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<br />16 ~ <br /> <br />TUESDAY <br /> <br />AUGUST 23, 1983 <br /> <br />- <br /> <br />General Life Insurance Company, and partially from Horace Mann <br />Insurance Company), Mr. Stinnett reported that the bids submitted <br />by Blue Cross-Blue Shield of Virginia (Richmond Plan) were the <br />most favorable and competitive. Noting that medical costs are <br />expected to increase by 18% per year, the consultant recommended <br />that, for the City's employees, the City change to a comprehensive <br />major medical program which, with the use of deductibles and <br />coinsurance, would introduce more cost-containment features and, <br />thereby, encourage employees to become more involved in types of <br />medical services available as well as to seek more out-patient <br />services, with the result that, aside from a reduction in the <br />amount of premium increase this year, premium costs can be better <br />controlled in the future. The consultant further recommended <br />that the coverage plans (for both the City and the School System) <br />be combined, with the experiences thereof to be separated in order <br />that the ratings can stand on their own. In addition, the con- <br />sultant noted that the recommended comprehensive major medical <br />plan can be more easily administered. <br /> <br />On behalf of Connecticut General Life Insurance Company, Mr. William Greenleaf (its Rich- <br /> <br />mond Office Sales Manager) maintained that, based on the loss ratio (of 108% claims paid <br /> <br />against premium received) for the past twelve months and on the anticipated 20% escalation <br /> <br />in medical costs, acceptance of the lowest bid (i.e., that submitted by BC-BS of Virginia) <br /> <br />would constitute a short-term solution to a long-range problem. Mr. Greenleaf also <br /> <br />questioned the significant difference between the bid submitted by BC-BS of Virginia and <br /> <br />the bid submitted by BC-BS of Southwestern Virginia. Mr. Greenleaf then urged Council to <br /> <br />defer action on bid proposals, pending further study thereof. Mr. Carl Slone, Director of <br /> <br />Sales of BC-BS of Virginia (Richmond), noted that BC-BS of Virginia retains a lower per- <br /> <br />cent age (of premiums paid) than does BC-BS of Southwestern Virginia, that the BC-BS organi- <br /> <br />zations do not pay a premium tax (as do for-profit carriers), and (that) a 6% hospital dis- <br /> <br />count (in effect) is afforded BC-BS-covered groups. Both Mr. Slone and Mr. Greenleaf com- <br /> <br />mented on such factors as cost-containment and cost-utilization. Mr. James F. Hodnett, <br /> <br />local representative of Connecticut General, alleging that BC-BS of Virginia aubmitted an <br /> <br />unreasonably low bid ".....to get the business", asserted that Connecticut General's <br /> <br />- <br /> <br />quoted rates are justified and reasonable. Mr. J. Michael Meador, (of Burch-Hodges-Stone, <br /> <br />Inc.), speaking as a citizen and taxpayer, maintained that for Council, having retained an <br />