Self-Funded Insurance Committee
Regular MeetingHenderson, NV · October 15, 2025
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.
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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.
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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.
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(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.
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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.
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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.
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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.
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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.
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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.
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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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