Finance Committee - 01/06/2021 Page 10
From: Kelly Parkinson, Purchasing Manager
Re: Dependent Eligibility Verification Audit in the amount not to exceed $33,000 funded from Benefits Self
Insurance Fund Account 53999 Other Professional Services
MOTION BY ALDERMAN HARRIOTT-GATHRIGHT TO ACCEPT, PLACE ON FILE, AND AWARD A
CONTRACT TO CONDUCT A DEPENDENT ELIGIBILITY VERIFICATION AUDIT ON THE CITY’S
MEDICAL AND DENTAL PLANS TO HEALTH DECISIONS — PART D ADVISORS, IN AN AMOUNT NOT
TO EXCEED $33,000. FUNDING WILL BE THROUGH ACCOUNT 53999 OTHER PROFESSIONAL
SERVICES, BY ROLL CALL.
ON THE QUESTION
Mayor Donchess
Ms. Kleiner?
Director Kleiner
Good evening. So this is actually a project that we discussed during the Budget last spring. Most employers
undergo some sort of dependent eligibility audit. It’s common that you would undergo this in a certain period of
time, five to ten years. It has been awhile since the City has done this. But, as you know, with Health Care
costs being a major concern, it is not only a good audit to undergo for that reasoning, but it’s also a good audit
to undergo just to make sure that we are living up to our role of being a good healthcare provider.
Back in November, we received this in through WBS, Workplace Benefit Solution our provider, from four
different firms that perform this type of service. Myself, the Workplace Benefit Solution Team, Director Budreau
and our Benefits Team reviewed all the proposals. It was quite clear to us that Health Decisions PDA was the
firm that we should choose. They have over 27 years in business and they average a 5% removal in eligible
rate and they’ve never had a successful employee appeal. And that is important, it’s also rare to never have
one in the past 30 years that they have been performing audits. Their costs were also in line. They do offer a
performance guarantee of a maximum 5% of their fee. And although that is common for firms to offer, they
were the highest of all the firms that did bid the project.
We have been having discussions, this does includes Schools and all of the City. So we have been in
conversations with the Schools. This firm will do all of the work and meet with the City Staff regularly to let us
know of any concerns. But we expect that the project will be complete in time for open enrollment late
April/early May of this year.
Mayor Donchess
Questions, comments? Madam Clerk, could you please call the roll?
A viva voce roll call was taken which resulted as follows:
Yea: Alderwoman Lu, Alderman Harriott-Gathright,
Alderwoman Kelly, Alderman Laws, Alderman O’Brien, Mayor Donchess 6
Nay: 0
MOTION CARRIED
