HomeMy WebLinkAboutBPW-09-17-14 Paperless
Board of Public Works and Safety Meeting
AGENDA
Wednesday, September 17, 2014 – 10:00 a.m.
Council Chambers City Hall One Civic Square
MEETING CALLED TO ORDER
1. MINUTES
a. Minutes from the September 3, 2014, Regular Meeting
2. BID OPENINGS/AWARDS
a. Bid Opening for Annally Drive Water Main Extension; John Duffy, Director of the
Department of Utilities
b. Bid Opening for Rolling Springs Sewer Liner; John Duffy, Director of the
Department of Utilities
3. PERFORMANCE RELEASES
a. Resolution BPW-09-17-14-01; Village of West Clay; Lot Sidewalks; Timothy
Walters, Platinum Properties
4. CONTRACTS
a. Request for Purchase of Goods and Services; Monroe LLC; Change Order No. 1;
(-$2,379.55); Illinois Street Clearing; Jeremy Kashman, City Engineer
b. Request for Purchase of Goods and Services; TPI Utility; ($9,880.00); Installation
of Conduit for Generator; Chief Matt Hoffman, Carmel Fire Department
c. Request for Purchase of Goods and Services; Kronos; Software License and
Services; Chief Matt Hoffman, Carmel Fire Department
d. Request for Purchase of Goods and Services; Utility Reimbursement; ($97,485.41);
Main Street Improvements; Jeremy Kashman, City Engineer
5. CITY FACILITIES/STREETS USE
a. Request to Use City Streets; Oktoberfest; October 11, 2014; 3:00 p.m. to Midnight;
Cindy Schleich
b. Request to Use Council Chambers; November 5, 2014; 5:30 p.m. to 9:00 p.m.;
Carmel Pointe HOA
c. Request to Use Center Green; Wedding; June 26, 2015; 2:00 p.m. to 5:30 p.m.;
Rehearsal; June 25, 2015; 4:30 p.m. to 5:30 p.m.; Steve Greenberg
d. Request to Use Council Chambers; Meeting; Various Dates; Carmel Green Teen
Micro Grant Program
6. OTHER
a. TABLED 2/6/11; Request for Dedication of Streets; Traditions on the Monon;
Robert Potokar, HOA Traditions on the Monon
b. Resolution BPW-09-17-14-02; A Resolution Setting 2015 City and Participant
Contribution Rates for the City of Carmel Employee Health Benefit Plan; Barb
Lamb, Human Resource
c. Request for 14th Amendment to the City of Carmel Employee Health Benefit Plan;
Barb Lamb, Human Resource
d. Request for Stormwater Technical Standards Variances; Jackson Grant Section
1A; Brett Huff, Steoppelwerth & Associates
e. Request for Variances; The Bridges Retail Development; Austin Tracey, American
Structurepoint
f. Request for Performance Guarantee Reduction; Village of West Clay; Lot
Sidewalks; George Sweet, Brenwick Development Company
g. Request for Variance; Additional Curb Cut; 14295 Gray Oaks Court; Justin
Moffett, Old Town Design Group
h. Request for Lane Restriction; 3rd Avenue S.W.; Shirley Hunter, Duke Energy
i. Request for Open Pavement Cut; The Sanctuary Subdivision; West 116th Street;
Donna Shepler, Wilson Water & Sewer Service
j. Request for Lane Restriction/Open Pavement Cut; 96th and Aronson Street;
Cassandra Miller, Citizens Energy Group
k. Request for Lane Restriction, Open Pavement Cut, Sidewalk Closure/Cut; 302 1st
Avenue S.E. & 4th Street S.E.; Steve Krebs, AT&T
l. Request for Off Street Parking Lane Restriction/Sidewalk Closure; Pedcor
Properties; Brad Honey, Triumph Construction
m. Request for Water Line Easement; Clay Terrace Partners; John Duffy, Director of
the Department of Utilities
n. Request for Consent to Encroach; KRG Hamilton Crossing
7. APPEAL HEARING
a. Continued: Appeal Hearing for Notice of Correction Order: 212 Red Oak Ridge;
Thomas and Heidi Heldt
8. ADJOURNMENT
BOARD OF PUBLIC WORKS & SAFETY MEETING
MINUTES
WEDNESDAY, SEPTEMBER 3, 2014 –10:00 A.M.
COUNCIL CHAMBERS / CITY HALL / ONE CIVIC SQUARE
MEETING CALLED TO ORDER
Mayor Brainard called the meeting to order at 10:04 a.m.
