Visalia City Council
November 18, 2024

BCC - Estimated Annual Payments
January 1, 2025 - December 31, 2029
BCC System & Service Fees Cost
Pass-
Through
Payment?
Annual - Year 1
1/1/2025 -
12/31/2025
Annual - Year 2
1/1/2026 -
12/31/2026
Annual - Year 3
1/1/2027 -
12/31/2027
Annual - Year 4
1/1/2028 -
12/31/2028
Annual - Year 5
1/1/2029 -
12/31/2029
Benefit Administration Fee
$0.50 Per medical enrolled
participant per month (active &
retirees) No $ 3,960.00 $ 3,960.00 $ 3,960.00 $ 3,960.00 $ 3,960.00 Dental Eligiblity Fee
$1.35 per employee per month
(active employee only) No $ 10,044.00 $ 10,044.00 $ 10,044.00 $ 10,044.00 $ 10,044.00 Vision Eligibility Fee
$1.35 per employee per month
(active & retirees) No $ 10,044.00 $ 10,044.00 $ 10,044.00 $ 10,044.00 $ 10,044.00 ACA Administration Set Up $1,545 one time cost No $ 1,545.00 $ - $ - $ - $ - ACA Ongoing Administration $590 per month No $ 7,080.00 $ 7,080.00 $ 7,080.00 $ 7,080.00 $ 7,080.00 ACA Annual Employee Statement
$2.25 per statement (approx
730) No $ 1,642.50 $ 1,642.50 $ 1,642.50 $ 1,642.50 $ 1,642.50 ACA IRS Transmittal $620 annually No $ 620.00 $ 620.00 $ 620.00 $ 620.00 $ 620.00 ACA CA Transmittal $400 annually No $ 400.00 $ 400.00 $ 400.00 $ 400.00 $ 400.00 Subtotal: $ 35,335.50 $ 33,790.50 $ 33,790.50 $ 33,790.50 $ 33,790.50 Consolidated Billing (Pass Through Premiums)
Medical Premium Yes $ 14,486,292.00 $ 15,210,606.60 $ 15,971,136.93 $ 16,769,693.78 $ 17,608,178.47 Dental Claims Yes $ 520,290.00 $ 520,290.00 $ 520,290.00 $ 520,290.00 $ 520,290.00 Vision Claims Yes $ 150,000.00 $ 150,000.00 $ 150,000.00 $ 150,000.00 $ 150,000.00 Life Insurance Yes $ 40,000.00 $ 42,000.00 $ 44,100.00 $ 46,305.00 $ 48,620.25 Disability Insurance Yes $ 240,000.00 $ 252,000.00 $ 264,600.00 $ 277,830.00 $ 291,721.50 Subtotal $ 15,436,582.00 $ 16,174,896.60 $ 16,950,126.93 $ 17,764,118.78 $ 18,618,810.22 Total Annual Payments BCC + Consolidated Bill: $ 15,471,917.50 $ 16,208,687.10 $ 16,983,917.43 $ 17,797,909.28 $ 18,652,600.72 Estimated Employee Count 620
Estimate Retiree Count 40
Total Main Subscriber Count 660