HomeMy WebLinkAbout2003 ADMINISTRATIVE REPOR
!
MEETING DATE October 22, 2003 I AGENDA SECTION: Consent
I
ITEM: ~. ~',
TO: Honorable Mayor and City Council ~ //~. 7;/~EAPPRO ED
FROM: Carroll Hayden, Human Resources Manager DEPARTMENT HEAD
DATE: October 13, 2003 CITY ATTORNEY
CITY MANAGER~ ' ~/'~
SUBJECT: Agreement with Pacific Union Dental for Retiree Dental Benefits
RECOMMENDATION:
Personnel Committee recommends'approval of the contract.
BACKGROUND:
At the Insurance Committee meeting of August 5, 2003, the Committee recommended that a dental
insurance policy for retirees of the City Of Bakersfield and paid for by retirees be initiated. This
recommendation was forwarded to the Personnel Committee of the Council on September 18, 2003, who
also approved the recommendation. The Insurance Committee reviewed the details of the dental plan for
retirees on September 26, 2003, which included a 2% administrative fee for the City to administer the plan
and a 10% risk fee. The dsk fee is included, as participants must stay in the plan for a year and it was
feared that some retirees might enroll, have dental work completed and then stop paying premiums,
. leaving-the City liable for the remainder of the plan year premiums. The plan includes two options ~with two
different rate structures, as outlined in the attached contract. Both plans include orthodontic benefits.
October 14, 2003, 8:28AM
S:~ADMINRPT~Retiree Dental PUD.dot
AGREEMENT NO.
AGREEMENT WITH
PACIFIC UNION DENTAL
FOR RETIREE DENTAL
THIS AGREEMENT, made this day , is by and between the
CITY OF BAKERSFIELD, .(hereinafter referred to as GROUP) and PACIFIC UNION DENTAL.
RECITALS
WHEREAS, GROUP and PACIFIC UNION DENTAL desire to make available dental
insurance to the Retiree health plan participants and their enrolled dependents at no cost to the
.City of Bakersfield and with a 2% administrative fee, and to be paid quarterly to the city by the
Reitrees.
WHEREAS, GROUP and PACIFIC UNION DENTAL agree that the plan have an
enrollment of 10 for the entire Year to retain the availability of the plan to the entire enrollment,
and a 10% risk retention fee will be assessed for this purpose.
· :" NOW, THEREFORE, inCorporating the foregoing herein, it is agreed as follows:.
A. GROUP and PACIFIC UNION DENTAL' to commence this plan beginning
January 1, 2004 and ending December 31, 2004
B. GROUP and PACIFIC UNION 'DENTAL agree to the following monthly rates;
Retiree Only Retiree + 1 Retiree + Family
Trinity/Alpine Plan $11.83 $18.93 $ 29.03
Regency/Alpine Plan $19.93 $31.90 $48.83'
Agreement Retirees Dental- continued:
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed,
on
GROUP: CITY OF BAKERSFIELD PACIFIC UNION DENTAL
By By
HARVEY HALL TITLE
Mayor
APPROVED AS TO FORM:
By
BART THILTGEN
City Attorney
APPROVED AS TO CONTENT:
, 'By
ALAN CHRISTENSEN
Assistant City Manager
COUNTERSIGNED: ·
By
GREGORY J. KLIMKO
Finance Director
. ALPINE PLAN
ORTHODONTIC BENEFITS
Northern California
L ORTHODONTIC BENEFITS
Orthodontic services are provided as part of denf;l' benefits provided by Pacific Union Dental, subject to the
following provisions:
a)There shall be a one-time surcharge of $2250.00 for a full-banded/2 year ease, (Phase II treatment only),
plus an additional charge of no more than:
· $350.00 for start-up fees
$150.00 for one set of retainers (with retention limited to 12 consecutive months, if
'- necessary)
Member's payment schedule shall be as follows unless otherwise agreed upon between the member and the
orthodontist:
$750.00 at the inception of care (the placement of bands)i
$1 $0.00 per month for 10 months.
b) Orthodontic treatment is available for each elig~le dependent.between ages i0 and 19. Orthodontic care
for dependent children over the ages of 19 is not a covered benefit.
c)Orthodontic treatment must be provided by a member of the orthodontic panel, who is providing said
treatment under a contract with Pacific Union Dental.
d) Plan benefits cover 24 months of usual and customary Phase II orthodontic treatment.
II. LOSS OF BENEFIT/RESIDUAL OBLIGATIONS
Should a member be terminated or become ineligible for benefits, the member is subject to the following
provisions:
a) 'Avail~hili~' of the orthod~,ntic benefits descr/bed herein will cease upon loss of members' eligibility and/°r
termination of the Group Subscriber Agreement for any reason. In the event benefits terminated while
members and/or dependents have treatment in progress, the member may complete treatment by payment
of the lesser of the following:
l) The number of months remaining in treatment times $125 per month.
2) $3000 less any copayments (including start-up fees) paid prior to termination of this benefit.
b) Ifa termination ofbenefits occurs due to a termination of the Group Subscriber Agreement, the group shall
reserve the right to assign members residual obligation as described in (a) above to a successor
organization.
e) · If member loses eligibility for 3 or more Consecutive months they will be considered no longer elig~le for
orthodontic benefits, and (1) above would apply.
d) Dependents other than spouse lose benefits on the 19th birthday (subject to l a & b above).
IlL ADDITIONAL CHARGES
Alpine. DocJOnho Plans/mjc
.. a) 'Treatment that extends beyond 24 months will be subject to an office visit charge, which will be the
members responsibility.
' b) The charge for each additional month will not exceed $125.00 per month.
IV. SERVICES NOT PROVIDED
The following are no._..t benefits included as part of orthodontic services provided by Pacific Union Dental.
a) Start-up including:
1. Cephalometric x-rays*
2. Tracings* ·
· .. 3. Study models*
4. Photos*
b) Lost orbmken appliances.
c) Retreatment of orthodontic cases.
d) Treatment in progress at inception of eligibility.
e) Changes in treatment necessitated by accident of any kind.
f) Extraction of teeth or surgical procedures performed for orthodontic purposes.
g) Orthodontics for TMJ problems including assessment beyond that customarily provided in general practice.
· h) '. Cases involving:
I. Surgical orthodontics.
2. Myofuncfional therapy.
3. Cleft palate.
4. Micrognathia.
5. Macroglossia.
6. Hormonal imbalances.
7. Phase I orthodontic care.
8. Orthodontic care prior to age ten or after the age of nineteen.
i) Transfer of Orthodontic provider for any reason in the middle of treatment.
j) Orthodontic cases extending beyond the 19th birthday are subject to loss of benefit residual obligation
provision (refer to SECTION II LOSS OF BENEFIT/RESIDUAL OBLIGATIONS).
k) Any treatment rendered by any noncontractcd Orthodontic provider.
* Start-up fees subject to additional combined charge not to exceed $350.00.
