Self-Funded Insurance Committee

CITY OF HENDERSON SELF-FUNDED HEALTH INSURANCE COMMITTEE REGULAR MEETING AGENDA Wednesday, December 18, 2019 Mayor and Council Boardroom 2:00 PM 240 Water Street Meeting Inquiries: (702) 267-1906 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 Courtney Redsull at (702) 267-1906 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. In the event discussion of an agenda item raises an issue that, upon further discussion, could result in disclosure of a person's protected health information, the Committee may, pursuant to Nevada Revised Statutes 241.030(3), close the meeting upon a motion which specifies: a. The nature of the business to be considered; and b. The statutory authority pursuant to which the Committee is authorized to close the meeting. c. Only the business identified in the motion may be discussed. The closed session must be recorded and minutes of the closed session must be kept. Public comment will be taken at the designated Public Comment periods. Individuals 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. The Chairman reserves the right to curtail abusive, offensive, inflammatory or repetitive comments that disrupt, disturb or otherwise impede the orderly conduct of the meeting. In addition, any person willfully disrupting the meeting may be removed from the room by the presiding officer. See NRS 241.030(4)(a). Examples of disruptive conduct include, without limitation, yelling, stamping of feet, whistles, applause, heckling, name calling, use of profanity, personal attacks, physical intimidation, threatening use of physical force, assault, battery, or any other acts intended to impede the meeting or infringe on the rights of the board and/or committee members, City staff, or meeting participants. 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 Courtney Redsull at (702) 267-1906. Self-Funded Insurance Committee Page 2 of 4 Wednesday, December 18, 2019 - Agenda I. CALL TO ORDER II. CONFIRMATION OF POSTING AND ROLL CALL III. PUBLIC COMMENT Public Comment during this portion of the agenda must be limited to matters on the agenda. Individuals 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. The Chairman reserves the right to curtail abusive, offensive, inflammatory or repetitive comments that disrupt, disturb or otherwise impede the orderly conduct of the meeting. In addition, any person willfully disrupting the meeting may be removed from the room by the presiding officer. See NRS 241.030(4)(a). Examples of disruptive conduct include, without limitation, yelling, stamping of feet, whistles, applause, heckling, name calling, use of profanity, personal attacks, physical intimidation, threatening use of physical force, assault, battery, or any other acts intended to impede the meeting or infringe on the rights of the board and/or committee members, City staff, or meeting participants. IV. ACCEPTANCE OF AGENDA (For Possible Action) V. NEW BUSINESS NB-1 MINUTES SELF-FUNDED HEALTH INSURANCE COMMITTEE NOVEMBER 20, 2019 HUMAN RESOURCES For Possible Action. RECOMMENDATION: Adopt Self-Funded Health Insurance Committee meeting minutes of November 20, 2019. Self-Funded Insurance Committee Page 3 of 4 Wednesday, December 18, 2019 - Agenda NB-2 AMEND NOVEMBER 20, 2019, DECISION ON UTILIZATION OF UNITED HEALTHCARE CHOICE PLUS NETWORK BY LOCAL AREA MEMBERS HUMAN RESOURCES For Possible Action. RECOMMENDATION: Discuss the revised various options for allowing local area members to utilize the United Healthcare Choice Plus network and direct committee staff to implement the option the committee selects Staff have received clarification from the vendor that the United Healthcare Choice Plus network may not be utilized by Sierra Healthcare Options members seeking services within Nevada. Based upon this clarified information, discuss various options for allowing local area members to utilize the United Healthcare Choice Plus network that have been revised such that none of the options include utilizing the United Healthcare Choice Plus network in Nevada. Direct committee staff to implement the revised option the committee selects. Option #1 Local area members may access the United Healthcare Choice Plus network without prior-authorization when traveling outside the Sierra Healthcare Options network service area, and in need of emergency services. They may also, with prior-authorization, access the UHC Choice Plus network for services outside of Nevada that are not available in-network through the Sierra Healthcare Options local network. Option #2 Local area members may access the United Healthcare Choice Plus network without prior-authorization when traveling outside the Sierra Healthcare Options network service area, and in need of emergency services. They may also, with prior-authorization, access the United Healthcare Choice Plus network for any other services outside of Nevada, regardless of whether the services are available in- network through the Sierra Healthcare Options local network. The prior- authorization requirement on this option includes services that would not normally require prior-authorization if the services were being accessed within the Sierra Healthcare Options local network. Members may not utilize a United Healthcare Choice Plus provider within Nevada. Option #3 Local area members may utilize the United Healthcare Choice Plus network for any services occurring outside of Nevada, and will only be required to seek prior- authorization of such services if prior-authorization would also be required if seeking those same services through the Sierra Healthcare Options local network. Members may not utilize a United Healthcare Choice Plus provider within Nevada. Option #4 Any other viable option presented by a Committee member that does not include utilizing the UHC Choice Plus network in Nevada. Self-Funded Insurance Committee Page 4 of 4 Wednesday, December 18, 2019 - Agenda VI. 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. VII. SET NEXT MEETING VIII. PUBLIC COMMENT Items discussed under this Public Comment period cannot be acted upon at this meeting, but may be referred to a future agenda for consideration. Individuals 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. The Chairman reserves the right to curtail abusive, offensive, inflammatory or repetitive comments that disrupt, disturb or otherwise impede the orderly conduct of the meeting. In addition, any person willfully disrupting the meeting may be removed from the room by the presiding officer. See NRS 241.030(4)(a). Examples of disruptive conduct include, without limitation, yelling, stamping of feet, whistles, applause, heckling, name calling, use of profanity, personal attacks, physical intimidation, threatening use of physical force, assault, battery, or any other acts intended to impede the meeting or infringe on the rights of the board and/or committee members, City staff, or meeting participants. IX. ADJOURNMENT Posted by 9:00 a.m., December 12, 2019, 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