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Self-Funded Insurance Committee

Regular Meeting

Henderson, NV · October 15, 2025

AgendaPacketMinutes

Minutes

CITY OF HENDERSON SELF-FUNDED INSURANCE COMMITTEE MINUTES Wednesday, October 15, 2025 I. CALL TO ORDER Chair Dan Pentkowski called the City of Henderson Self-Funded Insurance Committee meeting to order at 1:01 p.m., in the Green Valley Training Room, 2nd 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 Dan Pentkowski Maria Gamboa Michael Goodwin (arrived at 1:30 p.m.) Nick McLemore Javier Mendez JJ Moyes (left at 1:50 p.m.) Michael Page ABSENT: Christopher Aguiar (excused) ALTERNATES: Carol Banks Rebecca Gillis Charles Hedrick ABSENT: Jeff Melchert (excused) Daniel Nerbonne (excused) Jonathan Ufers (excused) STAFF: Bre Beaumier, Employee Benefits Specialist Nancy Heffernan, City Clerk Services Specialist Kristina Gilmore, Asst. City Attorney Jennifer Gluyas, Employee Benefits Specialist London Porter, Assistant Director of Human Resources Courtney Redsull, Employee Benefits Manager Michelle Reese, Deputy City Clerk III. PUBLIC COMMENT There were no public comments presented. Self-Funded Insurance Committee Meeting Page 2 of 7 Wednesday, October 15, 2025 – Minutes IV. ACCEPTANCE OF AGENDA (For Possible Action) Courtney Redsull, Employee Benefits Manager, noted the following changes to the agenda: Item 6 will be heard out of order immediately prior to Item 1, at the request of staff. (Motion) Member JJ Moyes Aguiar introduced a motion to accept the agenda, as amended. (Vote) The vote favoring approval was: Those voting aye: Chair Dan Pentkowski, Maria Gamboa, Nick McLemore, Michael Page, Javier Mendez, JJ Moyes, Charles Hedrick. Those voting nay: (None). Those absent: Christopher Aguiar, Michael Goodwin. Chair Dan Pentkowski declared the motion carried. V. NEW BUSINESS 1 MINUTES SELF-FUNDED HEALTH INSURANCE COMMITTEE AUGUST 20, 2025 HUMAN RESOURCES DEPARTMENT Self-Funded Health Insurance Committee minutes of August 20, 2025. (Motion) Member JJ Moyes introduced a motion to approve the Self-Funded Health Insurance Committee minutes of August 20, 2025. (Vote) The vote favoring approval was: Those voting aye: Chair Dan Pentkowski, Maria Gamboa, Nick McLemore, Michael Page, Javier Mendez, JJ Moyes, Charles Hedrick. Those voting nay: (None). Those absent: Christopher Aguiar, Michael Goodwin. Chair Dan Pentkowski declared the motion carried. Self-Funded Insurance Committee Meeting Page 3 of 7 Wednesday, October 15, 2025 – Minutes 2 MONTHLY FINANCIAL REPORT HUMAN RESOURCES DEPARTMENT Rebecca Gillis reviewed the City of Henderson Self-Funded Health Plan monthly financial report for August 2025. 3 THIRD PARTY ADMINISTRATOR MONTHLY REPORT HUMAN RESOURCES DEPARTMENT Shawn Adkins, Gallagher Benefit Services, provided a summary of the UMR, Inc. monthly report for August 2025, referring to the backup materials, and highlighted the following:  Dashboard & Leading Indicators  Enrollment & Claims Summary  Claims Summary - Payment Breakout  High-Cost Claimants - Summary & Top 20  Key Indicators  Network Utilization & Performance A brief discussion ensued regarding the loss of Dispatch Health services. 4 BEHAVIORAL HEALTHCARE OPTIONS QUARTERLY REPORT HUMAN RESOURCES DEPARTMENT Behavioral Healthcare Options quarterly report for 2nd Quarter 2025. Note: This item was withdrawn due to absence of Behavioral Healthcare Options staff. 