Title
Human Resources Department recommending the Board take the following actions regarding Health Plan Programs and Ancillary Employee Benefit Programs for the 2023 Plan Year:
1) Approve the updated 2023 COBRA health plan rate card based on the change of cost associated with the new Employee Assistance Program (EAP) Provider, Concern EAP, effective July 1, 2023; and
2) Grant Human Resources the authority to correct any minor clerical errors or adjustments, if necessary, to the approved health plan rate cards for the 2023 health benefits plan year, as needed.
FUNDING: COBRA participants pay the full EAP cost should they elect coverage.
Body
DISCUSSION / BACKGROUND
Health Plans
On February 15, 2011, with Legistar 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.
On August 16, 2022, the Board approved the adopted the 2023 Health Plan Programs and Ancillary Employee Benefit Programs plan year renewal and 2023 rate cards. At the time, PRISM and the County had anticipated a full year EAP renewal at an existing rate guarantee (no change in annual rate), through the current provider, Managed Health Network (MHN). However, in January, MHN notified PRISM that their parent company, Centene, had purchased another EAP provider, and that MHN would exit the EAP marketplace effective June 30, 2023. PRISM subsequently conducted a comprehensive Request for Proposal (RFP), evaluating vendors based on their experience working with public entities overall, EAP capabilities, provider network, digital pla...
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