City. We shall be pleased to answer
any questions that you, Mr. Anderson or your City Council may have regarding the
proposed services.
Sincerely,
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President
Enclosures
Cc: Mr. Gene Anderson, CPA
Mr. Rodney K. Dryden
DESCRIPTION OF SERVICES
EFFECTIVE PLAN MANAGEMENT, INC.
PHASE I SERVICES
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Provide information regarding available alternatives to the current funding
arrangement;
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Evaluate present plan design(s) for medical, dental, vision, prescription drug
service, disability and life benefits as they relate to employer objectives;
.
Study available loss infonnation from and administr~tive performance by providers;
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Study existing Retention Agreement(s) with emphasis upon reserving requirements,
interest payable upon such reserves and provisions for release of unearned reserves, if
any, in the event of policy termination;
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Study existing administrative and stop loss agreements in order to determine cost
effectiveness for services performed and risks accepted including run-off liability if the
plan is tenninated and administrative expense associated with processing of run-off
claims;
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Review adequacy of premium equivalents created to fund a self-funded plan;
. Examine present contract(s) and Plan Document to determine conformity to both
state and/or federal laws and regulations as well as compliance with the company
policies regarding treatment of employees;
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Provide recommendation for administrative management of employee benefits including
format and content of regularly issued loss reporting;
PHASE II SERVICES
.
If the decision is made to obtain bids on new or alternative plans; provide draft for bid
specifications, submit bid requests with complete and accurate information required by
underwnters. Act as point of contact for underwriters to obtain information and gain a
complete understanding of contract or plan document provisions, approaches to
administration, loss or exposure data and other pertinent matters;
.
If a Request for Proposal (RFP) process occurs, at the conclusion of that process, provide
evaluation of conformity to bid specifications, reputation of bidders, pricing for services
to be performed, acceptance of risk as reflected in cost, ability to meet administrative
management requirements and compatibility of provider's managed care network to all
COPdescofsvcslOll04
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DESCRIPTION OF SERVICES
EFFECTIVE PLAN MANAGEMENT, INC.
geographical locations of participating employees;
.
Provide a complete report of bids with recommendations that are calculated in a
fair, impartial, objective and reasonably easy to understand manner. Provide logic and
criteria used to determine results and conclusions for recommendations. Be prepared to
answer questions about the report and information provided.
PHASE III SERVICES
. Provide adoption pfocess guidelines that includes transition plans for change from current
insurer or administrator, compliance with the Texas statutes regarding replacement of
coverage where ERISA preemption does not exist, meticulous examination of all
documents issued and procedures established to determine that they are in compliance
with specifications and agreements;
. Following plan adoption and after 3 or 4 months of plan operation, provide audit of
exposures, expenses and paid losses to measure accuracy of record keeping and actual
charges to the plan are consistent with those quoted;
. Provide continued monitoring of plan losses as compared to expected and administrative
performance the administrator contractually agreed to provide. Assist in the immediate
resolution of problems by providing guidance for instituting corrective action;
. Provide year-end review of insurance companies and/or administrator's performance,
losses and proposals for renewal for the forthcoming year. Provide guidance for plan
modifications, reasonableness of proposed renewal actions, negotiate renewal to ensure
acceptable terms are achieved, assist in the drafting or redrafting of plan documents and
summary plan descriptions and/or conduct a thorough examination of documents
provided by the insurer or administrator;
. Provide consulting services throughout the year, on an as needed basis, to answer
questions on state and federal compliance related issues.
COPdescofsvcslOll04
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Section I:
Executive Summary
Section II:
Consulting Action Plan
¿ ll-. Materials Required
~ A Review and Analyze
~'3.' Analysis and Implementation
~.~ Long Range Strategic Planning
fa RFP Process for Renewal
¿:l Open Enrollment
¡4. Implementation and Follow Up
Section III: Consulting Fees
Section IV: Professional Services
~ ~ Areas of Specialization
~ ~ Vendor Evaluation/Selection Assistance
Section V:
References & Contact Infonnation
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Proposal for Employee
Benefits Consulting Services
Executive Summary
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Grizzaffi Darby, LLC provides creative benefit solution and unparalleled customer service to
clients who share our commitment to long-term partnerships.
Grizzaffi Darby, LLC uses three core principals. We provide professional value-added
services based on strategic planning, five-star service, and cutting edge technology.
