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Self-Funded Insurance Committee

Regular Meeting

Henderson, NV · November 17, 2021

AgendaPacketMinutes

Minutes

CITY OF HENDERSON SELF-FUNDED INSURANCE COMMITTEE MEETING MINUTES Wednesday, November 17, 2021 I. CALL TO ORDER Chairman Daniel Pentkowski called the City of Henderson Self-Funded Insurance Committee meeting to order at 1:05 p.m., in the Tuscany Conference Room, City Hall 3rd Floor, 240 Water Street, Henderson, Nevada 89015. II. CONFIRMATION OF POSTING AND ROLL CALL Courtney Redsull, Employee Benefits Manager, confirmed the Self-Funded Insurance Committee meeting had been noticed in compliance with the Open Meeting Law. PRESENT: Chairman Daniel Pentkowski John Day Gary Hargis Bret Hyde Jim McIntosh Laura Shearin Brooke Stream ABSENT: Thomas Chiello ALTERNATES: Christopher Aguiar Michael Charlton Maria Gamboa Carlos McDade Nick McLemore JJ Moyes Melissa Wright ABSENT: Michael Dye Shawn Thibeault STAFF: Courtney Redsull, Employee Benefits Manager Amy Adamson, Employee Benefits Specialist Kristina Gilmore, Assistant City Attorney III Daniel Croy, Deputy City Clerk GUESTS: Shawn Adkins, Gallagher Benefit Services Russ Garrett, HealthSCOPE Benefits Self-Funded Insurance Committee Page 2 of 7 Wednesday, November 17, 2021 - Minutes III. PUBLIC COMMENT Courtney Redsull, Employee Benefits Manager, announced Nick McLemore, Administrative Manager, will replace Melissa Wright, City Auditor, as a committee alternate. IV. ACCEPTANCE OF AGENDA (For Possible Action) (Motion) Mr. Hargis introduced a motion to accept the agenda as presented. The vote favoring approval was unanimous. Chairman Pentkowski declared the motion carried. V. NEW BUSINESS 1 MINUTES SELF-FUNDED HEALTH INSURANCE COMMITTEE SEPTEMBER 15, 2021 FINANCE DEPARTMENT Self-Funded Health Insurance Committee meeting minutes of September 15, 2021. (Motion) Mr. Hargis introduced a motion to adopt the meeting minutes of September 15, 2021, as presented. The vote favoring approval was unanimous. Chairman Pentkowski declared the motion carried. 2 MONTHLY FINANCIAL REPORT FINANCE DEPARTMENT City of Henderson Self-Funded Health Plan monthly financial report for September 2021. (Minutes/Discussion) Maria Gamboa, Accounting Manager, reviewed the following financial reports: Self-Funded Health Insurance Fund (Fund 6051), Retiree Insurance Subsidy, and Stop Loss Restricted Cash, as of September 30, 2021. Self-Funded Insurance Committee Page 3 of 7 Wednesday, November 17, 2021 - Minutes 3 HEALTHSCOPE MONTHLY REPORT FINANCE DEPARTMENT HealthSCOPE Monthly Report for September 2021. (Minutes/Discussion) Russell Garrett, HealthSCOPE Benefits, reviewed the following monthly reports: Utilization by Claim by Month; Medical Utilization by Claim Category by Month, Enrollment by Tier-Medical, Medical Enrollment by Demographic, Dental Enrollment by Demographic, Demographics Summary-Medical, and Customer Care Call Statistics for September 2021. 4 GALLAGHER BENEFIT SERVICES QUARTERLY REPORT FINANCE DEPARTMENT Gallagher Benefit Services quarterly report for 3rd Quarter 2021. (Minutes/Discussion) Shawn Adkins, Gallagher Benefit Services (GBS), reviewed the following reports: GBS Estimated Accrual Plan Status Report for All Benefits, GBS Estimated Medical Plan Status Report by Segment, Monthly Medical and Prescription Claim Summary, Large Claim Summary, Large Claim Analysis, Historical Claims & Enrollment Analysis, Medical Cost Analysis, Monthly Dental Claim Report for Sierra Healthcare Options and Delta Dental, Historical Dental Claims and Enrollment Analysis for Sierra Healthcare Options and Delta Dental, Monthly Vision Claim Report, and Historical Vision Claims and Enrollment Analysis. Self-Funded Insurance Committee Page 4 of 7 Wednesday, November 17, 2021 - Minutes 5 RETIREE HEALTH INSURANCE PREMIUM ASSISTANCE OVERVIEW FINANCE DEPARTMENT Gallagher Benefit Services historical report on the Retiree Health Insurance Premium Assistance program. (Minutes/Discussion) Shawn Adkins, Gallagher Benefit Services, presented a summary of this item and provided historical information on the establishment of a retiree subsidy for health insurance. He said the Governmental Accounting Standards Board (GASB) attempts to recognize the present value of future liability attributable to offering benefits to retirees and said this includes implicit and explicit subsidies. Mr. Adkins summarized changes made during the GASB valuation process of 