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<br />Answer Neal Welch: <br /> <br />No, there is no ceiling. <br /> <br />Essentially, you are buying a fifteen month contract under Aetna where the other two <br />would be a twelve month contract. <br /> <br />Question Clark Askins: <br />Would Aetna be looking for a three year contract kind of like what we have with <br />Humana? I say that because when we started with Humana we had a three year contract <br />and there was a cap on the increase of administrative fees for the subsequent years. <br /> <br />Answer Neal Welch: <br />First of all understand we have the option as a public entity under Professional Services <br />to certainly go for three years if we so choose. However, that doesn't mean we cannot get <br />out of it if we don't like it, within sixty (60) days with or without cause. We like the <br />option of three years and we are allowed to negotiate two additional years, two additional <br />one year options if it is in the best interest of the City. Basically, you put together a five <br />year deal if you want to do so. The carriers are willing to do so because of electronic <br />medical records and electronic claims processing. The actual incremental cost to <br />adjudicate a claim today is less than it was fifteen years ago. Many of the claims are auto- <br />adjudicated, which means it is processed without ever being touched by human hands. <br /> <br />Question Steve Valerius: <br /> <br />I have one. Please don't take this wrong, but I think we need to ask it. Do you guys have <br />any difference in compensation based upon which of the entities we choose? <br /> <br />Answer Neal Welch: <br />No, we don't get any compensation. <br /> <br />Comment Steve Valerius: Bob do you want a recommendation? <br /> <br />Answer Robert Swanagan: Yes I would like to have one if the board feels it is prepared <br />to make a recommendation at this time. <br /> <br />Comment Michael Dolby: You guys get paid a commission. <br /> <br />Response Neal Welch: <br /> <br />Wait let me clarify. We get a commission of$2.00 per month per employee. <br />It is all disclosed. <br /> <br />Comments Robert Swanagan: <br />At this time I would welcome a discussion or a motion recommendation that we can <br />move to Council. <br />