Title
Human Resources Department recommending the Board take the following actions regarding Ancillary Employee Benefit Programs for the 2026 Plan Year:
1) Authorize the Director of Human Resources, or Assistant Director of Human Resources, to execute administrative health and benefit program plan documents and payments necessary for the renewal and administration of Concern EAP services that otherwise fall under the County’s existing executed master agreement with PRISM Health on behalf of the County of El Dorado, effective upon adoption; and
2) Approve the updated 2026 COBRA health plan rate card based on the change of EAP cost, effective July 1, 2026.
FUNDING: Countywide cost, shared between the County Departments (General Fund and Non-General Fund).
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DISCUSSION / BACKGROUND
On February 15, 2011, with 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 controlled costs of the health plans offered through PRISM Health.
Since July 2023, PRISM has provided Employee Assistance Program (EAP) services through Concern; the “traditional EAP” through Concern has an initial three-year term/rate guarantee period ending June 30, 2026. The separate “ConcernPlus EAP” gives first responders generally the same benefits otherwise provided through our traditional EAP to eligible employees, including emotional health and substance abuse, parenting and childcare needs, financial coaching, legal consultation, and eldercare resources, while providing law enforcement first responders with specific culturally competent short-term counselors.
The EAPs have monthly Per...
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