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Self-Funded Insurance Committee

Regular Meeting

Henderson, NV · September 14, 2016

AgendaPacketMinutes

Minutes

CITY OF HENDERSON SELF-FUNDED INSURANCE COMMITTEE REGULAR MEETING AGENDA September 14, 2016 I. CALL TO ORDER Chairman Tim O’Neill called the City of Henderson Self-Funded Insurance Committee Regular meeting to order at 10:00 a.m., in the Mayor and Council Boardroom, 4th Floor, City Hall, 240 Water Street, Henderson, Nevada. II. CONFIRMATION OF POSTING AND ROLL CALL Alysa Neilson, Recording Secretary, confirmed the Self-Funded Insurance Committee meeting had been noticed in compliance with the Open Meeting Law by posting the Agenda three working days prior to the meeting at City Hall, the Multigenerational Center, the Whitney Ranch Recreation Center, Fire Station No. 86, the Nevada Public Notice Website, the City of Henderson Website, and by mailing a copy of the Agenda to everyone appearing thereon on the Agenda Master Mailing List. PRESENT: Chairman Tim O’Neill Barry Courtney Jennifer Fennema Ken Kerby Jim McIntosh Dan Pentkowski Laura Shearin EXCUSED: None ALTERNATES: Mike Charlton Tom Chiello John Day Shari Ferguson Maria Gamboa Curtis Germany Jared Spangler Michael Tassi STAFF: Kristina Gilmore, Asst. City Attorney II Bob Osip, Risk Manager April Parra, CCS Reporter Alysa Neilson, Employee Benefits Coordinator ALSO PRESENT: Shawn Adkins, Gallagher Benefit Services Bill Bixler, The Loomis Company Amber Hubber, Health Plan of Nevada Self-Funded Insurance Committee Page 2 of 5 Wednesday, September 14, 2016 – Minutes Sally Ihmels, Asst. Director of Human Resources III. PUBLIC COMMENT There were no comments presented by the public. IV. ACCEPTANCE OF AGENDA (Motion) Mr. Kerby introduced a motion to accept the agenda as presented. The vote favoring approval was unanimous. Chairman O’Neill declared the motion carried. V. UNFINISHED BUSINESS UB-1 SELF-FUNDED HEALTH PLAN DESIGN HUMAN RESOURCES Revise plan design effective January 1, 2017 for the purpose of creating plan savings of at least $350,000. Bob Osip, Risk Manager, introduced the item and gave a brief summary of the revised plan design. Discussion ensued regarding the decision to increase the out-of-pocket maximum 25 percent and the costs versus benefits of increasing the out-of-pocket maximum as well as other plan increases. It was noted that Option 2 would be the least impactful concerning dental coverage. Jennifer moved to adopt Option 2 for the plan design option for Delta Dental effective January 1 of 2017. Unanimous except Courtney and Kerby. Motion carries. (Motion) Ms. Fennema introduced a motion to adopt Option 2 for the plan design, effective January 1, 2017. The vote favoring approval was unanimous. Chairman O’Neill declared the motion carried. VI. NEW BUSINESS NB-2 MINUTES SELF-FUNDED HEALTH INSURANCE COMMITTEE HUMAN RESOURCES City of Henderson Self-Funded Health Insurance Committee regular meeting Self-Funded Insurance Committee Page 3 of 5 Wednesday, September 14, 2016 – Minutes minutes of August 10, 2016. (Motion) Ms. Fennema introduced a motion to adopt the August 10, 2016, minutes as presented. The vote favoring approval was unanimous. Chairman O’Neill declared the motion carried. NB-3 MONTHLY FINANCIAL REPORT HUMAN RESOURCES Self-Funded Health Plan monthly financial report. Maria Gamboa, Accounting Manager, reviewed the