To: BOARD OF SUPERVISORS
From: Human Resources
Meeting Date: October 6, 2026
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Department Contact: |
Cherie Johnson |
Phone: |
707-234-6600 |
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Item Type: Regular Agenda |
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Time Allocated for Item: N/A |
Agenda Title:
title
Approval of Second Amendment to BOS Agreement No. 22-249 with Public Risk Innovation Solutions and Management (PRISM) in the Amount of $0 for the County’s Continuing Participation in the PRISMHealth Program for Employee Health Benefits
Vote Requirement: Majority
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Recommended Action/Motion:
Approve second amendment to BOS Agreement No. 22-249 with Public Risk Innovation Solutions and Management (PRISM) in the amount of $0 for the County’s continuing participation in the PRISMHealth program for employee health benefits; and authorize Chair to sign same.
recommendation
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Previous Board/Board Committee Actions:
On October 4, 2022, the Board approved Agreement 22-249. On August 21, 2023, the Board approved the First Amendment 22-249-A1.
Summary of Request:
Approve Agreement (Second Amendment to Agreement No. BOS 22-249) with Public Risk Innovation Solutions and Management (PRISM) for the County’s continuing participation in the PRISMHealth program for employee health benefits, including the PRISMHealth Memorandum of Understanding (MOU).
On March 26, 2026, the PRISMHealth Committee approved amendments to the PRISMHealth Program Memorandum of Understanding (MOU). The Second Amendment updates the County’s agreement to incorporate the revised MOU.
The amendment reflects PRISMHealth’s transition to an independently administered, self-funded health program and clarifies existing governance, administrative practices, and operational procedures related to premium administration, financial accountability, program funding, eligibility administration, claims administration, coverage documents, and other general administrative updates
The amendment replaces Attachment 1-A of the existing agreement with the updated Attachment 1-B, PRISMHealth MOU, amended March 26, 2026. There are no other changes to the existing agreement, and all other terms and conditions of Agreement No. BOS 22-249 remain in full force and effect.
Alternative Action/Motion:
Return to staff with further direction.
Strategic Plan Priority Designation: A Safe and Healthy County
Supervisorial District: All
Supplemental Information Available Online At: N/A
Fiscal Details:
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source of funding: 0715 |
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current f/y cost: $20,909,562 (est.) |
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budget clarification: The employee benefits plan is a calendar year plan, budgeted over two fiscal years. The estimated f/y cost includes administration of the plan and employee salary and benefits. |
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annual recurring cost: $20,909,562 (est.) |
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budgeted in current f/y (if no, please describe): Yes |
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revenue agreement: No |
AGREEMENT/RESOLUTION/ORDINANCE APPROVED BY COUNTY COUNSEL: Yes
CEO Liaison: Sara Pierce, Interim CEO
CEO Review: Yes
CEO Comments:
FOR COB USE ONLY
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Executed By: Deputy Clerk |
Final Status: Item Status |
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Date: Date Executed |
Executed Item Type: item |
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Number: |
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