AGENDA

Agenda

INTRODUCTION

(1) Call to Order
(2) Public Comments

ADMINISTRATIVE ITEMS

(3) Committee Report 16-19: Flex Benefits Program Provider Sections, Rate Renewals, and Benefit Design for Plan Year 2017 – Recommendation that the JLMBC recommend to the General Manager Personnel Department that:

A. Provider Selections

(1) Kaiser Permanente be selected as the provider of the Staff Model HMO option for a three-year contract beginning January 1, 2017, through December 31, 2019, providing however that the Personnel Department further negotiate with Kaiser as part of contract development expanded commitments in the areas of Wellness and onsite member advocacy resources.

(2) Anthem Blue Cross be selected as the provider of the Flex Program’s PPO, HMO Full Network, and HMO Narrow Network plans, as well as an alternate regional network plan (“Vivity”) to be added as an additional option for Flex members, for a three-year contract beginning January 1, 2017, through December 31, 2019.

(3) EyeMed be selected as the provider for a stand-alone vision option for Flex members for a three-year contract beginning January 1, 2017, through December 31, 2019.

B. Annual Service Provider Rate Renewals

(1)  Standard Insurance for the Flex Program’s Life, Disability & AD&D insurance plans for a 0% rate increase for Plan Year 2017.

(2)  WageWorks for the Flex Program’s tax-advantaged savings accounts third party administration for a 0% rate increase for Plan Year 2017.

(3)  Managed Health Network for the Flex Program’s Employee Assistance Program services for a 0% rate increase for Plan Year 2017.

C. Plan Design

(1)  Dental - Adjust the benefit levels for the Dental PPO Plan to include a Diagnostic & Preventive Waiver; equalize the In/Out of Network Annual Maximum at $1,500; and increase the Reasonable & Customary out-of-network reimbursement from the 51st to the 90th percentile.

(2)  Vision – Establish a stand-alone vision plan for Flex members as a base benefit and administer on a composite rate basis at the benefit levels as identified in the staff report/attachments.

(3)  Disability - Increase the monthly disability earnings cap for 2017 to $3,166 per month.

CONCLUDING ITEMS

(4) Request for Future Agenda Items 

(5) Next Meeting Date: July 7, 2016 

(6) Adjournment

CANCELED