Title
Human Resources Department recommending the Board:
1) Take the following actions regarding Health Plan Programs and Ancillary Employee Benefit Programs for the 2026 Plan Year:
a) Approve the proposed 2026 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;
b) 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
c) Grant Human Resources the authority to correct any minor clerical errors or adjustments, if necessary, to the approved health plan rate cards for the 2026 health benefits plan year, as needed; and
2) Receive and file information regarding the Budget Ad Hoc Committee’s review of CalPERS Health Plans and provide direction, if necessary.
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, 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.
On August 29, 2023, with Legistar file 23-1481, the Board of Supervisors authorized the Human Resources Director to execute an updated PRISM Health Program MOU which better represented the Health Progra...
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