TO: Board of Supervisors
FROM: Executive Office
MEETING DATE: July 13, 2021
DEPARTMENT CONTACT:
Cherie Johnson
PHONE:
463-4441
DEPARTMENT CONTACT:
Emma Saucedo
PHONE:
463-4441
ITEM TYPE: Consent Agenda
TIME ALLOCATED FOR ITEM: N/A
AGENDA TITLE:
title
Approval of Retroactive Agreement with Anthem Blue Cross Life and Health Insurance Company in the Amount of $1,298,953 for Third Party Medical Claims and Flexible Spending Administration and to Continue to Lease the Blue Cross Preferred Provider Organization (PPO) Network of Providers for Discounted Claim Costs for the County's Self-Funded Health Plan for a Three Year Term, Effective January 1, 2021 Through December 31, 2023
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RECOMMENDED ACTION/MOTION:
recommendation
Approve retroactive Agreement with Anthem Blue Cross Life and Health Insurance Company in the Amount of $1,298,953 for third party medical claims and flexible spending administration and to continue to lease the Blue Cross Preferred Provider Organization (PPO) Network of Providers for discounted claim costs for the County's self-funded health plan for a three year term, effective January 1, 2021 through December 31, 2023, authorize the Assistant Chief Executive Officer to approve future amendments that may increase the annual Agreement amount only due to enrollment numbers but do not exceed the Per Employee Per Month (PEPM) rates that have been proposed and guaranteed, for a period not to exceed five (5) years or when the next full market evaluation is performed; whichever comes sooner; and authorize Chair to sign same.
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PREVIOUS BOARD/BOARD COMMITTEE ACTIONS:
On January 26, 2021 the Board approved Agreement No. 21-013 with Delta Health Systems to process run out claims incurred through December 31, 2020.
SUMMARY OF REQUEST:
In the fall of 2020 Keenan & Associates, consultants to the County's Self-Funded Health Plan, performed a Request for Proposal (RFP) for third party claims administration of the plan's empl...
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