MEMBERS PRESENT
Mayor Brainard, Board Members; Mary Ann Burke and Lori Watson, Deputy Clerk; Sandy Johnson
MINUTES
Minutes for the August 20, 2014 Regular meeting were approved 3-0.
PERFORMANCE RELEASES
Resolution No. BPW-09-03-14-02; Legacy; Streets, Curbs & Gutters, Street Signs, Subsurface Drains;
Board Member Burke moved to approve. Board Member Watson seconded. Request approved 3-0.
Resolution No. BPW-09-03-14-03; Penn Circle; ROW Infrastructure; Board Member Burke moved to
approve. Board Member Watson seconded. Request approved 3-0.
Resolution No. BPW-09-03-14-04; Legacy; Meadows at Legacy Sec 2; Common Sidewalks; Meadows
at Legacy 1; Monuments and Markers; Board Member Burke moved to approve. Board Member
Watson seconded. Request approved 3-0.
CONTRACTS
Request for Purchase of Goods and Services; Gridlock Traffic Systems; ($86,795.00); Thermoplastic;
Board Member Burke moved to approve. Board Member Watson seconded. Request approved 3-0.
Request for Purchase of Goods and Services; Milestone Contractors; ($3,802,779.16); Street
Repaving; Board Member Burke moved to approve. Board Member Watson seconded. Request
approved 3-0.
Request for Purchase of Goods and Services; Service Reimbursement; ($50,000.00); Reimbursement
of Maintenance Engineer at the Palladium for period of August, 2014 to December 2014; Board
Member Burke moved to approve. Board Member Watson seconded. Request approved 3-0.
CITY FACILITIES/STREETS/USE
Request to Use City Streets; Run; December 20, 2014; 8:40 a.m. to 9:15 a.m.; Carmel Road Racing
Group; Board Member Burke moved to approve. Board Member Watson seconded. Request approved
3-0.
Request to Use Caucus Room; Meeting; Various Dates; Carmel Clay Historical Society; Board
Member Burke moved to approve. Board Member Watson seconded. Request approved 3-0.
Request to Use City Streets; Oktoberfest; October 10, 2014; Carmel City Center/City of Carmel;
Board Member Burke moved to approve. Board Member Watson seconded. Request approved 3-0.
Request to Use City Streets; Run; October 25, 2014; 7:00 a.m. to 1:00 p.m.; Carmel Education
Foundation; Board Member Burke moved to approve. Board Member Watson seconded. Request
approved 3-0.
Request to Use Gazebo and Common Areas; Walk; October 12 or 19, 2014; 7:00 a.m. to 4:00 p.m.;
Hamilton County Crop Hunger Walk; Board Member Burke moved to approve. Board Member
Watson seconded. Request approved 3-0.
Request to Close/Use City Streets and Parking lots; Porchfest; September 14, 2014; 2:00 p.m. to 6:00
p.m.; Porchfest Committee; Board Member Burke moved to approve. Board Member Watson
seconded. Request approved 3-0.
Request to Use Gazebo and Common Area; Wedding; September 21, 2014; 2:00 p.m. to 6:00 p.m.;
Mitch Baker; Board Member Burke moved to approve. Board Member Watson seconded. Request
approved 3-0.
Request to Use City Streets; Block Party; September 5, 2014; 7:00 p.m. to 11:30 p.m.; Eden Estates;
Board Member Burke moved to approve. Board Member Watson seconded. Request approved 3-0.
Request to Use Council Chambers; Meeting; Various Dates; Hoosier Daylily Society; Board Member
Burke moved to approve. Board Member Watson seconded. Request approved 3-0.
OTHER
TABLED 2/6/11; Request for Dedication of Streets; Traditions on the Monon; Robert Potokar, HOA
Traditions on the Monon
Resolution BPW-09-03-14-01; Requesting ownership of Canine Officer Saka be transferred to Master
Patrol Officer Scott Moore; Board Member Burke moved to approve. Board Member Watson
seconded. Request approved 3-0.
Presentation of Letter from Carmel Lion’s Club Specifying Dates Using Parking Lot; Board Member
Burke moved to approve. Board Member Watson seconded. Request approved 3-0.
Request for Variance; Clark Street Entrance; Lakeside Apartments; Board Member Burke moved to
approve. Board Member Watson seconded. Request approved 3-0.
Request for Stormwater Technical Standards Variance; McAteer Residence; 951 W. 116th Street;
Board Member Burke moved to approve. Board Member Watson seconded. Request approved 3-0.
