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ITEM: RESOLUTION NO. R2026-60 (EMPLOYEE HEALTH INSURANCE)
A RESOLUTION OF WELLINGTON, FLORIDA’S COUNCIL AUTHORIZING THE MANAGER TO (1) AWARD A CONSUMER DRIVEN HEALTH PLAN (CDHP) AGREEMENT WITH CIGNA HEALTHCARE TO PROVIDE HEALTH INSURANCE TO ELIGIBLE EMPLOYEES, DEPENDENTS, AND RETIREES, AND APPROVE HRA FUNDING FOR EACH ELIGIBLE EMPLOYEE TO COVER ALL COSTS ASSOCIATED WITH ANNUAL DEDUCTIBLES; (2) RENEW A CONTRACT WITH CIGNA TO PROVIDE DENTAL INSURANCE TO ELIGIBLE EMPLOYEES, DEPENDENTS, AND RETIREES; (3) RENEW A CONTRACT WITH EYEMED TO PROVIDE VISION INSURANCE TO ELIGIBLE EMPLOYEES, DEPENDENTS AND RETIREES; (4) RENEW A CONTRACT WITH NEW YORK LIFE TO PROVIDE LIFE/AD&D AND DISABILITY INSURANCE; AND PROVIDING AN EFFECTIVE DATE.
REQUEST: Authorization to approve Resolution No. R2026-60 to (1) Award a Consumer Driven Health Plan (CDHP) agreement with CIGNA Healthcare to provide health insurance to eligible employees, dependents, and retirees, at a cost of approximately $7,361,484 annually, and approve HRA funding for each eligible employee at a cost of approximately $669,000 to cover all associated annual deductibles; (2) Renew a contract with CIGNA to provide dental insurance to eligible employees, dependents, and retirees at an annual cost of approximately $390,265; (3) Renew a contract with EyeMed to provide vision insurance to eligible employees, dependents, and retirees at an annual cost of approximately $30,355; (4) Renew a contract with New York Life to provide Life/AD&D and disability insurance, to eligible employees, at a cost of approximately $289,072.
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EXPLANATION:
HEALTH INSURANCE PLAN AND HEALTH REIMBURSEMENT ACCOUNT (HRA): The Village currently offers group medical insurance to eligible full-time employees, dependents, and retirees through CIGNA Healthcare at a cost of approximately $6,754,795 annually, based on the current enrollment of 301 active participants (employees, not including dependents). In addition, the Village currently funds all annual calendar year deductibles utilizing a Health Reimbursement Account (HRA) at a cost of approximately $669,000. The total cost of the existing Consumer Driven Health Plan with CIGNA ($6,754,795) plus the existing HRA ($669,000) is approximately $7,423,795.
The existing Consumer Driven Health Plan with CIGNA is set to expire on December 31, 2026. CIGNA has proposed an annual premium of $8,030,484 ($7,361,484) in premium and $669,000 in HRA); this represents an increase of approximately $606,690 or approximately 9% from the current calendar year. There is no change in the plan design from last year, and out-of-network benefits remain uncovered. Coverage will be treated as in-network for emergency rooms, urgent care centers, and non-participating physicians who treat you at in-network facilities.
Employee contributions will remain the same as summarized below:
|
Description |
Current Monthly Contribution |
Proposed Monthly Contribution |
|
Employee Coverage |
$55.61 |
$55.61 |
|
Employee/Spouse |
$477.34 |
$477.34 |
|
Employee/Children |
$309.36 |
$309.36 |
|
Employee/Family |
$667.39 |
$667.39 |
The total cost of the CDHP with the proposed changes ($7,361,484) plus the proposed Village-funded HRA ($669,000) is approximately $8,030,484, as summarized below:
|
Description In-Network |
CIGNA Existing Plan |
CIGNA Renewal |
|
CIGNA Annual Premiums |
$6,754,795 |
$7,361,484 |
|
Heath Reimbursement Accounts |
$669,000 |
$669,000 |
|
Total Annual Cost of Plan Including HRA |
$7,423,795 |
$8,030,484 |
CIGNA’s proposed renewal with no increase to employee contributions (summarized above) is ($7,361,484) plus the existing HRA ($669,000), is $8,030,484, an increase of approximately $606,690 or 9% from the existing premium and HRA.
Staff recommends awarding a CDHP agreement with CIGNA Healthcare for one-year, effective January 1, 2027, through December 31, 2027, in the amount of $8,030,484, to include funding all calendar year deductibles utilizing an HRA at a cost of $669,000.00 annually. The total cost is $6,385,172 paid by the Village and approximately $976,312 paid by employees through payroll deductions.
DENTAL INSURANCE:
The Village currently offers dental insurance to eligible employees, dependents, and retirees through a CIGNA Total Network Plan at a cost of approximately $371,702. The contract with CIGNA is set to expire on December 31, 2026. CIGNA has agreed to renew the contract effective from January 1, 2027, through December 31, 2027, at a cost of $390,265, with no plan changes, and an increase to employee contributions of less than $2.00 per month, depending on coverage selection.
Staff recommends renewing the existing contract with CIGNA to provide dental insurance to eligible employees, dependents, and retirees, at a cost of approximately $390,265 (approximately $296,760 paid by the Village and $93,505 paid by the employee).
VISION INSURANCE:
The Village currently offers vision insurance to eligible employees, dependents, and retirees through EyeMed at a cost of approximately $30,355. EyeMed has agreed to renew the existing contract with no change in premium or coverage.
Staff recommends awarding a new contract to EyeMed to provide vision insurance to eligible employees, dependents, and retirees, at a cost of approximately $30,355 ($23,126) paid by the Village and $7,229 paid by the employee).
LIFE/AD&D AND DISABILITY INSURANCE:
The Village’s existing Life/AD&D and Disability insurance with New York Life is set to expire on December 31, 2026. New York Life has agreed to renew the agreement effective through December 31, 2027, with no price increases and no plan changes.
Staff recommends renewing the existing contract with New York Life to provide Life/AD&D and Disability insurance, at a cost of approximately $289,072. The benefit is available to all eligible employees at no cost.
BUDGET AMENDMENT REQUIRED: NO
PUBLIC HEARING: NO QUASI-JUDICIAL:
FIRST READING: SECOND READING:
LEGAL SUFFICIENCY: YES
FISCAL IMPACT: Funding is included in the adopted FY 2027 budget.
WELLINGTON FUNDAMENTAL: Responsive Government
RECOMMENDATION: Authorization to approve Resolution No. R2026-60 to (1) Award a Consumer Driven Health Plan (CDHP) agreement with CIGNA Healthcare to provide health insurance to eligible employees, dependents, and retirees, at a cost of approximately $7,361,484 annually, and approve HRA funding for each eligible employee at a cost of approximately $669,000 to cover all associated annual deductibles; (2) Renew a contract with CIGNA to provide dental insurance to eligible employees, dependents, and retirees at an annual cost of approximately $390,265; (3) Renew a contract with EyeMed to provide vision insurance to eligible employees, dependents, and retirees at an annual cost of approximately $30,355; (4) Renew a contract with New York Life to provide Life/AD&D and disability insurance, to eligible employees, at a cost of approximately $289,072.