monthly financial reports and noted the changes comparing this year’s numbers to last year’s numbers. NB-4 LOOMIS MONTHLY CLAIMS REPORT HUMAN RESOURCES Loomis monthly claims report. Bill Bixler, Loomis, reviewed the Loomis monthly claims report and noted the high numbers are a result of high claims. He noted three large claims are causing a significant increase in the total claims paid for the year. NB-5 HEALTH PLAN OF NEVADA STATUS REPORT HUMAN RESOURCES Health Plan of Nevada status report. Amber Hubber, Health Plan of Nevada, gave a summary of the Health Plan of Nevada status report. She noted additional support and services are available for members, including mobile medical center and urgent care home waiting room. NB-6 GALLAGHER BENEFIT SERVICES STATUS REPORT HUMAN RESOURCES Gallagher Benefit Services status report. Shawn Adkins, Gallagher Benefit Services, gave a summary of the status report and noted increases in the costs of mental health and substance abuse. NB-7 SELF-FUNDED HEALTH INSURANCE PLAN RETIREE RATES Self-Funded Insurance Committee Page 4 of 5 Wednesday, September 14, 2016 – Minutes HUMAN RESOURCES The 2017 renewal report establishing actuarial determined funding rates for actives and retirees will be completed once all plan changes have been confirmed for the new plan year beginning January 1, 2017. Request for committee to accept the actuarial determined funding rates for the Self-Funded Health Insurance plan for the purpose of establishing the retiree premiums. Bob Osip, Risk Manager, note that this is on the agenda for the Committee to approve in advance of the actual numbers or the Committee can wait for the actual numbers to come in at the end of the year. He said the request is being made in an effort to avoid an additional meeting. It was the consensus of the Committee to wait for the year-end number prior to approving retiree funding rates. No action was taken on this item. NB-8 HEALTH PLAN OF NEVADA MEDICAL INSURANCE PROPOSAL FOR PLAN YEAR 2017 HUMAN RESOURCES Review and accept the Health Plan of Nevada medical insurance contract proposal for plan year 2017. Amber Hubber, Health Plan of Nevada, gave a brief summary and noted the offer is for the existing rates for twelve months for 2017. Chairman O’Neill moved for approval. Unanimous. (Motion) Chairman O’Neill introduced a motion to accept the Health Plan of Nevada medical insurance contract for plan year 2017. The vote favoring approval was unanimous. Chairman O’Neill declared the motion carried. NB-9 HEALTH PLAN OF NEVADA RETIREE RATES HUMAN RESOURCES The 2017 premiums for the Health Plan of Nevada plan will be confirmed once the renewal request has been reviewed and approved by the Committee. Request committee to allow staff to apply the rates in the renewal, once adopted, for the purpose of establishing the Health Plan of Nevada retiree premiums. No action was taken on this item. Self-Funded Insurance Committee Page 5 of 5 Wednesday, September 14, 2016 – Minutes VI. CHAIRMAN\MEMBER COMMENTS There were no comments submitted. VII. SET NEXT MEETING The next meeting was set for September 14, 2016, from 10:00 a.m. to 12:00 p.m. VIII. PUBLIC COMMENT There were not public comments presented. IX. ADJOURNMENT There being no further business to be discussed, Chairman O’Neill adjourned the meeting at 12:00 p.m. Respectfully submitted, ________________________ April Parra, CCS Reporter

