To: Board of Supervisors
From: Human Resources Choose an item.
Meeting Date: March 27, 2018
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Department Contact: |
Heidi Dunham |
Phone: |
234-6600 |
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Department Contact: |
Jason Claunch |
Phone: |
234-6600 |
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Item Type: Consent Agenda |
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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 amendment to the County to begin the County approval process. Due to the actual date of receipt, the amendment approval is requested as retroactive. The letter referenced above is attached to the amendment as Exhibit A.
Anthem is working towards a fully automated system that will eventually provide these amendments in a more timely fashion but at this time the County is dependent on Anthem to provide the document as soon as possible. Historically , documents have arrived near the end of the first quarter of the year.
Alternative Action/Motion:
Return to Human Resources with further direction
Supplemental Information Available Online at: N/A
Fiscal Impact:
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Source of Funding: 0715 862189 |
Budgeted in Current F/Y: Yes |
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Current F/Y Cost: $243,187 |
Annual Recurring Cost: estimated $255,346 |
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Supervisorial District: All |
Vote Requirement: Majority |
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Agreement/Resolution/Ordinance Approved by County Counsel: Yes
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CEO Liaison: Janelle Rau, Deputy CEO |
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CEO Review: Yes |
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CEO Comments:
FOR COB USE ONLY
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Executed By: Karla Van Hagen |
Final Status:Approved |
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Date: March 28, 2018 |
Executed Item No.: Agreement Number: 18-027 |
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Executed Documents Returned to Department: Originals 2 Hand Delivered Executed Agreement Sent to Auditor? Yes |
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