File #: 22-1567    Version: 1
Type: Agenda Item Status: Approved
File created: 8/23/2022 In control: Board of Supervisors
On agenda: 9/13/2022 Final action: 9/13/2022
Title: Human Resources Department recommending the Board take the following actions regarding Health Plan Programs for the 2023 Plan Year: 1) Approve the proposed 2023 retiree health plan rate card (Attachment A) based on the cost sharing of health premiums in the current Memoranda of Understanding with all bargaining units, and the Salary and Benefits Resolution for unrepresented employees; 2) Approve the revised 2023 Affordable Care Act - compliant health plan rate card (Attachment B); 3) 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 4) 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: Countywide cost, shared between the County Departments (General Fund and...
Attachments: 1. A - 2023 Retiree published rate card 9-13-2022, 2. B - 2023 ACA published rate card 9-13-2022, 3. C - 2023 Master Rates 9-13-2022, 4. D - 2023 Renewal Financial Overview 9-13-2022
Related files: 20-0949, 22-1240
Title
Human Resources Department recommending the Board take the following actions regarding Health Plan Programs for the 2023 Plan Year:
1) Approve the proposed 2023 retiree health plan rate card (Attachment A) based on the cost sharing of health premiums in the current Memoranda of Understanding with all bargaining units, and the Salary and Benefits Resolution for unrepresented employees;
2) Approve the revised 2023 Affordable Care Act - compliant health plan rate card (Attachment B);
3) 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
4) 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: Countywide cost, shared between the County Departments (General Fund and Non-General Fund) and employees.
Body
DISCUSSION / BACKGROUND
Health Plans
On August 16, 2022, the Board of Supervisors adopted the 2023 health plan rate cards for active employees, outside agencies whose benefits are administered through the County, and COBRA continuation of coverage plans (Legistar #22-1240). Medicare Retirees who are sixty-five (65) or older are eligible to purchase Medicare advantage supplement health plans through UnitedHealthcare (UHC) and Kaiser Permanente Senior Advantage (KPSA); the rates for the KPSA and UHC plans were not yet available on August 16, 2022. Therefore, consistent with the Next Steps identified in Legistar item 22-1240, Human Resources is returning to the Board for the adoption of the 2023 Retiree rate card.

As a summary from the August 16, 2022 Board item, for the 2023 plan year, health and retiree-relevant ancillary benefit programs are scheduled to renew as follows:
Blue Shield PPO 200 Standard ...

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