Self-Funded Insurance Committee

CITY OF HENDERSON SELF-FUNDED INSURANCE COMMITTEE REGULAR MEETING MINUTES September 26, 2017 I. CALL TO ORDER Chairman Tim O’Neill called the City of Henderson Self-Funded Insurance Committee Regular meeting to order at 2:04 p.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 Manager, 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 Ken Kerby Jim McIntosh Dan Pentkowski Laura Shearin EXCUSED: None ALTERNATES: Michal Charlton (arrived at 2:16 p.m.) Tom Chiello Maria Gamboa Curtis Germany (arrived at 2:11 p.m.) STAFF: Kristina Gilmore, Asst. City Attorney II Sally Ihmels, Asst. HR Director Alysa Neilson, Employee Benefits Manager Hannah Nelson, Employee Benefits Specialist April Parra, Official Records Reporter GUESTS: Shawn Adkins, GBS Lynn Brownlee, GBS Ed Winogracki, Loomis Amber Hubber, HPN Mimi Merhi, City of Henderson Self-Funded Insurance Committee Page 2 of 6 September 26, 2017 – Draft Minutes Bre Beamier, City of Henderson Sandy Willson, City of Henderson Kris Neiman, City of Henderson III. PUBLIC COMMENT There were no public comments presented. IV. ACCEPTANCE OF AGENDA Item NB-9 was withdrawn. (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 AUGUST 16, 2017 HUMAN RESOURCES Self-Funded Health Insurance Committee regular meeting minutes of August 16, 2017. It was noted that Tom Chiello was present as an alternate and not acting for Ken Kerby. Under Item NB-7 a correction was made to Amber Hubber’s name. (Motion) Ms. Fennema introduced a motion to adopt the Self-Funded Health Insurance Committee regular meeting minutes of August 16, 2017, as amended. 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, distributed the financial reports through August 31, 2017, and reviewed them for the Committee. She noted that total claims are up 13.8 percent and there has been an overall increase in membership and claim activity. NB-3 LOOMIS MONTHLY CLAIMS REPORT Self-Funded Insurance Committee Page 3 of 6 September 26, 2017 – Draft Minutes HUMAN RESOURCES Loomis monthly claims report Ed Winogracki, Loomis, reviewed the monthly claims report. There were no questions from the Committee. NB-4 SIERRA HEALTHCARE OPTIONS MONTHLY REPORT HUMAN RESOURCES Sierra Healthcare Options monthly report. Pam Levy was not present; however, the report was included in the meeting packet. Alyssa Nielson, Employee Benefits Manager, briefly reviewed the Sierra Healthcare Options monthly report. There were no questions from the Committee. NB-5 HEALTH PLAN OF NEVADA STATUS REPORT HUMAN RESOURCES Health Plan of Nevada status report. Amber Hubber, Health Plan of Nevada, reminded everyone that it is flu shot season. She said information regarding where to get flu shots is on the HPN website. NB-6 GALLAGHER BENEFIT SERVICES STATUS REPORT HUMAN RESOURCES Gallagher Benefit Services status report. Shawn Adkins, Gallagher Benefit Services, said there is nothing new on the Affordable Care Act. He commented that rates on the voluntary life plans will be decreasing soon. There were no questions from the Committee. NB-7 SELF-FUNDED HEALTH INSURANCE PLAN RETIREE AND COBRA RATES HUMAN RESOURCES Self-Funded Insurance Committee Page 4 of 6 September 26, 2017 – Draft Minutes Approve retiree and COBRA actuarial determined funding rates for plan year 2018 for the Self-Funded Health Plan. Ms. Neilson reviewed the Self-Funded Health Plan and Health Plan of Nevada 2018 COBRA Retiree rates with SHO Dental. She noted that dental rates will be discussed at a future meeting. (Motion) Ms. Fennema introduced a motion to approve retiree and COBRA actuarial determined funding rates for plan year 2018 for the Self-Funded Health Plan as set forth on pages 19 and 20 of the meeting packet. The vote favoring approval was unanimous. Chairman O’Neill declared the motion carried. NB-8 HEALTH PLAN OF NEVADA RETIREE AND COBRA RATES FOR PLAN YEAR 2018 HUMAN RESOURCES Approve retiree and COBRA actuarial determined funding rates