Self-Funded Insurance Committee

CITY OF HENDERSON SELF-FUNDED INSURANCE COMMITTEE REGULAR MEETING AGENDA October 5, 2016 I. CALL TO ORDER Bob Osip, Risk Manager, 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 Pro Tem Dan Pentkowski Tom Chiello (for Tim O’Neill) Barry Courtney Jennifer Fennema Maria Gamboa (for Jim McIntosh) Ken Kerby EXCUSED: Chairman Tim O’Neill Laura Shearin Jim McIntosh ALTERNATES: Mike Charlton John Day Shari Ferguson Curtis Germany Sally Ihmels Jared Spangler Michael Tassi STAFF: Kristina Gilmore, Asst. City Attorney II Bob Osip, Risk Manager April Parra, CCS Reporter Alysa Neilson, Employee Benefits Coordinator Brooke Stream, HR Business Partner Self-Funded Insurance Committee Page 2 of 6 Wednesday, October 5, 2016 – Minutes ALSO PRESENT: Shawn Adkins, Gallagher Benefit Services Amber Hubber, Health Plan of Nevada Pam Levy, Sierra Health III. PUBLIC COMMENT There were no comments presented by the public. IV. ACCEPTANCE OF AGENDA (Motion) Mr. Pentkowski introduced a motion to accept the agenda as presented. The vote favoring approval was unanimous. Mr. Osip declared the motion carried. V. NEW BUSINESS NB-1 SELF-FUNDED HEALTH INSURANCE COMMITTEE CHAIR PRO TEM HUMAN RESOURCES RECOMMENDATION: Elect committee chair pro tem for the October 5, 2016 regular meeting. Take nominations and elect committee chair pro tem for the October 5, 2016, regular meeting. Chiello motioned Dan Pentkowski, unanimous (Motion) Mr. Chiello introduced a motion to elect Dan Pentkowski as Chairman Pro Tem for the October 5, 2016, regular meeting. The vote favoring approval was unanimous. Mr. Osip declared the motion carried. NB-2 MINUTES SELF-FUNDED HEALTH INSURANCE COMMITTEE HUMAN RESOURCES RECOMMENDATION: Adopt City of Henderson Self-Funded Health Insurance Committee regular meeting minutes of September 14, 2016. Kerby moved to accept, unanimous. (Motion) Mr. Kerby introduced a motion to adopt the September 14, 2016, minutes, as presented. The vote favoring approval was unanimous. Chairman Pro Tem Pentkowski declared the motion Self-Funded Insurance Committee Page 3 of 6 Wednesday, October 5, 2016 – Minutes carried. NB-3 MONTHLY FINANCIAL REPORT HUMAN RESOURCES Self-Funded Health Plan monthly financial report. Maria Gamboa, Accounting Manager, reviewed the monthly financials, and compared this year’s numbers with last year’s numbers. NB-4 LOOMIS MONTHLY CLAIMS REPORT HUMAN RESOURCES Loomis monthly claims report. Shawn Adkins, Gallagher, reviewed the Paid Claims Analysis and Paid Summary. He noted that large claims are up significantly from last year. NB-5 HEALTH PLAN OF NEVADA STATUS REPORT HUMAN RESOURCES Health Plan of Nevada Status report. Amber Hubber, Health Plan of Nevada, did not give a report; however, she noted that there are four new urgent cares for the membership, with one in Henderson. NB-6 GALLAGHER BENEFIT SERVICES STATUS AND 2017 RENEWAL REPORT HUMAN RESOURCES Gallagher Benefit Services status and 2017 renewal report. Shawn Adkins, Gallagher Benefit Services, reviewed the status report as well as the 2017 renewal report. NB-7 SELF-FUNDED HEALTH INSURANCE PLAN RETIREE RATES HUMAN RESOURCES RECOMMENDATION: Approve actuarial determined funding rate for retirees for plan year 2017. Establish retiree funding rates for plan year 2017. Self-Funded Insurance Committee Page 4 of 6 Wednesday, October 5, 2016 – Minutes Bob Osip, Risk Manager, gave a presentation on the proposed options for retiree funding rates for plan year 2017. (Motion) Ms. Fennema introduced a motion to approve the actuarial determined funding rate for retirees for plan year 2017 as listed on page 28 (2017 Total Charges in bold) of the for the self-funded PPO. The vote favoring approval was unanimous. Chairman Pro Tem Pentkowski declared the motion carried. NB-8 HEALTH PLAN OF NEVADA RETIREE RATES HUMAN RESOURCES RECOMMENDATION: Approve Health Plan of Nevada retiree funding rates for plan year 2017. Establish Health Plan of Nevada retiree funding rates for plan year 2017. (Motion) Ms. Fennema introduced a motion to approve he retiree funding rates as shown in the 2017 Total Charge column on page 28. The vote favoring approval was unanimous. Chairman Pro Tem Pentkowski declared the motion carried. NB-9 GALLAGHER BENEFIT SERVICES CONTRACT RENEWAL RECOMMENDATION: Adopt the Gallagher Benefit Services contract renewal for a three-year term. Review proposal to renew contract for benefit consulting services for three years as follows: 07/01/2017 through 06/30/2018 - $98,760 07/01/2018 through 06/30/2019 - $99,750 07/01/2019 through 06/30/2020 - $100,750 Bob Osip, Risk Manager, reviewed the proposal submitted by Gallagher Benefit Services, Inc. (Motion) Mr. Fennema introduced a motion to adopt the Gallagher Benefit Services contract renewal for a three-year term as follows: 07/01/2017 through 06/30/2018 - $98,760 07/01/2018 through 06/30/2019 - $99,750 07/01/2019 through 06/30/2020 - $100,750 The vote favoring approval was unanimous. Self-Funded Insurance Committee Page 5 of 6 Wednesday, October 5, 2016 – Minutes Chairman Pro Tem Pentkowski declared the motion carried. NB-10 NEW EXPRESS SCRIPTS PRESCRIPTION DRUG PROGRAMS HUMAN RESOURCES RECOMMENDATION: Approve implementation of the Express Scripts SafeGuardRx programs, Inflammatory Conditions Care Value Program effective January 1, 2017, Diabetes Care Value Program effective March 1, 2017 and the Market Events Protection Program effective January 1, 2017. Express Scripts, Pharmacy Benefit Manager for the City of Henderson Self- Funded Health Plan is offering three (3) new SafeGuardRx programs designed to improve patient care and manage prescription drug cost trend. The following programs will be considered: Inflammatory Conditions Care Value Program Diabetes Care Value Program Market Events Protection Program Shawn Adkins, Gallagher Benefits Services, gave a presentation on the proposed item. Areas of discussion included: New Program Overviews, Specialty’s Top Spender, Abundant Treatment Options, Program Components, Indication-Level Management, TRC Impact on Inflammatory Members, Diabetes Care Value Program, Preferred Quality Pharmacy Network, and Key Dates and Important Notes. It was noted that the changes would only impact new-to-therapy patients and not members who are currently utilizing these drugs. No action was taken on this item as this item will be revisited at a future meeting. VI. CHAIRMAN\MEMBER COMMENTS There were no comments submitted. VII. SET NEXT MEETING The next meeting was set for November 9, 2016, from 10:00 a.m. to 12:00 p.m. VIII. PUBLIC COMMENT There were not public comments presented. IX. ADJOURNMENT Self-Funded Insurance Committee Page 6 of 6 Wednesday, October 5, 2016 – Minutes There being no further business to be discussed, Chairman Pro Tem Pentkowski adjourned the meeting at 11:24 p.m. Respectfully submitted, ________________________ April Parra, CCS Reporter