2018 to break-point modeling, adjusted benefits, and funding. He presented reports detailing the 2018 updated forecast, updated 2020 forecast, retirement trends, and retiree impact on enrollees. Responding to an inquiry from the Committee regarding types of employees included in the presented projections, Mr. Adkins said new-hires were not included. Responding to an inquiry from Chair Pentkowski regarding the direction of the projected trends, Mr. Adkins said eliminating or adjusting the post-65 benefit could help reverse trends. Self-Funded Insurance Committee Page 5 of 7 Wednesday, November 17, 2021 - Minutes 6 STOP LOSS COVERAGE FOR PLAN YEAR 2022 FINANCE DEPARTMENT Review the summary of Stop Loss Insurance proposals for Plan Year 2022 from Berkshire Hathaway Specialty Insurance (BHSI) and Voya Financial (Voya) from the attached Stop Loss Analysis and Optimization Report and recommend a vendor and deductible level to City Council for approval. It should be noted that both bidders included a laser on one member which impacts the estimated premium and claims exposure line in the Stop Loss Insurance options listed below: Option #1 – Insure at Current Individual Deductible of $525,000.00 BHSI Estimated total annual premium: $496,089.00 BHSI Increase of 9.82% over current year premium BHSI Estimated premium and claims exposure: $696,089.00 Voya Estimated total annual premium: $450,570.00 Voya Decrease of 0.25% over current year premium Voya Estimated premium and claims exposure: $825,570.00 Option #2 – Insure at Individual Deductible of $550,000.00 BHSI Estimated total annual premium: $463,790.00 BHSI Increase of 2.67% over current year premium BHSI Estimated premium and claims exposure: $682,540.00 Voya Estimated total annual premium: $418,837.00 Voya Decrease of 7.28% over current year premium Voya Estimated premium and claims exposure: $812,587.00 Option #3 – Insure at Individual Deductible of $600,000.00 BHSI Estimated total annual premium: $417,923.00 BHSI Decrease of 7.48% over current year premium BHSI Estimated premium and claims exposure: $655,423.00 Voya Estimated total annual premium: $373,676.00 Voya Decrease of 17.28% over current year premium Voya Estimated premium and claims exposure: $786,176.00 Option #4 – Insure at Individual Deductible of $700,000.00 BHSI Estimated total annual premium: $371,826.00 BHSI Decrease of 17.69% over current year premium Self-Funded Insurance Committee Page 6 of 7 Wednesday, November 17, 2021 - Minutes BHSI Estimated premium and claims exposure: $571,826.00 Voya Estimated total annual premium: $316,342.00 Voya Decrease of 29.97% over current year premium Voya Estimated premium and claims exposure: $691,342.00 Option #5 – Insure at Individual Deductible of $750,000.00 BHSI Estimated total annual premium: $327,720.00 BHSI Decrease of 27.45% over current year premium BHSI Estimated premium and claims exposure: $496,470.00 Voya Estimated total annual premium: $279,946.00 Voya Decrease of 38.03% over current year premium Voya Estimated premium and claims exposure: $598,696.00 (Motion) Mr. McIntosh introduced a motion to insure at the current individual deductible of $525,000.00. The vote favoring approval was unanimous. Chairman Pentkowski declared the motion carried. 7 SELF-FUNDED HEALTH INSURANCE COMMITTEE CHAIRMAN FINANCE DEPARTMENT Take nominations and elect the Committee chairman for calendar year 2022. (Motion) Ms. Shearing introduced a motion to elect Jim McIntosh as Committee Chairman for calendar year 2022. The vote favoring approval was unanimous. Chairman Pentkowski declared the motion carried. 8 SELF-FUNDED HEALTH INSURANCE COMMITTEE VICE CHAIRMAN FINANCE DEPARTMENT Take nominations and elect the Committee vice chairman for calendar year 2022. (Motion) Chairman Pentkowski introduced a motion to elect Gary Hargis as Committee Vice Chairman for calendar year 2022. The vote favoring approval was unanimous. Chairman Pentkowski declared the motion carried. Self-Funded Insurance Committee Page 7 of 7 Wednesday, November 17, 2021 - Minutes VI. CHAIRMAN/MEMBER COMMENTS Chairman Pentkowski thanked the Committee for the opportunity to serve. VII. SET NEXT MEETING The next meeting date was set for January 19, 2022, at 1:00 p.m. VIII. PUBLIC COMMENT There were no public comments presented. IX. ADJOURNMENT There being no further business to discuss, Chairman Pentkowski adjourned the meeting at 2:21 p.m. Respectfully submitted, /s/ Daniel Croy Daniel Croy, Deputy City Clerk

