Laserfiche WebLink
Proving What’s Possible in Healthcare <br />This document contains important terms and conditions which are incorporated by reference into and becomes <br />part of the terms of your contract with us. ©2024, Healthcare Management Administrators, Inc. <br />Medical Administrative Renewal* <br />City of Everett <br />Agent / Broker: Alliant Insurance Services, Inc. –Seattle <br />Quote Assumes an Effective Date of: January 1, 2025 <br />Fees Based On:1,071 Total Employees <br />4 <br />Base Medical Administration Fees Current Renewal Renewal Option <br />Medical Plan Administration $17.92 $18.45 $18.45 <br />HMA Preferred with PHCS National Network Access $5.50 $5.50 $5.50 <br />Care Management -Preauthorization, Large Case <br />Management and Managed Behavioral Health Services $3.75 $3.75 $3.75 <br />Federal Transparency Technology Enablement Fee Waived $0.45 $0.45 <br />HCBB Comply Tool Included Included Included <br />Claim Bank Account Reconciliation Included Included Included <br />Plan Documents (SPD and SBC)Included Included Included <br />Stop Loss Administration**Included Included Included <br />Total Base Administration $27.17 $28.15 $28.15 <br />Early Renewal Confirmation Credit <br />Applies if signed renewal documents are provided by <br />10/31/2024 ($0.20)($0.20) <br />Additional Services PEPM Fee PEPM Fee PEPM Fee <br />Dental Administration $2.50 $2.50 $2.50 <br />Dental PPO Network Access $1.50 $1.50 $1.50 <br />Vision Hardware Administration $0.65 $0.65 $0.65 <br />Care Navigator $2.00 <br />MDLIVE Telehealth Medical Only $1.00 <br />MDLIVE Mental Health, Psychiatry, and Medical Bundle $0.35 <br />Total Additional Services $4.65 $4.65 $8.00