Agenda 11/08/2011 Item #16E5Continue Item 16E5 to the December 13, 2011 BCC
Meeting: Recommendation to approve and
authorize the Chairman to execute Amendment #3
to Collier County's contract with Meritain, Inc. for
Group Health Third Party Administration Run -out
Services in the estimated amount of $88,42 5.
(Staff's request regarding contract amendment)
Continue Item 16175 to the December 13.2011 BCC Meeting_ Recommendation to waive
formal competition and approve Change Order #4 Statements of Work with Method Factory,
Inc. under Contract #11 -5616 for Enhancements and Maintenance Services to GovMax
budgeting software, for the cost of $80,750. (Staffs request due to revisions in change order)
November 8, 2011
BCC Agenda Changes
Page 3
Continue Item 16G1 to the December 13.2011 BCC Meeting_ Recommendation to
approve and ratify Staffs authorization of Change Order #1 for a time extension to Q. Grady
Minor and Associates, PA Work Order #4500116917 in order to process invoices for Phase
2 permitting work at the Immokalee Regional Airport. (Staffs request)
Continue Item 16G2 to the December 13.2011 BCC Meetings Recommendation to
approve and ratify Staffs authorization of Change Order #2 to Passarella and Associates, Inc.
Work Order #4500116918 for a time extension in order to process invoices for Phase II
environmental permitting work at the Immokalee Regional Airport. (Staffs request)
Move Item 16K2 to Item 11A: Recommendation to appoint Commissioner Coyle to
serve on the Collier County Canvassing Board. (Commissioner Hiller's request)
Time Certain Items:
Item 13132 to be heard at 11:00 a.m.
Item 9E to be heard at 11:30 a.m.
Note:
11/8/2011 Item 16.E.5.
EXECUTIVE SUMMARY
Recommendation to approve and authorize the Chairman to execute Amendment
#3 to Collier County's contract with Meritain, Inc. for Group Health Third Party
Administration Run -out Services in the estimated amount of $88,426.
OBJECTIVE: To provide group health claims administration run -out services for the Collier
County Group Health Plan through the amendment of the contract with Meritain, Inc. effective
January 1, 2012.
CONSIDERATIONS: The Board of Commissioners through the Risk Management Department
offers a comprehensive group insurance program to its employees and their eligible dependents.
The program includes a partially self- funded group health insurance plan also known as the
"Plan ". In order to properly manage the Plan, the County employs the services of a professional
third party claims administration company to adjudicate claims. Since 2000, the County has
utilized Meritain, Inc., formerly known as CBSA, for these services. The existing agreement will
expire on December 31, 2011.
On July 26, 2011 the Board approved an agreement with Allegiance, Inc. to replace Meritain, Inc.
effective January 1, 2012. Allegiance will begin adjudicating claims with service dates of January
1, 2012 and after. However, there will be claims with service dates prior to December 31, 2011
that will be presented for payment after January 1, 2012. These claims are referred to as "run -out
claims ". The Plan permits claims to be presented for a period of up to twelve months after the
service date. For example, a claim with a service date of January 1, 2011 is eligible for review if
received before the close of business on December 31, 2011. Therefore, it is important that the
run -out contract contain a twelve month term to assure that all eligible claims are properly
managed.
Typically, run -out claims are managed by the claims administrator in place on the date of service,
in this case Meritain. It is uncommon for the new claims administrator to assume the servicing of
these claims because of the logistical and data processing issues related to their submission. It is
also typical for the cost of these run -out services to be equal to three months of claims
administration fees.
The current agreement with Meritain contains a run -out provision, however, staff is recommending
that the agreement be amended to better define the run -out term, cost and services provided. The
original agreement was for three years with the option to renew for two years. The run -out
provision in the original agreement could be interpreted to apply only to a termination of services
at the end of the original three year term. However, the agreement was extended beyond the
initial three year term and thus; it is recommended that the provision be clamed.
Staff has prepared an amendment to the Meritain agreement to reflect that. claims run -out
services will be for a period of twelve months with a commencement date of January 1, 2012 to
assure that claims are properly administered. Meritain has agreed to the terns of the amendment
and will execute the amendment prior to Collier County executing this amendment.
FISCAL IMPACT: The amendment states that Meritain will be paid a monthly fee of $15.00 per
employee per month based upon an agreed employee count of 1,965 employees for a period of
three months commencing on January 1, 2012. The monthly payment of $29,475 shall be due on
the first day of the month with the first payment due on January 1, 2012 and the final payment due
Packet Page -1219-
11/8/2011 Item 16.E.5.
on March 1, 2012. Total fees are estimated to be $88,425. Services shall commence on January
n 1, 2012 and terminate on December 31, 2012. Funds are budgeted within Fund 517, Group
Health and Life for this purpose.
GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with
this item.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney's Office,
requires majority vote, and is legally sufficient for Board action. — CMG
RECOMMENDATION: That the Board approves and authorizes the Chairman to execute
Amendment #3 to Collier County's contract with Meritain, Inc. for Group Health Third Party
Administration Services.
PREPARED BY: Jeff Walker, CPCU, ARM, Director, Risk Management
Packet Page -1220-
11/8/2011 Item 16.E.5.
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.5.
Item Summary: Recommendation to approve and authorize the Chairman to execute
Amendment #3 to Collier County's contract with Meritain, Inc. for Group Health Third Party
Administration Run -out Services in the estimated amount of $88,425.
Meeting Date: 11/8/2011
Prepared By
Name: WalkerJeff
Title: Director - Risk Management,Risk Management
10/21/2011 9:13:50 AM
Submitted by
Title: Director - Risk Management,Risk Management
Name: WalkerJeff
10/21/2011 9:13:52 AM
Approved By
Name: SmithKristen
Title: Administrative Secretary,Risk Management
Date: 10/21/2011 9:57:06 AM
Name: WoodLyn
Title: Contracts Specialist,Purchasing & General Services
Date: 10/24/2011 12:48:30 PM
Name: CarnellSteve
Title: Director - Purchasing/General Services,Purchasing
Date: 10/27/20112:21:09 PM
Name: GreeneColleen
Title: Assistant County Attorney,County Attorney
Date: 10/27/2011 3:14:30 PM
Packet Page -1221-
/'ft.,
Name: PriceLen
Title: Administrator - Administrative Services,
Date: 10/27/20115:39:57 PM
Name: GreenwaldRandy
Title: Management/Budget Analyst,Office of Management & B
Date: 10/28/2011 11:56:33 AM
Name: KlatzkowJeff
Title: County Attorney,
Date: 10/28/2011 1:50:20 PM
Name: FinnEd
Date: 10/31/20113:16:04 PM
Name: IsacksonMark
Title: Director -Corp Financial and Mgmt Svs,CMO
Date: 11/1/2011 8:55:34 AM
Packet Page -1222-
11/8/2011 Item 16.E.5.
COLLIER COUNTY GOVERNMENT
Administrative Services Division
Contract Administration
Purchasing Department
Monday, October 9, 2006
Ms. Corrina Jacobson
Client Services Manager
Corporate Benefit Services of America, Inc.
400 Highway 169 South, Suite 800
Minneapolis, MN 55426 -1141
11/8/2011 Item 16.E.5.
DATE RECEIVED`
OCT 10 2006
RISK MANAGEMENT
Purchasing Building
8301 E. Tamiami Trail
Naples, Florida 34112
Telephone: 239.774.8990
FAX: 239.530.6587
LindaBest@colliergov.net
RE: Contract No. 06 -3983, "Third Party Administrator for Group Insurance Benefits"
Dear Corrina:
Enclosed is a fully executed copy of the above referenced agreement for your records. Upon receipt of
the requested information for the name change, I will complete that process as well ... the below
information is identical to that I emailed to you on August 23, 2006:
Name Change or Reassignment of a Contract:
Vendor Name Change: When a vendor changes its name or when a vendor is merged with another company, the
change happens automatically. The project manager communicates this change to the contract specialist who will
request the following from the firm, in writing:
1. Request documentation from the appropriate Secretary of State showing the name change or merger and its
effective date.
2. A cover letter from the vendor, which will advise of the name change or vendor merger.
3. Once the information has been provided by the firm, copies of the documentation are to be distributed to the
Finance Division (Contracts Department), the project manager, the Minutes and Records Department and the
Purchasing Department.
Reassignment of a Contract: In instances in which a corporate reorganization or sale of assets (other than stock)
occurs and the contracting party notifies the County of this event, consent to the assignment of the contract must take
place. The issuance of payment or to give new orders in the new name cannot take place until it is determined
whether Collier County will consent to the assignment, and what the conditions of the consent will be. All
new assignments must be approved by the Board.
A copy of the assignment document.
2. Where applicable, the name of the business entity that will employ the staff performing the work.
3. The location of the financial and tangible assets that were owned by the vendor that the original contract was
with, and/or the assignee has equivalent assets.
Packet Page -1223-
11/8/2011 Item 16.E.5.
