Self-Funded Insurance Committee

CITY OF HENDERSON SELF-FUNDED INSURANCE COMMITTEE REGULAR MEETING MINUTES November 9, 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, Employee Benefits Coordinator 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 John Day Jennifer Fennema Maria Gamboa (for Jim McIntosh) Ken Kerby Dan Pentkowski Laura Shearin EXCUSED: Jim McIntosh ALTERNATES: Mike Charlton Tom Chiello Curtis Germany Jared Spangler Michael Tassi STAFF: Brian Anderson, Asst. City Attorney Kristina Gilmore, Asst. City Attorney II (arrived at 10:32 a.m.) Tedie Jackson, CCS Reporter Alysa Neilson, Employee Benefits Coordinator Hannah Nelson, HR Technician ALSO PRESENT: Shawn Adkins, Gallagher Benefit Services Bill Bixler, The Loomis Company Sally Ihmels, Asst. Director of Human Resources Pam Levy, Sierra Health Options Self-Funded Insurance Committee Meeting Page 2 of 5 Wednesday, November 9, 2016 – Minutes III. PUBLIC COMMENT There were no comments presented by the public. IV. ACCEPTANCE OF AGENDA (For Possible Action) (Motion) Mr. Pentkowski introduced a motion to accept the agenda as presented. The vote favoring approval was unanimous. Chairman O’Neill declared the motion carried. V. NEW BUSINESS NB-1 MINUTES SELF-FUNDED HEALTH INSURANCE COMMITTEE HUMAN RESOURCES City of Henderson Self-Funded Health Insurance Committee regular meeting minutes of October 5, 2016. (Motion) Ms. Fennema introduced a motion to adopt the minutes of October 5, 2016, as presented. The vote favoring approval was unanimous. Chairman O’Neill declared the motion carried. NB-2 MONTHLY FINANCIAL REPORT HUMAN RESOURCES City of Henderson Self-Funded Health Plan monthly financial report. Maria Gamboa, Accounting Manager, reviewed the Self-Funded Health Insurance Fund; the Retiree Insurance Subsidy report; and the Stop Loss Restricted Cash, as of October 31, 2016. NB-3 LOOMIS MONTHLY CLAIMS REPORT HUMAN RESOURCES Loomis monthly claims report. Bill Bixler, The Loomis Company, reviewed the paid claims analysis report and the large claims summary. He noted there are currently less than 800 claims in inventory. Self-Funded Insurance Committee Meeting Page 3 of 5 Wednesday, November 9, 2016 – Minutes NB-4 SIERRA HEALTHCARE OPTIONS MONTHLY REPORT HUMAN RESOURCES Sierra Healthcare Options monthly report. Pam Levy, Sierra Healthcare Options, distributed and reviewed the 2016 Monthly Average Length of Stay Report and the 2016 Third Quarter Provider Report. It was noted that Henderson Hospital became effective November 5, 2016, and is under the Valley Health System contract. NB-5 HEALTH PLAN OF NEVADA STATUS REPORT HUMAN RESOURCES Health Plan of Nevada status report. A HPN status report was not provided. NB-6 GALLAGHER BENEFIT SERVICES STATUS AND 2016 THIRD QUARTER REPORT HUMAN RESOURCES Gallagher Benefit Services status and 2016 third quarter report. Shawn Adkins, Gallagher Benefit Services, reported that due to the presidential election, their legal counsel expects changes in PPACA. Mr. Adkins suggested the Committee discuss transgender reassignment coverage at the annual strategic planning meeting. There are concerns relating to a discrimination challenge from the Equal Employment Opportunity Commission (EEOC). A discussion ensued regarding potential lawsuit implications regarding this issue. Mr. Adkins reviewed what aspects of transgender surgery are covered, as well as hormone medications. This issue will be further discussed at the annual strategic planning meeting. Mr. Adkins reviewed the Third Quarter Report Claims Analysis Report. Self-Funded Insurance Committee Meeting Page 4 of 5 Wednesday, November 9, 2016 – Minutes NB-7 SELF-FUNDED HEALTH INSURANCE COMMITTEE CHAIR HUMAN RESOURCES Take nominations and elect the committee chair for calendar year 2017. Ms. Fennema nominated Tim O’Neill for Chairman of the Self-Funded Health Insurance Committee for 2017. Mr. O’Neill accepted the nomination. The vote favoring approval was unanimous. NB-8 SELF-FUNDED HEALTH INSURANCE COMMITTEE VICE-CHAIR HUMAN RESOURCES Take nominations and elect committee vice-chair for calendar year 2017. Jennifer nominated Laura Shearin for Vice Chairman for 2017. Ms. Shearin accepted the nomination. The vote favoring approval was unanimous. NB-9 DELTA DENTAL ADMINISTRATION FEE RENEWAL HUMAN RESOURCES Review and approve proposed Delta Dental renewal of $5.21 per enrollee per month for plan years 2017 and 2018. Ms. Neilson presented a summary of this item and noted the renewal information is included the packet. (Motion) Ms. Fennema introduced a motion to approve the renewal rate for Delta Dental in the amount of $5.21 per enrollee per month for plan years 2017 and 2018, to be effective January 1, 2017. The vote favoring approval was unanimous. Chairman O’Neill declared the motion carried. Self-Funded Insurance Committee Meeting Page 5 of 5 Wednesday, November 9, 2016 – Minutes NB-10 RATE OPTIONS FOR STOP LOSS COVERAGE FOR PLAN YEAR 2017 HUMAN RESOURCES Review various stop loss renewal options for plan year 2017 and select one to recommend to staff. Shawn Adkins, Gallagher Benefit Services, presented a summary of the Stop Loss renewal proposal. He noted that other companies declined to respond due to not being competitive with current proposal from Sun Life. (Motion) Chairman O’Neill introduced a motion to enter into a contract with Sun Life to renew the Stop Loss deductible in the amount of $525,000; with an internal cost of $225,000; to be effective January 1, 2017. The vote favoring approval was unanimous. Chairman O’Neill declared the motion carried. VI. CHAIRMAN\MEMBER COMMENTS There were no chairman or member comments presented. VII. SET NEXT MEETING The December meeting is cancelled. The next meeting was scheduled for January 11, 2017. VIII. PUBLIC COMMENT There were no comments presented by the public. IX. ADJOURNMENT There being no further business to be discussed, Chairman O’Neil adjourned the meeting at 10:53 a.m. Respectfully submitted, ________________________ Tedie Jackson, CCS Reporter