Alpine. Doc/Ortho Plans/mjc ~'-
REGENCY COPAYMENT SCHEDULE
I~Cl~: Ux fox
ADA DESCRIPTION MEMBER'S ADA DESCRIPTION MEMBER'S
COPAYMENT COPAYMENT
DIAGNOSTIC SERVICES 02332 Resin 3 Surface Anterior* 0
00110 Initial Oral Examination 0 02335 Resin 4 Surfacedincis. Angle Ant.*
00120 Periodic Oral Examination 0 0
00130 Emergency Oral Exam 0 ADVANCED RESTORATIVE
00210 Full mouth x-rays 0 SERVICES
00220 Single film 0 ' 02710 Crown Resin Lab* 68
00230 Additional films 0 02720 Crown Resin Hi Noble*' 101
00240 · Occlusal film 0 ' 02721 Crown Resin Predom. Base* 93
00250 Extra-oral Single Film . 0 02722 Crown Resin Noble* 93
00260 Extra-oral Add. Films ; 0 ' 02740 Porcelain crown* 105
00270 I Bite wing film 0 02750~ Porcelain with gold crown* 114
00272 2 Bite wing films 0 02751 Porcelain with metal Cm.* i 12
00274 4 Bite wing films 0 02752 Porcelain Semiprec. Crown* I I !