Request for Stormwater Technical Standards Variance; The Season of Carmel; Board Member Burke
moved to approve. Board Member Watson seconded. Request approved 3-0.
Request for Performance Guarantee Reduction; Meadows at Legacy Section 1; Board Member Burke
moved to approve. Board Member Watson seconded. Request approved 3-0.
Request for Consent to Encroach; 509 Wetherby Lake Drive; Board Member Burke moved to approve.
Board Member Watson seconded. Request approved 3-0.
Request for Consent to Encroach; 12036 Leighton Court Board Member Burke moved to approve.
Board Member Watson seconded. Request approved 3-0.
Request for Variance; 509 Wetherby Lake Drive; J Board Member Burke moved to approve. Board
Member Watson seconded. Request approved 3-0.
Request for Variance; 12036 Leighton Court; Board Member Burke moved to approve. Board
Member Watson seconded. Request approved 3-0.
Request for Lane Restriction/Open Pavement Cuts; 240 5th Street NE; Board Member Burke moved to
approve. Board Member Watson seconded. Request approved 3-0.
Request for Additional Curb Cut; 1227 Donnybrook Drive; Board Member Burke moved to approve.
Board Member Watson seconded. Request approved 3-0.
Request for Lane Restrictions/Multi Use Pathway Closure; Highpoint on Meridian; Illinois Street
Board Member Burke moved to approve. Board Member Watson seconded. Request approved 3-0.
Request for Lane Restrictions/Pathway Closure; Multiple Locations; Board Member Burke moved to
approve. Board Member Watson seconded. Request approved 3-0.
Request for Road Closure of Randall Drive; Lane Restriction at 96th Street; Board Member Burke
moved to approve. Board Member Watson seconded. Request approved 3-0.
Request for Sidewalk Closure/Stormwater Technical Variance; 331 W. Main Street; Board Member
Burke moved to approve. Board Member Watson seconded. Request approved 3-0.
ADD ON:
Dave Huffman, Street Commissioner added on two bid awards;
Salt Trucks; Stoops; $796,175.00 with $15,785.00 alternative; lowest most responsive – Approved 3-0
Pick-up Trucks; $171,825.00; Pearson Ford; There was brief discussion. Item Tabled.
APPEAL HEARING
REMAINS TABLED: Appeal Notice of Corrections
ADJOURNMENT
Mayor Brainard adjourned the meeting at 10:18 a.m.
_____________________________________
Diana L. Cordray, IAMC – Clerk-Treasurer
Clerk-Treasurer
Approved
____________________________________
Mayor James Brainard
ATTEST:
__________________________________
Diana L. Cordray, IAMC - Clerk-Treasurer
BID NOTICE
CITY OF CARMEL, INDIANA
Separate sealed BIDS for the construction of the Annally Drive Area Water Main Extension Project will
be received by the City of Carmel, Board of Public Works and Safety at the City of Carmel, City Hall,
located at One Civic Square, Carmel, Indiana 46032 on September 17, 2014 at 10:00 a.m. (local time).
City representatives will be at the Carmel Utilities Office located at 30 W Main Street, Ste 220, Carmel, IN
46032 to allow review of the bid documents during regular business hours from 8:00 a.m. to 12:00 p.m.
and 1:00 p.m. to 4:00 p.m. Monday through Friday (local time). Bids must be hand delivered to or
mailed to the City of Carmel, City Hall, Clerk-Treasurers Office located at One Civic Square,
Carmel, Indiana 46032 and received by or before 10:00 a.m. (local time) on September 17, 2014 to
be considered. If the Bid is sent by mail or other delivery system, the sealed envelope containing the Bid
shall be enclosed in a separate envelope plainly marked on the outside with the notation “BID
ENCLOSED”
Any bid received later than the above times and dates will be returned, unopened. No conditional bids will
be considered.
Each bid will be publicly opened and read aloud at the City Hall at the City of Carmel Board of Public
Works and Safety Meeting beginning at 10:00 a.m. (local time) on September 17, 2014.
The project involves the construction of approximately 2,970 linear feet of 6-inch and 8-inch water main
with valves, fittings and other appurtenances by a combination of open excavation and horizontal
directional drilling. The project also includes the construction of fire hydrants and water service lines.