5 STOP LOSS COVERAGE FOR PLAN YEAR 2026 HUMAN RESOURCES DEPARTMENT Shawn Adkins, Gallagher Benefit Services, reviewed the Stop Loss Renewal Proposal Options from Berkshire Hathaway Specialty Insurance (BHSI) for Plan Year 2026. A brief discussion ensued regarding the different options in the staff report with a review of the potential financial risks versus benefits. Mr. Adkins spoke regarding presence of stop-loss lasers and disclosures. Self-Funded Insurance Committee Meeting Page 4 of 7 Wednesday, October 15, 2025 – Minutes (Motion) Member Maria Gamboa introduced a motion to implement Option #1 from the staff report to ensure the current individual deductible of $525,000.00 under Renewal Proposal, effective January 1, 2026, as follows:  Single rate: $15.78 per employee per month.  Family rate: $55.24 per employee per month.  Composite rate: $40.11 per employee per month.  Estimated total annual premium: $875,072.  Estimated increase of 7.25% over current year’s premium. (Vote) The vote favoring approval was: Those voting aye: Chair Dan Pentkowski, Maria Gamboa, Michael Goodwin, Nick McLemore, Michael Page, Javier Mendez, JJ Moyes, Charles Hedrick. Those voting nay: (None). Those absent: Christopher Aguiar. Chair Dan Pentkowski declared the motion carried. 6 SELF-FUNDED HEALTH INSURANCE COMMITTEE BYLAWS HUMAN RESOURCES DEPARTMENT This item was heard out of order, immediately prior to Item 1. Courtney Redsull, Employee Benefits Manager, provided an overview of the item and reviewed the proposed changes in the Self-Funded Health Insurance Committee Bylaws. (Motion) Member Maria Gamboa introduced a motion to approve the amended Self-Funded Health Insurance Committee Bylaws, effective October 15, 2025. (Vote) The vote favoring approval was: Those voting aye: Chair Dan Pentkowski, Maria Gamboa, Nick McLemore, Michael Page, Javier Mendez, JJ Moyes, Charles Hedrick. Those voting nay: (None). Those absent: Christopher Aguiar. Chair Dan Pentkowski declared the motion carried. Self-Funded Insurance Committee Meeting Page 5 of 7 Wednesday, October 15, 2025 – Minutes 7 PLAN DESIGN CHANGE CONSIDERATION - COVERAGE FOR WEGOVY FOR TREATMENT OF METABOLIC DYSFUNCTION-ASSOCIATED STEATOHEPATITIS (MASH) HUMAN RESOURCES DEPARTMENT Courtney Redsull, Employee Benefits Manager, provided an overview of the request for plan design change to begin covering Wegovy for treatment of metabolic dysfunction-associated steatohepatitis (MASH). Ms. Redsull read a patient statement letter provided in the backup. A discussion ensued regarding the pricing of specific medications, medication availability to patients, and pricing comparison for insured versus cash patients. Shawn Adkins, Gallagher Benefit Services, clarified which diagnosis would be required to qualify for medication coverage and spoke regarding FDA approvals for medication options used in treatment of MASH. (Motion) Member Michael Goodwin introduced a motion to approve coverage for Wegovy for treatment of Metabolic Dysfunction Associated Steatohepatitis (MASH) liver disease at an estimated annual cost to the health plan of approximately $16,000.00 annually per patient; and approve coverage for Zepbound as well should it eventually be approved by the FDA for treatment of MASH, effective November 1, 2025. (Vote) The vote favoring approval was: Those voting aye: Chair Dan Pentkowski, Maria Gamboa, Michael Goodwin, Michael Page, Charles Hedrick. Those voting nay: Nick McLemore, Javier Mendez. Those absent: Christopher Aguiar and JJ Moyes. Chair Dan Pentkowski declared the motion carried. 