00330 Panorex film 0 02790 Full gold crown 120
00340 Cephalometric Film 0 02791 Full metal crown 102
00415 Bacterioligic Studies, perio 0 02792 Crown, Noble Metal 113.
00425 Caries susceptibility tests 0 02810 3/4 Gold crown I 10
00460 Pulp Vitality Tests 0 02910 Inlay recementation 12
00470 Diagnostic Casts 0 02920 Crown recementation ! 3
PREVENTIVE SERVICES 02930 Prefab. Stain. St. Crown prim 3 I
0293 i Prefab. Stain. St. Crown perm 3 I
01110 Prophylaxis, adult 0 ~ 02932 Prefab. Resin Crown* 27
01120 Prophylaxis, children 0 02940 Sedative fillings
01201 Prophy w fluoride child 0 0
01203 Fluoride w/o prophy child 0 02950 Crown build up 27
0295 ! Pin Retention, Add to Rest. 12
01204 Fluoride w/o prophy adult 0 02952 Post and Core, Cast .. 39
01205 Prophy w fluoride adult 0 02954 Post and Core Pre-fab 33
01310 Nutritional counseling 0 02970 Temporary Crown
01330 Oral Hygiene Instruction 0 0
0 ! 351 Sealant, per tooth 0 ENDODONTIC SERVICES
01510 Fixed spc maintainer unilateral 0 03110 Pulp capping 0
01515 Fixed, lingual/palatal bar 0 03120 Pulp cap-indite.ct _ l0
01520 Space Maint. Rem. Unilat. 0 03220' PulPo~omy primary 19
01525 Space Maint. Rem. Bilat. 0 03310 Root canal, Anterior 74
01550 R¢cementation Space Maint. 0 03320 Root canal, Bicuspid 89
BASIC RESTORATIVE 03330 Root canal, Molar · 1 I0
SERVICES 03346 RCT Retreat, Anterior 74
03347 RCT Retreat, Bicuspid 89
02110 Amalgam One Surface Primary 0 03348 RCT Retreat, Molar 110
02120 'Amalgam Two Surface Primary 0 03351 Apexiflcation, lstvisit 22
02130 Amalgam Three Surface Primary 0 03410 Apicoectomy Anterior 100
02131 Amalgam Four Surface Primary 0 03421 Apicoectomy, Bicuspid 106
02140 Amalgam One Surface Permanent 0 03425 Apicoectomy, Molar 142
02150 Amalgam Two Surface Permanent 0 03426 Apicoectomy, additional root
02160 Amalgam Three Surface Permanent 0 60
03430 Retrograde Filling 33
02161 Amalgam Four SUrface Permanent 0 03450 Root Amputation 48
02330 Resin I Surface Anterior* 0' 03920 Endodontic hemisection
02331I Resin 2 Surface Anterior* 0 65
ADA DESCRIPTION MEMBER'S ADA ' DESCRIPTION MEMBER'S
COPAYMENT
' COPAYMENT
PERIODONTAL SERVICES 06241 Porcelain to metal pontic* 105
04210 Gingivectomy per quadrant 59 06242 Pontic Porcelain Semiprec* 109
04211 Gingivectomy/tooth 21 06250 Pontic Resin High Noble Met.* · 100
04220 Quad Curettage Surgical Procedure 28 06251 Plastic process to metal* 94
04240 Ging. Flap Curettage 42 06252 Pontic Resin to Semiprec.* 93
04260 Osseous Surgery/per qt. ' ' 138 06545 Cast Met. Retainer (Maryland) 70
04261 ' Osseous Graft Single site I 12 06720 Crown Resin High Noble Met.* I01
04262 Osseous Graft mult. site 155 06721 Crown. Res. proc. to met.* 93
. 04270 Pedicle Soft Tiss. Proc 65 06722 Crown Res. proc. to Semiprec.* 94
04271 Free Soft Tiss. Graft ' 98 06750 Crown Porc. to Precious Met.* 115
04341 Root planing/quadrant 28 06751 Porcelain with Base metal* . i 12
04910 Perio. Maint. Procedure 16 06752 Crown Pore. to Semiprec. Met.* 115
REMOVABLE .06780 3/4 Gold crown 112
06790 Full gold crown 113
PROSTHODONTICS 06791 Crown Full Cast Base Metal 103
05110 Complete Upper Denture 153 06792 Crown Full Cast Semiprec. 112
05120 Complete Lower Denture 153 06930 Recement bridge i 7
05130 Immediate Upper 167 06970 Cast Post and Core 38
05140 Immediate Lower 167 06971 Cast Post and Core w/Bridge 37
05211 Upper partial, resin base 146 06972 Prefab. Post and Core 25
05212 Lower partial, resin base 146
05213 Chrome cobalt partial upper 153 ORAL SURGERY
05214 Chrome cobalt partial lower 154 07110 Simple extraction 0
05410 Upper Denture Adjust 10 07120 Additional extraction 0
054t I Lower Denture Adjust 10 07130 Root Removal Exposed 0
05421 Partial adjustment, upper 10 07210 Surgical extraction 0
05422 Partial adjustment, lower l0 07220 Impacted (soft tissue) 37
055 l0 Denture repair (no teeth) 20 07230 Impacted (partially bony) 48
05520 Replace Broken Teeth-per tooth 12 07240 Impacted (complete bony) 53
05610 Repair Acrylic Saddle 23 07241 Impaction (unusual complications 53
05620 Repair Framework 19 07250 Root Removal Surgical 35
05630 Repair Broken Clasp 13 07285 Biopsy, hard tissue 33
05640 Replace Broken Teeth-per tooth 23 07286 Biopsy, soft tissue 30
05650 Add Tooth to existing partial 22 07310 Alveolectomy (w/extrac.) 31
05660 Add Clasp to existing partial 31 07320 Alveolectomy per quadrant 32
05710 Rcbasc Complete Dent. Upper 58 07340 Vestibuloplasty, simple 67
05711 Rcbase Complete Dent. lower 59 07350 ' Vcstibuloplasty, extensive 78
05720 Rcbasc Partial Dent. Upper 55 07510 I & D ofAbcess, lntraoral 20
05721 Rcbasc Partial Dent. lower 56 07530 Removal of Foreign Body 38
05730 Reline Comp. Dent. Iow. (Ch) 35 07960 Frenectomy 38
05731 Reline Comp. Dent. Up. (Ch) 35' · ' '
05740 Reline Partial Upper (Ch) 33 ADJUNCTIVE SERVICES
05741 Reline Partial Lower (Ch) 33 09110 ..Emergency Treatment 0
05750 Reline Comp. Denture Upper (Lab) 52 09310 Consultation 14
05751 Reline Comp. Denture Lower (Lab) 50 09430 Office Visit for Observation 0
05760 Reline Part/al Upper (Lab) 46 '09440 Office Visit After Hours 17
05761 Reline Partial Lower (Lab) 46 09930 Treatment of Complications 10
05820 Interim Part/al Upper 58 09940 Occlusal Guards 25'
05821 Interim Partial Lower 68 09951 Occlusal Adjustment Limited 17
05850 Tissue conditioning/arch Upper 22 09952 Occlusai Adjustment Complete 33
05851 Tissue eonditionlng/arch Lower 22 ' 10001 FAILED APPOINTMENT 25
'FIXED PROSTHODONTICS
06210 Cast gold pontic* 112 *Resin, porcelain, and any resin t° metal or porcelain to
06211 Full Metal Pontic 104 metal crowns and pontics are excluded on molar teeth.
06212 Cast noble metal Pontic* ' i 09
06240 Porcelain to gold pontic* 114
P.~:,.~t~,~ TRINITY COPAYMENT SCHEDULE
ADA DESCRIPTION MEMBER'S ADA DESCRIPTION MEMBER'S
COPAYMENT COPAYMENT
DIAGNOSTIC SERVICES ADVANCED RESTORATIVE
00110 Initial Oral Examination " 0 ' SERVICES
00120 Periodic Oral Examination 0 02710 Crown Resin Lab* 102
00130 Emergency Oral Exam. 0 02720 Crown Resin Hi Noble* 200
00210 Full mouth x-rays 0, 02721 Crown Resin Predom. Base* 200
00220 Single film 0 02722 Crown Resin Noble* 200
00230 Additional films . 0 02740 'Porcelain crown*
00240 Occlusal film 225
0 02750 Porcelain with gold crown*
00250 Extra-oral Single Film 0 02751 Porcelain with metal Cm* 200
· 200
00260 Extra-oral Add. Films 0 02752 Porcelain Semiprec. Crown* 200
00270 I Bite wing film 0 02790 Full gold crown 200
00272 2 Bite wing films 0 02791 Full Metal Cm. 200
00274 4 Bite wing films 0 02792 Crown, Noble Metal 200
00330 Panorex film 0 02810 3/4 Gold crown 200
00340 Cephalometric Film neb 02910 Inlay recementation 17
00425 Caries susceptibility tests neb 02920 . Crown recementation 18
00460 Pulp Vitality Tests 0 02930 Prefab. Stain. St. Crown prim 38
00470 Diagnostic Casts 0 02931 Prefab. Stain. St. Crown perm 45
02932 Prefab. Resin Crown* 36
PREVENTIVE SERVICES 02940 Sedative fillings 13
01110 Prophylaxis, adult 0 02950 Crown build up 37
01120 Prophylaxis, children 0 02951 Pin Retention, Add to Rest. 15
01201 Prophy w fluoride child 0 02952 Post and Core, Cast 59
01203 FIouride w/o prophy child 0 02954 Post and Core Pre-fab 43
01204 FIouride w/o prophy adult 0 02970 Temporary Crown 20
01205 Prophy w fluoride adult 0
01310 Nutritionalcounseling . 0 ENDODONTICSERVICES
01330 Oral Hygiene Instruction ~ 0 03110 Pulp capping 8
01351 Sealant,per tooth 15 03120 Pulp cap-indirect 12
01510 Fixed spc maintainer unilateral 40 03220 Pulpotomy primary 14
01515 Fixed, lingual/palatal bar 40 03310 Root canal, Anterior 85
01520 Space Maint. Rem. Unilat. 40 03320 Root canal, Bicuspid 125
01525 Space Maint. Rem. Bilat. 45 03330 Root canal, Molar 205
0 ! 550 Recementation Space Maint. I 0 03346 RCT Retreat, Anterior 85
03347 RCT Retreat, Bicuspid 125
BASIC RESTORATIVE 03348' RCT Retreat, Molar 205
SERVICES 03351 Apexification, 1st visit 25
021 I0 Amalgam One Surface Primary 0 03410 Apicocctomy Anterior 86
02120 Amalgam Two Surface Primary 0 03421 Apicoectomy, Bicuspid 171
02130 Amalgam Three Surface Primar~ 0 03425 Apieoectomy, Molar 257
02131 Amalgam Four Surface Primary 0 03426 Apicoectomy, additional root 134
02140 Amalgam One Surface Permanent 0 03430 Retrograde Filling 134
02150 Amalgam Two Surface Permanent 0 03450 Root Amputation 61
02160 Amalgam Three Surface Permanent 0 03920 Endodontic hemisection "56
02161 Amalgam Four Surface Permanent 0
02330 Resin I Surface Anterior * 0 PERIODONTAL SERVICES
02331 Resin 2 Surface Anterior * 0 04210 Gingivectomy per quadrant 190
02332. Resion 3 Surface Anterior * 0 04211 Gingivectomy/tooth 58
02335 Resin 4 Surfacodincis. Angle Ant.* 0 04220 Quad Curet+,agc Surgical Procedure 85
Trinity. Dec/DC Plans & Ratcs/mjc
' ADA DESCRIPTION "" ,'MEMBER'S ADA DESCRIPTION
COPAYMENT '~. MEMBER's
COPAYMENT
04240 Ging. Flap Curretage 175 06250' . Pontic Resin High Noble Met.* 175
04260 Osseous Surgery/per qt. 310 06251 Plastic process to metal* 154
04261 Osseous Graft Single site ~ 395 06252 Pontic Resin to Semiprec.*
04262 Osseous Graft mult. site i 62
395 06545 Cast Met. Retainer (Maryland) 87
~ 04270 Pedicle Soft Tiss. ProC. 330 06720 Crown Resin High Noble Met.* 195
04271 Free Soft Tiss. Graft 490 0672 i Crown Res. proc. to met.* 175
04341 Root planing/quadrant 65 06722 Crown Res. proc~ to Semiproc.* 166
04910 Perio. Maint. Procedure 75 06750 Crown Pore. to Precious Met.* 194
REMOVABLE ' 06751 Porcelain with Base metal* 185
06752 Crown Pore. to Semipre¢. Met.* i 92
PROSTHODONTICS 06780 3/4 Gold crown 195
05110 Complete Upper Denture 260 06790 Full gold crown 195
05120 Complete Lower Denture 260 ' 06791 .Crown Full Cast Base Metal 185
05130 Immediate Upper 260 06792 Crown Full Cast Semipre¢. '187
05140 Immediate Lower 260 06930 Recement bridge 26
0521 ! Upper partial, resin base i 68 06970 Cast Post and Core 6 !
