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Item 4HContract Renewal with Aetna to provide employee medical benefits for plan year October 1, 2011 to September 30, 2012. Item 4H Item 4H Approve a contract with Aetna to provide employee medical benefits for Plan Year October 1, 2011 to September 30, 2012. Background Current carrier: Aetna 10/01/96 – 09/30/02 12/01/03 – present Bid insurance in 2002, 2003, 2006, 2010 2 plans: HMO and POS (Point of Service) Aetna Renewal History Consistently below trend Minor plan changes in FY06 and FY11 No plan changes in FY07, FY08, FY09 or FY10 Medical Claims Ratio Total Premium Paid: $2,294,792 Total Claims Paid: $2,313,527 Claims Ratio: 101% Aetna Proposed Renewal No plan changes: 17.3% With plan changes: 10% Estimated increase: $142,000 Plan changes include deductible, copayments, and coinsurance increases. High Deductible Health Plan Option Third “buy-down” insurance option for employees Medical plan provided by Aetna HSA Account administered by 3rd Party Advantages with Aetna Financial Considerations Estimated cost of medical insurance premiums: Funding for medical insurance will be included in the proposed FY2012 budget. Staff Recommendation Approve a contract renewal with Aetna to provide employee medical benefits for Plan Year October 1, 2011 to September 30, 2012 to include plan changes to the HMO and POS plans and to offer a third High Deductible Health Plan (HDHP) option. Questions: Stacey Black 817-748-8063