HomeMy WebLinkAboutAgenda Report - July 15, 2015 C-14AGENDA ITEM CO., 1+
AM CITY OF LODI
COUNCIL COMMUNICATION
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AGENDA TITLE: Adopt Resolution Approving Renewal of Dental Claims Administration Agreement
with Stanislaus Foundation for Medical Care; and Further Authorizing the City
Manager to Execute Agreement
MEETING DATE: July 15, 2015
SUBMITTED BY: Human Resources Manager
RECOMMENDED ACTION: Adopt resolution approving renewal of Dental Claims Administration
Agreement with Stanislaus Foundation for Medical Care; and further
authorizing the City Manager to execute agreement.
BACKGROUND INFORMATION: The City of Lodi uses Stanislaus Foundation for Medical Care in the
administration of the Dental plan offered to the City's full-time
employees. Stanislaus Foundation provides record maintenance in
connection with the services to be performed and handles the
processing of all claims submitted under this plan. Stanislaus Foundation is holding its fees flat for the
amendment period of July 1, 2015 to December 31, 2017.
The term of this agreement shall begin on July 1, 2015 and continue in effect until December 31, 2017.
This contract shall be automatically renewed for an additional one-year term unless notice of intent not to
renew is given by one party to the other party at least 60 days prior to the termination date of the current
term.
FISCAL IMPACT: Annual cost of approximately $37,500.
FUNDING AVAILABLE: Included in Benefits Fund appropriations (65522000).
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Adele Post, Human Resources Manager
Jordan yers, Deputy City Manager/internal Services Director
Dental Claims Administration Agreement
City of Lodi
SUBMITTED BY
Stanislaus Foundation for Medical Care
2339 St. Paul's Way, Modesto CA 95355
PO Box 576007, Modesto CA 95357-6007
1-800 / 962-SFMC (7362)
E-mail: fmc@stanislausmedicalsociety.com
(209) 527-1704
July 2015
ADMINISTRATIVE SERVICES AGREEMENT
This Administrative Services Agreement ('AGREEMENT') is made as of 07/01/2015, by and between
CITY OF LODI ('PLAN') and STANISLAUS FOUNDATION FOR MEDICAL CARE ('SFMC').
1. Administrative Services
A. PLAN hereby retains SFMC to perform, and SFMC hereby agrees to perform the
administrative services specified hereto. SFMC shall perform its services in
accordance with PLAN's dental benefit plan in effect, and such written policies and
procedures of PLAN as PLAN may, from time to time, furnish to SFMC.
B. The parties agree that the services to be performed by SFMC hereunder are
ministerial in nature and shall always be performed within the framework of policies,
interpretations, rules, practices, and procedures of SFMC. PLAN shall be solely
responsible for the quality and cost of the advice and/or services furnished to PLAN
by PLAN's legal counsel, actuaries, certified public accountants, investment
counselors, investment analysts, medical professionals or groups, or similar
individuals or organizations who may perform services relating to the plan on behalf
of PLAN; and SFMC shall have no responsibility therefore under any circumstances.
2. Compensation
A. PLAN shall pay SFMC each month for the services to be performed hereunder, a
base fee as shown below for each participating single person or family covered by
PLAN for any portion of the month in question.
TIME PERIOD
The term of this contract shall begin at 12:01 A.M. on 07/01/2015, and shall continue
in effect until 12:00 midnight 06/30/2017 unless a sixty (60) day notice of termination
has been given by one party to the other. In the event no termination notice has
been given by either party, and a new agreement has not been negotiated, this
contract shall automatically renew for an additional one year term.
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FEES
After the term of this agreement, the fees may be evaluated for possible increase.
SFMC shall have the further right to request to adjust the base fee upon:
1. Any change in the scope of work to be performed hereunder, as reasonably
determined by SFMC; or
2. A decrease of at least 20% in the number of participating employees at the
time this agreement is implemented or renewed, or at the time of any
subsequent price adjustment.
3. Should postal rates increase, SFMC reserves the right to adjust the
administration fee to meet our costs.
B. SFMC shall provide PLAN with a monthly statement of the above fees by the fifth
business day of each month, based on its best estimate of the number of
participants. Said estimate shall be based on the most recent eligibility information
provided by PLAN. Deletion of participants without payment of SFMC's fees, by
reason of their prior termination, errors, etc. is permitted only before the end of the
month. Additions, with the retroactive payment of fees, may occur at any time.
