File #: 24-1397    Version: 1
Type: Agenda Item Status: Approved
File created: 7/23/2024 In control: Board of Supervisors
On agenda: 8/27/2024 Final action: 8/27/2024
Title: Human Resources Department recommending the Board take the following actions regarding Health Plan Programs and Ancillary Employee Benefit Programs for the 2025 Plan Year: 1) Approve the proposed 2025 health plan rate cards (Attachment A) based on the cost sharing of health premiums in the current Memoranda of Understanding with all bargaining units, the Salary and Benefits Resolution for unrepresented employees and in accordance with the Patient Protection and Affordable Care Act; 2) Authorize the Director of Human Resources, or Assistant Director of Human Resources, to execute administrative health and benefit program plan renewals for services that otherwise fall under existing executed master agreements; and 3) Grant Human Resources the authority to correct any minor clerical errors or adjustments, if necessary, to the approved health plan rate cards for the 2025 health benefits plan year, as needed. FUNDING: Countywide cost, shared between the County Departments (General Fund an...
Attachments: 1. A - 2025 Published Rate Cards, 2. B - 2025 Master Rates, 3. C - 2025 Renewal Financial Summary, 4. D - 2025 OE3 Health Trust Master Rates
Related files: 20-0949, 11-0121, 24-0502, 24-1536, 24-1611, 24-1825
Title
Human Resources Department recommending the Board take the following actions regarding Health Plan Programs and Ancillary Employee Benefit Programs for the 2025 Plan Year:
1) Approve the proposed 2025 health plan rate cards (Attachment A) based on the cost sharing of health premiums in the current Memoranda of Understanding with all bargaining units, the Salary and Benefits Resolution for unrepresented employees and in accordance with the Patient Protection and Affordable Care Act;
2) Authorize the Director of Human Resources, or Assistant Director of Human Resources, to execute administrative health and benefit program plan renewals for services that otherwise fall under existing executed master agreements; and
3) Grant Human Resources the authority to correct any minor clerical errors or adjustments, if necessary, to the approved health plan rate cards for the 2025 health benefits plan year, as needed.

FUNDING: Countywide cost, shared between the County Departments (General Fund and Non-General Fund) and employees.
Body
DISCUSSION / BACKGROUND
Health Plans
On February 15, 2011 (Legistar file 11-0121), the Board of Supervisors entered into a Memorandum of Understanding (MOU) with CSAC-EIA (EIA) to join the CSAC-EIA Health program (EIA Health). In 2020, EIA changed its name to PRISM. PRISM is a Joint Powers Authority (JPA) comprised of California counties, cities, and public agencies organized to jointly develop and fund insurance and related programs with the most favorable terms and costs. As a member of this organization, the County has successfully controlled costs of the health plans offered through PRISM Health.

The Board authorized the County to pay Benefit Coordinators Corporation (BCC) for any Third Party Administrator services received under the Master Agreement between PRISM and BCC, on July 21, 2020 (Legistar file 20-0949).

For the 2025 plan year, health plans are scheduled to renew as follows:
Blue Shield PPO 200 Standard 6.2% increas...

Click here for full text