The URL can be used to link to this page

Browse Search

Home My WebLink About20253112 Resolution Approve Application for Stop Loss Insurance and Authorize Chair to Sign — Sun Life Assurance Company of Canada Whereas,the Board of County Commissioners of Weld County,Colorado,pursuant to Colorado statute and the Weld County Home Rule Charter,is vested with the authority of administering the affairs of Weld County,Colorado,and Whereas,the Board has been presented with an Application for Stop Loss Insurance between the County of Weld,State of Colorado,by and through the Board of County Commissioners of Weld County,on behalf of the Department of Human Resources,and Sun Life Assurance Company of Canada,commencing upon full execution of signatures, with further terms and conditions being as stated in said application,and Whereas,after review,the Board deems it advisable to approve said application,a copy of which is attached hereto and incorporated herein by reference. Now,therefore,be it resolved by the Board of County Commissioners of Weld County, Colorado,that the Application for Stop Loss Insurance between the County of Weld,State of Colorado,by and through the Board of County Commissioners of Weld County,on behalf of the Department of Human Resources,and Sun Life Assurance Company of Canada,be,and hereby is,approved. Be it further resolved by the Board that the Chair be,and hereby is,authorized to sign said application. The Board of County Commissioners of Weld County,Colorado,approved the above and foregoing Resolution,on motion duly made and seconded,by the following vote on the 17th day of November,A.D.,2025: [Insert Resolution Attestation Block Post Meeting] 2025-3112 PE0037 BOARD OF COUNTY COMMISSIONERS PASS-AROUND REVIEW PASS-AROUND TITLE:Approval to Move Forward with Sun Life as 2026 Stop Loss Carrier DEPARTMENT: HR DATE: 11/7/2025 PERSON REQUESTING: Allison Palmer&Jill Scott Brief description of the problem/issue: The County's current stop loss insurance policy expires at the end of the 2025 plan year.A review of proposals from multiple carriers was conducted to ensure continued protection against high-cost medical claims and to evaluate cost-effectiveness for 2026.The review determined that Sun Life offered the most cost-effective and competitive proposal for the County. What options exist for the Board?Approve moving forward with Sun Life as the stop loss carrier for the 2026 plan year.Keeping our stop loss the same at$350,000. Consequences:Delaying the decision could impact renewal timelines and rate guarantees. Impacts:Continued stability in the County's self-funded health plan.Minimal disruption to administrative processes,no disruption to member experience. Costs(Current Fiscal Year/Ongoing or Subsequent Fiscal Years): Composite/Specific Stop Loss Rate:$143.84 X 1,523 lives=$219,068 per month Aggregate Stop Loss Rate:$2.24 a 1,523 lives=$3,412 per month Estimated annual cost$2,669,758(this has already been captured in the 2026 budget) Recommendation: Approve Sun Life as the County's stop loss carrier for the 2026 plan year,effective January 1,2026,based on its cost-effective proposal and favorable contract terms,and authorize staff to finalize the agreement. Support Recommendation Schedule Place on BOCC Agenda Work Session Other/Comments: Perry L.Buck Scott K.James Jason S.Maxey Lynette Peppier Yf Kevin D.Ross U i a /,l 2025-3112 ItA1 PE00-1 Karla Ford From : Kevin Ross Sent : Monday , November 10 , 2025 1 : 28 PM To : Karla Ford Subject : Re : Please Reply - Sunlife Pass around Yes Sent from my Verizon , Samsung Galaxy smartphone Get Outlook for Android From : Karla Ford < kford@weld . gov > Sent : Monday , November 10 , 2025 10 : 44 : 09 AM To : Kevin Ross < kross@weld . gov > Subject : Please Reply - Sunlife Pass around Please advise if you support recommendation and to have department place on the agenda . AA. iter COUNTY . CO Karla Ford Office Manager & Executive Assistant Board of Weld County Commissioners Desk : 970 - 400 - 4200 / 970 - 400 - 4228 P . O . Box 758 , 1150 O St . , Greeley , CO 80632 oginea Join Our Team IMPORTANT : This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged , confidential or otherwise