File #: 12-1097    Version:
Type: Agenda Item Status: Approved
File created: 8/22/2012 In control: Board of Supervisors
On agenda: 1/15/2013 Final action: 1/15/2013
Title: Chief Administrative Office, Risk Management Division, recommending the Board consider the following: 1) Approve the Health Plan Published Rates based on adopted and proposed MOUs effective January 1, 2013 through December 31, 2013. 2) Approve the 2013 overall rate increase of 3.98% in the employee health vendor rates, published rate cards, and projected funding, 3) Authorize Kim Kerr, Assistant Chief Administrative Officer, or her designee, to sign health carrier contracts subject to the approval of County Counsel. FUNDING: Internal Service Fund - Risk Management Health Fund.
Attachments: 1. 2A - ASHIC.pdf, 2. 2B - MHN.pdf, 3. 2C - VSP.pdf, 4. A - Detailed Presentation of Health Plan Renewal.pdf, 5. B - 2013 Published Rate Cards.pdf
Title
Chief Administrative Office, Risk Management Division, recommending the Board consider the following:
1) Approve the Health Plan Published Rates based on adopted and proposed MOUs effective January 1, 2013 through December 31, 2013.
2) Approve the 2013 overall rate increase of 3.98% in the employee health vendor rates, published rate cards, and projected funding,
3) Authorize Kim Kerr, Assistant Chief Administrative Officer, or her designee, to sign health carrier contracts subject to the approval of County Counsel.

FUNDING: Internal Service Fund - Risk Management Health Fund.
Body
Fiscal Impact/Change to Net County Cost
This is a 3.96% or $1,240,745 increase from last year ($28,377,789). The Recommended Budget includes

Background
The Board of Supervisors approved Agenda Item # 22 (File ID# 11-0323) on February 15, 2011 to join the California State Association of Counties - Excess Insurance Authority (CSAC-EIA) Health Benefits Program and to transition to their required calendar year plan program. The County has three separate health benefit plans CSAC-EIA, Kaiser Permanente, and UnitedHealthcare/Pacificare HMO. The County contracts directly with Kaiser Permanente and UnitedHealthcare/Pacificare for health insurance benefits. The County also participates in Delta Dental and Vision Service Plan (VSP) through CSAC-EIA plans. The County has separate contracts for Chiropractic services on the County's UnitedHealthcare/Pacificare HOM. The County has elected to carve-out Mental Health/Substance Abuse on the Blue Shield Plan and purchase directly from MHN for these services to reduce the premiums. The County also contracts with SunLife Insurance for life insurance and long-term disability payments.

The Open Enrollment Period, which is the only time employees, retirees, and affiliated agencies will be able to make changes to their benefit plan, except for qualifying events such as marriage, separation, adoption, etc., will be held October 15, 2012 th...

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