A pre-bid conference has been scheduled for this project. The pre-bid conference will be held on
September 11, 2014 at 10:00 a.m. at the Carmel Water Operations Office located at 3450 W. 131st
Street, Carmel, IN 46074. Any questions, comments or requests for clarification related to the project
should be made to United Consulting, 1625 North Post Road, Indianapolis, Indiana 46219:
Telephone: (317) 895-2585
TeleFax (317) 895-2596
All prime contractors, subcontractors, small, minority or women business enterprises and other interested
parties are invited and encouraged to submit a proposal. The Project will be funded entirely with local
funds.
The contract documents may be examined at the following locations:
United Consulting, Indianapolis, Indiana
City of Carmel, Carmel Utilities Office
Copies of the Contract Bid Documents may be obtained at the office of United Consulting, located at
1625 N. Post Road, Indianapolis, Indiana, 46219-1995 Telephone (317) 895-2585, upon a
nonrefundable payment of $100.00 for each set.
No bid will be considered unless submitted on a copy of the printed Proposal Form in the Contract Bid
Documents (submittal of the specification book is not required). BIDDERS must obtain bid documents
from United Consulting to be included in the project plan holders list to ensure proper notification of any
Addendum. Failure to obtain bid documents in this manner may be deemed as non-responsive and may
result in bid rejection. Each BIDDER must deposit with his bid a security in the amount, form and subject
to the conditions provided in the information for BIDDERS as supplemented herein.
Each BID must include the following completed and executed items:
1. Proposal Form
2. Form 96 (State Board of Accounts)
3. BIDDER'S Financial Statement (if required by Form 96)
4. Bid Bond or Certified Check (5% of BID amount)
Bids shall be submitted in a separate sealed envelope marked:
BID FOR: Annally Drive Area Water Main Extension Project
City of Carmel, Indiana
No bid may be withdrawn after the scheduled closing time for receipt of bids for at least 60 days to allow
review of proposals before announcing award of contract.
Each proposal shall be accompanied by a bid guaranty conforming to the Indiana Revised code. Said bid
guaranty shall be a certified check in an amount equal to five percent (5%) of the BID; or, a bond for five
percent (5%) of the BID as surety for the execution of the contract. The bid bond form is included in the
bidding documents. Should any BID be rejected, such certified check or bond shall be forthwith returned
to the BIDDER, and should any BID be accepted, such certified check or bond will be returned upon the
proper execution and securing of the contract. When the contract is executed, the certified check or bid
bond of all unsuccessful BIDDERS will be returned.
The contractor to whom the work is awarded will be required to furnish, before commencing work, a
performance and payment bond in an amount equal to the bid price of the contract awarded to said
contractor, and certificates of all insurance required in the specifications. All bonds and liability insurance
shall remain in effect for a period of twelve (12) months following completion and OWNER acceptance of
construction. The award of the contract is subject to all approvals required by local and federal agencies.
Upon securing of all approvals, the successful BIDDER shall receive a "Notice to Proceed" with
construction and said contractor shall begin construction within fifteen (15) days of receipt of such notice,
and shall complete the project pursuant to the contract documents.
Each BIDDER is responsible for inspecting the Project Site and for reading and being thoroughly familiar
with the Contract Bid Documents and Specifications. The failure or omission of any BIDDER to do any of
the foregoing shall in no way relieve any BIDDER from any obligation with respect of the Bid.
Failure to execute a contract and to furnish a performance and payment bond, as hereinafter set out will
be cause for forfeiture to the OWNER of the amount of money represented by the certified check or
BIDDER'S bond, as and for liquidated damages. A conditional or qualified Bid will not be accepted.
BIDDERS shall be required to meet all applicable State requirements including but not limited to those in
IC 36-1-12.
Wage rates on this project shall not be less than the prescribed Common Construction Wage Scale (copy
included in the bid documents) as determined in accordance with IC 5-16-7.
The City of Carmel reserves the right to reject any or all proposals, or to accept any proposal or
proposals, or to make such combination of proposals as may seem desirable, and to waive any and all
informalities in the bidding. The OWNER may award bids based upon selection of any proposal line
items as well as mandatory alternatives. Bids shall be awarded to the BIDDER or BIDDERS deemed to
be the lowest, most responsible and most responsive by the OWNER.