The team of specialists assigned to The City of Paris is dedicated to using their experience
and expertise to meet your objectives, and is committed to anticipating and fulfilling your
needs. The Grizzaffi Darby, LLC account team includes:
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Linda S. Hooper - Lead Consultant
James R. "Trey" Darby, III - Partner
Luke M. Grizzaffi - Partner
Steve Gibbs - Human Resources Consultant
Amanda Griffin - Account Manager
Susan Williams - Customer Service
Christine Edwards-Ruggerio - Client Communication Specialist
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Grizzaffi Darby, LLC is able to offer consulting in a variety of medical plans, voluntary
products, retirement planning services, flexible spending (Section 125) accounts and other
employee benefits plans from carriers and vendors across the United States. We specialize in
evaluating, negotiating with, and recommending insurers and providers to our clients, and we
employ rigorous selection criteria and performance objectives when considering a vendor.
Grizzaffi Darby, LLC also offers a variety of other Professional Services, claims data analysis
services, plan administration and legislative compliance assistance, custom communication
services, technology-based human resources tools, and access to specialized pharmacy
benefits expertise.
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It is our understanding that you wish us to act in the capacity of consultant / broker to The
City of Paris and review and advise you on the contracts/vendors The City of Paris is
currently working with as well as make recommendations for future changes / enhancements.
This .ptop.osal outlines a specific course of action to meet The City of Paris's employee
benefits objectives and will provide:
.
Improved benefit and vendor contracts
A better understanding of benefit contracts
Reduce or control costs associated with each contract
Recommendations for Section 125 Flexible Spending Account
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The City of Paris's employee benefits plan objectives are as follows:
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Review and evaluate vendor contracts/agreements
Identify areas of contractual obligation and liability
Determine efficiencies of plan administration
Recommend funding limits and alternatives
Review loss information and provide recommendations
Benchmark claims data against industry and regional information
Provide legislative compliance audit and identify areas of non-compliance
Provide analysis of benefit plan designs and recommended changes
Implement and provide savings analysis for Section 125 Flexible Spending Account
Implement Employee Insurance Committee to address employee concerns and issues
Provide employee education and group benefit meetings
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To address and fulfill your objectives, we propose the action plan on the following pages.
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Consulting Action Plan Steps 1 - 7
Step 1 - Materials required to perform project
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Current Third Party Administration contract/agreement
Current specific stop loss application and contract
Current aggregate stop loss application and contract
Current contract/agreement with PPO vendor
Current contract/agreement with Prescription Benefit Manager
Current contract/agreement with dental, disability, ancillary vendors
Current summary plan documents and plan designs for all lines of coverage
Current and previous benefit summaries (medical) for last 3 years
Employer contribution schedule for last 3 years
Monthly loss reports (premium vs. claims) for last 3 years on all lines of coverage
Monthly funding account summaries on self insured products for last 3 years
Large claim reports on self insured products for last 3 years
Medical, dental and Rx claims data for last 3 years
Current and prior rates for all product lines for last 3 years
Renewal rates for all product lines as they become available
Business Associate Agreement between City of Paris and Grizzaffi Darby, LLC
Letter of Authorization! Agent of Record to all parties
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Step 2 - Review and Analyze
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TP A contract/agreement to include,
;;~ Administrative Fees
;'¥. Additional fees charged
,). Per claim
< 'l Reporting
~,~ Subrogation
;,l Non-network negotiating
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.1 Ad hoc
;:1 Commissions built into additional contracts (PRM, Network, DR, Stop Loss)
.. Online capabilities
<" Claims data reporting and data transfer capabilities
. ' .1 Regular reporting
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,~ Mid year reports
£ ~ Actuarial reports
~'~ Co-morbidity reports
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Consulting Action Plan Steps 1 - 7
Step 2- Revie\v and Analyze (cont.)