Page 2
Monday, October 09, 2006
4. If available, insurance policies that meet the requirement of the contract. In the case of a construction contract,
evidence that the bonding company(ies) that have issued payment and performance bonds are willing to consent to
the assignment
d. Insurance and Bonding: If the decision is made to consent to the assignment, a new certificate of insurance is
required. If the contract required a payment and/or performance bond, the bonding company must also provide
acknowledgement that the assignee has become Principal on the bonds or production of the replacement bonds in the
name of the assignee. The certificate of insurance and bonds are to be sent to the Risk Management Department for
review.
Congratulations again on the award of this contract; if there are any questions, please do not hesitate to
contact me at 239.774.8990.
Rega k—YV2—�
a Jat
Con tract
Enclosures
cc: Jeff Walker, Risk Management Department
Packet Page -1224-
11/8/2011 Item 16.E.5.
DATE RECEIVED
OCT 10 200
AGREEMENT 06 -3983 RISK MANAGEMENT
for
Third Party Administrator for Group Insurance Benefits
THIS AGREEMENT, made and entered into on this 26th day of September 2006, by and
between Corporate Benefit Services of America, Inc. (CBSA), authorized to do business in the
State of Florida, whose business address is 400 Highway 169 South, Suite 800, Minneapolis,
MN 55426 -1141 hereinafter called the "Consultant" and Collier County, a political
subdivision of the State of Florida, Collier County, Naples, hereinafter called the "County ":
WITNESSETH:
1. COMMENCEMENT. This Agreement shall commence after receipt of the Notice to
Proceed, in the form of a letter from the Contract Manager. The Contract shall be for a
two (2) year period, commencing on January 1, 2007 and terminating on December 31,
2009.
The County may, .at its discretion and with the consent of the Consultant, extend the
Agreement under all of the terms and conditions contained in this Agreement for two
(2) additional one (1) year periods. The County shall give the Consultant written notice
of the County's intention to extend the Agreement term not less than ten (10) days prior
to the end of the Agreement term then in effect.
2. STATEMENT OF WORK. The Consultant shall furnish Third Party Administration for
Group Insurance Benefits in accordance with the terms and conditions of RFP #06 -3983
and the Consultant's proposal hereto attached and made an integral part of this
agreement.
3. THE CONTRACT SUM. The County shall pay the Consultant for the performance of
this Agreement in accordance with Exhibit A, Cost Proposal, hereto attached and made
an integral part of this agreement. Payments shall be made to the Consultant not more
frequently than once per month.
Payment will be made upon receipt of a proper invoice and in compliance with Section
218.70 F.S. otherwise known as the "Florida Prompt Payment Act ".
4. NOTICES. All notices from the County to the Consultant shall be deemed duly served
if mailed or faxed to the Consultant at the following Address:
Packet Page -1225-
11/8/2011 Item 16.E.5.
Corporate Benefit Services of America, Inc.
400 Highway 169 South, Suite 800
Minneapolis, MN 55426 -1141
Attn: R. E. Wolf, President and CEO
FAX: 952.546.9468
All Notices from the Consultant to the County shall be deemed duly served if mailed or
faxed to the County to:
Collier County Government Center
Purchasing Department - Purchasing Building
3301 Tamiami Trail, East
Naples, .Florida 34112
Attn: Steve Carnell
FAX: 239.732 -0844
The Consultant and the County may change the above mailing address at any time
upon giving the other party written notification. All notices under this Service
Agreement must be in writing.
5. NO PARTNERSHIP. Nothing herein contained shall create or be construed as creating
a partnership between the County and the Consultant or to constitute the Consultant as
an agent of the County.
6. PERMITS: LICENSES: TAXES. In compliance with Section 218.80, F.S., all permits
necessary for the prosecution of the Work shall be obtained by the Consultant. Payment
for all such permits issued by the County shall be processed internally by the County.
All non - County permits necessary for the prosecution of the Work shall be procured
and paid for by the Consultant. The Consultant shall also be solely responsible for
payment of any and all taxes levied on the Consultant. In addition, the Consultant shall
comply with all rules, regulations and laws of Collier County, the State of Florida, or the
U. S. Government now in force or hereafter adopted. The Consultant agrees to comply
with all laws governing the responsibility of an employer with respect to persons
employed by the Consultant.
