Self-Funded Insurance Committee

Name: Self-Funded Insurance Committee — Henderson, NV
Start: 2024-10-16T13:00:00
End: 2024-10-16T15:00:00
Location: Henderson, NV

Regular Meeting

Henderson, NV · October 16, 2024

Agenda Packet Minutes

Minutes

CITY OF HENDERSON SELF-FUNDED INSURANCE COMMITTEE MINUTES Wednesday, October 16, 2024 I. CALL TO ORDER Chair Nick McLemore called the City of Henderson Self-Funded Insurance Committee meeting to order at 1:04 p.m., in the Tuscany Conference Room, 3rd Floor, City Hall, 240 South 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 Nevada Open Meeting Law. PRESENT: Chair Nick McLemore JJ Moyes Michael Page Dan Pentkowski Brooke Stream Shawn Thibeault Maria Gamboa ABSENT: Christopher Aguiar (excused) ALTERNATES: Jonathan Ufers Michael Charlton Charles Hedrick Carlos McDade ABSENT: Michael Openshaw (excused) Carol Banks (excused) Michael Goodwin (excused) Rebecca Gillis (excused) Joann Carter (excused) Carol Banks (excused) STAFF: Kristina Gilmore, Asst. City Attorney Kristin Harrell, City Clerk Operations Manager Javier Mendez, Assistant Director of Human Resources Courtney Redsull, Employee Benefits Manager Staci Sheaks, Deputy City Clerk III. PUBLIC COMMENT There were no public comments presented. Self-Funded Insurance Committee Meeting Page 2 of 6 Wednesday, October 16, 2024 – Minutes IV. ACCEPTANCE OF AGENDA (For Possible Action) (Motion) Member Shawn Thibeault introduced a motion to accept the agenda, as presented. (Vote) The vote favoring approval was unanimous. Chair Nick McLemore declared the motion carried. V. NEW BUSINESS 1 MINUTES SELF-FUNDED HEALTH INSURANCE COMMITTEE AUGUST 21, 2024 FINANCE DEPARTMENT (Motion) Member Shawn Thibeault introduced a motion to approve the Self-Funded Health Insurance Committee minutes of August 21, 2024. (Vote) The vote favoring approval was unanimous. Chair Nick McLemore declared the motion carried. 2 MONTHLY FINANCIAL REPORT FINANCE DEPARTMENT Note: This item was heard out of order, immediately following Item 3. Maria Gamboa, Finance Director, reviewed the City of Henderson Self-Funded Health Plan monthly financial report for August 2024, including the Retiree Subsidy and Stop Loss Restricted Cash reports. 3 THIRD PARTY ADMINISTRATOR MONTHLY REPORT FINANCE DEPARTMENT Note: This item was heard out of order, immediately following Item 1. Shawn Adkins, Gallagher Benefit Services, provided a summary of the UMR, Inc. monthly report for August 2024, referring to the backup materials, and highlighted the following:  Summary of Utilization by Claim Type. Self-Funded Insurance Committee Meeting Page 3 of 6 Wednesday, October 16, 2024 – Minutes  Medical Utilization by Claim Category.  Medical Enrollment by Tier and Demographic.  Dental Enrollment by Tier and Demographic.  Demographics Summary.  Customer Care Call Statistics. 4 SELF-FUNDED HEALTH PLAN RETIREE MONTHLY PREMIUM RATES FOR PLAN YEAR 2025 FINANCE DEPARTMENT Courtney Redsull, Employee Benefits Manager, clarified that the retiree rates for Plan Year 2025 that were previously approved by the Committee did not include retiree basic life insurance premiums, which increase the monthly premium rates by $3.30. (Motion) Member Maria Gamboa introduced a motion to implement the revised retiree monthly premium rates for Plan Year 2025, as identified in the staff report, such that retiree basic life insurance premium rates are included in the rates. (Vote) The vote favoring approval was unanimous. Chair Nick McLemore declared the motion carried. 5 PREVENTIVE PROSTATE-SPECIFIC ANTIGEN (PSA) TEST FINANCE DEPARTMENT Courtney Redsull, Employee Benefits Manager, provided an overview of the changes to the status of the Prostate-Specific Antigen (PSA) screening previously recommended by the United States Preventive Services Task Force, stating the PSA screening has been removed from the preventive service guidelines. Ms. Redsull stated staff recommends continuing offering PSA screenings as preventive coverage and there are no anticipated cost increases. (Motion) Member JJ Moyes introduced a motion to continue preventive coverage for the Prostate-Specific Antigen (PSA) screening test. (Vote) The vote favoring approval was unanimous. Chair Nick McLemore declared the motion carried. Self-Funded Insurance Committee Meeting Page 4 