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TO:	Mayor Richard C. Irvin
FROM:	Alisia Lewis, Director of Human Resources
DATE:	August 21, 2019
SUBJECT:
A Resolution Authorizing a Renewal Agreement with Aetna to administer a Medicare Advantage Plan for Medicare Eligible Retirees for the Period of January 1, 2020 through December 31, 2020.
PURPOSE:
To authorize a renewal agreement with Aetna to administer a Medicare Advantage Plan for Medicare eligible retirees.  
BACKGROUND:
On January 1, 2018, the City of Aurora converted the Post-65 Medicare retirees from the City's Cigna OAP health plan to Aetna's Medicare Advantage Plan.  Aetna's plan is a fully insured product which shifts the risk of claims from the City's self-insured plan to Aetna.  The 2017 funding of the Post-65 Medicare retirees was approximately $5,700,000.
DISCUSSION:
Under the Aetna Medicare Advantage Product, the funding has been approximately:  
2018:		$1,946,899
2019:		$1,718,385
2020:		$2,010,658
Additionally, the city's other post-retirement benefits liability was reduced by $153.7M for the year ended December 31, 2018. 
Aetna's renewal for the Post-65 Medicare retirees assumes the same benefits.  The 17% increase is due to the HIF tax being reinstated by Congress for 2020.  Without the HIF tax the renewal from Aetna would be a no change to the premiums.
IMPACT STATEMENT:
No impact.
RECOMMENDATIONS:
Place on the Finance Committee calendar for approval to the City Council.  
cc:	Finance Committee
CITY OF AURORA, ILLINOIS
RESOLUTION NO. _________
DATE OF PASSAGE ________________
title
A Resolution Authorizing a Renewal Agreement with Aetna to Administer a Medicare Advantage Plan for Medicare Eligible Retirees for the Period of January 1, 2020 through December 31, 2020.
body
WHEREAS, the City of Aurora has a population of more than 25,000 persons and is, therefore, a home rule unit under subsection (a) of Section 6 of Article VII of the Illinois Constitution of 1970; and
WHEREAS, subject to said Section, a home rule...
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