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Utilization review and Large Claim Management procedures
;.:\ In house or outsourced
.:~ Number of nurses on staff and their qualifications
;-'" Maternity specialist on staff
~"J. Hourly rate and billing increments
;~ Review criteria
.:,l Integration with claims payment, customer service and eligibility
¿.;\ Cost containment
Re-pricing claims completed in-house or sent to PPO
Procedure for handling hidden provider claims
Claims processors
;-.1 Years of experience
;'." Claim limit authority
;- ~ Designated claims contact
Internal communication between departments (ClaimsIUR/LCM/FMLA notification)
Disease Management programs
Centers of Excellence
Medical personnel on staff
Audit Procedures
; ;¡. Standard procedures
;!. Dollar triggers
;~ Percentage of large claims audited
< ,\ Coding accuracy
;.j}. Procedure for identifying bundled charges
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PPO contracts to include,
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; ~ Fees
~'3. Average discounts
;~ Utilization
;'.:L Re-pricing procedures
¡.;. PPO wraps for non-network claims
(;\ Prepare summary of current employee provider usage
~ ~ Prepare Betwork evaluation based on utilization data and available networks
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. , "P¡'escription Benefit Manager (PBM) contracts to include,
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~1 Cost analysis
i.. Discount analysis
.'~ Dispensing fee analysis
il Drugs on Formulary and Non-Formulary Lists
it. Rebate analysis
a Mail order utilization benchmarks
'~ Detennine costs savings of implementing a direct PBM contract
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Step 2- Review and Analyze (cont.)
Specific and aggregate stop loss contract noting specifically,
~ ~ Reimbursable or immediate specific claim payment
. ~ Maximum amount or specific coverage
;.. Exclusions of specific contract
;;~ Amount of risk retain by named carrier versus reinsured to tertiary markets
i~ Financial standing and ratings of reinsurance carrier(s) involved
, :l Ability of reinsurance carrier to non-renew or offer a higher specific stop loss on
selected individuals based on ongoing claims
;;.t¡; Discounts provided by reinsurer because of current TP A
;.~ Length of contract
;;~ Amount or percentage of commission currently being paid and to whom
¿~ Will reinsurance pay according to Summary Plan Document
...). Renewal guarantee, and # days prior to renewal rates become firm
;; ~ Lasering or raising specific stop loss amounts
;; Ii Aggregating specific amount
¿.; Period of reinsurance contract, run in, run out limitations
;\1 Rx included in the specific and aggregate limits
¿~ Pooling points and philosophy at renewal
Ancillary vendor contracts noting specifically,
iJ. Contract limitations and requirements
;,1 Period of rate guarantee
,;l Benefit levels
¿ å Analyze cost compared to self insuring benefit
i 1. Comparison of plan design to market
;,~ Geo access of network were applicable
Cobra, HIP AA, HIPP A Privacy compliance audit,
;; ). Review current policies and procedures and forms
,A Identify areas of non-compliance
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Claims and Loss Data noting specifically,
i... Areas of high utilization
¿ ~ Actual chrims versus norm for region and industry
~'o. . PPO discounts
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.~.. . .~-~ Employee versus dependent claims
,~ Inpatient versus outpatient claims
i <l Claims by place of service
;. ~ High cost claimants
;'.&. Paid claim distribution by claimant
è'~ Paid claim distribution by dollars
;;... Inpatient analysis by length of stay
iâ Inpatient analysis by average paid per day
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Step 2- Review and Analyze (cont.)
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Provider usage in versus out of network
Inpatient surgery claims
Outpatient surgery claims
Emergency room visits
Office visits
Mental health usage
Claims by major diagnostic category
Lifestyle related claims
Disease management and intervention opportunities
Co-morbidity management and intervention opportunities
Identify necessary areas for wellness education
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Section 125 - Flexible Spending Account noting specifically,
cè. Identify areas where plan can be utilized
<.\. Analysis savings versus expense of implementation
~;~ Identify expected savings for City as well as employees
~ i~ Savings versus exposure to City to open plan to all areas versus premium only
Step 3 - Analysis, Recommendations and Implementation
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Current administrative obligations/liabilities
Contractual obligations/liabilities
Opportunities for reduction in fixed costs
Efficiencies of administration
Vendor fees / commissions
Compliance violations
Claims utilization data report
Benchmarking data
Implement HR software site and train staff
Plan of action to meet long range goals
Recommended plan design changes
Model plan design changes to provide cost differentials
Section 125 recommendations, implementation and employee education
Implement employee website and provide education materials and meetings
Ongoing wellness and consumerism education to employees
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Step 4 - Long Range Strategic Planning
Upon completion of this audit we will be able to provide The City of Paris with an in depth
knowledge of their benefits and vendor contracts; a better understanding of the financial
liabilities associated with those contracts; as well as areas where costs can be more efficiently
reduced or controlled. As well as initiate a long range planning committee and goals for
future years.
~ Developing a long range strategic plan will identify and prioritize long-term
objectives. It will also establish specific deadlines for meeting those objectives, and
will allow for ongoing modification as the need arises.
