2025-40 - Group Insured Medicare Advantage for Niagara County Office of Risk Management

Niagara County will be involved in the selection of a group insured Medicare Advantage Plan offering a comprehensive medical and prescription drug plan that provides the same or better benefits than the plan currently in place for both local and out of the area retirees age 65 and older. There are approximately 641 over age 65 retired subscribers covered by a stand alon group fully insured Medicare Advantage Plans. Both in and out of area retirees have the same level of benefits and a Preferred Provider Organization (PPO) plan. The only difference between the two plans is the premium rates with the out of area PPO higher. All plans must have “no donut hole” on the Rx benefit. See Exhibit A for benefit designs and Exhibit B a full subscriber census. AssuredPartners – Amherst (AP) (“the Consultant”) is requesting on their behalf this proposal for a group insured Medicare Advantage plan including both medical and prescription drugs with national provider access to Niagara County (“the Client”). The response to this RFP will determine the carrier best suited to assist the Client.