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File #: 20-0949    Version: 1
Type: Agenda Item Status: Approved
File created: 7/10/2020 In control: Board of Supervisors
On agenda: 7/21/2020 Final action: 7/21/2020
Title: Human Resources recommending the Board take the following actions regarding Health Plan Program and Ancillary Employee Benefit Program benefit administration: 1) Approve the transition of the benefits third-party administrator (TPA) from Employee Benefit Specialists, Inc. (EBS) to Benefit Coordinators Corporation (BCC) and authorize Human Resources to terminate EBS services no later than January 1, 2021; 2) Authorize the County to pay BCC for any TPA services received under the Master Agreement between PRISM and BCC; 3) Authorize the Director of Human Resources, or designee, to execute health and benefit program TPA agreements and associated contract renewals subject to approval by County Counsel; and 4) Grant Human Resources the authority to correct any minor clerical errors or adjustments to implementation time frames as needed. FUNDING: Internal Service Fund.
Attachments: 1. A - PRISM_BCC_Name Change Amend 7-21-20, 2. B - PRISM Health Billing Letter 7-21-20
Related files: 20-1072, 21-1071
Title
Human Resources recommending the Board take the following actions regarding Health Plan Program and Ancillary Employee Benefit Program benefit administration:
1) Approve the transition of the benefits third-party administrator (TPA) from Employee Benefit Specialists, Inc. (EBS) to Benefit Coordinators Corporation (BCC) and authorize Human Resources to terminate EBS services no later than January 1, 2021;
2) Authorize the County to pay BCC for any TPA services received under the Master Agreement between PRISM and BCC;
3) Authorize the Director of Human Resources, or designee, to execute health and benefit program TPA agreements and associated contract renewals subject to approval by County Counsel; and
4) Grant Human Resources the authority to correct any minor clerical errors or adjustments to implementation time frames as needed.

FUNDING: Internal Service Fund.
Body
DISCUSSION / BACKGROUND

On February 15, 2011, the Board of Supervisors entered into a Memorandum of Understanding (MOU) with CSAC-EIA (EIA) to join the CSAC-EIA Health program (EIA Health). The EIA 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. The EIA Health MOU states billing and eligibility determinations will be done by a third-party administrator (TPA) selected by the EIA Health Committee; there are currently only three TPAs the County may select from to perform benefit administration services related to billing and eligibility under this MOU. Note: In 2020, EIA changed its name to PRISM.

Since joining EIA Health, the County has used Employee Benefit Specialists, Inc. (EBS) as our TPA, and EBS’ online enrollment system called Workterra, under the master agreement between EIA (PRISM) and EBS. To date, the Board has authorized Human Resources to pay EBS for TPA benefit administration services for our health plans and ancillary be...

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