By the order of the City of Carmel:
Diana L. Cordray
Clerk Treasurer
NOTICE TO BIDDERS
CITY OF CARMEL, INDIANA
Sealed Bids for the City of Carmel, Indiana, Rolling Springs Sewer Lining, will be
received by the City of Carmel, Indiana, ("Owner") at the office of the Clerk
Treasurer in City Hall, One Civic Square, Carmel, Indiana 46032, until 10:00
a.m., local time, on September 17, 2014. Any Bid received after the designated
time will be returned to the Bidder unopened. The Bids will be publicly opened
and read by the Board of Public Works and Safety at 10:00 a.m. on September
17, 2014, in Council Chambers at City Hall. The Bid should be clearly marked
"BID ENCLOSED Rolling Springs Sewer Lining, Contract 88 on the outside of
the envelope, and as otherwise set forth in the Bid Documents.
In general, the work consists of; furnishing and installing a liner in approximately
5,300 feet of 8-in. and 10-in. diameter sanitary sewers as required by these
Bidding Documents, the Agreement Between Owner and Contractor, General
Conditions, Special Conditions (the “Agreement”), Specifications and Drawings.
Copies of the Bidding Documents may be examined at the office of the Utility
Director, or at the office of Jones & Henry Engineers, Ltd., ("Engineer") 2420
North Coliseum Blvd., Suite 214, Fort Wayne, Indiana 46805, without charge.
Copies may be obtained at cost from Eastern Engineering Supply at 1239 North
Wells St., Fort Wayne, Indiana 46808, (www.easternengineering.com, phone no.
260.426.3119, fax no. 260.426.3101) for each set of Bid Documents.
Bids must be submitted on the forms found in the Bid package, must contain the
names of every person or company interested therein, and shall be accompanied
by:
(1) Revised Form No. 96 as prescribed by the Indiana Board of
Account and as required in the Instruction to Bidders, including a
financial statement, a statement of experience, a proposed plan or
plans for performing the Work and the equipment the Bidder has
available for the performance of the Work;
(2) Bid Bond in the amount of ten percent (10%) of the total Bid
amount, including alternates with a satisfactory corporate surety or
by a certified check on a solvent bank in the amount of ten percent
(10%) of the amount of the Bid. The Bid Bond or certified check
shall be evidence of good faith that the successful Bidder will
execute within fifteen (15) calendar days from the acceptance of
the Bid, the Agreement as included in the Bidding Documents. The
Bid Bond or certified check shall be made payable to the Owner.
Any Bid may be withdrawn prior to the scheduled closing time for receipt of Bids,
but no bidder shall withdraw his Bid within sixty (60) days after the actual opening
of the Bids.
All Bid Bonds and certified checks of unsuccessful bidders will be returned by the
Owner upon selection of the successful Bidder and execution of the Agreement,
and provision of the required Performance Bond and Payment Bond.
Wage rates on the Project shall not be less than the prevailing wage scale as
determined in accordance with Ind. Code §5-16-7, et seq., and the Contractor
must conform to the antidiscrimination provisions of Ind. Code §5-16-6 et seq.
A Performance Bond with good and sufficient surety, acceptable to the Owner
and Engineer, shall be required of the successful Bidder in an amount equal to at
least one hundred percent (100%) of the Contract Price, conditioned upon the
faithful performance of the Agreement.
The Contractor shall execute a Payment Bond to the Owner, approved by Owner
and Engineer and for the benefit of the Owner, in an amount equal to one
hundred percent (100%) of the Contract Price. The Payment Bond is binding on
the Contractor, their subcontractor, and their successors and assigns for the
payment of all indebtedness to a person for labor and services performed,
material furnished, or services rendered. The Payment Bond must state that it is
for the benefit of the subcontractors, laborers, material suppliers, and those
performing services. The surety of the Payment Bond may not be released until
one (1) year after the Owner’s final settlement with the Contractor.
All out-of-state corporations must have a certificate of authority to do business in
the State. Application forms may be obtained by contacting the Secretary of
State, State of Indiana, Statehouse, Indianapolis, Indiana 46204.
The Owner reserves the right to reject and/or cancel any and all Bids,
solicitations and/or offers in whole or in part as specified in the solicitation when it
is not in the best interests of the governmental body as determined by the
purchasing agency in accordance with IC 5-22-18-2. The Owner also reserves
the right to waive irregularities in any Bid, and to accept any Bid which is deemed
most favorable to the Owner.