Where the actual number of participants is different from the estimate; there shall be
an appropriate fee adjustment in the subsequent month. SFMC is authorized to
invoice PLAN for its fees and expenses, and those of brokers and insurance
premiums as appropriate. PLAN shall make payment to SFMC by check or wire
transfer. PLAN shall immediately notify SFMC of any change in these vendors or
the amounts due them.
3. Term
A. This AGREEMENT shall continue through June 30, 2017 unless either party has
issued a sixty (60) day notice of termination. If no notice of termination is timely
given, and a new AGREEMENT has not been negotiated, this AGREEMENT shall
automatically renew for an additional one year term with the pricing adjustments
contained in Exhibit C "Administration Fees".
B. Upon termination of this AGREEMENT, other than as the result of PLAN's breach or
default, SFMC shall co-operate fully with PLAN to assure an orderly transition of
services to its successor. The foregoing shall not be deemed to prohibit SFMC from
formatting the data to be returned in a fashion as is likely to protect SFMC's trade
secret information regarding data base design and structure. PLAN agrees to
compensate SFMC for the time spent in connection with all such transition services
at SFMC's prevailing rates in effect at such time and for such other expense as
SFMC incurs.
C. SFMC shall have no responsibility for any claims received after the termination of the
AGREEMENT, other than to forward any claim forms received to PLAN or its
designated agent, at PLAN's cost. SFMC's responsibility for claims pending at the
time their AGREEMENT is terminated shall cease 15 days following said termination;
and, following payment in full of all amount owed SFMC by PLAN, SFMC shall
promptly deliver the appropriate files to PLAN or its designated agent, at PLAN's
expense.
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4. Records and Files
A. SFMC agrees that the records maintained by it in connection with the services to be
performed hereunder are and shall remain the property of PLAN, and PLAN and its
representatives shall have reasonable access thereto during SFMC's normal
business hours, and after making mutually convenient arrangement. SFMC shall
maintain hard copy records for two years from receipt and shall turn over older
records to PLAN for storage at PLAN's expense. Upon termination of AGREEMENT
and upon payment in full of all amounts owed SFMC by PLAN, SFMC shall return all
data relating to employee claims and all other relevant files to PLAN, at PLAN's
expense. PLAN agrees to maintain all records for the period required by law for
insurance records. At the time of delivery, or thereafter at its option, SFMC shall be
entitled, at PLAN's expense, to make paper copies of all records. PLAN agrees to
give SFMC unrestricted access to original records in the event that such access is
requested by SFMC for any legitimate purpose, including as a result of any litigation
or similar proceeding. SFMC shall also be entitled to make all records available at
any time to any governmental agency that legally requests them.
5. Hold Harmless
A. In the event that suit is brought against PLAN or SFMC for torts, wrongful acts or
omissions, or misrepresentations which stem solely from acts committed by
employees of SFMC, in relation to this Agreement, SFMC agrees to hold PLAN
harmless for said acts and to assume any and all legal expenses incurred defending
said suit and to relieve PLAN of any and all financial obligations or awards as a result
of said suit or the compromise and settlement thereof.
B. In the event that suit is brought against SFMC or PLAN for torts, wrongful acts or
omissions, or misrepresentations which stem solely from acts committed by
employees of PLAN, in relation to this Agreement, PLAN agrees to hold SFMC
harmless for said acts and to assume any and all legal expenses incurred defending
said suit and to relieve SFMC of any and all financial obligations or awards as a
result of said suit or the compromise and settlement thereof.
6. Responsibilities & Relationships
PLAN is:
A. The Plan Administrator, for purposes of ERISA and the Internal Revenues Code of
1954, as amended, is solely responsible for all duties imposed on the Plan
Administrator by these and other laws.
B. Responsible for the final determination of all claims and the appeals process relating
thereto and for following the procedures described in the Plan Document.
C. Responsible for supplying adequate eligibility and other information on a timely basis
to enable SFMC to effectively carry out its duties. SFMC shall be entitled to fully rely
on the adequacy and accuracy of such data.
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D. Responsible for providing a Plan Document and a Summary Plan Description, which
emit the requirements of ERISA. SFMC may be engaged to produce said documents
as provided in the following description of Administrative Services.
E. Responsible for adequately funding the PLAN and reconciling its bank account.
SFMC shall not:
A. Under any circumstances be liable or reconcile for any policy decisions of the PLAN,
the adequacy of funding, or any other functions, which are the responsibility of PLAN.
B. Be construed to be, or required to take any action, which might make it appear to be,
a Plan Trustee or Plan Administrator (as defined in ERISA). Its duties are agreed to
be limited to purely ministerial functions and shall include no other.