Agenda

CITY OF HENDERSON SELF-FUNDED INSURANCE COMMITTEE REGULAR MEETING AGENDA Wednesday, September 14, 2016 Mayor and Council Boardroom 10:00 AM 240 Water Street Meeting Inquiries: (702) 267-1924 Henderson, Nevada 89015 NOTICE Notice to persons with special needs: For those requiring special assistance or accommodation to attend or participate in this meeting, arrangements for a sign language interpreter or services necessary for effective communication for qualified persons with disabilities should be made as soon as possible, but no later than 72 hours before the scheduled event. Listening devices are available for persons with hearing impairments. Please contact Alysa Neilson at (702) 267-1924 or TTY: 7-1-1 at least 72 hours in advance to request a sign language interpreter. You may also submit your request by using Contact Henderson. The Chairman reserves the right to hear agenda items out of order, combine two or more agenda items for consideration, remove an item from the agenda, or delay discussion relating to an item on the agenda at any time. Individuals speaking on an item will be limited to three (3) minutes and spokespersons for a group will be limited to ten (10) minutes. Backup materials for agenda items can be found in the Human Resources Department or on the City's website at: http://henderson.siretechnologies.com/sirepub/meetresults.aspx.To request backup materials, please contact Alysa Neilson at (702) 267-1924. I. CALL TO ORDER II. CONFIRMATION OF POSTING AND ROLL CALL III. PUBLIC COMMENT Items discussed under Public Comment cannot be acted upon at this meeting, but may be referred to a future agenda for consideration. Individuals speaking on an item will be limited to three (3) minutes and spokespersons for a group will be limited to ten (10) minutes, at the discretion of the Chairman. IV. ACCEPTANCE OF AGENDA (For Possible Action) Self-Funded Insurance Committee Page 2 of 4 Wednesday, September 14, 2016 - Agenda V. UNFINISHED BUSINESS UB-1 SELF-FUNDED HEALTH PLAN DESIGN HUMAN RESOURCES For Possible Action. RECOMMENDATION: Adopt various plan design changes. Revise plan design effective January 1, 2017 for the purpose of creating plan savings of at least $350,000. VI. NEW BUSINESS NB-2 MINUTES SELF-FUNDED HEALTH INSURANCE COMMITTEE HUMAN RESOURCES For Possible Action. RECOMMENDATION: Adopt City of Henderson Self-Funded Health Insurance Committee regular meeting minutes of August 10, 2016. NB-3 MONTHLY FINANCIAL REPORT HUMAN RESOURCES Self-Funded Health Plan monthly financial report. NB-4 LOOMIS MONTHLY CLAIMS REPORT HUMAN RESOURCES Loomis monthly claims report. NB-5 HEALTH PLAN OF NEVADA STATUS REPORT HUMAN RESOURCES Health Plan of Nevada status report. Self-Funded Insurance Committee Page 3 of 4 Wednesday, September 14, 2016 - Agenda NB-6 GALLAGHER BENEFIT SERVICES STATUS REPORT HUMAN RESOURCES Gallagher Benefit Services status report. NB-7 SELF-FUNDED HEALTH INSURANCE PLAN RETIREE RATES HUMAN RESOURCES For Possible Action. RECOMMENDATION: Accept the Self-Funded Health Insurance actuarial determined retiree funding rates for plan year beginning January 1, 2017. The 2017 renewal report establishing actuarial determined funding rates for actives and retirees will be completed once all plan changes have been confirmed for the new plan year beginning January 1, 2017. Request for committee to accept the actuarial determined funding rates for the Self-Funded Health Insurance plan for the purpose of establishing the retiree premiums. NB-8 HEALTH PLAN OF NEVADA MEDICAL INSURANCE PROPOSAL FOR PLAN YEAR 2017 HUMAN RESOURCES For Possible Action. RECOMMENDATION: Accept Health Plan of Nevada medical insurance contract for plan year 2017. Review and accept the Health Plan of Nevada medical insurance contract proposal for plan year 2017. NB-9 HEALTH PLAN OF NEVADA RETIREE RATES HUMAN RESOURCES For Possible Action. RECOMMENDATION: Allow staff to apply Health Plan of Nevada renewal rates to establish retiree premiums. The 2017 premiums for the Health Plan of Nevada plan will be confirmed once the renewal request has been reviewed and approved by the Committee. Request committee to allow staff to apply the rates in the renewal, once adopted, for the purpose of establishing the Health Plan of Nevada retiree premiums. Self-Funded Insurance Committee Page 4 of 4 Wednesday, September 14, 2016 - Agenda VII. CHAIRMAN\MEMBER COMMENTS The Chairman and Members may speak on any subject under this section of the agenda. Chairman and Members may comment on matters including, without limitation, future agenda items, upcoming meeting dates, and meeting procedures. Comments made cannot be acted upon or discussed at this meeting, but may be placed on a future agenda for consideration. VIII. SET NEXT MEETING IX. PUBLIC COMMENT Items discussed under Public Comment cannot be acted upon at this meeting, but may be referred to a future agenda for consideration. Individuals speaking on an item will be limited to three (3) minutes and spokespersons for a group will be limited to ten (10) minutes, at the discretion of the Chairman. X. ADJOURNMENT Posted by 9:00 a.m., September 8, 2016, at the following locations: City Hall, 240 Water Street, 1st Floor Lobbies Multigenerational Center, 250 S. Green Valley Parkway Whitney Ranch Recreation Center, 1575 Galleria Drive Fire Station No. 86, 1996 E. Galleria Drive www.cityofhenderson.com https://notice.nv.gov

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