Diana Cordray
Clerk Treasurer
City of Carmel, Indiana
RESOLUTION BPW-09-17-14-02
A RESOLUTION SETTING 2015 CITY AND PARTICIPANT CONTRIBUTION RATES
FOR THE CITY OF CARMEL EMPLOYEE HEALTH BENEFIT PLAN
WHEREAS, the City of Carmel operates the City of Carmel Employee Health
Benefit Plan (the “Plan”) to provide medical and dental benefits for its employees and
retirees; and
WHEREAS, the Board of Public Works and Safety, as Plan Administrator, is
responsible for ensuring adequate current and reserve funding for the Plan; and
WHEREAS, the primary source of revenue for the Plan consists of bi-weekly
employer and participant contributions; and
WHEREAS, it is imperative for Plan revenues to correspond with anticipated
expenses; and
WHEREAS, the City wishes to reward participation in sponsored activities that
promote individual and group wellness and encourage employees to consider a consumer-
driven health plan option.
NOW, THEREFORE, BE IT RESOLVED by the Carmel Board of Public Works and
Safety as follows:
Effective January 1, 2015, health insurance contribution rates for the City and for its Active
Employees will be as stated on Attachment A, for Common Council Members as stated on
Attachment B, for Retirees as stated on Attachment C and for COBRA participants as stated
on Attachment D, all incorporated herein by this reference.
BE IT FURTHER RESOLVED that the rates stated on Attachment A and Attachment
B shall be adjusted for participants of the City’s wellness program, as outlined below:
1. The City has established a wellness program to complement its insurance plan. The
program is open to all full-time Active Employees and Common Council Members.
2. Participation in the wellness program is voluntary; there is no penalty for opting out.
3. Effective January 1, 2015, any Active Employee or Common Council Member who
participates in the 2015 wellness program shall be eligible for a $20 reduction to the
standard 2015 bi-weekly rates, as listed on Attachment A or Attachment B, as applicable,
as long as the participant continues to meet quarterly goals.
4. Active Employees and Common Council Members who do not participate in the wellness
program, or who do not continue to meet quarterly goals, will not be eligible for a rate
reduction. They will pay the standard rates listed on Attachment A or Attachment B, as
applicable.
BE IT FURTHER RESOLVED that participants who meet the stated requirements will
be eligible for the incentive described below:
1. The City will make a bi-weekly contribution into the Health Savings Account (HSA) of
an Active Employee or Common Council Member who elects to enroll in Plan A, in the
following amounts:
a. $23.08 for employee only coverage
b. $30.77 for employee/spouse or employee child(ren) coverage
c. $38.47 for family coverage
A Retiree who elects to enroll in Plan A shall receive an equivalent amount by check,
half in February and half in July.
The HSA contribution amount will change if and when the participant’s level of coverage
changes, and contributions will cease if coverage is cancelled or, in the case of an Active
Employee or a Common Council Member, if the employment relationship is terminated.
CITY OF CARMEL, INDIANA
By and through its Board of Public Works and Safety
_________________________________ ________________________
James Brainard, Presiding Officer Date
_________________________________ ________________________
Mary Ann Burke, Board Member Date
_________________________________ ________________________
Lori Watson, Board Member Date
ATTEST:
_________________________________ ________________________
Diana Cordray, IAMC, Clerk-Treasurer Date
Attachment A
ACTIVE EMPLOYEES
2015 BI-WEEKLY HEALTH INSURANCE RATES
SURCHARGES AND DISCOUNTS MAY BE APPLIED TO THE RATES BELOW
Plan A (HDHP)
Total Premium City Portion City % Employee Portion Employee %
Employee Only $297.00 $253.00 85% $44 .00 15%
Employee/Spouse $687.00 $587.00 85% $100.00 15%
Employee/Child(ren) $631.00 $539.00 85% $92.00 15%
Employee/Family $1,031.00 $881.00 85% $150.00 15%
Plan B (PPO)
Total Premium City Portion City % Employee Portion Employee %
Employee Only $350.00 $281.00 80% $69.00 20%