7. Notice
Any notice to be given this AGREEMENT shall be in writing, and if given by mail, shall be
sent by certified or registered mail, return receipt requested. All notices shall be deemed to
have been given when personally delivered or three days after deposit in the U.S. mails. The
following addresses shall be used, subject to written notification of change, for billings,
correspondence, and notices:
PLAN: City of Lodi
PO Box 3006
Lodi CA 95241
SFMC: Joanne A. Chipponeri
Executive Director
Stanislaus Foundation for Medical Care
PO Box 576007
Modesto CA 95357-6007
8. Standard Provisions
The Standard Provisions attached hereto are hereby incorporated into this AGREEMENT.
IN WITNESS WHEREOF, the undersigned have executed this AGREEMENT as of the date herein
above stated.
STANISLAUS FOUNDATION FOR CITY OF LODI
MEDICAL CARE
A4� By:
Joanne A. Chipponeri
Title: Executive Director Title:
Date: 06/01/2015 Date:
5
Approved as to form
Deputy City Attorney '/�
EXHIBIT "A"
CLAIMS ADMINISTRATION
Administrative Services
The FOUNDATION shall process claims presented under the plan established by PAYOR for
its designated beneficiaries. The specific tasks to be performed by the FOUNDATION include, but
are not limited to, the following:
➢ Receive claim documents from the PLAN participants and verify their eligibility for benefits
upon information provided by PLAN.
➢ Correspond with claimants regarding any additional information needed to process a claim.
➢ Review all claims thoroughly to determine that all charges are necessary, usual, reasonable
and customary.
➢ Receive and enter all claims based on the information presented for payment. Claims,
(90%) which are complete, shall be entered into SFMC's computer within 1-18 calendar days
following receipt. If additional information is necessary, SFMC shall request the information
promptly.
➢ Prepare payments to either the provider or claimant as directed by the claim form.
➢ Invoice PLAN from check registers of processed claims. Plan to pay SFMC by check or wire
transfer. Checks will be mailed to providers or employees once funding is received.
➢ Notify claimants, in writing, of the reasons for denial of any claim.
➢ Answer all telephone and mail inquiries from participants as to benefits provided.
➢ Provide information to providers of care as to eligibility of participants based upon information
provided by PLAN.
➢ Establish and maintain files on all claimants showing all claims, whether paid or denied.
➢ Provide PLAN with such additional data and reports regarding PLAN utilization as may be
mutually agreed between PLAN and SFMC from time to time.
➢ Cooperate fully with PLAN and its representatives including, but not limited to, legal counsel,
actuaries, accountants and brokers.
➢ If requested by PLAN, SFMC shall arrange for the printing of specialized forms such as claim
forms, checks, plan booklets, explanations of benefits, stationery, and ID cards needed to
administer the PLAN. Such printing and SFMC's time, at its then prevailing hourly rates, shall
be at PLAN's expense.
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EXHIBIT "B"
STANDARD PROVISIONS
Except in the case of SFMC's willful misconduct or gross negligence, SFMC's liability
under this AGREEMENT shall be limited to performance of the tasks stated and/or
correcting its errors. SFMC shall not, under any circumstances, be liable for
consequential or special damages, or for delays or other problems caused by strikes,
lockout, riots, war, fire, acts of God, governmental regulations, or any other cause beyond
its reasonable control.
SFMC and PLAN each agree not to offer employment to, during the term of this
AGREEMENT (including extensions), and for 180 days thereafter, any employee of the
other without obtaining the employer's prior written consent. Since the damages incurred
by an employer from the loss of a trained employee are very difficult to assess or
determine, the parties agree to pay liquidated damages for breach of this provision equal
to the higher of the new or old annual salary of the person hired without consent.
3. Any controversy which the parties do not resolve between themselves, or any disputed
claim arising out of or relating to this contract, or the breach thereof, shall be settled by
arbitration to be held in San Francisco, California, in accordance with the rules of the
American Arbitration Association ('AAA'). Should either party make a written request for
arbitration, the parties may agree on an arbitrator and submit the case to him. If a single
arbitrator is not agreed to, each side shall appoint an AAA approved arbitrator within 10
days and the two arbitrators shall select a third. The decision of the arbitration panel
shall be final, and judgment upon the award rendered may be entered into any court
having jurisdiction. Attorneys' fee and all costs of arbitration shall be borne by the non -
prevailing party or in such other fashion as the arbitrators may decide. If court
proceedings are necessary to collect an arbitration award, the prevailing party may also
recover the costs thereof together with attorneys' fees.