~ If the City desires to create an Insurance Committee we will strive to work with that
Committee and the City Council to understand the needs and wants of the employees
and provide the education and benefits that will meet those needs.
Step 5 - RFP Process for Renewal
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Create RFP's for each line of coverage / service
Select vendor's to receive RFP's
Collect and organize data received from vendors
Analyze data and make recommendations for renewal
Develop overview for City Council review
Assist City Council as needed in selection process of vendors
Facilitate vendor changes and implementation process
Review and execute contracts
Meet with vendors to set up billing format, etc.
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Step 6 - Open Enrollment
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Communicate with selected vendors to organize enrollment process
Create open enrollment material
Setup employee website with enrollment information
Conduct open enrollment meetings
Provide open ènrollment data to vendors
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Step 7 - Implementation and Follow Up
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Develop employee education theme and plan of action
Select and customize communication pieces
Review billings to ensure accuracy
Establish lines of communication with City's HR personnel for claims issues
Provide training for websites use and administration
Mid Year Review (after 6 months of claims data is available)
Pre Renewal Meeting (90 days prior to renewal)
Renewal Meeting (upon receipt and review of proposals)
Post Implementation and Follow Up (1 month after renewal)
Additional review/meetings as necessary
Customer service on an as needed basis for billing and claims issues
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Upon completion of the initial scope of work The City of Paris will be prepared to move
forward with their benefit plan changes with a better understanding of the contractual
obligations and liabilities of each benefit and vendor they are working with throughout the
year.
Fees for these services are based on a per head/per month charge for each enrolled
employee/retiree and include all services listed in this proposal; as well as ongoing customer
service for day to day administrative issues and claims.
Grizzaffi Darby, LLC proposes a $9.00 per employee-retiree/per month fee for consulting
services rendered for the partially self insured medical plan. Grizzaffi Darby, LLC shall
request all quotes from vendors regarding the medical plan be provided net of commissions,
thus eliminating any outside influence in vendor choice. Grizzaffi Darby does require that
they be named as agent for all lines of coverage the City of Paris includes in their benefit
package in order to have access to necessary information for analysis and planning.
In addition, our Human Resources Consultant Steve Gibbs is available to those clients who do
not employ a full service Human Resources Department. His services can be utilized on an
hourly, retainer or per project basis and are in addition consulting fees stated above.
Services included in the Human Resources consulting practice are employee handbook and
policy and procedure review, revision and development; EEOC response consultation;
unemployment claims consultation; compliance training on HIP AA, HIP AA Privacy,
COBRA, ADA, FLSA, FMLA & Worker's Compensation; Current and former employee
reference policies and procedure development and training, Leadership training and
development; compensation surveys; performance management, including succession
planning; and employee relations consultation.
A fonnalletter of agreement and engagement will be provided to the City upon request and
will explicitly dictate the parameters of the agreement between The City of Paris and
Grizzaffi Darby LLC.
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Grizzaffi Darby, LLC uses three core principles to service and manage your employee
benefits plans. We provide to our client's professional value-added services that are based on
strategic planning, five-star service, and cutting-edge technology.
Strategic Planning
We recommend that our clients make employee benefits management a strategic initiative. By
defining objectives and developing an action plan based on meeting those objectives, we
ensure an organized, complete approach to fulfilling your benefits needs. Our careful strategic
planning services include ongoing evaluation of all your plan's characteristics - such as
access, service, and price - to ensure a proper balance is achieved. Strategic planning also
shields your plan from becoming obsolete as new trends and market factors emerge.
Five-Star Service
We pride ourselves on the level of knowledge and service we provide to our clients.
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Contact: We meet with clients regularly to ensure carriers, coverage, and costs are
meeting expectations.
Education: We conduct employee meetings and provide custom communication materials
for employees.
Advocacy: We work on your behalf to bring an unbiased perspective to all situations, with
no allegiance to any specific carrier or vendor.
Personnel: We hire and maintain a professional, experienced staff and ensure that they are
up-to-date on all the latest trends and information.
Information: We possess the information and expertise that allow us to negotiate
comprehensive, competitive benefits programs; we know where to find the answers to any
of your insurance, employee benefits, and human resources questions.
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Technology
We use leading-edge technology to provide our customers with the latest data analysis,
legislative, communication, and human resources administration tools. Using exclusive
Internet-driven applications, we provide our agency staff and our clients with unsurpassed
efficiency and access to information.