7. NO IMPROPER USE. The Consultant will not use, nor suffer or permit any person to
use in any manner whatsoever, county facilities for any improper, immoral or offensive
purpose, or for any purpose in violation of any federal, state, county or municipal
ordinance, rule, order or regulation, or of any governmental rule or regulation now in
effect or hereafter enacted or adopted. In the event of such violation by the Consultant
or if the County or its authorized representative shall deem any conduct on the part of
the Consultant to be objectionable or improper, the County shall have the right to
suspend the contract of the Consultant. Should the Consultant fail to correct any such
violation, conduct, or practice to the satisfaction of the County within twenty -four (24)
Packet Page -1226-
11/8/2011 Item 16.E.5.
hours after receiving notice of such violation, conduct, or practice, such suspension to
continue until the violation is cured. The Consultant further agrees not to commence ^
operation during the suspension period until the violation has been corrected to the
satisfaction of the County.
8. PROHIBITION OF GIFTS TO COUNTY EMPLOYEES. No organization or individual
shall offer or give, either directly or indirectly, any favor, gift, loan, fee, service or other
item of value to any County employee, as set forth in Chapter 112, Part III, Florida
Statutes, Collier County Ethics Ordinance No. 2004 -05, and County Administrative
Procedure 5311. Violation of this provision may result in one or more of the following
consequences: a. Prohibition by the individual, firm, and /or any employee of the firm
from contact with County staff for a specified period of time; b. Prohibition by the
individual and /or firm from doing business with the County for a specified period of
time, including but not limited to: submitting bids, RFP, and/or quotes; and, c.
immediate termination of any contract held by the individual and /or firm for cause.
9. TERMINATION. Should the Consultant be found to have failed to perform his
services in a manner satisfactory to the County as per this Agreement, the County may
terminate said agreement immediately for cause; further the County may terminate this
Agreement for convenience with a seven (7) day written notice. The County shall be
sole judge of non - performance.
10. NO DISCRIMINATION. The Consultant agrees that there shall be no discrimination
as to race, sex, color, creed or national origin. 10—N,
11. INSURANCE. The Consultant shall provide insurance as follows:
A. Commercial General Liability: Coverage shall have minimum limits of $1,000,000
Per Occurrence, Combined Single Limit for Bodily Injury Liability and Property
Damage Liability. This shall include Premises and Operations; Independent
Consultants; Products and Completed Operations and Contractual Liability.
B. Business Auto Liability: Coverage shall have minimum limits of $1,000,000 Per
Occurrence, Combined Single Limit for Bodily Injury Liability and Property
Damage Liability. This shall include: Owned Vehicles, Hired and Non -Owned
Vehicles and Employee Non - Ownership.
C. Workers' Compensation: Insurance covering all employees meeting Statutory
Limits in compliance with the applicable state and federal laws.
D. Professional Liability Insurance: The Consultant shall maintain Insurance to
insure it's legal liability for claims arising out of the performance of professional
services under this Agreement. Coverage shall have minimum limits of $1,000,000
Per Occurrence.
n
Packet Page -1227-
11/8/2011 Item 16.E.5.
Special Requirements: Collier County shall be listed as the Certificate Holder and
included as an Additional Insured on the Comprehensive General Liability
Policy.
Current, valid insurance policies meeting the requirement herein identified shall
be maintained by Consultant during the duration of this Agreement. Renewal
certificates shall be sent to the County thirty (30) days prior to any expiration date.
There shall be a thirty (30) day notification to the County in the event of
cancellation or modification of any stipulated insurance coverage.
Consultant shall insure that all subConsultants comply with the same insurance
requirements that he is required to meet. The same Consultant shall provide
County with certificates of insurance meeting the required insurance provisions.
12. INDEMNIFICATION. To the maximum extent permitted by Florida law, the
Consultant or Consultant shall indemnify and hold harmless Collier County, its officers
and employees from any and all liabilities, damages, losses and costs, including, but not
limited to, reasonable attorneys' fees and paralegals' fees, to the extent caused by the
negligence, recklessness, or intentionally wrongful conduct of Consultant or Consultant
or anyone employed or utilized by the Consultant or Consultant in the performance of
this Agreement. This indemnification obligation shall not be construed to negate,
abridge or reduce any other rights or remedies which otherwise may be available to an
indemnified party or person described in this paragraph.
This section does not pertain to any incident arising from the sole negligence of Collier
County.
13. CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf of
the County by the Risk Management Department.
14. CONFLICT OF INTEREST: Consultant represents that it presently has no interest and
shall acquire no interest, either direct or indirect, which would conflict in any manner
with the performance of services required hereunder. Consultant further represents
that no persons having any such interest shall be employed to perform those services.
15. COMPONENT PARTS OF THIS CONTRACT. This Contract consists of the attached
component parts, all of which are as fully a part of the contract as if herein set out
verbatim: Exhibit A, Cost Proposal; Insurance Certificate; Consultant's Proposal; and
RFP #06 -3983, "Third Party Administrator for Group Insurance Benefits.
