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HomeMy WebLinkAbout1987-04-21; City Council; 8975; Final payment to Crown LifeCIT^OF CARLSBAD — AGENDA~3ILL MTG.. HPPT TITLE: FINAL PAYMENT TO CROWN LIFE DEPT. HD.J/ CITY ATTY CITY MGR. OUJ OCEQ.Q_ O OO accepting the final accounting from Crown Life RECOMMENDED ACTION: Adopt Resolution NO. / CJ~ * \ auuc(Ji/J.ny unc IJ.HOJ. av^v^u<jinw-i-"H ' *- ""• — i>~""' and appropriating the necessary funds to pay the retrospective premium of $33,243.38. ITEM EXPLANATION On December 31, 1985, the City of Carlsbad terminated the Crown Life contract for employee health/life benefits. The contract included a retrospective premium provision that stipulated that Crown Life could collect up to 16% of expected claims during the accounting period if claims experience was adverse. Claims greatly exceeded premium for the period August 1, 1985 through December 31, 1985; therefore Crown Life is invoking this provision to reduce the deficit. The remaining deficit of $88,200.46 will be absorbed by Crown Life. Exhibit 2 summarizes the final accounting. The data has been analyzed by Charles A. Bachman, an actuary with Towers, Perrin, Forster & Crosby, the City's employee benefit consultant. Exhibit 3 is the letter from TPFC verifying the final accounting. Payment of the retrospective premium will finalize the termination of the City's contract with Crown Life. Crown no longer has any remaining responsibility to continue paying claims, and the final accounting represents the City's last financial obligation to Crown. FISCAL IMPACT The appropriation of $33,243.38 from the contingency fund will reduce the balance to $213,000. EXHIBITS 1. Resolution No. appropriating the necessary funds. 2. Crown Life/Final Accounting. 3. Letter from Charles Bachman. ( accepting the final accounting from Crown Life and 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 RESOLUTION NO. 9031 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CARLSBAD, CALIFORNIA, APPROPRIATING $33,2«.38 FOR THE RETROSPECTIVE PREMIUM TO CROWN LIFE WHEREAS, the City Manager and staff have determined that the final accounting from Crown Life is correct: and WHEREAS, additional funds are necessary to pay the retrospective premium provision; and WHEREAS, the timely payment of all monies due is necessary to terminate the City's relationship with Crown Life. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Carlsbad, California, as follows: 1. That the above recitations are true and correct. 2. That the Finance Director is authorized to pay the amount of $33,24-3.38 from the contingency fund, thus reducing the available balance in the contingency fund to $213,000. PASSED, APPROVED AND ADOPTED at a regular meeting of the Carlsbad City Council held on the 28th day of April , 1987 by the following vote, to wit: AYES: Council Members Lewis, Kulchin, Pettine, Mamaux and Larson NOES: None ABSENT: None 'LAUDE A. LEWIS, Mayor ATTEST: ALETHA L. RAUTENKRANz City Clerk (SEAL) CITY OF CARLSBAD AUGUST 1, 1985 THROUGH DECEMBER 31, 1985 1. Total Paid Premim $240,632.92 2. Claims A) cash claims $271,314.08 B) less pooled claims - 28,037.32 C) less reserve at beginning of period -143,561.54 D) plus reserve at end of period (annualized) +217,016.54 Total Incurred Claims $ 316,731.76 3. Expenses (12% premium) $ 28,876.00 4. Specific S-L (4.93% med prem) 9,491.00 5. Aggregate Stop-loss 6,978.00 (2.9% premium) 6. Expected claims 195,287.92 (1-3-4-5) 7. Deficit ( 6 - 2 ) (121,443.84) 8. Maximum collectable (16% of expected claims) 31,246.07 interest Dec 31, 1985 to Dec 1, 1986 1,997.31 9. RETRO PREMIUM DUE $ 33,243.38 CrownLife B785 TOWERS, PERHN, FORSTER & CROSBY 1925 CENTURY PARK EAST, SUITE 1500 LOS ANGELES, CALIFORNIA 90067-2790 (213) 551-5600 March 12, 1987 Ms. Ann Sommercamp Senior Management Analyst City of Carlsbad 1200 Elm Avenue Carlsbad CA 92008 Re: Crown Life/Final Accounting Dear Ann: This letter confirms our earlier discussions about whether the City of Carlsbad should pay a retrospective premium of $33,243.38. We have reviewed Crown Life's final accounting and have determined that the final claim experience resulted in a deficit of $121,443.84 as follows: 8/1/85-12/31/85 Premiums $ 240,632.92 Total Costs 362,076.76 Deficit $(121,443.84) Crown Life's contract included a retrospective premium provision that stipulated that Crown Life could collect up to 16% of premiums paid during the accounting period if claims experience was adverse. Crown Life invoked this provision to reduce the deficit to the fullest extent possible: Deficit $(121,443.84) Retrospective Premium (16% of expected claims, or $195,287.92) 31,246.07 Of Interest at 6.4% (12/31/85-12/31/86) 1,997.31 Retrospective Premium Due $ 33,243.38 Final Deficit $ (88,200.46) TOWERS, PERRIN, FORSTER & CROSBY LETTER TO Ms. Ann Sommercamp SHEET NO. TWO DATE March 12, 1987 During our discussions with Crown Life, we identified two errors on the original accounting, which produced some initial confusion—the numbers didn't add up. Crown Life corrected these errors, and their revised accounting is attached. We were concerned about the level of increase in the ending claim reserve (from $143,561 to $217,016) and believed Crown Life was being unfair in their final accounting. They cited a contract change that increased their formula for calculating the ending claim reserve. Practically speaking, however, the increase had no effect on the final retrospective premium calculation. Without the reserve increase, the deficit would have been $47,988.84 and Crown Life would still have called the $33,000 retro- spective premium. We enclose Crown Life's final accounting. If you have any questions, please call. Sincerely, Charles A. Bachman Consultant CAB/na Enclosure cc: J. Pieti J. Foreman