File #: 13-1012    Version: 1 Name: ADDED STARTER: Horizon EPO (2013)
Type: Resolution Status: Filed
File created: 5/22/2013 In control: Administration
On agenda: 6/25/2013 Final action: 6/25/2013
Title: Dept/ Agency: Administration/Division of Personnel Action: (X ) Ratifying (X) Authorizing ( ) Amending Type of Service: Contract for Health Insurance Benefits Purpose: To provide Managed Care Health Plan (Horizon EPO) Entity Name: Horizon Blue Cross Blue Shield of New Jersey Entity Address: Three Penn Plaza East, Newark, New Jersey 07105 Contract Amount: Estimated cost of $14,907.00 Funding Source: City of Newark 2013 Budget Contract Period: January 1, 2013 through December 31, 2013 Contract Basis: ( ) Bid ( ) State Vendor ( ) Prof. Ser. (X ) Insurance in compliance with the requirements of EUS ( ) Fair & Open (X ) No Reportable Contributions ( ) RFP ( ) RFQ ( ) Private Sale ( ) Grant ( ) Sub-recipient ( ) n/a Additional Information: 7R1-AC(AS)062012
Related files: 12-1374
Title
Dept/ Agency: Administration/Division of Personnel
Action: (X ) Ratifying (X) Authorizing ( ) Amending
Type of Service: Contract for Health Insurance Benefits
Purpose: To provide Managed Care Health Plan (Horizon EPO)
Entity Name: Horizon Blue Cross Blue Shield of New Jersey
Entity Address: Three Penn Plaza East, Newark, New Jersey 07105
Contract Amount: Estimated cost of $14,907.00
Funding Source: City of Newark 2013 Budget
Contract Period: January 1, 2013 through December 31, 2013
Contract Basis: ( ) Bid ( ) State Vendor ( ) Prof. Ser. (X ) Insurance in compliance with the requirements of EUS
( ) Fair & Open (X ) No Reportable Contributions ( ) RFP ( ) RFQ
( ) Private Sale ( ) Grant ( ) Sub-recipient ( ) n/a
Additional Information:
7R1-AC(AS)062012
body

WHEREAS, the City of Newark (the "City") 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, with in network benefits only; and
WHEREAS, in compliance with N.J.S.A.52:15C-10 and Notice of State Comptroller dated May 7, 2008 and on September 20, 2012, the City of Newark submitted a request to the Office of the State Comptroller to solicit a contract for a managed care plan, with in network benefits only because the contract is expected to be valued over Ten Million Dollars ($10,000,000.00); and

WHEREAS, on October 17, 2012 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, with in network benefits only called the Horizon Advantage Exclusive Provider Organization (Horizon EPO) with the monthly rates of single ti...

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