16. SUBTECT TO APPROPRIATION. It is further understood and agreed by and between
the parties herein that this agreement is subject to appropriation by the Board of County
Commissioners.
17. VENUE. This agreement shall be construed in compliance with Florida Laws. Venue
shall be in Collier County, Florida.
Packet Page -1228-
11/8/2011 Item 16.E.5.
IN WITNESS WHEREOF, the Consultant and the County, have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on the date and year first above
written.
ATTF.�T: �� - •
Dwight E. BrdL*, erk of Courts
By, -, q3fC
n
Datelii,�
(SEAL)
F
Type / p HRt witness
Witness
Mlicke-ue 0011;1e1S
Type /print witness name
Approved as to form and
legal sufficiency:
e1ju -
Colleen M. Green
Assistant County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By:
Frank Halas, Chairman
Corporate Benefit Services of America, Inc.
Jacob L Canova
President, Chief Executive Officer
Typed signature and title
Packet Page -1229-
&�-1
11/8/2011 Item 16.E.5.
Exhibit A
Cost Proposal
Collier County Government
Exhibit A, Cost Proposal from CBSA
A -1
Packet Page -1230-
�s4y� �M3Cry
R?S!i
i J
Initial set-up fee (one time charge per
N/A
employee)
Annual reoccurring fee (express as a one
N/A
N/A
time charge per employee)
Medical administrative fee as a monthly
$11.25
cost per employee
Dental administrative fee as a monthly
$1.50
cost per em to ee
Annual fee for on -site customer service
$40,000 for a 30 hour work week
representative
$54,000 for a 40 hour work week
Additional fees for custom reports
150 per hour if programming required
Fees for dedicated account service
Included in medical fee
Fees for toll free customer service line
Included in medical fee
Fees for interface with a custom direct
Included in medical fee
contracted provider network
Fees for interface with Community Health
Included in medical fee
Partners Utilization review and case and
disease management services
Identify any additional components for which you assess a separate charge
List any additional item in left margin.)
Programming for data feed from SAP
$150 per hour
system to CBSA, or for programming
of any new or changed data feeds
with other vendors. Data file transfer
programming for SAP will be
operational on or before 3anuary 1,
2007.
Subrogation Services
25% of the total recovery
Mailing of employee packets /ID
$3.50 per packet
cards to employees' homes for new
employees, or during open
enrollment
Annual Flex Administrative Fees
750 annual fee
A -1
Packet Page -1230-
11/8/2011 Item 16.E.5.
CCG may also consider purchasing additional service related to COBRA, HIPAA, and spending account
administration. Please use the following table to present your cost quotations for 2007, 2008, 2009
for the areas indicated:
One time cost per employee to pay run out
r�
11.25 **
CCG may also consider purchasing additional service related to COBRA, HIPAA, and spending account
administration. Please use the following table to present your cost quotations for 2007, 2008, 2009
for the areas indicated:
* *The onsite customer Advocate would be terminated on the date that CCG terminates the services
of CBSA. There would not be an onsite customer Advocate during the run -out period.
End of Schedule A
Packet Page -1231-
r
r�
Additional Services
COBRA Administration
1.05
$1.05
$1.05
HIPAA Administration
35
.35
.35
Medical Reimbursement Account Administration
$3.50 per
$3.50 per
$3.50 per
participating
participating
participating
employee
employee
em to ee
Dependent Care Reimbursement Account
Included in price above
Administration
* *The onsite customer Advocate would be terminated on the date that CCG terminates the services
of CBSA. There would not be an onsite customer Advocate during the run -out period.
End of Schedule A
Packet Page -1231-
V
Aon Risk Services ,Inc. of Maryland
500 East Pratt Street
Baltimore MD 21202
11/8/2011 Item 16.E.5.
DATE(MM /DD /YY)
09/29/06
I CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
DER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
COMPANY Executive Risk Indemnity
PHONE - (866) 283 -7124 FAX - (866) 430 -1035 A �.
INSURED COMBPANY Federal Insurance company
Performax Holdings, Inc.