Agenda

CITY OF HENDERSON SELF-FUNDED INSURANCE COMMITTEE AGENDA Wednesday, November 17, 2021 Tuscany Conference Room 1:00 PM 240 Water Street – 3rd Floor Meeting Inquiries: (702) 267-1906 Henderson, Nevada 89015 NOTICE DUE TO THE TERMINATION OF THE STATE OF NEVADA EXECUTIVE DEPARTMENT DECLARATION OF EMERGENCY DIRECTIVE 006 AS OF MAY 31, 2021, IN PERSON ATTENDANCE WILL BE ALLOWED CONSISTENT WITH CDC GUIDELINES. IN ACCORDANCE WITH DECLARATION OF EMERGENCY DIRECTIVE 047, INDIVIDUALS SHALL BE REQUIRED TO COVER THEIR NOSE AND MOUTH WITH A MASK OR FACE COVERING IN A MANNER CONSISTENT WITH THE GUIDANCE ISSUED BY THE CDC, AND ANY SUBSEQUENT GUIDANCE ISSUED BY THE CDC. PLEASE CHECK WWW.CDC.GOV FOR ADDITIONAL INFORMATION. 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. 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. 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. 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 Office of the City Clerk or on the City's website at: http://www.cityofhenderson.com. To request backup materials, please contact Courtney Redsull at (702) 267-1906. Self-Funded Insurance Committee Meeting Page 2 of 6 Wednesday, November 17, 2021 - 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 1 MINUTES SELF-FUNDED HEALTH INSURANCE COMMITTEE SEPTEMBER 15, 2021 FINANCE DEPARTMENT For Possible Action. RECOMMENDATION: Adopt Self-Funded Health Insurance Committee meeting minutes of September 15, 2021. 2 MONTHLY FINANCIAL REPORT FINANCE DEPARTMENT For Information and Discussion Only City of Henderson Self-Funded Health Plan monthly financial report for September 2021. Self-Funded Insurance Committee Meeting Page 3 of 6 Wednesday, November 17, 2021 - Agenda 3 HEALTHSCOPE MONTHLY REPORT FINANCE DEPARTMENT For Information and Discussion Only HealthSCOPE Monthly Report for September 2021. 4 GALLAGHER BENEFIT SERVICES QUARTERLY REPORT FINANCE DEPARTMENT For Information and Discussion Only Gallagher Benefit Services quarterly report for 3rd Quarter 2021. 5 RETIREE HEALTH INSURANCE PREMIUM ASSISTANCE OVERVIEW FINANCE DEPARTMENT For Information and Discussion Only Gallagher Benefit Services historical report on the Retiree Health Insurance Premium Assistance program. Self-Funded Insurance Committee Meeting Page 4 of 6 Wednesday, November 17, 2021 - Agenda 6 STOP LOSS COVERAGE FOR PLAN YEAR 2022 FINANCE DEPARTMENT For Possible Action. RECOMMENDATION: Review various options for Stop Loss Insurance coverage for Plan Year 2022, select vendor and deductible level, and direct Committee staff to submit to City Council for approval. Review the summary of Stop Loss Insurance proposals for Plan Year 2022 from Berkshire Hathaway Specialty Insurance (BHSI) and Voya Financial (Voya) from the attached Stop Loss Analysis and Optimization Report and recommend a vendor and deductible level to City Council for approval. It should be noted that both bidders included a laser on one member which impacts