HomeMy WebLinkAboutResolutions - 1993.12.09 - 22515December 9, 1993
REPORT (Misc. #93298)
BY:
IN RE:
FINANCE COMMITTEE - JOHN P. MCCULLOCH, CHAIRPERSON
SHERIFF'S DEPARTMENT - OAKLAND COUNTY CORRECTIVE SERVICES
MEDICAL PROGRAM
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Chairperson, Ladies and Gentlemen:
The Finance Committee, having reviewed the above-referenced
resolution reports with the recommendation that the resolution be
amended in the BE IT FURTHER RESOLVED paragraph by deleting the
period (.) at the end of the sentence and adding the words " for
the period December 1, 1993, through November 30, 1994."
Chairperson, on behalf of the Finance Committee, I move
acceptance of the foregoing Report.
FINANCE COMMITTEE
Miscellaneous Resolution #93298 December 9, 1993
BY: PUBLIC SERVICES COMMITTEE - Lawrence A. Obrecht, Chairperson
RE: SHERIFF'S DEPARTMENT - OAKLAND COUNTY CORRECTIVE SERVICES
MEDICAL PROGRAM
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
WHEREAS the Sheriff's Department has had a pilot program with
Blue Cross/Blue Shield for hospitalization of inmates; and
WHEREAS the Oakland County Board of Commissioners authorized
such a program by Miscellaneous Resolution #91243; and
WHEREAS the Sheriff's Department wishes to continue with this
arrangement for the period December 1, 1993 through November 30,
1994; and
WHEREAS Blue Cross/Blue Shield will monitor and contain costs,
review for inmates insurance coverage, bill Medicaid and qualify
Oakland County for a hospital discount; and
WHEREAS the administrative fee charged by Blue Cross/Blue
Shield is more than offset by the discount provided by the
designated hospital provider; and
WHEREAS the County Executive and Sheriff's Department have
reviewed the proposed program and are in concurrence; and
WHEREAS this program has saved the County taxpayers over
$400,000 during the eighteen-month pilot program; and
WHEREAS the attached contract is in accordance with the County
Executive's Contract Review Process.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of
Commissioners authorizes the Chairperson of the Board to enter into
the attached administrative contract with Blue Cross/Blue Shield
for the Oakland County Corrective Services Medical Program.
Chairperson, on behalf of the Public Services Committee, I
move the adoption of the fore/going resolution.
PUBLIJ C SERVICES FOMMFPTEE
/ /1
A
0.0650 0.0700
0. I 0.
100
0. IS
Administration
Risk Charge
Contingency
Group Conversion
Other Than Group
(OTG) Subsidy
Total of Premium
0.0200 0
0.0050
0.0080 0.0000
0.0980 0.0700
Total Of Claims 0.1135 0.0756
ID CO CO' C FACILITY
DECEMBER 1994 RENEWAL
RETE ON SUMMARY
Effective with your current renewal, claims costs will reflect certain charges for
provider network access, contingency and subsidies as appropriate.
Ijetentioronent
12/92-11/93 Renewal 12/93-11/94 Renewal
Hospital Differential Comparison
New Method 0.3520
Current Method 0.3920
Prior Renewal 0.2846
a:Oaklndr:10/93
MONTHLY
EMPLOYEES PREMIUM
A riACHMENT
POINT FEE
B.
C.
D.
E.
Sc • DI ULE A -1-LENEwAL TE (12/93-11/941
ADMINISTRATIVE SERVICES CON-TRACT - WEEKLY WIRE
BETWEEN
BLUE CROSS AND BLUE SHIELD OF MICHIGAN
AND
OAKLAND COUNTY CORRECTIVE FACILITY
1. CONTRACT EFFECTIVE DATE:
2. RENEWAL TERM:
3. LINE(S) OF BUSINESS:
X BLUE CROSS
DOMESTIC *
FOREIGN
X BLUE SHIELD
MASTER MEDICAL
DECEMBER 1, 1991
DEC 1, 1993-Nov 30, 1994
PRESCRIPTION DRUGS
DENTAL
VISION
HEARING
OTHER
*DOMESTIC FACILITY CODE(S)
4. ESTIMATED PARTICIPANTS
IF THE PARTICIPANTS TOTAL CI
CHANGE.
