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Mayor's team asks council to approve switch of city medical TPA to Meritaine/Aetna, citing multi‑million dollar savings; unions seek assurances
Summary
Administration presented a late resolution to move the city's medical third‑party administrator from Horizon to Meritaine/Aetna, citing RFP results and projected platform savings; broker and staff said changes preserve "equal‑to‑or‑better" benefits and that delay could forfeit savings and return of a working‑capital balance. Council asked for benefit parity documentation, continuity‑of‑care protections, and union outreach.
The administration brought a time‑sensitive, late agenda item asking the council to accept the results of an RFP and authorize a switch of the city's self‑insured medical TPA services from Horizon Blue Cross to Meritaine/Aetna. Robert Parisi, the city's benefits consultant, said the recommendation followed a competitive RFP and an analysis of utilization and provider network alignment.
Parisi said the city's utilization pattern indicates many members use providers in Aetna's network that are out of…
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