Delta Dental Voluntary Dental Plan Copyright 2014
City of Dubuque Consent Items # 6.
ITEM TITLE: Delta Dental Voluntary Dental Plan
SUMMARY: City manager recommending approval of the Delta Dental renewal rates
for the plan year January 1 , 2016, through December 31 , 2016.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Approve
ATTACHMENTS:
Description Type
❑ Delta Dental Renewal Rates-MVM Memo City Manager Memo
❑ Memo-Delta Dental Renewal Staff Memo
❑ Delta Dental Renewal Supporting Documentation
THE CITY OF Dubuque
UBE I
erica .i
Masterpiece on the Mississippi 2007-2012-2013
TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: Renewal Rates for the Voluntary Dental Plan
DATE: September 17, 2015
Personnel Manager Randy Peck recommends City Council approval of the Delta Dental
renewal rates for the plan year January 1, 2016, through December 31, 2016. Delta
Dental is proposing that the rates remain the same, with the single premium at $35.83
per month and the family premium at $107.63 per month.
I concur with the recommendation and respectfully request Mayor and City Council
approval.
Mic ael C. Van Milligen
MCVM:jh
Attachment
cc: Barry Lindahl, City Attorney
Cindy Steinhauser, Assistant City Manager
Teri Goodmann, Assistant City Manager
Randy Peck, Personnel Manager
THE CITY OF Dubuque
DtUB E AII•Amedca Glty
Masterpiece on the Mississippi
2007
TO: Michael C. Van Milligen, City Manager
FROM: Randy Peck, Personnel Manager
SUBJECT: Renewal Rate for the Voluntary Dental Plan
DATE: September 15, 2015
Delta Dental has submitted the renewal rates for the plan year beginning January 1,
2016 through December 31, 2016. Delta Dental is proposing that the rates remain the
same. Effective January 1, 2016 the single premium will remain at $35.83 per month
and the family premium will remain at $107.63 per month. The Health Care Committee
has approved the renewal rates. The requested action is for the City Council to approve
the renewal rates and authorize you to sign the attached financial exhibit.
RP:Imh
!.Z DELTA DENTAL"
City of Dubuque
Group # 1286
Contract Period 1/1/16 through 12/31/16
Financial Exhibit
Experience Period Claims Paid 8/1/14 through 7/31/15
Claims Paid 8/1/14 through 7/31/15
Estimate of Incurred But Not Reported Claims
Fully Incurred Claims
Trend in Claims
Projected Claims Based on Current Experience
Claims and Enrollment Fluctuation Adjustment
Projected Annual Claims Based on Current Enrollment
Fixed Fees
$118,961
$3,679
$122,640
$7,003
$129,643
$4,316
$133,959
Administrative Fees
Operating Costs $27,437
Broker Fee $0
Subtotal Fixed Fees
$27,437
Projected Annual Expense $161,396
I acknowledge acceptance of this renewal at the rates shown above.
Delta Dental PPOsM
Enrollment as of 7/31/15
Single 87
Family 96
Total 183
Current Rates
Effective 1/1/15 through 12/31/15
Single $35.83
Family $107.63
Renewal Rates
Effective 1/1/16 through 12/31/16
Single $35.83
Family $107.63
Renewal Percentage Change
0.00%
If a member elects this voluntary benefit plan coverage, they will be required to continue coverage for 12 months before they may discontinue coverage.
Percent of Premium Contributed by Employer: Single
Total Employees Enrolled:
3
0
% Family
0
Total Employees Eligible:
citypers@cityofdubuque.org
Signature of Group Adiiiinistrator E -Mail Address Date,
Please sign and return to fax # 888-337-5157
Michael C. Van Milligen, City Manager DELTA DENTAL OF IOWA
566