Item Coversheet

County of El Paso
Agenda Item Details


 

Item Title:HR - Aetna Medicare Advantage Plan Agreement for 2023 (2022-1010)
Submitted By:Minnie Holguin, Chief Human Resources Officer, Human Resources Department (915) 546-2218
Subject:Approve and authorize the County Judge to sign the Aetna Medicare Advantage Plan Group Agreement with the Aetna Life Insurance Company for plan year 2023. Funds are available in account IS-HEALTH-RET MED ADV PLAN FEE.  (Contract No. 2022-1010)
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. On September 12, 2022, the Commissioners Court approved the Aetna Medicare Advantage Plan Rate Proposal and Renewal from Aetna Life Insurance Company for plan year 2023. The Medicare Advantage Plan Group agreement outlines the benefits, provisions, rights, and responsibilities for participation in the Medicare Advantage Plan by eligible retirees and their dependents.  There are no significant changes to the language in the 2023 Group Agreement.

 

The County currently has approximately 156 Medicare Eligible retirees/dependents enrolled in the Aetna Medicare Advantage Plan for plan year 2023. The County subsidizes 50% of the Medicare Advantage Plan premiums. The member’s premium for plan year 2023 will remain the same at $112.035 per month, and the County will also pay $112.035 per member per month.

 

The Aetna Medicare Advantage Plan Group Agreement with Aetna Life Insurance Company for plan year 2023 has been reviewed by the County Attorney’s Office (2022-1010)

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 and authorize the County Judge to sign the Aetna Medicare Advantage Plan Group Agreement with the Aetna Life Insurance Company for plan year 2023. Funds are available in account IS-HEALTH-RET MED ADV PLAN FEE.  (Contract No. 2022-1010)
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 the Aetna Medicare Advantage Plan Rate for plan year 2020 (2019-0796)

 

May 18, 2020, Item#4G, Commissioners Court approved the Aetna Medicare Advantage Plan Agreement for plan year 2020 (2020-0345)

 

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

 

February 22, 2021, Item#4J, Commissioners Court approved the Aetna Medicare Advantage Plan Agreement for plan year 2021 (2021-0060)

 

September 20, 2021, Item#4H, Commissioners Court approved the Aetna Medicare Advantage Plan Rate for plan year 2022 (2021-0716)

 

December 6, 2022, Item #4W Commissioners Court approved the Aetna Medicare Advantage Plan Rate for plan year 2022 (2021-0893)

Strategic Plan:..
Strategic Plan Information:

ATTACHMENTS:
DescriptionUpload Date
HR - Aetna MAP agreement12/1/2022
HR - County Attorney approval form12/1/2022