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Item 4DITEM 4D Approve renewal of contract with Aetna to provide employee medical and dental benefits Background City bid insurance products in May 2006 (3) providers bid on medical insurance Aetna awarded bid 7.3% rate increase in 2007 with modest increase in co-pays and deductibles. Renewal Medical: No changes in co-pays, deductibles 9.9% rate increase Claims paid for current year Predicted Trend : 9.9% to 11.4%* medical cost inflation, utilization, cost shifting of entitlement programs Estimated cost increase: $103,500 annually (City portion) * Source: Pricewaterhouse Coopers Health Research Institute, AON Consulting and The Segal Company Renewal Dental: No changes in co-pays, deductibles 9.8% rate increase Estimated cost increase: $7,700 annually (City portion) Recommendation Budget Proposed rates are budgeted in FY 2007-08 Proposed Budget. Staff recommends approval of renewal of contract with Aetna QUESTIONS? Contact Kevin Hugman