Submitted By: Todd Swanson
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Presentation By: Todd Swanson
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Department: Human Resources and Risk Management
FORMAL TITLE:
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Additional expenditures under the Agreement with Premise Health Employer Solutions, LLC, for the period ending December 31, 2025, in an amount not to exceed $425,000
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OCALA’S RELEVANT STRATEGIC GOALS:
Fiscally Sustainable, Operational Excellence
PROOF OF PUBLICATION:
N/A
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BACKGROUND:
The City of Ocala is self-insured for health insurance and pharmacy drug claims and has established an on-site health and wellness center as a cost-saving measure for both the City and its employees. Employees, retirees, and their dependents enrolled in the City's health insurance plan can utilize medical services and receive generic prescription drugs at no cost, with the remaining cost absorbed by the City's self-insured plan. The health and wellness center also provides occupational health services to the City, which include physicals for new hires and services for employees injured on the job.
The City of Ocala has contracted for the operation of its on-site employee health and wellness clinic since December 15, 2008. In 2013, Council approved a three-year agreement for clinic services with CareHere, LLC, (now known as Premise Health Employer Solutions, LLC) through December 31, 2015. Since that time, the City has continued clinic operations through successive amendments. The most recent amendment extended the contract for a three-year term ending December 31, 2025, in an amount not to exceed $4,090,087.
FINDINGS AND CONCLUSIONS:
Expenditures to date under the contract total $4,191,290.95. The funds allocated for the current renewal term have been exhausted due to increased employee utilization and rising medical costs. Staff anticipates that the City will expend an additional $425,000 to cover current and anticipated expenses through the end of the contract term, December 31, 2025.
FISCAL IMPACT:
Increasing the expenditure limit for Contract RSK/08-001will prevent service interruption at the employee clinic and allow the City to close out the contract cleanly before transitioning to a new contract with Premise Health in January 2026. Expenses associated with this contract have been budgeted for and are available in account 627-015-316-512-51-34010. Staff recommends approval.
PROCUREMENT REVIEW:
These services were procured in compliance with the City’s Procurement Policy.
LEGAL REVIEW:
The underlying Agreement was reviewed and approved as to form and legality by City Attorney, William E. Sexton.
ALTERNATIVE:
Table or deny.