05212 Lower partial, resin base 173 06971 Cast Post and Core w/Bridge 54
05213 Chrome cobalt partial upper 212 06972 Prefab. Post and Core
05214 Chrome cobalt partial lower 206 44
05410 Upper Denture Adjust 27 ORAL SURGERY
05411 Lower Denture Adjust· 27 07110 Simple extraction
15
05421 Partial adjustment, upper 27 07120 Additional extraction 15
05422 Partial adjustment, lower 27 07130 Root Removal Exposed 15
05510 Denture repair (no teeth) 35 07210 Surgical extraction 30
05520 Replace Broken Teeth-per tooth 25 07220 Impacted (soft tissue) 58
05610 Repair Acrylic Saddle 28 07230 Impacted (partially bony) 95
05620 Repair Framework 45 07240 Impacted (complete bony) ' 110
05630 Repair Broken Clasp 35 07241 Impaction (unusual complications i 10
05640 Replace Broken Teeth-per tooth 34 07250 Root Removal Surgical 45
05650 Add Tooth to existing partial 21 07285 Biopsy, hard tissue 80
05660 Add Clasp to existing partial 46 07286 Biopsy, soft tissue 80
05710 Rebase Complete Dent. Upper 94 07310 Alveolectomy (w/extxac.) 34
05711 Rebas¢ Complete Dent. lower 94 07320 Alveolectomy per quadrant 38
05720 Rebas¢ Partial Dent. Upper 79 07340 Vestibuloplasty, simple neb
05721 Rebas¢ Partial Dent. lower 75 07350 Vestibuloplasty, extensive neb
05730 Reline Comp. Dent. low. (Ch) 42 07510 l & D ofAbcess, Intraoral 23 '
05731 Reline Comp. Dent. Up. (Ch) 43 07530 Removal of Foreign Body 32
05740 Reline Partial Upper (Ch) 43 07960 Frenectomy 44
05741 Reline Partial Lower (Ch) 43
05750 Reline Comp. Denture Upper (Lab) 72 ADJUNCTIVE SERVICES
05751 Reline Comp. Denture Lower (Lab) 73 09110 Emergency Treatment 18
05760 Reline Partial Upper (Lab) 75 09310 Consultation 0
05761 Reline Partial Lower (Lab) 75 09430 . Office Visit for Observation . 0
05820 Interim Partial Upper 74 09440 Office Visit After Hours
35
0582 i Interim Partial Lower 73 09930 Treatment of Complications neb
05850 Tissue conditioning/arch Upper 22 09940 Oc¢lusal Guards neb
05851 Tissue conditioning/arch Lower 22 09951 Occlusal Adjustment Limited neb
09952 Occlusal Adjustment Complete ncb
FIXED PROSTHODONTICS 10001 FAILED APPOINTMENT ' 25
06210 Cast gold pontic* 195
062 ! 1 Full Metal Pontic i 95
06212 Cast noble metal Pontic* 195
06240 Porcelain to gold pontic* 185
06241 Porcelain to metal pontic* 180
06242 Pontic Porcelain Semiprec* 180 Resin, porcelain, and any resin to metal or porcelain to
meta! crowns and pontics are a benefit on anterior teeth
· only.
Trinity. Doc/DC Plans & Ratcs/mj¢
ADMI ISTRA IVE REPORT
I MEETING DATE: October8, 2003 AGENDA SECTION: ConsentiTEM: (~. ~,
TO: Honorable Mayor and City Council n~/ APPROVED
FROM: Carroll Hayden, Human Resources Manager DEPARTMENT HEAD ~
DATE: September 29, 2003 CITY ATTORNEY .~
CITY MANAGER
SUBJECT: 2004 HEALTH CARE CONTRACTS
1. Amendment No. 11 to Agreement No. 93-267 with Blue Cross of California for
Indemnity Health and Dental Services.
2. Amendment No. 10 to Agreement No. 93-266 with Blue Cross/California Care
Health Plans for Medical Services.
3. Amendment No. 7 to Agreement No. 96-148 with Blue Cross of California for the
Medicare Risk plan Senior Secure.
4. Amendment No. 6 to Agreement No. 97-320 with Kaiser Permanente Health
Plans for Medical Services.
5. Amendment No. 6 to Agreement No. 97-321 with Kaiser Permanente Health
Plans for Medical Services for retirees.
6. Amendment No. 12 to Agreement No. 91-280 with Dedicated Dental Systems,
Inc. for pre-paid Dental Services.
7. Amendment No. 11 to ^greement No. 92-278 with Medical Eye Services and
Security Life Insurance Company for Vision Services.
8. Amendment No. 7 to Agreement No. 96-149 with PacifiCare Inc. for the Medicare
Risk plan Secure Horizons for retirees.
9. Amendment No. 3 to Agreement No. 00:262 with Pacific Union Dental for pre-
paid Dental Services.
10. Amendment No. 3 to Agreement 00-263 with PacifiCare Behavioral Health of
California for Managed Mental Health Care.
11. Amendment No. 4 to Agreement 96-220 with PacifiCare Behavioral Health of
California for Employee Assistance Services.
September 29, 2003, 5:15PM
gr: S:~DMINRPT~-Iealth Insurance 2004.doc
ADMINISTRATIVE REPORT
RECOMMENDATION:
The Personnel Committee recommends approval.of the amendments.
BACKGROUND:
The City's contracts for health insurance are up for renewal for 2004. Our health care consultants, Buck
Consultants, have worked with the various vendors in arriving at the renewal rates for 2004. As a cost
.effective measure and upon recommendation from. our consultants, the Insurance Committee and the
Personnel Committee, all medical plans (Blue Cross, PPO, Blue Cross HMO, and Kaiser) were propOs~d
to be modified. Pharmacy plans will change from a $5/$10 copay to a $10/520 copay. The HMO co
pays will change from a $5 copay to a $10 copay. The Blue Cross Prudent Buyer plan will change from a
$150 deductible to a $200 deductible. These plan changes will effect an annual savings of $601,132 out
of the $1,036,585 in savings needed to meet the under budgeted health plan premium increases.
Therefore, the balance of additional savings needed to cover the under budgeted plan premium increased
cost is $435,453. Staff intends to cover this as follows:
Cost to be covered $435,453
Less 20 % employee share of those costs -87,090
Less non-General Fund share of costs -78,381
Less savings on mail order Rx plan -36,000
Less 44% of Council Contingency -44,118
Less conversion of 4 General Fund "frozen"
positions to permanent staff reductions -189,864
NET -0-
September 29, 2003, 5:15PM
gr: S:~ADMINRP'rlHealth Insurance 2004,doc
'' . AMENDMENT NO. 11 TO AGREEMENT 93-267 WITH
, ' BLUE CROSS 'OF CALIFORNIA
FOR. MEDICAL AND DENTAL SERVICES
· THIS AGREEMENT, made this day· , is by and between the
CITY OF BAKERSFIELD, .(hereinafter referred, to as GROUP) and BLUE CROSS ·OF CALIFORNIA.