5. ADMINISTRATIVE CHARGES
(HOSPITAL GROUPS ONLY)
1450
HANGES BY MORE THAN 10%, THE RENEWAL WILL BE SUBJECT TO
EMPLOYEES
(ESTIMATE) FEE
A.
B.
C.
D.
E.
7.56% PERCENT OF AMOUNTS BILLED
PREDETERMINATION - FOOT SURGERY
MANDATORY SECOND OPINION
CASE MANAGEMENT
AGENT ADMINISTRATION
6. EXCESS LOSS COVERAGE(S):
A. COVERAGE(S) EFFECTIVE
SPECIFIC ONLY
AGGREGATE ONLY
SPECIFIC AND AGGREGATE
NoNE
SPECIFIC COVERAGE
AGGREGATE COVERAGE
TOTAL
COVERED LINES OF BUSINESS
X BLUE CROSS
DOMESTIC CHARGES)
FOREIGN PAYMENTS)APPLICABLE FOR HOSPITAL GROUPS ONLY
X BLUE SHIELD
MAS'l ER MEDICAL
OTHER
21I 7 :- COMERICA 211 W. FORT DETROIT
IRE NUMBER BANK ADDRESS
-03738-3 8. BCBSM ACCOUNT: 04
7. LATE PAYMENT CHARGES/INTEREST:
A. MONTHLY LATE PAYMENT CHARGE
B. YEARLY STATUTORY INTEREST CHARGE
C. PROVIDER CONTRACTUAL INTEREST
2%
12% SIMPLE INTEREST
9. EFFECTIVE WITH YOUR CURRENT RENEWAL, YOUR HOSPITAL CLAIMS COST WILL REFLECT CERTAIN
CHARGES FOR PROVIDER NETWORK ACCESS, CONTINGENCY, AND OTHER SUBSIDIES AS APPROPRIATE.
TITLE:
BCBSM:
BY:
NAME:
TITLE: _
DATE:
BY:
NAME:
TITLE:
DATE:
(SIGNATURE)
(PRINT)
(SIGNATURE)
(PRINT)
THE GROUP:
BY:
NAME:
DATE:
BY:
NAME:
TITLE:
DATE:
(SIGNATURE)
(PRINT)
(SIGNATURE)
(PRINT)
A:OAKSCHA.DOC
December 9, 1993
FISCAL NOTE (Misc. #93298)
BY: FINANCE COMMITTEE, JOHN P. MCCULLOCH, CHAIRPERSON
IN RE: SHERIFF'S DEPARTMENT - OAKLAND COUNTY CORRECTIVE SERVICES
MEDICAL PROGRAM
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Chairperson, Ladies and Gentlemen:
Pursuant to Rule XI-G of this Board, the Finance Committee has
reviewed the above named Miscellaneous Resolution and finds that
this program at the agreed rates and projected expenses will be
included in the 1994-1995 Biennial Budget. No Budget Amendments
are necessary at this time.
FINANCE COMMITTEE
I:\SHERIFF\MEDPROG.FN
Resolution #93298 December 9, 1993
n D. Allen, County (Jerk
Moved by Obrecht supported by Huntoon the Finance Committee Report be accepted.
A sufficient majority having voted therefor, the report was accepted.
Moved by Obrecht supported by Huntoon the resolution be amended to correspond
with the Finance Committee Report.
A sufficient majority having voted therefor, the amendment carried.
Vote on resolution, as amended:
AYES: Kaczmar, Kingzett, Law, McCulloch, McPherson, Miltner, Moffitt, Oaks,
Obrecht, Palmer, Powers, Price, Schmid, Taub, Aaron, Crake, Dingeldey, Douglas,
Garfield, Huntoon, Jensen, Johnson. (22)
NAYS: None. (0)
A sufficient majority having voted therefor, the resolution, as amended,
was adopted.
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, Lynn D. Allen, Clerk of the County of Oakland, do hereby certify that the
foregoing resolution is a true and accurate copy of a resolution adopted by the
Oakland County Board Of Commissioners on December 9th., 1993 with the original
record thereof now remaining in my office.
In Testimony Whereof, I have hereunto set my hand and affixed the seal -f the
County of Oakland at Pontiac, Michigan this 9th. day of December, 1993 1