NUMB:
931963
VERS:
ORIGINAL
REF:
XXBY:
ALD. FRANK
TITL:
Resolution to request the Department of Employe Relations to include "point of service" plans in the next requests for proposals for health benefit plans for City employes.
ANLS:
- Analysis -
This resolution requests the Department of Employe Relations to include "point of service" plans in the next requests for proposals for health benefit plans for City employes. Under a "point of service" plan, the participant chooses whether to stay with providers within the service network or step outside of the network for each medical service. The participant pays for services within the service network as if they were performed through an HMO, and pays for services outside the network as if they were provided under conventional insurance.
BODY:
Whereas, The City currently offers its employes a health care benefit consisting of a selection of several HMOs and conventional health insurance plans; and
Whereas, The health care system known as "point of service" combines features of both conventional insurance and HMOs, may reduce costs to employers and employes and is currently available through other major employers in the Milwaukee area; and
Whereas, Whenever a participant in a "point of service" plan needs medical care, the participant chooses whether to procure that particular service within the service network at the cost customarily associated with an HMO, or outside the network at the cost customarily associated with conventional health insurance; and
Whereas, It is in the best interests of the City to extend its employes the widest possible range of health benefit options so that employes can select a health care plan that meets their personal health, family and financial requirements; and
Whereas, The Department of Employe Relations will be putting out its annual requests for proposals (RFPs) for health benefit plans this summer; and
Whereas, I...
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