RECITALS
WHEREAS, GROUP and BLUE-CROSS OF CALIFORNIA executed Agreement No. 93-267
approved December 15, 1993, to provide medical and dental services for Eligible Employees, Eligible
Retirees, COBRA Participants and their enrolled depende'f~ts of the GROUP; and
WHEREAS, said agreement to provide medical and dental services fOr Eligible Employees,
Eligible Retirees, and COBRA participants.and their enrolled dependents of the Group will expire by the
term at the end of calendar year 2003; and
WHEREAS, GROUP and BLUE CROSS OF CALIFORNIA desire to execute an eleventh (11)
Amendment to Agreement 93-267 to modify the medical plan by increasing the 'deductible from $150 to
$200 per person to a maximum of three per family and inCreasing the pharmacy copay from $5/$10 to
$10/$20 and.change the mail order prescription from 60 days to 90 days and to change the rates, and
eXtend the terms and provisions of the medical and dental services, and
NOW, THEREFORE, incorporating the foregoing recitals herein, it is agreed as follows:
A. GROUP and BLUE CROSS OF CALIFORNIA agree to eXtend the effective dates of
Agreement Nos. 93-267, 94-264, 95-306, 96-147 and 96-325 to the period commencing December 29,
for.Eligible Employees and January 1,. 2004 for Eligible Retirees and COBRA participants and their
dependents through December 31, 2004.
B. · GROUP and BLUE CROSS OF CALIFORNIA agree to incorporate by reference all
provisions of prior Agreement Nos. 93-267, 94-264, 95-306, 96-147 and 96-325 to remain in full force
'and effect during the term of this amendment as executed, excePt as otherwise provided herein.
· C. · GROUP and BLUE CROSS OF CALIFORNIA agree to the new rates as follows:
· . MEDICAL PLAN ACTIVE (Bi-weekly) .. COBRA (Monthly).. · RETIREE (Monthly).. .-:-
Single $126~84 $274.82 $ 789.03
Two Party $254.10 $550.55 $1,578.01
Family $381.78 $827.19 $2,367.00
DENTAL PLAN ACTIVE (Bi-weekly) COBRA (Monthly)
Single $114.70 $ 31.85
Two Party $30.24 $ 65.52
Family $50.40 ~ $109.20
D. GROUP and BLUE CROSS OF CALIFORNIA agree to incorporate with this
amendment the Funding Provisions document for the plan when it becomes available with the approval of
the City Manager and the City Attorney and such document shall be incorporated and made a part of the
agreement.
,' '-: ".-':;i ' ':. -' IN wITNEss wHEREOF, the partieS hereto have caused this Agreement to be execUted,
GROUP: CITY OF· BAKERSFIELD' BLUE CROSS OF CALIFORNIA
By By
HARVEY HALL TITLE
Mayor . '
APPROVED AS TO FORM:
By
BART THILTGEN
City Attorney '
APPROVED AS TO CONTENT:
By.'
ALAN CHRISTENSEN .
Assistant City Manager
COUNTERSIGNED:
By
GREGORYJ. KLIMKO
Finance Director
· " " ' ' AMENDMENT NO..10 TO AGREEMENT 93-266
WITH BLUE CROSS OF CALIFORNIA
' (CALIFORNIACARE)
FOR MEDICAL SERVICES
THIS AGREEMENT, made this daY , is by and between the
CI'I'~ OF BAKERSFIELD, (hereinafter referred to as GROUP) and BLUE CROSS OF
CALIFORNIA (hereinafter referred to as CaliforniaCare).
RECITALS
WHEREAS, GROUP and CALIFORNIACARE executed Agreement No. 93-266, approved
December 15, 1993, tO provide medical services for Eligible Employees, Eligible Retirees, COBRA
Participants and their enrolled dependents of the GROUP; and
WHEREAS, GROup and CALIFORNIACARE agreed to Agreement No. 94-263, to modify
the Combined Evidence of Coverage and Disclosure (Evidence of Coverage) form to exclude mental
or nervouS disorders or acute alcoholism or drug dependence from the current policy; and
WHEREAS, said amended agreements to provide medical services for certain Eligible
Employees, Eligible Retirees, COBRA ·participants and their enrolled dependents of the GROUP will
expire by their terms at the end of calendar year 2003; and
WHEREAS, GROUP and CALIFORNIACARE desire to execute an tenth (10) Amendment
to Agreement No. 93-266 to increase the office copay from $5 to $10 and the pharmacy benefit from
$5/$10 to $10/$20 and-to increase the mail order from 60 .days to 90 days and to increase the rates
and eXtend the terms and provisions of the medical services;
. "~'~.' ."NOW, THEREFORE, incOrporating the foregoing recitals herein, it is: agreed· as follows::.....~
A. GROUP and CALIFORNIACARE agree to extend the effective dates of prior
Agreement Nos. 93-266, 94-263, 95-305 and 93-266 to the period commencing December 29, 2003
for Eligible Employees, and January 1, .2004 Eligible Retiree's and COBRA participants and their
enrolled dependents through December 31, 2004.
CALIFORNIACARE agree to incorporate by reference all provisions of prior Agreement Nos. 93-266,
94-263, 95-305 and 96-326 to remain in full force and effect during the term of this amendment as
executed, except as otherwise provided herein.
:., ,: :..-. :Caiif0miaCareAgreementcontinUed: · :!. -~ ;..- ,.-, ... .,.,'.. :..'. . ... . . , , :
·.' . C. GROUP and CALIFoRNIACARE agree to'the new premium rates as.follows:
ACTIVE COBRA ' RETIREES
Under 65 ~' Over 65
Bi-weekly . MOnthly Monthly
Single $128.94 $279.37 '$283.92 ~ $172~90
Two Party · $259.14 $561.47 $588.77 $347.62
Family '$378.84 $820.82 $829.92
Retiree under 65 $283.92
with a spouse over 65 $174.72
$458.64
Retiree over 65 · $172.90
with a spouse under 65 $303.94
$476.84
Retiree over 65 with 2 dependents under 65 $606.06
D. GROUP and CALIFORNIACARE agree to incorporate Exhibit when it
becomes available with the approval of the City Manager 'and the City Attorney and such document
shall be incorporated and made a part of this agreement.
· IN WITNESS WHEREOF, the parties 'hereto have caused this Agreement to be
executed, on
GROUP: CITY OF BAKERSFIELD BLUE CROSS OF CALIFORNIA
By By.
HARVEY HALL TITLE
Mayor
APPROVED AS TO FORM:
BART THILTGEN
City Attorney
APPROVED AS TO CONTENT:
By
ALAN CHRISTENSEN
Assistant City Manager
COUNTERSIGNED:
By
GREGORY J. KLIMKO
Finance Director
A R££M£NT NO. 96-148 ( 7 )
AMENDMENT NO. 7 TO AGREEMENT 96-148 WITH ·
FOR BLUE CROSS OF CALIFORNIA
MEDICARE RISK PLAN
THIS AGREEMENT, made this day , is by and between the
CITY OF BAKERSFIELD, (hereinafter referred to as GROUP) and BLUE CROSS oF
CALIFORNIA.
