Self-Funded Insurance Committee
Regular MeetingHenderson, NV · November 17, 2021
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
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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.
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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.
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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.
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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
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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.
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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.
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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.
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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.
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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
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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.
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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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