JLMBC Special Meeting
AGENDA
INTRODUCTION
(1) Call to Order
(2) Public Comments
ADMINISTRATIVE ITEMS
(3) Minutes: Recommendation to approve minutes of the April 4, 2019 special meeting.
(4) Committee Report 19-24: LAwell Program 2020 Service Provider Renewals and 2020 Plan Adoption – Recommendation that the JLMBC:
A. Annual Service Provider Rate Renewals – Recommend to the General Manager Personnel Department approval of 2020 renewals, and 2021 rate caps or guarantees as applicable, for all LAwell Program benefit service providers:
(1) Kaiser Permanente (Kaiser) for 2020 renewal of the Staff Model Health Maintenance Organization (HMO) plan (1.38% increase)
(2) Anthem Blue Cross (Anthem) for 2020 renewal of the Preferred Provider Option (PPO) (2.78% increase), Narrow Network HMO (2.78% increase), Full Network HMO (2.78% increase), and Vivity HMO (2.78% increase) plans with accompanying 2021 7.0% rate cap for all Anthem plans
(3) Delta Dental (Delta) for 2020 renewal of the LAwell Dental PPO (no premium change), HMO (no premium change), and Preventive (no premium change) plans with accompanying guarantee of no premium increases in 2021 for all Delta plans
(4) EyeMed for 2020 renewal of the LAwell Vision Plan (no premium change) with accompanying guarantee of no premium increase in 2021
(5) The Standard for 2020 renewal of LAwell Life (no premium change), Disability (no premium change), and AD&D (no premium change) plans with accompanying guarantee of no premium increases in 2021-2022 for the Disability plan
(6) Optum for 2020 renewal of the LAwell Support Plus - Employee and Family Assistance Program (EFAP) (no premium change)
(7) WageWorks for 2020 renewal of LAwell Tax-Advantaged Spending Accounts (no premium change)
B. Program Design Changes – Approve recommended program design changes for Plan Year 2020:
(1) Basic Disability Insurance – Increase the monthly basic disability maximum benefit amount by $99 from $3,268 to $3,367.
(2) Healthcare Flexible Spending Accounts (HFSA) – Increase the annual maximum contribution for the HFSA by $50 from $2,650 to $2,700.
C. Projected Benefits Expenditures Plan Year 2020 – Receive and file information regarding projected LAwell Program expenditures for Plan Year 2020.
D. Adoption of 2020 LAwell Plan – Direct the Personnel Department to transmit a report from the JLMBC Chairperson and Vice-Chairperson to the Los Angeles City Council (City Council) for recommended adoption of the 2020 LAwell Plan.
(5) Committee Report 19-25: Wellness Services Administrator (Limeade) Implementation Update – Recommendation that the JLMBC receive and file the LIVEwell Wellness Services Administrator implementation update for May 2019.
(6) Committee Report 19-26: LAwell Program Benefit Service Provider Goals, Metrics, and Data Reporting – Recommendation that the JLMBC receive and file report regarding LAwell Program benefit service provider goals, metrics, and data reporting.
(7) Committee Report 19-27: LIVEwell Program Update – Recommendation that the JLMBC receive and file report regarding LIVEwell Program developments, updates, and activities.
CONCLUDING ITEMS
(8) Request for Future Agenda Items
(9) Next Meeting Date: July 3, 2019
(10) Adjournment
JLMBC Special Meeting
AGENDA
INTRODUCTION
(1) Call to Order
(2) Public Comments
ADMINISTRATIVE ITEMS
(3) Committee Report 19-19: LAwell Program 2020 Service Provider Renewals and Plan Adoption – Recommendation that the JLMBC (a) receive and file report and update regarding LAwell Program 2020 service provider renewals and plan adoption and (b) approve utilizing Delta’s Premium Stabilization Reserve (PSR) credit for the establishment of periodontal maintenance as a preventive benefit and setting the reimbursement level for posterior composite fillings at 80%.
(4) Committee Report 19-20: Ad Hoc Plan Design Subcommittee – Recommendation that the JLMBC establish an Ad Hoc Plan Design Subcommittee directed to work with staff and LAwell Program consultants to (a) assess the current status of the LAwell Program plan and benefit menu design; (b) identify best practices in other comparable employer-sponsored programs; and (c) recommend strategies for design improvements consistent with the staffing and administrative resources available to support the LAwell Program.
(5) Committee Report 19-21: Benefits Third-Party Administrator (TPA) Transition Update – Recommendation that the JLMBC receive and file the final LAwell Program benefits TPA transition update for April 2019.
(6) Committee Report 19-22: Employee Benefits Trust Fund Staffing Reimbursements – First, Second, and Third Quarters Fiscal Year 2018-19 – Recommendation that the JLMBC approve reimbursements from the (a) Employee Benefits Trust Fund for Personnel Department salary costs of staff providing direct administrative support of the LAwell Program in the total amount of $302,885.89 inclusive of the first, second, and third quarters of fiscal year 2018-19; and (b) Employee Benefits Trust Fund/Wellness sub-account for Personnel Department salary costs of staff providing direct administrative support of the LIVEwell Wellness Program in the total amount of $253,354.56 inclusive of the first, second, and third quarters of fiscal year 2018-19.
(7) Committee Report 19-23: Projects & Activities Report – Recommendation that the JLMBC receive and file projects and activities report regarding informational items, project updates, staffing summary, and completed projects/meeting calendar for April 2019.
CONCLUDING ITEMS
(8) Request for Future Agenda Items
(9) Next Meeting Date: May 29, 2019
(10) Adjournment