RECITALS
WHEREAS, GROUP and BLUE CROSS OF CALIFORNIA executed Agreement No. 96-
i48 approved May 22, 1996 to provide medical services to Medicare Eligible Retirees, and their
enrolled dependents; and
WHEREAS, said agreement to provide medical insurance will expire by their terms at
· . the end of the calendar year 2003 and
WHEREAS, GROUP and BLUE CROSS OF CALIFORNIA desire to execute a seventh
(7) amendment to Agreement No. 96-148 to increase the rate and 'extend the terms and
provisions of the medical services;
NOW, THEREFORE, incorpOrating the foregoing herein, it is agreed as fOllows:
A. GROUP and BLUE CROSS OF CALIFORNIA agree to' extend the effective
dates of Agreement No. 96-148 to the period commencing January 1, 2004 for Medicare Eligible
Retirees and their enrolled dependents through December 31, 2003.
· B. GROUP and BLUE CROSS OF CALIFORNIA agree to the new premium rates
as~ follows;
$266.69 per person
C. Group and BLUE'CROSS OF CALIFORNIA during the term of this amendment as
executed, except as otherwise provided herein.
.~ ~: ' - Blue C~oss Senior Secure Agreement- continued:
~"' '. D GroUp and BLUE CROSS OF CALIFORNIA to incorporate Exhibit when it
becomes available with the approval of the City Manager and the City Attorney and such
· ·. ·document shall be incorporated and made a part of this agreement.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed, on
GROUP: CITY OF BAKERSFIELD BLUE CROSS OF CALIFORNIA
By By
TITLE
HARVEY HALL ..
Mayor
APPROVED AS TO FORM:
By
BART THILTGEN
City Attorney
APPROVED AS TO CONTENT:
By
ALAN CHRISTENSEN
Assistant City Manager
COUNTERSIGNED:. .
By
GREGORY J. KLIMKO
Finance Director
· AGREEMENT NO. 97'320 (6)
AMENDMENT NO. 6 TO AGREEMENT 97-320 WITH
KAISER PERMANENTE
THIS AGREEMENT, made this day , is by and between the CITY
OF BAKERSFIELD, (hereinafter referred to as GROUP) and KAISER PERMANENTE.
RECITALS
WHEREAS, GROUP and KAISER PERMANENTE executed Agreement No. 97-320
approved October 27, 1997, to provide medical services to Eligible Employees, and COBRA
participants and their enrolled dependents of the GROUP; and
WHEREAs, said agreement to proVide medical insurance will expire by their terms at the end of
the calendar year 2003; and
WHEREAS, GROUP and KAISER PERMANENTE desire to execUte a sixth (6)
Amendment to Agreement No. 97-320 to increase the office copay'from $5 to $10 and the
pharmacy benefit from $5/$10 to $10/$20 extend the terms and provisions of the medical
services; and
NOW, THEREFORE, incOrporating the foregoing herein, it is agreed as follows:
A. GROUP and KAISER pERMANENTE agree to extend the effective dates of
Agreement No. 97-320 to the period commencing December 29, 2003 for Eligible Employees
and January 1, 2004 for COBRA participants and their enrolled dependents through December
31,2004.
B. GROUP and KAISER PERMANENTE agree to incorporate by reference all
provisions of prior Agreement No'. 97-320 to remain in full force and effect dUring the term of this
amendment as executed, except as otherwise provided herein. .....
C. GROUP and KAISER PERMANENTE agree to new rates as follows:
D.
Sinqle Two Party Family
Employee's biweekly premiums $101.09 $202.18 $286.08
COBRA monthly premiums $219.75 $439.50 · $621.89
D. GROUP and KAISER PERMANENTE agree to incorporate by reference all
provisions of Agreement No. 97-320 to remain..in full force and effect during the term of this
amendment as executed, except as otherwise provided herein.
Kaiser Permanente Agreement continued:
IN WITNESS WHEREOF, the 'parties hereto have caused this Agreement to be
executed, on
GROUP: CITY OF BAKERSFIELD KAISER PERMANENTE
By By
HARVEY HALL TITLE
Mayor , -
APPROVED AS TO FORM:
By
BART THILTGEN
City Attorney .,
APPROVED AS TO CONTENT:
· By
ALAN CHRISTENSEN
Assistant City Manager
COUNTERSIGNED:
By
GREGORY J, KLIMKO
Finance Director
~' ' ~' AGREEMENT NO. 97'321 (6)
AMENDMENT NO. 6 TO AGREEMENT 97-321 WITH
KAISER PERMANENTE
FOR RETIREES MEDICAL INSURANCE PLANS
THIS AGREEMENT, made this day , is by and between the CITY
OF BAKERSFIELD, (hereinafter referred to as GROUP) and KAISER PERMANENTE.
RECITALS
WHEREAS, GROup and KAISER PERMANENTE executed Agreement No. 97-321
approved October 27, 1997, to provide medical services to Eligible Retirees, and their enrolled
dependents; of the GROUP; and
WHEREAS, said agreement to provide medical insurance will expire by their 'terms at
the end of the calendar year 2003; and.
WHEREAS, GROUP and KAISER PERMANENTE desire to execute a sixth (6)
amendment to Agreement No. 97-321 to increase the office copay from $5 to $10 and the
pharmacy benefit from $5/$10 .to $10/$20 and increase the rates and extend the terms and
provisions of the medical services provided; and :
· NOW, THEREFORE, incorporating the foregoing herein, it is agreed as follows:
~' A. GROUP and KAISER PERMANENTE agree to'eXtend the - effective dates .of
Agreement No. 97-321 to the period commencing January 1, 2004 for Eligible Retirees and their
enrolled dependents through December 31, 2004.
B. GROUP and KAISER PERMANENTE agree to incorporate by reference all
provisions of prior Agreement No. 97-321 to remain in full force and effect during the term of this
amendment as executed, except as otherwise provided herein.
KAISER PERMANENTE agree to new monthly rates as follows:
Sinqle Two Party Family
$219.75 $439.50 $621.89
Medicare Risk - Senior Advantaae
Over 65 - per person $201.19
One on Medicare and one under 65 $420.94
Two on Medicare and one or more dependents under 65 $622.13
One on Medicare and two or more dependents under 65 $640.69
D. GROUP and KAISER PERMANENTE agree to incorporate by reference all
provisions of Agreement No. 97-321 to remain in full force and effect during the term of this
amendment as executed, except as otherwise provided herein.
IN. WITNESs WHEREOF, .the parties hereto have caused this Agreement to be
executed, on
GROUP: CITY OF BAKERSFIELD KAISER PERMANENTE
By By '
HARVEY HALL TITLE
· Mayor
APPROVED AS TO FORM:
By
BART THILTGEN
'. City Attorney
APPROVED AS TO CONTENT:
By '
ALAN CHRISTENSEN
Assistant City Manager
COUNTERSIGNED:
By
GREGORY J. KLIMKO
Finance Director
· . 2
·" AMENDMENT NO. 12 TO·AGREEMENT 91-280 ·
WITH DEDICATED DENTAL SYSTEMS, INC. ,~
FOR DENTAL SERVICES
THIS AGREEMENT, made this day , is by and between the
CITY OF BAKERSFIELD, (hereinafter referred to as GROUP) and DEDICATED DENTAL
SYSTEMS INC. (hereinafter referred to as DDS).
