Placement: Consent Agenda
Action Requested: Motion / Vote
title
Approve Florida Blue Stop Loss Insurance Policy-Fiscal Year 2025/2026
body
Submitted By: Thema Neal, Operations Manager, Human Resources
Strategic Plan Link: The City's Goal of a high-performing city government organization.
Summary Brief (Agreements/Contracts only)
1. Prepared by: Thema Neal, Human Resources
2. Parties: City of Port St. Lucie and Florida Blue/ISU
3. Purpose: To provide Stop Loss Insurance for medical claims.
4. New/Renewal/Modified: New
5. Duration: 1 year
6. Benefits to Port St. Lucie: To provide protection to the City for medical claims that exceed the threshold of $500,000.00 per claimant.
7. Cost to Port St. Lucie (Annual and Potential): The estimated expenditure for FY 25/26 is $1,520,165.00 (a 1.2% decrease over FY 24/25 cost, plus the $100,000 laser for a total increase of 5.31%).
Presentation Information: Staff and the Gehring Group are available to answer any questions the Council might have.
Staff Recommendation: Move that the Council waive the bidding, per chapter 35.04(c) good cause shown and approve the renewal of stop loss insurance with Florida Blue.
Alternate Recommendations:
1. Move that the Council amend the recommendation and approve the renewal of the Stop Loss insurance with Florida Blue.
2. Move that the Council not approve the recommendation and provide staff direction.
Background:
Stop Loss insurance is a component of the City's self-funded health insurance program, providing protection from the financial risk of unpredictable high-cost and/or high-volume claims filed under the plan. This coverage safeguards the City's financial health by capping exposure to catastrophic claims.
In 2024, the City's insurance broker Gehring Group released an RFP to the market and solicited responses for Stop Loss insurance proposals. A total of twenty (20) proposals were received from seven (7) carriers, and all proposals were vetted by the Gehring Group and t...
Click here for full text