8 ELIGIBILITY FOR RETIREE DEPENDENT COVERAGE - TOTALLY DISABLED DEPENDENT CHILDREN OVER AGE 26 HUMAN RESOURCES DEPARTMENT Courtney Redsull, Employee Benefits Manager, provided an overview of the current eligibility of totally disabled adult children over age 26 that are dependents of City Self-Funded Retirees that are turning 65 and no longer eligible for coverage through the City Self-Funded Health Plan. A brief discussion ensued regarding different coverage scenarios and continuity of coverage. It was the consensus of the Committee to take no action at this time and to revisit this item on a future agenda. Self-Funded Insurance Committee Meeting Page 6 of 7 Wednesday, October 15, 2025 – Minutes 9 CONSUMER DRIVEN HEALTH PLAN DESIGN HUMAN RESOURCES DEPARTMENT Courtney Redsull, Employee Benefits Manager, provided an introduction of this item and noted a scrivener’s error where it should read “Family” instead of “Individual” for the second grouping of coverage prices. She provided an overview of the upcoming changes to the design of plan Deductibles and Out- of-Pocket Maximums on the Consumer Driven Health Plan for Plan Year 2026 to remain in compliance with IRS minimum deductibles in Calendar 2026. Changes are as follows: Consumer Driven Health Plan - Individual Coverage 2026 Deductible: $1,700 (increasing from $1,650) 2026 Out-of-Pocket Maximum: $3,400 (increasing from $3,300) Consumer Driven Health Plan - Family Coverage 2026 Deductible: $3,400 (increasing from $3,300) 2026 Out-of-Pocket Maximum: $6,800 (increasing from $6,600) 10 SELF-FUNDED HEALTH INSURANCE COMMITTEE CHAIRMAN FOR CALENDAR YEAR 2026 HUMAN RESOURCES DEPARTMENT Courtney Redsull, Employee Benefits Manager, provided an introduction of this item. (Motion) Member Dan Pentkowski introduced a motion to elect Nick McLemore as Committee Chairman for Calendar Year 2026. (Vote) The vote favoring approval was: Those voting aye: Chair Dan Pentkowski, Maria Gamboa, Michael Goodwin, Nick McLemore, Michael Page, Javier Mendez, Charles Hedrick. Those voting nay: (None). Those absent: Christopher Aguiar, and JJ Moyes. Chair Dan Pentkowski declared the motion carried. 11 SELF-FUNDED HEALTH INSURANCE COMMITTEE VICE CHAIRMAN FOR CALENDAR YEAR 2026 HUMAN RESOURCES DEPARTMENT Courtney Redsull, Employee Benefits Manager, provided an introduction of this item. Self-Funded Insurance Committee Meeting Page 7 of 7 Wednesday, October 15, 2025 – Minutes Member Michael Goodwin expressed an interest in serving as the Vice Chairman. (Motion) Member Dan Pentkowski introduced a motion to elect the Michael Goodwin as Committee Vice Chairman for Calendar Year 2026. (Vote) The vote favoring approval was: Those voting aye: Chair Dan Pentkowski, Maria Gamboa, Michael Goodwin, Nick McLemore, Michael Page, Javier Mendez, Charles Hedrick. Those voting nay: (None). Those absent: Christopher Aguiar and JJ Moyes. Chair Dan Pentkowski declared the motion carried. VI. CHAIRMAN\MEMBER COMMENTS Chari Dan Pentkowski spoke regarding his time serving on the Committee and the importance of the work and expressed his gratitude to the Committee members and staff. Courtney Redsull, Employee Benefits Manager, thanked Mr. Pentkowski for his service to the Committee. VII. SET NEXT MEETING The next meeting was set for Wednesday, January 21, 2025, at 1:00 p.m. VIII. PUBLIC COMMENT Shawn Adkins thanked Dan Pentkowski for his service to the Committee. IX. ADJOURNMENT There being no further business to come before the Committee, Chair Dan Pentkowski adjourned the meeting at 2:32 p.m. Respectfully Submitted, /s/ Michelle Reese Michelle Reese Deputy City Clerk

