TO: Board of Supervisors
FROM: Human Resources Choose an item.
MEETING DATE: March 27, 2018
DEPARTMENT CONTACT:
Heidi Dunham
PHONE:
234-6600
DEPARTMENT CONTACT:
Jason Claunch
PHONE:
234-6600
ITEM TYPE: Consent Agenda
TIME ALLOCATED FOR ITEM: N/A
AGENDA TITLE:
title
Approval of Retroactive Amendment to Human Resources Agreement Number H14-002 with Anthem Blue Cross JJA PPO Network, Revising and Replacing Schedule A of the Client Joinder Agreement Effective January 1, 2018
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RECOMMENDED ACTION/MOTION:
recommendation
Approve retroactive Amendment to Human Resources Agreement Number H14-002, with Anthem Blue Cross JAA PPO Network, revising and replacing schedule A of the Client Joinder Agreement effective January 1, 2018; and authorize Chair to sign same.
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PREVIOUS BOARD/BOARD COMMITTEE ACTIONS:
N/A
SUMMARY OF REQUEST:
The County's Self-Funded Health Plan entered into the Client Joinder Agreement with Anthem effective April 1, 2013. The agreement is amended annually to revise base administrative fees and effective dates but can also include other services and fees. The revised administrative fee effective January 1, 2018 is not to exceed $19.95 Per Subscriber Per Month (PSPM) for an estimated amount of $255,346 in Calendar year 2018. The agreement with Anthem is required because it gives subscribers of the health plan access to a wide panel of Anthem network providers at rates that have been negotiated to significantly reduce the costs to the plan and to the subscriber's out of pocket amounts.
In a letter dated December 5, 2017, the Mendocino County CEO and the Board of Supervisors were notified by Peter McNamara of Keenan and Associates, consultants to the Health Plan, of the process by which Anthem Blue Cross produces the actual amendment document. Within the first three months of the new calendar year Anthem provides the amendment to the plan administrators, Delta Health Systems (DHS). DHS then forwards the amendmen...
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