protected from disclosure . If you have received this communication in error , please immediately notify sender by return e - mail and destroy the communication . Any disclosure , copying , distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited . From : Allison Palmer < apalmer@weld . gov > Sent : Friday , November 7 , 2025 3 : 22 PM To : Karla Ford < kfo rd @weld . gov > Cc : Jill Scott < jscott@weld . gov > Subject : Sunlife Pass around 1 4111, Sun Life Assurance Company of Canada ' Sun Life® Application for Stop Loss Insurance 1 Plan sponsor information Full legal name of plan sponsor Policy number(office use only) Weld County Government Address Policy effective date(mmidd/yyyy) 1150 O Street 01/01/2026 City State Zip code Greeley CO 80631 2 Subsidiaries,affiliates,divisions,and locations Please list all subsidiaries,affiliates,divisions,and locations to be covered under the Stop Loss policy. 1. 2. 3. 4. 5. 6. 7. 8. 3 Requested coverage Please select the coverage(s)being applied for. Specific Benefit Specific Benefit Deductible Q Individual $350,000 Q Family Aggregating Specific Deductible(if applicable) $0 Specific Benefit annual maximum eligible expenses per Covered Person OR Q✓No maximum $ Specific Benefit lifetime maximum eligible expenses per Covered Person OR ❑✓No maximum Q Aggregate Benefit Aggregate Benefit maximum Aggregate Benefit maximum eligible expenses per Covered Person* $1,000,000 $350,000 *The individual or family option elected under the Specific Benefit will also apply to the Aggregate Benefit. ----- -------------------------------- GSLAP-4406(CO)(2022) Stop Loss Application 1 of 5 Zoz5-31 I Z 4 Proposed benefits:rates,covered lives,and aggregate deductible factors Specific Benefit enrollment: Rate Lives Composite I $143.84 ! 1,523 Total: 1,523 Specific Covered Benefits:Check all that apply. ✓0 Medical ©Prescription Drug Plan Rx Carve Out Claim Servicing: El Elect Decline Rx Carve Out Claim Servicing with FTP: Elect [-J Decline Aggregate Benefit enrollment Medical Prescription drug Dental STD Vision Other Composite 1,523 1,523 Total 1,523 1,523 Aggregate Deductible Factors(ADFs): Medical Prescription drug Dental STD Vision Other Composite $1,256.68 $756.29 $0.00 $0.00 $0.00 GSLAP-4406(CO)(2022) Stop Loss Application 2 of 5 4 Proposed benefits:rates,covered lives,and aggregate deductible factors,continued 0 Monthly Aggregate Accommodation(MAA) Aggregate Benefit Premium Rates: El Monthly rate:$2.24 El Annual rate:$ III Other: rate:$ 5 Claims Basis Claims Basis Specific Benefit _A_ggregg Benefit T 12/12 Incurred and paid Er 1 1 15/12 3 month run-in D i --011-----1 18/12 6 month run-in -El 1- Er 24/12 12 month run-in . Er 1 7 12/15 3 month run-out 12/18 6 month run-out I !--- 12/24 12 month run-out --; 0 I ID First Year Gapless n t N/A 1 Incurred ! E N/A rOaid ! WA El Other: El 7 Er Terminal Liability Option: D t D 0 3 months III Other: Terminal Liability Option Premium D , 0 E Paid as part of monthly premium El Paid when TLO provision is exercised GSLAP-4406(CO)(2022) Stop Loss Application 3 of 5 6 For employers that provide medical or pharmacy services (e.g.hospitals,clinics,and other healthcare providers) The Domestic Provider Reimbursement Percentage applied to Eligible Expenses for services or treatment provided by a Domestic Provider will be N/A %for the Specific Benefit and N/A %for the Aggregate Benefit. Please list all Domestic Providers.A Domestic Provider is any facility,service provider,pharmacy or other vendor that is owned,operated or controlled by,or affiliated with,the employer/plan sponsor and includes any subsidiaries,affiliates or parent company that provides medical or pharmacy services. 1. 2. 3. 4. 5. 6. 7. 8. 