Agenda

CITY OF HENDERSON SELF-FUNDED INSURANCE COMMITTEE AGENDA Wednesday, October 15, 2025 Green Valley Training Room 1:00 PM 240 South Water Street, 2nd 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 6 Wednesday, October 15, 2025 - 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 20, 2025 HUMAN RESOURCES DEPARTMENT For Possible Action. RECOMMENDATION: Approve Self-Funded Health Insurance Committee minutes of August 20, 2025. 2 MONTHLY FINANCIAL REPORT HUMAN RESOURCES DEPARTMENT For Information and Discussion Only. City of Henderson Self-Funded Health Plan monthly financial report for August 2025. Self-Funded Insurance Committee Meeting Page 3 of 6 Wednesday, October 15, 2025 - Agenda 3 THIRD PARTY ADMINISTRATOR MONTHLY REPORT HUMAN RESOURCES DEPARTMENT For Information and Discussion Only. UMR, Inc. monthly report for August 2025. 4 BEHAVIORAL HEALTHCARE OPTIONS QUARTERLY REPORT HUMAN RESOURCES DEPARTMENT For Information and Discussion Only. Behavioral Healthcare Options quarterly report for 2nd Quarter 2025. 5 STOP LOSS COVERAGE FOR PLAN YEAR 2026 HUMAN RESOURCES DEPARTMENT For Possible Action. RECOMMENDATION: Direct staff to implement the Stop Loss Renewal option for Plan Year 2026 from the staff report that Committee selects. Review and consider Stop Loss Renewal Proposal Options from Berkshire Hathaway Specialty Insurance (BHSI) for Plan Year 2026. 6 SELF-FUNDED HEALTH INSURANCE COMMITTEE BYLAWS HUMAN RESOURCES DEPARTMENT For Possible Action. RECOMMENDATION: Approve the amended Self-Funded Health Insurance Committee Bylaws, effective October 15, 2025. Review and approve draft changes to the Self-Funded Health Insurance Committee Bylaws. Self-Funded Insurance Committee Meeting Page 4 of 6 Wednesday, October 15, 2025 - Agenda 7 PLAN DESIGN CHANGE CONSIDERATION - COVERAGE FOR WEGOVY FOR TREATMENT OF METABOLIC DYSFUNCTION-ASSOCIATED STEATOHEPATITIS (MASH) HUMAN RESOURCES DEPARTMENT For Possible Action. RECOMMENDATION: Direct staff to implement the option the Committee selects from among those presented in the staff report. Discuss request for plan design change to begin covering Wegovy for treatment of metabolic dysfunction-associated steatohepatitis (MASH). 8 ELIGIBILITY FOR RETIREE DEPENDENT COVERAGE - TOTALLY DISABLED DEPENDENT CHILDREN OVER AGE 26 HUMAN RESOURCES DEPARTMENT For Possible Action. RECOMMENDATION: Direct staff to update the Summary Plan Description to document that it is Committee's intent that totally disabled adult children over age 26 are no longer eligible for coverage through the City Self-Funded Health Plan when the associated Retiree subscriber turns 65 and / or is no longer eligible for coverage through the City Self-Funded Health Plan. Discuss Committee's intent relative to continued eligibility of totally disabled adult children over age 26 that are dependents of City Self-Funded Retirees that are turning 65 and no longer eligible for coverage through the City Self-Funded Health Plan. The Summary Plan Description is silent on this matter of continued eligibility. Self-Funded Insurance Committee Meeting Page 5 of 6 Wednesday, October 15, 2025 - Agenda 9 CONSUMER DRIVEN HEALTH PLAN DESIGN HUMAN RESOURCES DEPARTMENT For Information and Discussion Only. Discuss upcoming changes to the design of plan Deductibles and Out-of-Pocket Maximums on the Consumer Driven Health Plan for Plan Year 2026 to remain in compliance with IRS minimum deductibles in Calendar 2026. Changes are as follows: Consumer Driven Health Plan - Individual Coverage 2026 Deductible: $1,700 (increasing from $1,650) 2026 Out-of-Pocket Maximum: $3,400 (increasing from $3,300) Consumer Driven Health Plan - Individual Coverage 2026 Deductible: $3,400 (increasing from $3,300) 2026 Out-of-Pocket Maximum: $6,800 (increasing from $6,600) 10 SELF-FUNDED HEALTH INSURANCE COMMITTEE CHAIRMAN FOR CALENDAR YEAR 2026 HUMAN RESOURCES DEPARTMENT For Possible Action. RECOMMENDATION: Elect Committee chairman for Calendar Year 2026. Take nominations and elect the Committee chairman for Calendar Year 2026 from among the Non-Represented committee members. 11 SELF-FUNDED HEALTH INSURANCE COMMITTEE VICE CHAIRMAN FOR CALENDAR YEAR 2026 HUMAN RESOURCES DEPARTMENT For Possible Action. RECOMMENDATION: Elect Committee vice chairman for Calendar Year 2026. Take nominations and elect the Committee vice chairman for Calendar Year 2026 from among the union committee members. Self-Funded Insurance Committee Meeting Page 6 of 6 Wednesday, October 15, 2025 - 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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