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Grizzaffi Darby, LLC specializes in a wide variety of plan types and lines of coverage.
Medical Plans
;.;1 Self-insured plans
:, Insured indemnity plans
:~ Point-of-service (POS) plans
¿~ Health Maintenance Organization (HMO) plans
;.;<' Preferred Provider Organization (PPO) plans
,.1 Consumer Driven Health Plans (CDHP)
,.~ Minimum premium plans
Other Employee Benefits Plans
i Dental
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~.:l Short-term disability
: <Ì. Long-term disability
~') Long T enn Care
;..:. Group Life/ AD&D
,.¡ Employee Assistance Programs
;, Section 125 Flexible Spending Accounts
-.1 Health Reimbursement Acounts
;.¡ Health Savings Accounts
¿..t Travel accident
,f,' Special risk coverage
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Voluntary Products
,.1 Dental
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,'l Short-tenn Disability
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(3, Individual Life/ AD&D
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i.~ Accident
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~'.l Employee education
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Vendor Evaluation/Selection Assistance
In addition to general day-to-day services, Grizzaffi Darby, LLC would release a Request for
Proposal to the marketplace in order to review your various vendor options at renewal.
Evaluating, negotiating with, and recommending insurers and providers to our clients are
Grizzaffi Darby's specialties. Our position in the marketplace allows us to enjoy preferred
financial arrangements with insurance vendors and third party administrators across the
United States. We actively cultivate long-standing relationships with major carriers, and those
relationships allow us to negotiate aggressively and obtain cost-efficient proposals for our
clients.
As we negotiate with vendors, we will also examine your loss history, establish the necessary
types of coverage consistent with your risk tolerance, choose carriers that provide superior
services, and adopt the optimal funding mechanisms for your specific needs.
We have established rigorous selection criteria for potential vendors, and recommend a
selection based on the following considerations.
Critical Vendor Selection Criteria
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Overall service and quality
Experience in administering network-based programs
Commitment to continuous quality improvement processes
Experience in administering multiple option health programs
Quality of communication materials (e.g. booklets, EOBs, etc.)
Effective administration procedures (e.g. coordination of benefits, subrogation, etc.)
Responsiveness of group representative
Cost efficiency
Responsiveness to client feedback
Professionalism of response to RFP
Willingness to adapt to changing needs and circumstances
Adequate staffing ratios
Superior network coverage in relation to location of The City of Paris employees
Evaluation and implementation of Flexible Spending Account (Section 125)
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Harrison, Walker & Harper
Christy Wendell, VP Staff Services
222 E. Hickory St.
Paris, Texas 75460
903- 785-1653
c wen dell (tV, web u i I d - h w h . COIn
City of Corinth
Phillip Bray, Director of Finance
2003 S. Corinth
Comith, Texas 76210
940-498-3220
p b ra y ~~ C i t yo f co nl i t h . com
Beal Bank
Angela McCleery, Human Resources
6000 Legacy
Dallas, Texas 75024
469-467 -514 7
twi ggins(â)beal bank.com
HT Ardinger
Lance Ouellette
1990 Lakepoint Drive
Lewisville, Texas 75057
469-635-0137
lanceouellette(c~mac .com
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Wise County Medical Center
Kala Walsh, Benefits Coordinator
1001 Eagle Drive
Decatur, Texas 76234
940-627 - 7829 ext 13
kala~ù:wisedocs.com
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Alan Ritchey, Inc.
Bill OIT, VP Finance
P.o. Box 249
Valley View, Texas 76272
800-877 -0273
borr@,alanri tchey.cOlTI
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Grizzaffi Darby, LLC
Linda S. Hooper
101 Lamar Avenue
Paris, Texas 75460
Telephone: 800-466-7440
Fax: 903-739-9712
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The City of Paris Primary Contact:
Larry Shaw
Interim City Manager
Telephone: 903-785-7511
The City of Paris Secondary Contact:
Gene Anderson
Director of Finance
Telephone: 903-784-9241
This proposal was prepared and submitted by Linda S. Hooper on November 1,2004. This
proposal expires on December 1, 2004.
Grizzaffi Darby, LLC is a privately held organization and considers all information contained
herein to be. p~ÓPñeta,~ alnd/..ço¿~rntia1. .
s¡gnature;#1 {¡Ú,-- . j:frrp(./L
LInda S.:Hooper, Consultant
Date:
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