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CITY SECRETARY
A Stop Loss Insurance Proposal for: coNTRACTN®. 3,3Z
City ®f Fore Worth
November 3, 2017
Presented To:
Holmes Murphy & Associates, Inc.
Presented By:
Francks, Terry
Voya Emplpy, Benefits
Pati -
Issu IlaStar Life fns fi4l company 1W..T / �
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Table of Contents Page
Whywork with us. .....................................................................................................................................1
Stop Loss Proposal for City of Fort Worth ...................................................................................................................2
AccountAssumptions..............................................................................................................................................3
ProductAssumptions..............................................................................................................................................3
Stop Loss insurance Exclusions and Limitations and Disclosure Information........................................................4
Definitions ....................................................................................................................................................................5
AboutVoya Financial®................................................................................................................................................6
Voya Employee Benefits Products & Services ............................................................................................................7
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A Proposal for City of Fort Worth
Our products help protect America's retirement assets
As an Industry leader and advocate for greater retirement readiness,Voya Financial®is committed to delivering on our vision to be
America's Retirement Company®and our mission to make a secure financial future possible--one person, one family and one
Institution at a time.As part of that vision Voya Employee Benefits offers Insurance products to help protect those retirement assets
through our insurer, ReliaStar Life Insurance Company, a member of the Voya®family of companies.
Whether you want to offer traditional group benefits, voluntary products, or retirement planning services,Voya Employee Benefits offers
choice and pledge ease and administrative efficiency for our clients. We have been offering group insurance solutions for more than 90
years, voluntary insurance solutions for more than 60 years, and stop loss insurance for more than 35 years. We combine our extensive
product portfolio with our benefits expertise in order to solve common business issues such as: benefit plan program design, cost
management issues, human resources administration, and employee recruitment and retention.
Why work with us
With our consulting expertise and administrative capabilities, we can help you plan, design and deliver the solution your client needs in
order to offer a cost-effective benefits package.
Voluntary Insurance Benefits: Our suite of voluntary benefits, including Critical Illness',Accident, and Hospital Confinement Indemnity
Insurance, can help employees and their families cover their out-of-pocket medical costs. These are limited benefit policies. They are not
health Insurance and do not satisfy the requirement of minimum essential coverage under the Affordable Care Act.
® True group products, designed to integrate enrollment and administration to complement an employer's core benefit offerings
o Products can be included on virtually any enrollment platform or benefits administration system
• Client can be the system of record-there are no tedious list bills to review or reconcile month-to-month and, no missed
deduction letters are sent out
Life Insurance: Group and voluntary options help employees provide financial protection for their loved ones.
o Accelerated death benefit payable in a monthly manner to help offset costs of continuous confinement in an institution such as
a hospital, nursing home or extended care facility
o Expedited benefit payment for amounts up to$200,000
n Extensive range of Accidental Death and Dismemberment (AD&D)benefits
Disability Income Coverage: Fully-integrated products create seamless transitions between short and long-term disability claims. A
dedicated claims manager also simplifies the process.
e Fully-insured, self-funded and voluntary group Short Term and Long Term Disability Income coverages
$ Voya Absence Resources services can be added for administration of the employer's absence management program(Voya Absence
Resources services are provided by FMLASource®, Inc,)
Stop Loss Insurance: Self-funded employers can better manage their risk and preserve their assets following a catastrophic health claim.
And, since we're a direct writer, our claims process allows for faster reimbursement.
® Individual and aggregate excess risk insurance
o Flexible run-in and run-out options
'Critical Illness Is known as Specified Disease in some states,
This Is a summary only. The policy, certificate and riders should be reviewed for complete provisions, conditions on benefit
determination, exclusions and limitations. Product availability and specific provisions may vary by state.
Page 1
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Issued by ReliaStar Life Insurance Company PLA14INVEST � �
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Stop Loss Proposal for City of Fort Worth
individual Excess Risk Insurance
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Plan Effective Date January 1,2018
Coverages .' Medical, Rx ..::.:
Individual Deductible $1,000,000
Policy Year Maximum Unlimited
.. ... .. . ..:.. ... .
'Lifetima Maximum Unlimited .: .
Coverage Period PAID
0
Benefit Percentage .... :-. > . 100%'.:. .:.•.
Rates include Commissions of: None
Endorsements:..:.•:. `:::..;-.:._..:;:.:::,: :': °::.:... ': :: ...
Plan Mirroring Coordination included
Coverage Description Enrollment/Quoted Rate
Composite 7102/$4.70
Cost'::.::.'.::::'
:Estimated Months .Costs '.'':: : :::':':;.;:.:..';; ;.;:.;.: ; , ?;..$33,379.42 :
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Sf�mated Annual Costs.'-:.-: $400,553.00 .
