§ 11-7. Annual provider reports.

(a) In general.

Following the conclusion of each plan year, the City shall order an annual provider report to be prepared for each benefit plan offered under the Program.

(b) Included demographics.

A provider report required under subsection (a) of this section must cover:

(1) current employees;

(2) pre-Medicare eligible retirees;

(3) Medicare-covered retirees;

(4) spouses of City employees or retired City employees; and

(5) dependents of City employees or retired City employees.

(c) Included plans.

The city shall order and prepare an annual provider report for each health benefit plan offered under the Program, without regard to whether a plan is vendor-insured or City self-insured.

(d) Contents.

An annual provider report shall include information from the prior plan year, including:

(1) enrollment data;

(2) data relating to claims, including claims exceeding $75,000; and

(3) any other relevant information about the health benefit plan's:

(i) status;

(ii) benefit delivery; and

(iii) fiscal outcome.

(e) Provision of annual provider report.

(1) In general.

When an annual provider report becomes available, the City shall furnish a copy of each annual provider report to:

(i) the exclusive employee organizations;

(ii) MAPS;

(iii) the retiree representatives; and

(iv) their consultant.

(2) Deadline.

No later than June 15 of each calendar year, each annual provider report shall be furnished to:

(i) the exclusive employee organizations;

(ii) MAPS;

(iii) the retiree representatives; and

(iv) their consultant.

(f) Annual provider reports to be discussed.

One of the HIC meetings conducted between June and September of each calendar year shall be used to discuss the annual provider reports for the past plan year.