Item Coversheet

County of El Paso
Agenda Item Details


 

Item Title:HR - 2023 Medicare Advantage Plan Renewal Rates
Submitted By:Minnie Holguin, Chief Human Resources Officer, Human Resources Department (915) 546-2218
Subject:Approve the Medicare Advantage Plan Rate Proposal and Renewal with Aetna Life Insurance Company for Medicare eligible County retirees and their dependents for plan year 2023. Funding is available in IS-HEALTH-RET MED ADV PLAN FEE.  (Contract No. 2022-0619)  
Background:

The County of El Paso is currently providing health insurance coverage for Medicare eligible retirees and their spouses through Medicare Group Agreements with Aetna Life Insurance Company. The County has 156 Medicare Eligible retirees/dependents enrolled in the Aetna Medicare Advantage Plan and currently subsidizes 50% of the Medicare Advantage Plan premiums.

 

In August 2022, the County received the Medicare Advantage Plan Rate Proposal and Renewal from Aetna Life Insurance Company which reflected no change in premium for plan year 2023.

 

The current total premium cost is $427,525.56 annually or $224.07 per member per month which results in the retiree paying $112.035 per member per month and the County paying $112.035 per member per month which will continue for plan year 2023. Approval of this proposal will result in the creation of a formal policy which will be brought back to the Commissioners Court for final approval.

 

The Aetna Medicare Advantage Plan Rate Proposal and Renewal has been reviewed by the County Attorney’s Office. (2022-0619)

Fiscal Impact:

2019 Medicare Advantage Plan: $169,413

2020 Medicare Advantage Plan: $204,730

2021 Medicare Advantage Plan: $201,531

2022 Medicare Advantage Plan: $213,762

2023 Medicare Advantage Plan: $209,729 (Est. 156 members) Already budgeted for FY 2023

 

IS-HEALTH-RET MED ADV PLAN FEE

COIS-5001-0000000-431-10-10000-0001-00000-540019-

Recommendation:Approve the Medicare Advantage Plan Rate Proposal and Renewal with Aetna Life Insurance Company for Medicare eligible County retirees and their dependents for plan year 2023. Funding is available in IS-HEALTH-RET MED ADV PLAN FEE.  (Contract No. 2022-0619)  
Prior Action:

December 3, 2018, Item #18, Commissioners Court awarded RFP#18-030 to Aetna Life Insurance Company to serve as the Third Party Administrator for Health and Dental Benefits for the County of El Paso.

 

June 3, 2019, Item #11, Commissioners Court approved Aetna Medicare Advantage Plan Rate Proposal and Agreement (2019-0165 and 2019-0205)

 

November 4, 2019, Item #12, Commissioners Court approved Aetna Medicare Advantage Plan Rate Proposal for plan year 2020 (2019-0796)

 

November 2, 2020, Item #19, Commissioners Court approved Aetna Medicare Advantage Plan Rate Proposal for plan year 2021 (2020-0829)

 

September 20, 2021, Item #4H, Commissioners Court approved Aetna Medicare Advantage Plan Rate Proposal for plan year 2021 (2021-0716)

Strategic Plan:..
Strategic Plan Information:

ATTACHMENTS:
DescriptionUpload Date
HR - MAP renewal rate PPO8/29/2022
HR - MAP summary of benefits PPO8/29/2022
HR - MAP renewal rate ESA8/29/2022
HR - MAP summary of benefits ESA8/29/2022
HR - MAP financial conditions8/29/2022
HR - County Attorney approval form8/30/2022