Subject
title
Agreements for Health Insurance Services
overview
Overview
The Orange County Transportation Authority currently maintains agreements with various companies to provide medical, dental, vision, life, accidental death and dismemberment, disability, and supplemental life insurance plans for administrative employees, Board Members, and employees represented by the Transportation Communications Union and by Teamsters Local 952. These agreements expire on December 31, 2026. Staff is presenting recommendations for medical, dental, vision, life, accidental death and dismemberment, disability, and supplemental life insurance, as well as leave administration for the calendar year 2027.
recommendation
Recommendation(s)
A. Authorize the Chief Executive Officer to negotiate and execute Amendment No. 11 to Agreement No. C-5-3649 between the Orange County Transportation Authority and Public Risk Innovation, Solutions, and Management for Kaiser Permanente Health Plan, Inc., on a cost-per-employee basis, for prepaid medical services through December 31, 2027. The annual 2027 Kaiser Permanente Health Plan, Inc. premium cost will vary in accordance with actual enrollment.
B. Authorize the Chief Executive Officer to negotiate and execute Amendment No. 11 to Agreement No. C-5-3650 between the Orange County Transportation Authority and Public Risk Innovation, Solutions, and Management for Anthem Blue Cross, on a cost-per-employee basis, for prepaid medical services through December 31, 2027. The annual 2027 Anthem Blue Cross health maintenance organization premium costs will vary in accordance with actual enrollment.
C. Authorize the Chief Executive Officer to negotiate and execute Amendment No. 11 to Agreement No. C-5-3651 between the Orange County Transportation Authority and Public Risk Innovation, Solutions, and Management for Anthem Blue Cross, on a cost-per-employee basis, for preferred provider organization medical services through December 31, 2027. The annual 2027 Anthem Blue Cross preferred provider organization premium costs will vary in accordance with actual enrollment.
D. Authorize the Chief Executive Officer to negotiate and execute Amendment No. 11 to Agreement No. C-5-3652 between the Orange County Transportation Authority and Public Risk Innovation, Solutions, and Management for Anthem Blue Cross, on a cost-per-employee basis, for a high-deductible health plan through December 31, 2027. The annual 2027 Anthem Blue Cross consumer-driven health plan premium costs and health savings account expenses will vary in accordance with actual enrollment.
E. Authorize the Chief Executive Officer to negotiate and execute Amendment No. 5 to Agreement No. C-1-3670 between the Orange County Transportation Authority and Public Risk Innovation, Solutions, and Management for Delta Dental, on a cost-per-employee basis, for preferred provider organization dental services through December 31, 2027. The annual 2027 Delta Dental preferred provider organization premium costs will vary in accordance with actual enrollment.
F. Authorize the Chief Executive Officer to negotiate and execute Amendment No. 16 to Agreement No. C-1-2995 between the Orange County Transportation Authority and Delta Dental, on a cost-per-employee basis, for health maintenance organization dental services through December 31, 2027. The annual 2027 Delta Dental health maintenance organization premium costs will vary in accordance with actual enrollment.
G. Authorize the Chief Executive Officer to negotiate and execute Amendment No. 5 to Agreement No. C-1-3672 between the Orange County Transportation Authority and Public Risk Innovation, Solutions, and Management for Delta Dental, on a cost-per-employee basis, for health maintenance organization dental services through December 31, 2027. The annual 2027 Delta Dental health maintenance organization premium costs will vary in accordance with actual enrollment.
H. Authorize the Chief Executive Officer to negotiate and execute Amendment No. 5 to Agreement No. C-1-3671 between the Orange County Transportation Authority and Public Risk Innovation, Solutions, and Management for Vision Service Plan, on a cost-per-employee basis, for vision services through December 31, 2027. The annual 2027 vision services premium costs will vary in accordance with actual enrollment.
I. Authorize the Chief Executive Officer to negotiate and execute Amendment No. 10 to Purchase Order No. C-7-1897 between the Orange County Transportation Authority and Public Risk Innovation, Solutions, and Management for Voya to provide life and accidental death and dismemberment insurance through December 31, 2027. The annual 2027 life and accidental death and dismemberment premium costs will vary in accordance with actual volume in the plan.
J. Authorize the Chief Executive Officer to negotiate and execute Amendment No. 9 to Purchase Order No. C-7-1898 between the Orange County Transportation Authority and Public Risk Innovation, Solutions, and Management for Voya to provide supplemental life and accidental death and dismemberment insurance to employees at their own expense through December 31, 2027.
K. Authorize the Chief Executive Officer to negotiate and execute Amendment No. 9 to Purchase Order No. C-7-1899 between the Orange County Transportation Authority and Public Risk Innovation, Solutions, and Management for Voya to provide short-term and long-term disability insurance through December 31, 2027. The annual 2027 short-term and long-term disability premium costs will vary in accordance with actual volume in the plan.
L. Authorize the Chief Executive Officer to negotiate and execute Amendment No. 9 to Purchase Order No. C-7-1900 between the Orange County Transportation Authority and Public Risk Innovation, Solutions, and Management for Voya with ComPsych to provide employee leave administration through December 31, 2027.