RECITALS
WHEREAS, GROUP and DDS (then referred to as K & R DENTAL PLAN, INC.)
executed Agreement N°. 91-280, approved December 18, 1991, to provide dental services for
Eligible Employees and COBRA Participants and their enrolled dependents of the GROUP; and
WHEREAS, said agreement to provide dental services will expire by its terms at the end
of calendar year 2003; and
· WHEREAS, GROUP and DDS desire to exeCute a twelfth (12) amendment to
· Agreement No. 91-280 to increase, the rates and extend the terms and provisions of the dental
services;
NOW, THEREFORE, incorporating the fOregoing recitals hereinl it is agreed as follows:
A. GROUP and DDS agree to extend the effective dates of prior Agreement No. 91-
280 to the period commencing December 29, 2003 for Eligible Employees and January 1, 2004
for COBRA Participants and their enrolled dependents of the GROUP through December 31,
2004. . '
B. GROUP and DDS agree to incorporate by reference all provisions of the
Agreement set forth in paragraph A to remain in full f0'rce and ·effect during the term of this
amendment as executed, except as otherwise provided herein.
C. GROUP and DDS agree to the new premium rates as follows:
ACTIVE COBRA'.
Bi-weekly Monthly
'Single $ 8.95 $19.35
Two Party $17.85 $ 38.60
Family $ 26.75 $ 57.90
DDS Agreement continued:
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed, on
GROUP: CITY OF BAKERSFIELD DEDICATED DENTAL SYSTEMS, INC.
By By
HARVEY HALL TITLE
' Mayor
APPROVED AS TO FORM:
By
BART THILTGEN
City Attorney
· ' APPROVED 'AS TO CONTENT'
~ By
ALAN CHRISTENSEN
·Assistant City Manager
COUNTERSIGNED:
i' GREGORY J. KLIMKO
~ Finance Director
" AGREEMENT NO: 92-278 (11}
· AMENDMENT NO.11 TO AGREEMENT 92-278
MEDICAL EYE SERVICES
· FOR VISION SERVICES
THIS AGREEMENT, made this day , is by and between the CITY
OF BAKERSFIELD, (hereinafter referred to as GROUP) and MES Vision/MEDICAL EYE
SERVICES (hereinafter referred to as MEDICAL EYE SERVICES),.'
RECITALS
WHEREAS, GRoUp, and MEDICAL EYE SERVICES executed Agreement No. 92-278,
approved December 9, 1992, to provide vision services for Eligible Employees, Eligible Retirees
and COBRA Participants and their enrolled dependents of the GROUP;' and
WHEREAS, said amended agreements will expire by their terms at the end of calendar
year 2003; and
WHEREAS, GROup, and MEDICAL EYE SERVICES desire to execute a eleventh (11)
amendment to Agreement No. 92-278 to retain the same premium rates'and extend the terms
and provisions of the vision services;
NOW, THEREFORE, incorporating the foregoing recitals herein, it is agreed as follows:
A. GROUP, and MEDICAL EYE SERVICES agree to extend the effective dates of
priorAgreement Nos. 92-278, 93-269, 94-266~- 95-307, 96-329 and 92-278(5), (6); (7), (8),-(9)
and (10) to the period commencing December 29, 2003 for Eligible Employees and January 1,
2004 for Eligible Retirees and COBRA participants and their enrolled dependents through
December 31, 2004.
B. GROUP, and MEDICAL EYE SERVICES agree to incorPorate by reference all
provisions of prior Agreement Nos. 92-278, 93-269, .94-266, 95-307, 96-329, to remain in full'
force and effect during the term of this amendment as executed, except as otherwise provided
herein.
Medical Eye Services Agreement continued: ...
C.' GROUP, and MEDICAL EYE SERVICES agree that the .rates charged to
GROUP for said vision services will not change and are agreed upon as follows:
Fee for Service ACTIVE Bi-weekly COBRA Monthly RETIREES Monthly"' ' '
Single $ 2.42 $ 5.25 No Benefits .
Two Party $ 4.87 $10.55
Family $ 6.35 $13.75
HMO ACTIVE Bi-weekly COBRA Monthly RETIREES Monthly '
Single. $1.73 $ 3.75 $ 3.75
Two Party $ 3.46 $ 7.50 $ 7.50
Family ' $ 4.50 $ 9.75 $ 9.75
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed,
on
GROUP: CITY OF BAKERSFIELD MEDICAL EYE SERVICES
By By
HARVEY HALL TITLE
Mayor
APPROVED AS TO FORM:
By
BART THILTGEN
City Attorney
APPROVED AS TO CONTENT:
BY
ALAN CHRISTENSEN
Assistant City Manager
COUNTERSIGNED:
By
GREGORY J. KLIMKO
Finance Director
AGREEMENT "O. 96'149 (7)
AMENDMENT NO. 7 TO AGREEMENT 96-149 WITH
PACIFICARE, INCORPORATED
. (FOR SECURE HORIZONS MEDICARE RISK PLAN)
THIS AGREEMENT, made this day , is by and between the
CITY OF BAKERSFIELD,' (hereinafter referred to as GROUP) and PAClFICARE,
INCORPORATED, (hereinafter referred to as Secure Horizons)
RECITALS
WHEREAS, GROUP and SECURE HORIZONS executed Agreement No. 96-149
approved May 22, 1996 to provide medical services to Medicare Eligible Retirees and their
enrolled dependents through a program known as Secure Horizons; and
WHEREAS, said agreement to provide medical insurance will expire by its '
terms at the end of the calendar year 2002; and
WHEREAS, GROUP and SECURE HORIZONS desire to execute a seventh '(7)
Amendment to Agreement No. 96-149 to increase the rates and extend the terms .and
provisions of the medical services provided; and
· NOW, THEREFORE, incorporating the foregoing herein, it is agreed as follows:
A. GROUP and SECURE HORIZONS agree to extend the effective dates 'of'
Agreement No. 96-149 to the period commencing January 1, 2004 for Eligible Retirees and their
enrolled dependents through December 31, 2004.
B. GRouP and SECURE HORIZONS agree to the following monthly rates;
$310.56 per person
PacifiCare-Secure Horizons Continued -- '
C. GROUP and SECURE HORIZONS agree to incorporate by reference all
provisions of Agreement No. 96-149 as amended to remain in full force and effect during the
term of this amendment as' executed, except as otherwise provided herein.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
'executed, on ·.
PAClFICARE, INCORPORATED
GROUP: CITY OF BAKERSFIELD Secure Horizons
By By
HARVEY HALL TITLE
Mayor ·
APPROVED AS TO FORM:
By
BART THILTGEN
City Attorney
APPROVED AS TO CONTENT:
By
ALAN CHRISTENSEN
Assistant City Manager
COUNTERSIGNED:
GREGORY J. KLIMKO
Finance Director
2
AGREEMENTNO-' 00'262 (3)
.t~ENDMENT NO. 3 TO AGREEMENT 00-262
WITH PACIFIC UNION DENTAL
FOR DENTAL SERVICES
· THIS AGREEMENT, made this day of , is by and between the
CITY OF BAKERSFIELD, (hereinafter referred to as GROUP) and PACIFIC UNION DENTAL.