4. This is a California contract, and shall be interpreted according to the laws of the State of
California.
5. This document is the sole agreement between the parties on this subject, and it may only
be amended in writing by properly authorized representatives of both parties. No
representation or statement not expressly contained in the AGREEMENT shall be binding
on SFMC as a warranty or otherwise.
6. PLAN agrees to pay all of SFMC's invoices by the tenth day of the month in which they
are dated. A service charge of 1.5% per month, but not more than the maximum
permitted by law, shall be added to any invoice that is not paid in full within 30 days. If an
invoice remains unpaid after 90 days, this AGREEMENT shall be conclusively deemed to
have been breached by PLAN, and all sums due or projected to be due under the
contract until its next expiration date shall be immediately due and payable. Such sum
shall then bear interest at the rate stated above. PLAN agrees to reimburse SFMC for all
legal and other costs incurred by SFMC in collecting sums due hereunder. SFMC may
cease all work for PLAN if an invoice is unpaid after 60 days and shall not be required to
resume work until all invoices are current. If SFMC is owed any sums under this
AGREEMENT, it shall not be required to deliver any records of PLAN to PLAN,
notwithstanding any provisions to the contrary elsewhere in this AGREEMENT.
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7. PLAN recognizes that in the course of performing its duties under this AGREEMENT
SFMC will necessarily reveal to PLAN, and certain of its employees, valuable trade
secrets of SFMC including, but not limited to, the design and other features of SFMC's
data processing system. PLAN agrees to keep all such information strictly secret, and to
alert all its employees to the value of this proprietary information and the need to keep it
secret. PLAN further agrees to use all such measures as are reasonable necessary to
protect these trade secrets.
8. PLAN recognizes that all printed and visually displayed materials provided to it by SFMC
are copyrighted by SFMC whether or not they are so marked. Accordingly, such reports,
manuals, screen formats, and other similar materials may not be duplicated by PLAN or
any other party. Further, such items are provided to PLAN for its sole use and may not,
under any circumstances, be provided or distributed to any other party.
9. This contract is binding upon and shall incur to the benefit of the legal successors and
assigns of the party.
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ADMINISTRATION FEES
CITY OF LODI
07/01/2015 TO 06/30/2017
Exhibit "C"
SERVICE
Claims Administration
FEES
Medical $
Vision $
Dental $ 3.65 Per employee per month
Broker $
Panel Access Fee $ 1.20 Per employee per month
One -Time Set Up Fee
Medical $
Vision $
Dental $ 2.25 Per new enrollee
Initial Benefit Plan $ Included
Additional Benefit Plans @ $25 each per month $ Per month
Custom Programming – PLAN expense $ To be determined
Client Reporting:
Standard Reports – Monthly Eligibility & Statistics $ Included
Custom Reports $ Fee negotiable
Plan Document/Brochure $ Not included
Identification Cards $ Included
STANISLAUS FOUNDATION FOR CITY OF LODI
MEDICAL CARE
By:
.RJo—an-ne A. Chipponen
Title: Executive Director Title:
Date: 06/01/2015 Date:
10
ApFcoved as to form. -
Ikputy City Attorney ;
RESOLUTION NO. 2015-109
A RESOLUTION OF THE LODI CITY COUNCIL APPROVING
RENEWAL OF THE DENTAL CLAIMS ADMINISTRATION
AGREEMENT WITH STANISLAUS FOUNDATION FOR
MEDICAL CARE AND FURTHER AUTHORIZING THE
CITY MANAGER TO EXECUTE THE AGREEMENT
NOW, THEREFORE, BE IT RESOLVED that the Lodi City Council does hereby
authorize the City Manager to renew and execute the Dental Claims Administration
Agreement with Stanislaus Foundation for Medical Care at a cost not to exceed $37,500;
and
BE IT FURTHER RESOLVED that this agreement shall be effective July 1, 2015
through December 31, 2017.
Dated: July 15, 2015
I hereby certify that Resolution No. 2015-109 was passed and adopted by the
City Council of the City of Lodi in a regular meeting held July 15, 2015, by the following
vote:
AYES: COUNCIL MEMBERS — Chandler, Kuehne, Mounce, Nakanishi,
and Mayor Johnson
NOES.' COUNCIL MEMBERS — None
ABSENT: COUNCIL MEMBERS — None
ABSTAIN: COUNCIL MEMBERS — None
J NIFER FERRAIOLO
City Clerk
2015-109