File #: 12-1167    Version: 1 Name: ADDED STARTER - Horizon BCBSNJ Direct Access (2012)
Type: Resolution Status: Filed
File created: 5/11/2012 In control: Administration
On agenda: 6/20/2012 Final action: 6/20/2012
Title: Dept/ Agency: Administration/Division of Personnel Action: ( X ) Ratifying (X) Authorizing ( ) Amending Type of Service: Contract for Health Insurance Coverage Purpose: Managed Care Health Plan (Horizon Direct Access) Entity Name: Horizon Blue Cross Blue Shield of New Jersey Entity Address: Three Penn Plaza East, Newark, NJ 07105 Contract Amount: Estimated cost of $33,601,654.37 Funding Source: City of Newark 2012 Budget Contract Period: January 1, 2012 through December 31, 2012 Contract Basis: ( ) Bid ( ) State Vendor ( ) Prof. Ser. ( X ) EUS/Insurance ( ) Fair & Open ( X ) No Reportable Contributions ( ) RFP ( ) RFQ ( ) Private Sale ( ) Grant ( ) Sub-recipient ( ) n/a Additional Information: Prior resolution 7RIj(AS)030211
Title
Dept/ Agency: Administration/Division of Personnel
Action: ( X ) Ratifying (X) Authorizing ( ) Amending
Type of Service: Contract for Health Insurance Coverage
Purpose: Managed Care Health Plan (Horizon Direct Access)
Entity Name: Horizon Blue Cross Blue Shield of New Jersey
Entity Address: Three Penn Plaza East, Newark, NJ 07105
Contract Amount: Estimated cost of $33,601,654.37
Funding Source: City of Newark 2012 Budget
Contract Period: January 1, 2012 through December 31, 2012
Contract Basis: ( ) Bid ( ) State Vendor ( ) Prof. Ser. ( X ) EUS/Insurance
( ) Fair & Open ( X ) No Reportable Contributions ( ) RFP ( ) RFQ
( ) Private Sale ( ) Grant ( ) Sub-recipient ( ) n/a
Additional Information:
Prior resolution 7RIj(AS)030211
body


WHEREAS, the City of Newark desires to enter into contract to provide its eligible employees, eligible retirees and their eligible dependents represented by the various bargaining units with which the City negotiates and eligible unclassified personnel with a managed care health plan; and

WHEREAS, in compliance with N.J.S.A.52:15C-10 and Notice of State Comptroller dated May 7, 2008, on September 21, 2011 the City of Newark submitted a request to the Office of the State Comptroller to solicit a contract for a managed care plan because the contract is expected to be valued over ten million dollars; and

WHEREAS, on October 19, 2011 the State Comptroller approved the City’s request; and

WHEREAS, Horizon Healthcare Services d/b/a Horizon Blue Cross Blue Shield of New Jersey (“Horizon”) has submitted a proposal indicating they will provide a managed care health plan (Horizon Direct Access) with the monthly rates of single tier - $444.28, parent/child(ren) tier - $799.63, family tier - $1,266.12; and

WHEREAS, pursuant to Resolution 7R1-j (AS), adopted March 2, 2011, the City of Newark entered into an agreement with Horizon Healthcare Services, I...

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