Employee/Spouse $808.00 $650.00 80% $158.00 20%
Employee/Child(ren) $743.00 $598.00 80% $145.00 20%
Employee/Family $1,213.00 $976.00 80% $237.00 20%
Dental
Total Premium City Portion City % Employee Portion Employee %
Employee Only $25.00 $18.75 75% $6.25 25%
Employee/Spouse $46.00 $34.50 75% $11.50 25%
Employee/Child(ren) $43.00 $32.25 75% $10.75 25%
Employee/Family $64.00 $48.25 75% $15.75 25%
Attachment B
COMMON COUNCIL MEMBERS
2015 BI-WEEKLY HEALTH INSURANCE RATES
SURCHARGES AND DISCOUNTS MAY BE APPLIED TO THE RATES BELOW
Plan A (HDHP)
Total Premium City Portion City % Employee Portion Employee %
Employee Only $297.00 $224.00 75% $73.00 25%
Employee/Spouse $687.00 $518.00 75% $169.00 25%
Employee/Child(ren) $631.00 $476.00 75% $155.00 25%
Employee/Family $1,031.00 $778.00 75% $253.00 25%
Plan B (PPO)
Total Premium City Portion City % Employee Portion Employee %
Employee Only $350.00 $264.00 75% $86.00 25%
Employee/Spouse $808.00 $610.00 75% $198.00 25%
Employee/Child(ren) $743.00 $560.00 75% $183.00 25%
Employee/Family $1,213.00 $915.00 75% $298.00 25%
Dental
Total Premium City Portion City % Employee Portion Employee %
Employee Only $25.00 $18.75 75% $6.25 25%
Employee/Spouse $46.00 $34.50 75% $11.50 25%
Employee/Child(ren) $43.00 $32.25 75% $10.75 25%
Employee/Family $64.00 $48.25 75% $15.75 25%
Attachment C
RETIREES
2015 MONTHLY HEALTH INSURANCE RATES
SURCHARGES AND DISCOUNTS MAY BE APPLIED TO THE RATES BELOW
Plan A (HDHP)
Total Premium City Portion City % Retiree Portion Employee %
Retiree Only $644.00 $0.00 0% $644.00 100%
Retiree/Spouse $1,489.00 $0.00 0% $1,489.00 100%
Retiree/Child(ren) $1,367.00 $0.00 0% $1,367.00 100%
Retiree/Family $2,234.00 $0.00 0% $2,234.00 100%
Plan B (PPO)
Total Premium City Portion City % Retiree Portion Employee %
Retiree Only $758.00 $0.00 0% $758.00 100%
Retiree/Spouse $1,751.00 $0.00 0% $1,751.00 100%
Retiree/Child(ren) $1,610.00 $0.00 0% $1,610.00 100%
Retiree/Family $2,628.00 $0.00 0% $2,628.00 100%
Dental
Total Premium City Portion City % Retiree Portion Employee %
Retiree Only $54.00 $0.00 0% $54.00 100%
Retiree/Spouse $100.00 $0.00 0% $100.00 100%
Retiree/Child(ren) $93.00 $0.00 0% $93.00 100%
Retiree/Family $139.00 $0.00 0% $139.00 100%
Attachment D
COBRA
2015 MONTHLY HEALTH INSURANCE RATES
SURCHARGES AND DISCOUNTS MAY BE APPLIED TO THE RATES BELOW
Plan A (HDHP)
Total Premium City Portion City % Participant Portion Employee %
Participant Only $659.00 $0.00 0% $659.00 100%
Participant/Spouse $1,519.00 $0.00 0% $1,519.00 100%
Participant/Child(ren) $1,394.00 $0.00 0% $1,394.00 100%
Participant/Family $2,279.00 $0.00 0% $2,279.00 100%
Plan B (PPO)
Total Premium City Portion City % Participant Portion Employee %
Participant Only $773.00 $0.00 0% $773.00 100%
Participant/Spouse $1,786.00 $0.00 0% $1,786.00 100%
Participant/Child(ren) $1,642.00 $0.00 0% $1,642.00 100%
Participant/Family $2,681.00 $0.00 0% $2,681.00 100%
Dental
Total Premium City Portion City % Participant Portion Employee %
Participant Only $55.00 $0.00 0% $55.00 100%
Participant/Spouse $102.00 $0.00 0% $102.00 100%
Participant/Child(ren) $95.00 $0.00 0% $95.00 100%
Participant/Family $142.00 $0.00 0% $142.00 100%
1
Human Resources
Memo
To: Board of Public Works and Safety
From: Barbara Lamb, Director of Human Resources
Date: 9/11/14
Re: 2015 Health Plan Documents
I am including two 2015 health plan documents on the September 17, 2014, Board of Public Works and
Safety agenda.
1. Plan Amendment
a. We are switching our self-insured plan from BAS/Cigna to Anthem (Anthem will be both
the network and the plan administrator).
b. We are adding coverage for autism spectrum disorder treatment provided by Licensed
Behavioral Analysts, which are now included in the definition of Physician. The benefit for
Applied Behavior Analysis is limited to 20 hours per week.
c. We are raising the annual benefit limit for dental and the lifetime limit for orthodontia from
$1500 to $2000. In addition, the carryover deductible for the dental plan is deleted (the
carryover deductible for the medical plan was deleted last year).
All plan deductibles, co-pays and out-of-pocket limits will remain the same in 2015.
