DEPARTMENT: Human Resources
DEPARTMENT HEAD: Lori Steward
COUNCIL DISTRICT(S) IMPACTED: City Wide
SUBJECT:
An Ordinance considering the following:
A. Third Party Administrator (TPA) for the City's self-funded Medical Plans, Flexible Spending Account (FSA) to include pre-tax reimbursement of health care and dependent care expenses, Health Savings Account (HSA), COBRA Administration, Preferred Provider Network , and Total Health Management services.
B. Pharmacy Benefit Manager (PBM) for the City's self-funded pharmacy benefits plans.
SUMMARY:
A. This Ordinance authorizes the City Manager or her designee to execute a contract with Health Care Service Corporation DBA Blue Cross Blue Shield of Texas in an estimated annual amount of approximately $5,000,000 for administrative costs to provide Third Party Administrator (TPA) services for the City's self-funded Medical Plans, Flexible Spending Account (FSA) to include pre-tax reimbursement of health care and dependent care expenses, Health Savings Account, COBRA administration, Preferred Provider Network, and Total Health Management services. The term of this contract is five (5) years, beginning January 1, 2017, and ending December 31, 2021, with an option to extend the contract for two (2) years subject to and contingent upon funding and approval by City Council.
B. This Ordinance authorizes the City Manager or her designee to execute a contract with Caremark PCS Health, LLC DBA CVS Health in an estimated annual amount of approximately $124,000 for administrative costs to provide Pharmacy Benefits Management services for the City's self-funded pharmacy benefit plans. The term of this contract is five (5) years, beginning January 1, 2017, and ending December 31, 2021, with an option to extend the contract for two (2) years subject to and contingent upon funding and approval by City Council.
BACKGROUND INFORMATION:
The City of San Antonio offers medical benefit plans to approximately 26,000 active full t...
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