1 South St COMPANY r..
10th Floor C
Baltimore MD 21202 USA e
COMPANY
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTTVEPOLICY EXPIRATIO LIMITS
L DATE (MM/DD/YY) DATE (MM/DD/YY)
8 GENERAL LIABILITY 35366812BAL 1 01/01/06 1 01/01/07 1 GENERAL AGGREGATE I 52,000,000
Commercial Package
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FX OCCUR
OWNER'S 3 CONTRACTOR'S PROT
8 AUTOMOBILE LIABILITY 0673518969
ANY AUTO Automobile Liability
ALL OWNED AUTOS
SCHEDULED AUTOS
x HIRED AUTOS
X NON- OWNEDAUTOS
GARAGE LIABILITY
—1 ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
8 WORKER'S COMPENSATION AND 0771648211
EMPLOYERS'LIABILITY workers compensation
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
A 81604004
Fiduciary Liability
X Fiduciary Liab
01/01/06 1 01/01/07
01/01/06 1 01/01/07
PRODUCTS - COMP/OP AGG
PERSONAL 8 ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE(Any one fire)
MED EXP (Any one person)
COMBINED SINGLE LIMIT
BODILY INJURY
( Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
EL EACH ACCIDENT
EL DISEASE- POLICY LIMIT
EL DISEASE -EA EMPLOYEE
10/27/05 10/27/06 Fiduciary Liability
$2,000,
$1,000,
51,000,
$1,000,
S10,
$1,000,
5500,
$500,
$2,000,
n
Ol
0
Ch
o+
,-I
O
O
0
z
W
W
4
t
d
U
DESCRIPTION OF OPERATIONSILOCATIONS fVEHICLES/SPECIAL ITEMS
RE: contract No. 06 -3983
Collier county is added as an Additional Insured excluding workers' compensation and Employers' Liability as r
required by written contract but limited to the operations of the Insured under said contract, and always subject
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE
Yom:
collier county EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVORTO MAIL
Attention: Purchasing Building 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
3301 E. Tamiami Trail
Naples FL 34112 USA BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Packet Page -1232-
11/8/2011 Item 16.E.5.
Attachment to ACORD Certificate for Performax Holdings, Inc.
The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage
afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. .�
INSURED
PerformaX Holdings, inc.
1 South St
10th Floor
Baltimore MD 21202 USA
ADDITIONAL POLICIES
If a policy below does not include limit information, refer to the corresponding policy on the ACORD
certificate form for policv limits.
LTR
T
TYPE OF INSURANCE
POLICY NUMBER
POLICY DESCRIPTION
POLICY
EFFECTIVE
DATE
POLICY
EXPIRATION
DATE
I'�
��- ..... .... ... v nvnww�.n nvn�veMIGLES/SPEGIAL ITEMS
to the policy terms, conditions and exclusions.
Cancellation Provision shown herein is sub7'ect to shorter or longer time periods depending on the
jurisdiction of, and reason for, the cancellation.
Certificate No: 570019530597
Packet Page -1233-
11/8/2011 Item 16.E.5.
ACORD
DATE MM /DD /YY)
09 11 06
PRODUCER 7ALTER
IS CERTiflCATE IS ISSUED AS A MATTER OF INFORMATION
Aon Risk Services , inc. of Maryland
NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
500 East Pratt Street
OLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Baltimore MD 21202
THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY Federal insurance company
PHONE -(866) 283 -7124 FAX - (866) 430 -1035
A
5
INSURED
COMPANY
d
Performax Holdings, inc.
B
1 south st
10th Floor
CO MP
a
Baltimore MD 21202 USA
o
x
COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE.AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LT
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/ YY)
POLICY EXPIRATIO
DATE (MM/DD/YY)
LIMITS
oD
•
GENERAL LIABILITY
35366812SAL
01/01/06
01/01/07
GENERAL AGGREGATE
S2,000,D00
N
rn,
Commercial Package
'i
PRODUCTS - COMP /OPAGG
$2,000,000
X COMMERCIAL GENERAL LIABILITY
Obi
PERSONAL 8 ADV INJURY
$1,000,00 0
CLAIMS MADE M OCCUR
OWNER'S a CONTRACTORS PROT
21
EACH OCCURRENCE
S1,000,006
FIRE DAMAGE(Any one fire)
$1,000,000
MED EXP (Any one Denson)
$10,00D
•
AUTOMOBILE LIABILITY
0673518969
01/01/06
01/01/07
COMBINED SINGLE LIMIT
S1, 000, 000
ANY AUTO
Automobile Liability
BODILY INJURY
ALL OWNED AUTOS
Gi
SCHEDULED AUTOS
( Per person)
BODILY INJURY
X HIRED AUTOS
x NON-OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN AUTO ONLY:
q-
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY
EACH OCCURRENCE
AGGREGATE
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
A
WORKER COMPENSATION AND
S
0771648211
01/01/06
01/01/07
X !W TA ATH_
TORY LIM ITS
_
EL EACH ACCIDENT
EMPLOYERS' LIABILITY
workers Compensation
THE PROPRIETOR/ INCL
EL DISEASE -POLICY LIMIT
$500,000
PARTNERS /EXECUTIVE
EL DISEASE -EA EMPLOYEE
$500,000_
OFFICERS ARE EXCL
DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLESISPECUIL ITEMS
RE: contract No. 06 -3983
Collier county is added as an Additional insured excluding workers' Compensation and Employers' Liability as
required by written contract but limited to the operations of the insured under said contract, and always subject
Bra
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Collier County
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Attention: Purchasinpg Building
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
3301 E. Taml alai Trail
Naples FL 34112 USA
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES_
AUTHORIZED REPRESENTATIVE ,,,Q' gp�„6- ,yl..ra.�•,yl:.a yC- ,ilfosrlo,.cG
Packet Page -1234-
11/8/2011 Item 16.E.5.