7 Retiree information 1.Specific Benefit:Is retiree coverage included?................................................................................................................................E Yes 2 No 2.Aggregate Benefit:Is retiree coverage included?........:.................................................................................................................. Yes 0 No 8 Additional benefits(Must be approved by Underwriting) The following benefits are available to enhance your Stop Loss coverage. Experience Rated Refund NoNew Special Conditions Rider at Renewal E Elect 0 Decline El Elect Decline Clinical Trials Benefit Provision FE Elect Decline GSLAP-4406(CO)(2022) Stop Loss Application 4 of 5 Houstan Aragon From: Byron Howell • Sent: Wednesday,November 12,2025 4:05 PM To: Houstan Aragon;Bruce Barker;Karin McDougal;Adria Schiel;Matthew Conroy;Will Grumet;Rusty Williams;Jill Scott Cc: CTB;Chris D'Ovidio;Amy Dyer;Allison Palmer;Brandy Peterson Subject: RE:SIGNATURE REVIEW:Application for Stop Loss Insurance-SunLife Assurance Company of Canada I initially reviewed.Approved. Byron L.Howell Assistant Weld County Attorney Weld County Attorney's Office 1150 O Street Greeley,Colorado 80632 970-400-4394 STATEMENT OF CONFIDENTIALITY&DISCLAIMER:The information contained in this email message is attorney privileged and confidential,intended only for the use of the individual or entity named above.If the reader of this message is not the intended recipient,you are hereby notified that any dissemination,distribution or copy of this email is strictly prohibited.If you have received this email in error,please notify us immediately by replying and delete the message.Thank you. From:Houstan Aragon<haragon@weld.gov> Sent:Wednesday,November 12,2025 4:02 PM To:Bruce Barker<bbarker@weld.gov>;Karin McDougal<kmcdougal@weld.gov>;Adria Schiel<aschiel@weld.gov>; Byron Howell<bhowell@weld.gov>;Matthew Conroy<mconroy@weld.gov>;Will Grumet<wgrumet@weld.gov>;Rusty Williams<rwilliams@weld.gov>;Jill Scott<jscott@weld.gov> Cc:CTB<CTB@co.weld.co.us>;Chris D'Ovidio<cdovidio@weld.gov>;Amy Dyer<adyer@weld.gov>;Allison Palmer <apalmer@weld.gov>;Brandy Peterson<bpeterson@weld.gov> Subject:SIGNATURE REVIEW:Application for Stop Loss Insurance-SunLife Assurance Company of Canada Good afternoon, Please review and advise as to placement on the Monday,November 17,2025,Agenda.Please also remember to reply-all to this email. Department Head(Jill)-Please respond for approval as to substance in the Agreement. Finance(Rusty/Chris)—Please respond for acknowledgement of no Financial Terms. Legal—Please respond for approval as to Form. Thank you, COUNTY,CO 1 Houstan Aragon Deputy Clerk to the Board Desk:970-400-4224 P.O.Box 758,1150 0 St.,Greeley,CO 80632 0® 0 ®O Join Our Team IMPORTANT:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure.If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication.Any disclosure, copying,distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 2 Houstan Aragon From: Rusty Williams Sent: Wednesday,November 12,2025 5:10 PM To: Houstan Aragon;Bruce Barker;Karin McDougal;Adria Schiel;Byron Howell;Matthew Conroy;Will Grumet;Jill Scott Cc: CTB;Chris D'Ovidio;Amy Dyer;Allison Palmer;Brandy Peterson Subject RE:SIGNATURE REVIEW:Application for Stop Loss Insurance-SunLife Assurance Company of Canada Hi,Houstan. This is approved by Finance. Thanks. From:Houstan Aragon<haragon@weld.gov> Sent:Wednesday,November 12,2025 4:02 PM To:Bruce Barker<bbarker@weld.gov>;Karin McDougal<kmcdougal@weld.gov>;Adria Schiel<aschiel@weld.gov>; Byron Howell<bhowell@weld.gov>;Matthew Conroy<mconroy@weld.gov>;Will Grumet<wgrumet@weld.gov>;Rusty Williams<rwilliams@weld.gov>;Jill Scott<jscott@weld.gov> Cc:CTB<CTB@co.weld.co.us>;Chris D'Ovidio<cdovidio@weld.gov>;Amy Dyer<adyer@weld.gov>;Allison Palmer <apalmer@weld.gov>;Brandy Peterson<bpeterson@weld.gov> Subject:SIGNATURE REVIEW:Application for Stop Loss Insurance-SunLife Assurance Company of Canada Good afternoon, Please review and advise as to placement on,the Monday,November 17,2025,Agenda.Please also remember to reply-all to this email. Department Head(Jill)-Please respond for approval as to substance in the Agreement. Finance(Rusty/Chris)—Please respond for acknowledgement of no Financial Terms. Legal—Please respond for approval as to Form. Thank you, COUNTY,CO Houstan Aragon Deputy Clerk to the Board Desk:970-400-4224 P.O.Box 758,1150 O St.,Greeley,CO 80632 0E1 ®O Join Our Team IMPORTANT:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure.If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication.Any disclosure, copying,distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 2 Hello