of 6 Wednesday, October 16, 2024 – Minutes 6 PLAN DESIGN CHANGE CONSIDERATION - TELADOC DERMATOLOGY SERVICES FINANCE DEPARTMENT Courtney Redsull, Employee Benefits Manager, presented a summary of this request for a plan design change to begin covering Teladoc Dermatology services. A brief discussion ensued regarding benefits of offering Teladoc Dermatology services, potential increased costs and office visits if dermatologists cannot visualize issues virtually, and overall utilization rates of Teladoc services. (Motion) Chair Nick McLemore introduced a motion to implement Teladoc Dermatology services with the standard Specialist office visit co-payment of $25.00. (Vote) The vote favoring approval was unanimous. Chair Nick McLemore declared the motion carried. Chair Nick McLemore clarified his motion included an effective date of January 1, 2025. 7 FREQUENCY OF PRESENTATION OF REQUESTS FOR PLAN DESIGN CHANGE FINANCE DEPARTMENT Courtney Redsull, Employee Benefits Manager, elicited feedback from the Committee on the frequency of staff presentation to the Committee of requests for plan design change. Kristina Gilmore, Assistant City Attorney, clarified this item is for information and discussion only. A discussion ensued regarding the frequency of staff presentation of requests for plan design change, with feedback supporting guidelines for an annual consolidation of requests, with exceptions for emergent issues. Self-Funded Insurance Committee Meeting Page 5 of 6 Wednesday, October 16, 2024 – Minutes 8 STOP LOSS COVERAGE FOR PLAN YEAR 2025 FINANCE DEPARTMENT Shawn Adkins, Gallagher Benefit Services, provided a summary of the current Stop Loss Deductible Plan and presented the Stop Loss Renewal Proposal Options from Berkshire Hathaway Specialty Insurance (BHSI) for Plan Year 2025. Mr. Adkins stated Gallagher Benefit Services recommends implementing the renewal proposal for the current individual deductible of $525,000.00. Responding to a question by Member Shawn Thibeault, Mr. Adkins clarified none of the options increase costs to plan members. (Motion) Member Dan Pentkowski introduced a motion to implement Option #1 to Insure at Current Individual Deductible of $525,000 under the BHSI Renewal Proposal with a Single Rate of $14.56 per employee per month, a Family Rate of $51.60 per employee per month, for an estimated total annual premium of $791,800.00; an increase of 4.81% over the current year premium. (Vote) The vote favoring approval was unanimous. Chair Nick McLemore declared the motion carried. 9 SELF-FUNDED HEALTH INSURANCE COMMITTEE CHAIRMAN FOR CALENDAR YEAR 2025 FINANCE DEPARTMENT (Motion) Member Brooke Stream introduced a motion to nominate Member Dan Pentkowski as Chair. (Vote) The vote favoring approval was unanimous. Chair Nick McLemore declared the motion carried. 10 SELF-FUNDED HEALTH INSURANCE COMMITTEE VICE CHAIRMAN FOR CALENDAR YEAR 2025 FINANCE DEPARTMENT (Motion) Member Brooke Stream introduced a motion to nominate Member Nick McLemore as Vice-Chair. Self-Funded Insurance Committee Meeting Page 6 of 6 Wednesday, October 16, 2024 – Minutes (Vote) The vote favoring approval was unanimous. Chair Nick McLemore declared the motion carried. VI. CHAIRMAN\MEMBER COMMENTS Shawn Adkins, Gallagher Benefit Services, provided an overview of the final regulations from the Department of Health and Human Services, Department of Labor, and Department of Treasury for the mental health parity testing, stating documentation requirements for qualitative and non-qualitative testing are unclear. Mr. Adkins requested this item be added to the next agenda. Courtney Redsull, Employee Benefits Manager, introduced new Alternate Member Jonathan Ufers. Ms. Redsull also congratulated Member Brooke Stream on her upcoming retirement, and welcomed Javier Mendez, who will be joining the Committee in her stead. Member Brooke Stream thanked the Committee and stated she learned a lot during her time serving. VII. SET NEXT MEETING The next meeting was tentatively set for Wednesday, December 18, 2024. VIII. PUBLIC COMMENT There were no public comments presented. IX. ADJOURNMENT There being no further business to come before the Committee, Chair Nick McLemore adjourned the meeting at 1:58 p.m. Respectfully Submitted, /s/ Staci Sheaks Staci Sheaks Deputy City Clerk