Attachment to ACORD Certificate for Performax Holdings, inc.
The terns, conditions and provisions noted below are hereby attached to the captioned Certificate as additional description of the coverage
afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy.
INSURED
Performax Holdings, Inc.
1 south St
10th Floor
Baltimore MD 21202 USA
ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD
certificate form for policy limits.
LTR
T
TYPE OF INSURANCE
POLICY NUMBER
POLICY DESCRIPPION
POLICY
EFFECTIVE
DA71C
POLICY
EXPIRATION
DATE
UM17S
DESCRWTION OF OPERATKMSlLOCATIONS(VEHICLES /SPECIAL ITElIS
to the policy terms, conditions and exclusions.
cancellation Provision shown herein is subject to shorter or longer time periods depending on the
jurisdiction of, and reason for, the cancellation.
Certificate No: 570019316328
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-,—\
11/8/2011 Item 16.E.5.
AMENDMENT #3 TO AGREEMENT 06 -3983
FOR
THIRD PARTY ADMINISTRATOR FOR GROUP INSURANCE BENEFITS
This Amendment, effective January 1, 2012 ( "Effective Date "), amends Agreement 06 -3983 for Third
Party Administrator Group Insurance Benefits ( "Agreement "), made and entered into on September 26,
2006, by and between Meritain Health, Inc. ( "Consultant ") and Collier County Board of Commissioners
( "County "), as follows:
1. Termination. The parties hereby agree that the Agreement, 06 -3983 shall terminate effective
December 31, 2011.
2. Run -Out Period. Consultant agrees to process all medical claims incurred on or before December 31,
2011 and received by Consultant on or before December 31, 2012 ( "Run -Out Period ").
3. Run -Out Claims Administration Fees. Client shall engage Consultant's run -out claims processing
services for the Run -out Period and Client agrees to pay Consultant fees as follows. County shall pay
Consultant a monthly fee based upon an agreed employee count of 1,965 employees for a period of three
months commencing on January 1, 2012. The monthly payment of $29,475 shall be due on the first day
of the month with the first payment due on January 1, 2012 and the final payment due on March 1, 2012.
4. PPO Network Fees. In the event that PPO network access fees are billed by the PPO during the run -
out period, the Consultant will bill the County for access and integration fees in addition to the fees listed
in item 2, to be paid by the County immediately upon receipt of the billing invoice.
5. Failure to Pay Fees. If the Consultant fails to receive fees by the due date thereof, the Consultant
may, in addition to other remedies under this Agreement, and at law or in equity, suspend performance of
any or all of the Consultant's obligations under or in connection with this Agreement. The Consultant
agrees to provide the County with at least two (2) days prior written notice before suspending services.
In Witness Whereof, the parties have executed this Amendment on the dates set forth below.
Meritain Health, Inc. Collier County Board of Commissioners
By: By:
Margie Mann, Name: Fred W. Coyle
Regional President Title: Chairman
Date: Date:
roved as to form and legal sufficiency:
C' olleen M. Greene
Assistant County Attorney
ATTEST:
DWIGHT E. BROCK, Owlrk
By:
Packet Page - 1236
i
11/8/2011 Item 16.E.5.
AMENDMENT #3 TO AGREEMENT 06 -3983
FOR
THIRD PARTY ADMINISTRATOR FOR GROUP INSURANCE BENEFITS
This Amendment, effective January 1, 2012 ( "Effective Date "), amends Agreement 06 -3983 for Third
Party Administrator Group Insurance Benefits ( "Agreement "), made and entered into on September 25,
2006, by and between Meritain Health, Inc. ( "Consultant') and Collier County Board of Commissioners
( "County "), as follows:
1. Termination. The parties hereby agree that the Agreement, 06 -3983 shall terminate effective
December 31, 2011,
2. Run -Out Period. Consultant agrees to process all medical claims incurred on or before December 31,
2011 and received by Consultant on or before December 31, 2012 ( "Run -Out Period ").