the estimated premium and claims exposure line in the Stop Loss Insurance options listed below: Option #1 – Insure at Current Individual Deductible of $525,000.00 BHSI Estimated total annual premium: $496,089.00 BHSI Increase of 9.82% over current year premium BHSI Estimated premium and claims exposure: $696,089.00 Voya Estimated total annual premium: $450,570.00 Voya Decrease of 0.25% over current year premium Voya Estimated premium and claims exposure: $825,570.00 Option #2 – Insure at Individual Deductible of $550,000.00 BHSI Estimated total annual premium: $463,790.00 BHSI Increase of 2.67% over current year premium BHSI Estimated premium and claims exposure: $682,540.00 Voya Estimated total annual premium: $418,837.00 Voya Decrease of 7.28% over current year premium Voya Estimated premium and claims exposure: $812,587.00 Option #3 – Insure at Individual Deductible of $600,000.00 BHSI Estimated total annual premium: $417,923.00 BHSI Decrease of 7.48% over current year premium BHSI Estimated premium and claims exposure: $655,423.00 Voya Estimated total annual premium: $373,676.00 Voya Decrease of 17.28% over current year premium Voya Estimated premium and claims exposure: $786,176.00 Self-Funded Insurance Committee Meeting Page 5 of 6 Wednesday, November 17, 2021 - Agenda Option #4 – Insure at Individual Deductible of $700,000.00 BHSI Estimated total annual premium: $371,826.00 BHSI Decrease of 17.69% over current year premium BHSI Estimated premium and claims exposure: $571,826.00 Voya Estimated total annual premium: $316,342.00 Voya Decrease of 29.97% over current year premium Voya Estimated premium and claims exposure: $691,342.00 Option #5 – Insure at Individual Deductible of $750,000.00 BHSI Estimated total annual premium: $327,720.00 BHSI Decrease of 27.45% over current year premium BHSI Estimated premium and claims exposure: $496,470.00 Voya Estimated total annual premium: $279,946.00 Voya Decrease of 38.03% over current year premium Voya Estimated premium and claims exposure: $598,696.00 7 SELF-FUNDED HEALTH INSURANCE COMMITTEE CHAIRMAN FINANCE DEPARTMENT For Possible Action. RECOMMENDATION: Elect Committee chairman for calendar year 2022. Take nominations and elect the Committee chairman for calendar year 2022. 8 SELF-FUNDED HEALTH INSURANCE COMMITTEE VICE CHAIRMAN FINANCE DEPARTMENT For Possible Action. RECOMMENDATION: Elect Committee vice chairman for calendar year 2022. Take nominations and elect the Committee vice chairman for calendar year 2022. 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. Self-Funded Insurance Committee Meeting Page 6 of 6 Wednesday, November 17, 2021 - Agenda 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 not later than 9:00 a.m. of the third working day before the meeting, at the following locations: City Hall, 240 Water Street, 1st Floor Lobbies www.cityofhenderson.com https://notice.nv.gov

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