WHEREAS, GROUP and PACIFIC UNION DENTAL executed Agreement No. 00-262
approved October 25, 2000, to provide dental services to Eligible Employees and COBRA participants
· and their enrolled dependents; of the Group; and
· WHEREAS, GROUP and PACIFIC UNION DENTAL wish to amend Agreement No. 00-262
approved October 25, 2000, to extend the terms and provisions of Agreement No. 00-262; and
WHEREAS, said agreement to provide dental services will expire by its terms at the end of
calendar year 2003; and
WHEREAS, GROUP and PACIFIC UNION DENTAL desire to execUte a third (3)
amendment to Agreement No. 00-262 to increase the rates and extend the terms and provisions of
the dental services;
NOW,.THEREFORE, incOrporating the foregoing herein, it is agreed'as followS: .
-' ' ' A. GROUP and PACIFIC UNION DENTAL agree to"extend' the effective dates of'~. ' '.''
Agreement No. 00-262 to the period commencing December 29, 2003 for Eligible
Employees and January 1, 2004 for.-COBRA participants and their enrolled
dependents of the GROUP through December 31, 2004.
GROUP and PACIFIC UNION DENTAL agree to the new premium rates as
follows:
ACTIVE COBRA
Bi-weekly Monthly
Single $10.06 $21.80
Two Party $20.05 $43.45
Family $29.73 $64.42
' '~'~ " '. ":'"' 'i'' ' ' ?.
IN WITNESS WHEREOF, the' parties hereto have caused this Agreement to be executed,
on
GROUP: CITY OF BAKERSFIELD PACIFIC UNION DENTAL
By By
HARVEY HALL TITLE
Mayor
APPROVED AS TO FORM:
By
BART THILTGEN
City Attorney
APPROVED AS TO coNTENT:
By
ALAN CHRISTENSEN
Assistant City Manager
COUNTERSIGNED:
By
GREGORY J. KLIMKO
Finance Director
*' · AGREEUENT NO. 00'263' (3)
AMENDMENT NO. 3 TO AGREEMENT 00-263 WITH
PACIFICARE BEHAVIORAL HEALTH OF CALIFORNIA
FOR EMOTIONAL HEALTH CARE SERVICES
'(Comprehensive Managed Mental Health Care Services plan)
THIS AGREEMENT, made this day of , is by and between the
CITY OF BAKERSFIELD,. (hereinafter referred to as GROUP) and PAClFICARE BEHAVIORAL
HEALTH OF CALIFORNIA.
WHEREAS, GROUP and PAClFICARE BEHAVIORAL HEALTH OF CALIFORNIA
executed Agreement No. 00-263 approved October 25, 2000 to provide emotional health care
services for Eligible Employees, Eligible Retirees, COBRA participants and their enrolled dependents
of the GROUP; and
WHEREAS, said agreement to provide emotional health care services will expire by its
terms at the end of calendar year 2003; and
WHEREAS, GROUP and PAClFICARE BEHAVIORAL HEALTH' OF CALIFORNIA desire
to eXecute a third (3) amendment to Agreement No. 00-262 to extend the terms and provisions of the
emotional health care services; .,
NOW, THEREFORE, incorporating the foregoing herein, it is ·agreed as follows:
A. GROUP and PAClFICARE BEHAVIORAL HEALTH OF CALIFORNIA agree to
extend the effective dates of the prior Agreement No. 00-263 to the period commencing December
29, 2003 for Eligible Employees and January 1, 2004 for COBRA participants and their enrolled
dependents of the GROUP through December 31, 2004.
B.. GROUP and PAClFICARE BEHAVIORAL HEALTH OF CALIFORNIA agree to the
premium rates as follows:
ACTIVE COBRA RETIREES
Bi-weekly Monthly Monthly
Single $ 3.48 $ 7.69 ~ $ 7.32
Two Party $ 5.72 $12.64 $ 9.34
Family $ 8.96 $19.80 $10.09
-" '~ ' ~- Agreement- PacifiCare Behavioral Health - ContinUed -; "'
'~ . - ; ~-"' " "~
IN WITNESS WHEREOFi the parties hereto have caused this Agreement to be executed,
on
GROUP: CITY Of BAKERSFIELD PACIFICARE BEHAVIORAL HEALTH
By. By
HARVEY HALL TITLE
Mayor
APPROVED AS TO FORM:
By
BART THILTGEN
City Attorney
APPROVED AS TO CONTENT:
By
ALAN CHRISTENSEN
Assistant City Manager
·COUNTERSIGNED:
GREGORY J. KLIMKO .
.AMENDMENT NO. 4' TO AGREEMENT 96-220 WITM
PACIFICARE BEHAVIORAL HEALTH OF CALIFORNIA, INC
FOR THE EMPLOYEE ASSISTANCE PROGRAM (EAP)
THIS AGREEMENT, made andentered into on
by and between the CITY OF BAKERSFIELD, referred to as "CITY" anc~
PAClFICARE BEHAVIORAL HEALTH OF CALIFORNIA, INC., referred to as
"PROVIDED".
RECITALs
WHEREAS, the CITY and PROVIDER executed Agreement No. 96-220
approved' August 7, 1996 to provide Employee Assistance Services (EAP) for City
Employees and their enrOlled dependents;
WHEREAS, said Agreement to' provide Employee ASsistance Services to
the employees and their enrolled dependents expired by its' terms at the end of the
year 2002;
WHEREAS, the CITY and pROVIDER desire to execute a fourth (4)
Amendment to Agreement No. 96-220 to extend the terms and provisions of the
Employee Assistance Services for the calendar year 2003 and calendar year 2004.
NOW, THEREFORE, incorporating the foregoing herein, it is agreed as
follows:
A. The CITY and pROVIDER agree, to extend the effective dates of
the prior Agreement No. 96-220 (1), (2), (3) to the period commencing January 1,
2003 'for ·Eligible EmploYees and their enrolled dependents of the-CiTY'through
December 31, 2004.
B. The CITY and PROVIDER agree to incorporate by reference all
provisions of prior Agreement No.'s 96-220, (1), (2), (3) to remain in full force and
effect during the term of this amendment as executed, except as otherwise provided
·. herein.
C. CITY and PROVIDER agree to the premium rates as folloWS:
Monthly Rate per employee
$1.82
".Agreement:-pacifiCare BehaVioral Health:~ Continued
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed,
on
CITY: CITY Of BAKERSFIELD PACIFICARE BEHAVIORAL HEALTH
By By
HARVEY HALL TITLE
Mayor
APPROVED AS TO FORM:
By'
BART THILTGEN
City Attorney
APPROVED AS TO CONTENT:
By
ALAN CHRISTENSEN
Assistant City Manager
COUNTERSIGNED:
By
GREGORY J. KLIMKO
Finance Director
2