3. Run -Out Claims Administration Fees. Client shall engage Consultant's run -out claims processing
services for the Run -out Period and Client agrees to pay Consultant fees as follows. County shall pay
Consultant a monthly fee based upon an agreed employee count of 1,965 employees for a period of three
months commencing on January 1, 2012. The monthly payment of $29,475 shall be due on the first day
of the month with the first payment due on January 1, 2012 and the final payment due on March 1, 2012.
4. PPO Network Fees. In the event that PPO network access fees are billed by the PPO during the run -
out period, the Consultant will bill the County for access and integration fees in addition to the fees listed
in item 2, to be paid by the County immediately upon receipt of the billing invoice.
5. Failure to Pay Fees, if the Consultant fails to receive fees by the due date thereof, the Consultant
may, in addition to other remedies under this Agreement, and at law or in equity, suspend performance of
any or all of the Consultant's obligations under or in connection with this Agreement. The Consultant
agrees to provide the County with at least two (2) days prior written notice before suspending services.
In Witness Whereof, the parties have executed this Amendment on the dates set forth below.
Meritain H th, Inc Collier County Board of Commissioners
By: c `'C By.
Margie Mann, Name: Fred W. Coyle
Regional President Title: Chairman
Date: �C,! ..Z-1 Date:
roved as to form and legal sufficiency:
C' oileen M. Greene
Assistant County Attorney
ATTEST:
DWIGHT E. BROCK, Clerk
By:
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11/8/2011 Item 16.E.5.
WalkerJeff
=rom:
Wiesing, Sue [sue.wiesing @willis.com]
Sent:
Tuesday, November 01, 2011 11:30 AM
To:
WalkerJeff
Cc:
Ley, Douglas; Buell, Stephen; Meredith, Mike; Frederick, Allison
Subject:
Meritain Run -Out Provisions for CCG
Jeff:
To follow -up on your email correspondence with our team and your conversation yesterday morning with Doug, we
wanted to recap for you our summary of the process involved with obtaining a final run out agreement from Meritain.
As you know, the agreement between CCG and Meritain was a three -year agreement that included run -out terms as part
of the contract. These terms provided for 6 months of run out at a rate of $11.25 per employee. We believed that to be
an exceptionally competitive proposal and in the best interest of CCG at that time. This preliminary agreement was
extended for two additional one -year periods by an agreement created by the CCG Purchasing Department. Both CCG
and Willis had no information that suggested this extention would modify the previously agreed upon run -out terms in the
initial agreement.
When Meritain was notified of the termination of the CCG agreement after the 2011 marketing process for the CCHCC
employers, Willis requested confirmation of the run out terms as transition plans needed to be firmed up. We were initially
advised that the run -out terms had not changed from the above. It was at this time, that Meritain indicated a new proposal
and advised Willis that the extension negotiated by CCG did not include extending the run out provisions of the initial
agreement. Willis continued to negotiate the run out provisions so that CCG could move forward with plans to transition
away from Meritain and implement the new agreement with Allegiance. Final terms were to provide run out services for
12 months at a rate of $15 per employee payable for 3 months. This was a counter proposal to Meritain's suggested
terms that were based on a lower admin fee for a longer time frame and based on an incorrect head count. Through
^negotiations, Willis was successful in having them modify this proposal. The final terms are competitive with the
iarketplace and were, in fact, better than some others provided during the recent marketing process.
Since the only way to effectively refute Meritain's position would be to litigate, neither Willis nor the CCG felt that would be
cost- effective nor timely to meet the needs to process member claims without significant impact to member service and
cost.
Going forward, we recommend that any future Agreements or extensions should be forwarded to the Risk Management
Department and Willis for a "last look" after the Purchasing Department's final negotiations. This should help to minimize
any oversight on industry - specific content and to confirm terms that have been agreed upon or presented during the
marketing and selection process. Again, our team does feel that the final outcome in this process was favorable in terms
of the final result, but we are disappointed in Meritain's business practices.
Please let us know if you have any further questions or would like any additional information.
Thank you,
Sue
Sue Wiesing
Assistant Vice President, Account Executive
Willis Group, 720 -5th Avenue South, Ste *203, Naples, FL 34102
Direct: 239- 659 -4500 Ext. 5, sue.wiesino(5willis.com
www.willis.com
a Learn About What We Can Do for You .....
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