File #: 09-0787    Version: 1
Type: Agenda Item Status: Approved
File created: 6/9/2009 In control: Board of Supervisors
On agenda: 6/30/2009 Final action: 6/30/2009
Title: Health Services Department recommending the Board approve a renewal of the California State Association of Counties (CSAC) Excess Insurance Authority (EIA) catastrophic inmate medical insurance program in the amount of $129,991 for Fiscal Year 2009-2010. FUNDING: County General Fund.
Attachments: 1. El Dorado 7-1-09-10 Inmate Medical Proposal 6-5-09
Title
Health Services Department recommending the Board approve a renewal of the California State Association of Counties (CSAC) Excess Insurance Authority (EIA) catastrophic inmate medical insurance program in the amount of $129,991 for Fiscal Year 2009-2010.

FUNDING: County General Fund.
Body
BUDGET SUMMARY:
Total Estimated Cost $129,991

Funding
Budgeted $145,000
New Funding $
Savings $15,009
Other $
Total Funding Available $129,991
Change To Net County Cost ($15,009) Policy Cost

Fiscal Impact/Change to Net County Cost: Health Services Department estimated the policy cost at $145,000 in the FY 2009-10 budget; actual premium quote is $129,991. Although this represents a savings in the policy cost of $15,009, the County will be obligated to pay a portion of the deductible amount for each hospitalization that exceeds the hospitalization cost cap set for the correctional medical services contractor. Any necessary budget adjustments will be included in the FY 2009-10 Budget Addenda.

Background: At its meeting on February 13, 2007, the Board directed Health Services and Risk Management to obtain insurance for the County through CSAC EIA to cover inmate hospital costs over and above those covered by the correctional medical services contractor, California Forensic Medical Group (CFMG). Per the medical services contract, CFMG’s financial responsibility for inmate hospitalizations is limited to the first $20,000 of hospital costs incurred for an inmate that has been booked into the jail.

February 22, 2007, Health Services and Risk Management procured a catastrophic insurance policy to cover the cost of inmate hospitalizations through CSAC EIA. Current policy through CSAC EIA is with Lexington Insurance and ends June 30, 2009; Lexington Insurance is no longer offering jail medical insurance, so this policy cannot be extended. To prevent a lapse in coverage, Risk Management and Health ...

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