Insurance and Claims Subcommittee Meeting Summary – May 29, 2026
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Insurance and Claims Subcommittee Meeting Summary – May 29, 2026
The Insurance and Claims subcommittee met on May 29, 2026, at 6:23 PM (the transcript indicates May 5, 2026, but the provided date is used per instructions). Present were Councilwoman Spitola, Councilman Ford, Risk Manager Kristen Holden, and guests Robert Cabana and Terry DeMatti. The meeting focused on the selection of a medical and dental administrative services provider via RFP and an update on claims activity.
Discussion Items
- RFP for Medical and Dental Administrative Services: Kristen Holden presented the RFP results. For medical services, three respondents (Cigna, Aetna, Anthem) submitted proposals; Anthem failed to provide required critical information and did not resubmit, leaving only Aetna and Cigna. Cigna, the incumbent, was the clear front-runner based on pricing and network analysis. For dental services, four respondents (Aetna, Anthem, Cigna, Delta Dental) participated. Although Delta Dental offered lower pricing in some areas, Cigna's overall package—including significantly lower administrative fixed costs ($3 vs. $7 per member per month)—made Cigna the better value. The recommended contract would start October 1, 2026, and run through June 30, 2029, with options to extend for two additional one-year terms. The current Cigna contract was extended through September 30, 2026, to allow a smooth transition if a different carrier had been selected. Drug prescription coverage will be bid separately in a subsequent RFP.
- Claims Update: Holden reported no significant claim closures. The city's claim counts are at historic lows, with approximately 28 pending claims (e.g., snowplow property damage, canine bite). Since the charter change, the Board of Education handles its own claims through a separate administrator (Kerma), and the city receives fewer updates on those. Employment practices claims continue at a low frequency (one every 6–12 months). No monetary settlements of note have occurred recently. Holden will provide a full spreadsheet of closed claims at the next meeting.
Key Outcomes
- The subcommittee voted unanimously to approve a motion to forward the resolution selecting Cigna as the medical and dental administrative services provider to the Finance and Government (F&G) Committee and then to the Common Council. The motion was made by Councilman Ford and seconded by Councilwoman Spitola.
- The meeting was adjourned without further business.
Note: The transcript places the meeting on May 5, 2026, but the instruction requires the date to be given as May 29, 2026.
Meeting Transcript
He is not here at the moment, but we do we do have a quorum. So uh would one of you want to call us to order. Yep. Absolutely. Hold on one second. Uh good evening, everyone. Welcome to the insurance and claims uh meeting. It is uh 623 on May 5th, 2026. I thereby call the meeting to order. All right, thank you. Um I will say in attendance tonight is uh Councilwoman Spitola, Councilman Ford, uh risk manager Kristen Holden, and we do have two uh additional guests. Um it is Robert uh Cabana and Terry DeMatti. Um so they are also in attendance at the moment. Um moving on. We have uh listed public session. I just checked the attendees here. Uh I don't see anyone either currently in the room or in a waiting room. Um so we will close the public session. Uh we are moving on to section C, which is approval of prior meeting minutes. Uh, in your packet, you would have found uh the last insurance and claims regular meeting uh minutes there if there is uh any review comments, edits, concerns we can discuss now. Otherwise, I will look for a motion to approve. It will make a motion to approve those minutes. All right, second. Motion is seconded. Motion passes. Um we are moving on now to uh presentation and overview um on the RFP for medical and dental administrative services. Uh I will turn it over to uh Kristen and our distinguished guests. Yeah, and I I just want to say apologies that I don't have my camera on because I don't know what happened with the WebEx kicked me out. I was fine in it and uh now this is what I have. It's not a problem. At least we have choice. Yeah, I actually wanted to say something to make sure that the microphone was working because the camera is just not working. Loud and clear. Excellent. Thank you. So thank you, uh, Councilman Scotola and Council um and Ford for joining us tonight and for allowing us to um have the floor to present a resolution for the um finalization of the RFP for the medical and dental um benefits administrator. Um so back uh in January, um we are contractually sorry, obligated, um, effective for July 1st, uh 2026 to have gone out to RFP um for our um medical and dental um administration. Um so we worked very closely. Part of Siegel's consulting contract with us is to manage this RFP. It is a very daunting RFP um in terms of both confidential information and just the volume of information because all of the claims um over the last 12 months have to be analyzed and then um put through uh the um to or put through um the um respondents uh pricing. So it is it is not an easy task. It was done in conjunction with um purchasing. Donna uh worked very closely um with uh Brig and Corey and myself um as well as with Siegel to get the RFP processed, um, get the results back in, and then um a decision was made um to move forward with Cygna based on the information that was provided. Um we did have three respondents um on the medical side. Uh Signa, who is obviously the incumbent, um Aetna and Anthem. Um Anthem did not complete the requested information that was needed to, and it was critical information that was needed as part of the RFP. Um we gave them additional time to complete that uh or resubmit that information to us. They chose not to. Um, so we only had Aetna and Cigna to come back on the medical side. Um Signa was the clear uh front runner with that.
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