Agenda

CITY OF HENDERSON SELF-FUNDED INSURANCE COMMITTEE AGENDA Wednesday, October 16, 2024 Tuscany Conference Room 1:00 PM 240 South Water Street – 3rd Floor Meeting Inquiries: (702) 267-1906 Henderson, Nevada 89015 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. I. CALL TO ORDER II. CONFIRMATION OF POSTING AND ROLL CALL Self-Funded Insurance Committee Meeting Page 2 of 5 Wednesday, October 16, 2024 - Agenda 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 AUGUST 21, 2024 FINANCE DEPARTMENT For Possible Action. RECOMMENDATION: Approve Self-Funded Health Insurance Committee minutes of August 21, 2024. 2 MONTHLY FINANCIAL REPORT FINANCE DEPARTMENT For Information and Discussion Only. City of Henderson Self-Funded Health Plan monthly financial report for August 2024. Self-Funded Insurance Committee Meeting Page 3 of 5 Wednesday, October 16, 2024 - Agenda 3 THIRD PARTY ADMINISTRATOR MONTHLY REPORT FINANCE DEPARTMENT For Information and Discussion Only. UMR, Inc. monthly report for August 2024. 4 SELF-FUNDED HEALTH PLAN RETIREE MONTHLY PREMIUM RATES FOR PLAN YEAR 2025 FINANCE DEPARTMENT For Possible Action. RECOMMENDATION: Direct staff to implement the revised retiree monthly premium rates for Plan Year 2025 as identified in the staff report such that retiree basic life insurance premium rates are included in the rates. Retiree rates for Plan Year 2025 that were previously approved by the Committee did not include retiree basic life insurance premiums. Approve the revised retiree monthly premium rates in Plan Year 2025 as presented in the staff report. 5 PREVENTIVE PROSTATE-SPECIFIC ANTIGEN (PSA) TEST FINANCE DEPARTMENT For Possible Action. RECOMMENDATION: Direct staff to continue preventive coverage for the Prostate-Specific Antigen (PSA) screening test as identified in the staff report. Discuss changes to the status of the Prostate-Specific Antigen (PSA) screening previously recommended by the United States Preventive Services Task Force. 6 PLAN DESIGN CHANGE CONSIDERATION - TELADOC DERMATOLOGY SERVICES FINANCE DEPARTMENT For Possible Action. RECOMMENDATION: Direct staff to implement the option from the staff report on Teladoc Dermatology Services that the Committee selects. Consider request for plan design change to begin covering Teladoc Dermatology services. Self-Funded Insurance Committee Meeting Page 4 of 5 Wednesday, October 16, 2024 - Agenda 7 FREQUENCY OF PRESENTATION OF REQUESTS FOR PLAN DESIGN CHANGE FINANCE DEPARTMENT For Information and Discussion Only. Discuss frequency of staff presentation to Committee of requests for plan design change. 8 STOP LOSS COVERAGE FOR PLAN YEAR 2025 FINANCE DEPARTMENT For Possible Action. RECOMMENDATION: Direct staff to implement the Stop Loss Renewal option for Plan Year 2025 from the staff report that Committee selects. Review and consider Stop Loss Renewal Proposal Options from Berkshire Hathaway Specialty Insurance (BHSI) for Plan Year 2025. 9 SELF-FUNDED HEALTH INSURANCE COMMITTEE CHAIRMAN FOR CALENDAR YEAR 2025 FINANCE DEPARTMENT For Possible Action. RECOMMENDATION: Elect Committee chairman for Calendar Year 2025. Take nominations and elect the Committee chairman for Calendar Year 2025. 10 SELF-FUNDED HEALTH INSURANCE COMMITTEE VICE CHAIRMAN FOR CALENDAR YEAR 2025 FINANCE DEPARTMENT For Possible Action. RECOMMENDATION: Elect Committee vice chairman for Calendar Year 2025. Take nominations and elect the Committee vice chairman for Calendar Year 2025. Self-Funded Insurance Committee Meeting Page 5 of 5 Wednesday, October 16, 2024 - 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 not later than 9:00 a.m. of the third working day before the meeting, at the following locations: City Hall, 240 South Water Street www.cityofhenderson.com https://notice.nv.gov

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