Endorsement Form numbers(may vary by state):
Plan Mirroring Coordination Endorsement form#RL-SL-PM-2013
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Authorized Signature Date
Susan Alanis Assistant City Manager
Print Name Title
APPROVED AS TO FORM AND LEGALITY:
ATT RNEY Z 30)111 H. 510ull
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Issued by ReliaStar Life Insurance Company MYEsr V
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A Proposal for City of Port Worth
Account Assumptions
`��•.�s�� i� .-xfis ��.--' a�a�'r'""�'as��:��-0 "�'�-��- zc��a 3'-b_. ��'..�.,m= .' .,{1 ^' :m..e�`� a
Situs State Texas
Network United Healthcare Choice Plus
Individual Excess Risk Rate Guarantee 12 months
Claim Administrator United Healthcare Corporation
Actively-at-Work Waived
Proposal Expiration November 17,2017
This Is a summary of certain benefit and rating features associated with this offer.A complete description of benefits,limitations,
exclusions and termination of coverage will be provided in the group policy and endorsements. If there Is any discrepancy between this
document and the group policy documents, the policy documents will govern. To keep coverage In force,premiums are payable up to the
date of policy termination. Excess Risk(Stop Loss)Insurance is underwritten by Rel€aStar Life Insurance Company(Minneapolis,MN),a
member of the Voya®family of companies. Policy form#:RL-SL-POL-2013. Form numbers,provisions and availability may vary by
state.
Product Assumptions
The following apply to all quoted plans;
o Rates are firm thru 11/17/2017 contingent upon receiving a transplant list.
o No fully Insured lives are covered.
o Plan must have medical case management and utilization review.
o All claims are reported/paid In U.S.dollars.
o Any costs charged by the claim administrator for reports required to substantiate claims will be paid by the employer.
o The state health care surcharge paid on claims incurred with certain providers In some states,may be eligible for reimbursement under
the excess risk policy subject to terms of the policy provisions to the extent that such surcharges are included in the claims Information
provided to underwriting. Penalties or fines associated with the health care surcharge or the underlying expenses will not be considered
eligible excess risk expenses.
• The proposal is based on the data submitted.Any changes to this data may allow us to modify the proposal.
• Duplication of current plan designs and contribution levels.Any changes may require an adjustment to the individual excess risk rates.
o Coverage is included for eligible retirees up to age 65 only.
s Quote assumes pharmacy benefits are not carved out to a separate Pharmacy Benefit Manager.
Page 3
PIAN
Issued by Rel€aStar Life Insurance Company INVEST
A member of the Voyaa family of companies PROTECT F,uArtcwi
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Proposal for City of Fort Worth
Stop Loss insurance Exclusions and Limitations and Disclosure Information
Eligible excess risk expenses do not include the following, whether or not such expenses are covered under the employee benefit
plan,unless otherwise specifically Included in the Excess Risk Schedule.These may vary by state and by group.
a Any portion of an expense that you are not obligated to pay under the employee benefit plan, or that is reimbursable to you
pursuant to or because of another group health benefit program; or the covered person or covered dependent is covered under,
or eligible for, Medicare, the Railroad Retirement Program,Worker's Compensation, or any similar federal, state or local program
or statute;or any coordination of benefits or non-duplication of benefits provision of the employee benefit plan;
o Benefits paid under the employee benefit plan that are in excess of usual and customary charges;
e Expenses associated with the administration of the employee benefit plan including, but not limited to, claim payment fees, PPO
access fees, premium functions, medical review and consultant fees unless otherwise payable under the Reimbursement of
Certain Fees provision;
o Expenses paid by you or the claim administrator relating to any litigation concerning the employee benefit plan, including, but not
limited to, attorneys' fees, legal or investigative expenses, expert fees, extra-contractual damages, compensatory damages and
punitive damages;
a Benefits paid for expenses incurred outside of the U.S.except in emergency situations, Emergency situations are defined as
Instances of a serious injury, the onset of a serious condition that requires immediate medical intervention to prevent death, or a
serious impairment of health. Emergencies do not include elective care or care of minor illness or injury;
o Expenses that are experimental or investigational; or
• Benefits paid under the employee benefit plan for individuals who should have been, but were not, included In the most recent
Disclosure Agreement.
The Disclosure Reports must be provided to us no earlier than 90 calendar days prior to the policy's effective date or renewal date,
as applicable. Should we require any additional Information, we will notify the plan sponsor and/or Its designated representative in
writing no later than 20 calendar days following receipt of the Disclosure Reports, Any firm quote is void unless accepted by the plan
sponsor in writing within 35 days from the date we have provided a firm quote.
Page 4
ALAN
Issued by RellaStar Life Insurance Company N,vrST
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A Proposal for City of Fort Worth
Definitions
Stop Loss Insurance Terms (may vary by state)
The following section provides a brief overview of Stop Loss insurance endorsements. Benefit provisions may vary by state and
endorsements may not be available in all states. Please ask your Voya Employee Benefits Sales Representative for more
Information.
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Plan Mirroring Coordination Allows for reimbursement of eligible expenses that are covered under the employee benefit
plan.