2. Rate and Incentive Resolution
The 2015 insurance rates reflect a 7% increase. We also provide specific incentives for
employees to participate in the wellness program (premium discounts) and to elect the high
deductible plan (HSA contributions).
You can call me (571-2471) prior to the September 17 Board of Public Works and Safety meeting if you
have any questions. I will be at the meeting to address any issues that might arise at that time.
I anticipate that as we work through the transition with Anthem we may require additional amendments
regarding procedural and technical issues. However, it is important to get these benefit changes on the
books early so employees can make the appropriate elections during the open enrollment period,
which is coming up in October.
Health Plan Amendment
1
FOURTEENTH AMENDMENT
TO THE CITY OF CARMEL
EMPLOYEE HEALTH BENEFIT PLAN
WHEREAS, the City of Carmel (“Plan Sponsor”), by action of its governing body, adopted the City of
Carmel Employee Health Benefit Plan (the “Plan”) effective February 1, 1992, and subsequently modified
the Plan by a full restatement effective January 1, 2004, and thirteen amendments to the restated Plan;
and
WHEREAS, Plan Sponsor wishes to amend the restated Plan; and
WHEREAS, authority to amend the Plan is granted therein.
NOW, THEREFORE, effective January 1, 2015, the Plan is amended as follows.
1. On Page 1, the group number is changed to 004007834.
2. On page 2, the name, address and telephone number for the third party administrator is changed as
follows:
Anthem Blue Cross and Blue Shield
220 Virginia Avenue
Indianapolis, IN 46204
800-331-1476
3. The following is added to SCHEDULE OF MEDICAL BENEFITS (Plan A)
AUTISM SPECTRUM DISORDER
APPLIED BEHAVIORAL ANALYSIS 100% 100%
Deductible Applies Yes Yes
Weekly Maximum ................................................................................................................ 20 hours
4. The following is added to SCHEDULE OF MEDICAL BENEFITS (Plan B)
AUTISM SPECTRUM DISORDER
APPLIED BEHAVIORAL ANALYSIS 80% 60%
Copay Applies No No
Deductible Applies Yes Yes
Weekly Maximum ................................................................................................................ 20 hours
5. Under DESCRIPTION OF MEDICAL BENEFITS, Pervasive Development Disorders is amended to
read as follows:
Charges for the treatment of pervasive developmental disorders, limited to treatment prescribed by
the treating physician in accordance with a treatment plan. Pervasive developmental disorder means
a neurological condition, including neurodevelopment disorders, within the autism spectrum. The
treatment of pervasive developmental disorders includes applied behavioral analysis, which will be
paid as shown in the Schedule of Benefits. This benefit is subject to precertification rules.
Health Plan Amendment
2
6. In the SCHEDULE OF DENTAL BENEFITS, the Maximum Calendar Year Benefit per Participant
(Non-orthodontia) and the Maximum Lifetime Benefit per Participant for Orthodontia are both
increased to $2,000.
7. Under SCHEDULE OF DENTAL BENEFITS, the Deductible Carryover section is deleted in its
entirety.
8. Under DEFINITIONS, the definition of Physician is amended to read as follows:
A legally qualified medical professional who is practicing within the scope of his license and holding a
degree of Doctor of Medicine (M.D.), Doctor of Psychology (Ph.D.), Doctor of Podiatric Medicine
(D.P.M.), Doctor of Osteopathic Medicine (D.O.), Doctor of Dental Surgery (D.D.S.), Doctor of
Optometry (O.D.), or Doctor of Chiropractic (D.C.). The term “physician” shall also be extended to
include Physician’s Assistant (P.A.), Nurse Practitioner (N.P.), Nurse-Midwife, Clinical Nurse
Specialist (C.N.S.), Licensed Clinical Social Worker (L.C.S.W.), Orthoptic Technician, Registered
Occupational Therapist, Registered Physical Therapist, Licensed Speech Therapist or Licensed
Behavioral Analyst, provided they are licensed in the political jurisdiction where practicing, and
practicing within the scope of their license.
In all other respects the Plan remains unchanged.
CITY OF CARMEL, INDIANA
By and through its Board of Public Works and Safety
_________________________________ ________________________
James Brainard, Presiding Officer Date
_________________________________ ________________________
Mary Ann Burke, Board Member Date
_________________________________ ________________________
Lori Watson, Board Member Date
ATTEST:
_________________________________ ________________________
Diana Cordray, IAMC, Clerk-Treasurer Date