for Health Plan of Nevada for plan year 2018. Ms. Neilson gave a brief presentation on the proposed item, and stated staff recommends approval. (Motion) Ms. Fennema introduced a motion to approve the retiree and COBRA actuarial determined funding rates for Health Plan of Nevada for plan year 2018. The vote favoring approval was unanimous. Chairman O’Neill declared the motion carried. NB-9 SELF-FUNDED HEALTH PLAN EMPLOYEE FUNDING RATES FOR PLAN YEAR 2018 HUMAN RESOURCES Review the 2018 employee funding rate options from a minimum of zero to a maximum of 3.5% increase for the Self-Funded PPO and High Deductible Health with HSA plans for plan year 2018. This item was withdrawn. NB-10 SELF-FUNDED HEALTH INSURANCE PLAN MEDICAL EXCLUSIONS AND LIMITATIONS HUMAN RESOURCES Remove exclusion for Sex Reassignment/Changes under the Medical Self-Funded Insurance Committee Page 5 of 6 September 26, 2017 – Draft Minutes Exclusions and Limitations section of the Summary Plan Description effective the beginning of the current plan year, January 1, 2017 or sometime thereafter. Ms. Neilson gave a brief presentation on the proposed change, and stated staff recommends approval. (Motion) Ms. Fennema introduced a motion to remove the exclusion for Sex Reassignment/Changes under the Medical Exclusions and Limitations section of the Summary Plan Description effective the beginning of the current plan year, January 1, 2017 or sometime thereafter. The vote favoring approval was unanimous. Chairman O’Neill declared the motion carried. NB-11 SELF-FUNDED HEALTH PLAN COVERED MEDICAL EXPENSES HUMAN RESOURCES Add the following language under the Covered Medical Expenses section of the Summary Plan Document for Surgical Services: Please note several surgeries require pre-authorization and/or adherence to medical policy, such as bariatric surgery and gender reassignment (this is not an exhaustive list). Please contact the utilization review manager for additional information. Ms. Neilson gave a brief summary of the proposed item, and stated staff recommends approval. (Motion) Ms. Fennema introduced a motion to Add the following language under the Covered Medical Expenses section of the Summary Plan Document for Surgical Services: “Please note several surgeries require pre-authorization and/or adherence to medical policy, such as bariatric surgery and gender reassignment (this is not an exhaustive list). Please contact the utilization review manager for additional information.” The vote favoring approval was unanimous. Chairman O’Neill declared the motion carried. NB-12 VISION SERVICE PLAN (VSP) CONTRACT RENEWAL Review three year contract renewal proposal submitted by VSP and make recommendation to City Council for approval. The three year contract renewal terms include: Current Signature Plan January 1, 2018 through December 31, 2020 with no plan changes Administrative Fee: $1.67 Per Employee Per Month (rate pass) Self-Funded Insurance Committee Page 6 of 6 September 26, 2017 – Draft Minutes Ms. Neilson gave a brief summary of the proposed item, and stated staff recommends approval. (Motion) Ms. Fennema introduced a motion to recommend to City Council for approval the three-year contract renewal, with terms to include: Current Signature Plan January 1, 2018 through December 31, 2020 with no plan changes, and Administrative Fee: $1.67 Per Employee Per Month (rate pass). The vote favoring approval was unanimous. Chairman O’Neill declared the motion carried. VI. CHAIRMAN\MEMBER COMMENTS Ms. Neilson commented that Teladoc membership has increased by 25 members since Human Resources had their campaign. VII. SET NEXT MEETING The next meeting was set for October 5, 2017, at 2:00 p.m. VIII. PUBLIC COMMENT There were no public comments presented. IX. ADJOURNMENT There being no further business to be discussed, Chairman O’Neill adjourned the meeting at 2:44 p.m. Respectfully submitted, ________________________ April Parra, Official Records Reporter