Page 5
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A Proposal for City of Fort Worth
About Voya Financial®
Voya Financial, Inc. (NYSE:VOYA), helps Americans plan, Invest and protect their savings -to get ready to retire better. Serving the
financial needs of approximately 13.6 million individual and institutional customers in the United States,Voya Is a Fortune 500 company
that had$11 billion in revenue in 2016. The company had$484 billion In total assets under management and administration as of
Dec. 31,2016. With a clear mission to make a secure financial future possible -one person, one family, one Institution at a time-
Voya's vision is to be America's Retirement Company®. The company is equally committed to conducting business in a way that is
socially, environmentally, economically and ethically responsible -Voya has been recognized as one of 2017 World's Most Ethical
Companies® by the Ethisphere Institute, and as one of the Top Green Companies in the U.S., by Newsweek magazine. For more
Information, visit vova.com. Follow Voya Financial on Facebook and Twitter Vo a.
Voya's Insurance Solutions business, which comprises its Retail Life and Employee Benefits segments, is a leading provider of life
insurance and medical stop loss Insurance in the U.S. The Retail Life business is focused on wealth protection and transfer
opportunities to meet the needs of a broad range of customers from the middle-market through affluent market segments. The
Employee Benefits segment offers stop loss, group life, voluntary and disability income insurance products to mid-sized and large
businesses and has more than 90 years of experience in the design, implementation and administration of employee benefits plans.
Awards and Accolades
2017 World's Most Ethical Company
Ethisphere Institute
In 2017, Voya was honored as a 2017 World's Most Ethical Company® by the Ethisphere Institute, an Independent research center
promoting best practices in corporate ethics and governance. The award is given to organizations that demonstrate a commitment to
raising the bar on ethical leadership and corporate behavior.
Best Places to Work for LGBT Equality
Human Rights Campaign, Corporate Equality Index Perfect Score
For the 12th consecutive year,Voya has received a perfect score of 100%on the Human Rights Campaign(HRC)Foundation's 2017
Corporate Equality Index(CEI).This survey assesses American workplaces on lesbian,gay,bisexual and transgender(LGBT)equality,To
achieve a perfect score and the distinction of"Best Places to Work for LGBT Equality,"companies must have fully inclusive equal
employment opportunity policies,provide equal employment benefits,demonstrate organizational LGBT competency,evidence their
commitment to equality publicly and exercise responsible citizenship,
Page 6
PLAN
Issued by ReliaStar life Insurance Company INVEST � ,.� lr
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Voya Employee Benefits Products & Services :(?ur.producis.and.8ervicee:
We offer a diverse portfolio of products and services that can benefit employees
at each stage of their lives. Voluntary benefits can add value to an existing core Stop.Loss Insurance
benefit plan at virtually no additional administrative cost. And it doesn't get any 4 individual.Excess.Risk
easier for clients and their employees, with convenient payroll deduction and a •:.Aggregate.Excess,Risk.
streamlined enrollment process for both employer- and employee-paid benefits. -
-insured-Benefits
In addition to voluntarybenefits, we also offer group-based benefits and stop loss
9 p Group Term.Life and AD&D
insurance. %•:..Disability Income (Short and Long Term)
•.:Critical.Illness*"
Our insurance products are underwritten by RellaStar Life Insurance Company, a Accident
member of the Voya@ family of companies.
i Hospital Confinement Indemnity
'Products and services may not be available in all states. Group Seivices
**Critical Illness is known as Specified Disease insurance in some states. :.Voya Absence F2esourcesl.:...:.:
1 Voya Absence Resources services are provided by FMLASource@, Inc. --
2 Employee Assistance Program (EAP) services are provided by ComPsych@ ';Employee Assjstance Programs? :.
Corporation, Chicago, IL. i Voya.Travel Assistance3. :
a Voya Travel Assistance services are provided by Europ Assistance USA, �. Funeral-01anning and.Conclerge.Services4
Bethesda,MD. ,.: .
a Funeral Planning and Concierge Services are provided by Everest Funeral
Package, LLC, Houston,TX.
Financial Ratings
We're proud of our size, strength and financial stability. You can be confident that the company you entrust to design, implement and
administer your employee benefit plans meets strict financial standards. RellaStar Life Insurance Company is rated by all four of the
major independent insurance Industry rating organizations:
0. n.. ♦j.`�."� s ! ♦ ♦ i-E"E '-� = � .'tea• {r:...-- -�• N�._.. .....�.._..- -'i= �>..
Excellent
A.M. Best A Third highest of 15 ratings. A.M. Best Company assigns ratings from A++to F based
on a company's financial strength and ability to meet obligations to contract holders.
Good
Moody's A2
Sixth highest of 21 ratings. Moody's Investor Service(Moody's)assigns ratings from
AAA to C based on a company's financial security.
Strong
Fitch A Sixth highest of 19 ratings. Fitch assigns ratings from AAA to C based on a company's
financial strength.
Strong
Standard&Poor's A Sixth highest of 20 ratings. Standard&Poor's assigns ratings from AAA to CC based
on a company's financial security.
These ratings are determined at least annually after the rating agency meets with company management and reviews extensive
financial information. The rating agencies evaluate the strengths and strategies of company management, the operating results of the
business units, investment performance, and capitalization. Industry ratings are not a warranty of an Insurer's current or future ability to
meet its contractual obligations.
These are the financial strength ratings for RellaStar Life Insurance Company as of March 96, 2095.
Page 7
PLAN
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