JLMBC Special Meeting
AGENDA
INTRODUCTION
(1) Call to Order
(2) Public Comments
ADMINISTRATIVE ITEMS
(3) Minutes – Recommendation to approve minutes of the October 6, 2016 special meeting.
(4) Committee Report 16-33: Open Enrollment Implementation Update for Plan Year 2017 – Recommendation to receive and file information regarding implementation of the October 2016 Open Enrollment for Plan Year 2017.
(5) Committee Report 16-34: Employee Benefits Trust Fund – Recommendation to (a) approve proposed modifications to Los Angeles Administrative Code, Chapter 95 (Chapter 95) regarding the establishment and operation of the Internal Revenue Code Section 501(c)(9) Employee Benefits Trust Fund to, among other things, clarify the nature of the fund and the authority to provide benefit overpayment refunds to City employees, and request that the Personnel Department proceed with a report to City Council from the JLMBC with a recommendation to enact the changes by requesting the City Attorney to prepare and transmit the necessary ordinance; and (b) receive and file an update regarding the status of an external audit review.
(6) Committee Report 16-35: LIVEwell Wellness Program Review & Updates – Recommendation to (a) receive and file report regarding development of the LIVEwell Wellness Program, including a tentative five-year budget plan; and (b) request that Personnel Department staff, working with the Wellness Subcommittee, develop a Request for Proposal for LIVEwell Wellness support services including Third-Party-Administrator, Consulting, and Data Management.
(7) Committee Report 16-36: Staff Report – Recommendation to receive and file report providing a projects update, meeting calendar and staffing summary.
(8) Committee Report 16-37: JLMBC Officer Elections – Recommendation to select the 2017 Chairperson and Vice-Chairperson of the Joint Labor-Management Benefits Committee.
CONCLUDING ITEMS
(9) Request for Future Agenda Items
(10) Next Meeting Date: January 5, 2017
(11) Adjournment
JLMBC Special Meeting
AGENDA
INTRODUCTION
(1) Call to Order
ADMINISTRATIVE ITEMS
(2) Subcommittee Report 16-01: LIVEwell Wellness Program Development – Recommendation to (1) receive and file the information contained in the staff report regarding development of the LIVEwell Wellness Program; (2) approve for forwarding to the JLMBC a tentative proposed five-year budget plan for the LIVEwell program; and (c) provide further direction to staff regarding development of a Request for Proposal for LIVEwell Wellness support services including Third-Party-Administrator, Consulting, and Data Management services.
CONCLUDING ITEMS
(3) Request for Future Agenda Items
(4) Propose Next Meeting Date
(5) Adjournment
JLMBC Special Meeting
AGENDA
INTRODUCTION
(1) Call to Order
(2) Public Comments
ADMINISTRATIVE ITEMS
(3) Minutes – Recommendation to approve the minutes of the September 1, 2016 special meeting.
(4) Committee Report 16-29: 2016 Open Enrollment Implementation Update for Plan Year 2017 – Recommendation to receive and file information regarding implementation of the October 2016 Open Enrollment for Plan Year 2017.
(5) Committee Report 16-30: LIVEwell Wellness Program Review & Updates – Recommendation to receive and file report regarding LIVEwell Program development, updates, and activities.
(6) Committee Report 16-31: Employee Benefits Trust Fund – Recommendation to receive and file updates regarding the Employee Benefits Trust Fund relative to the status of an external audit review, employee refunds, and a review of Trust Fund governing documents.
(7) Committee Report 16-32: Staff Report – Recommendation to receive and file report providing a projects update, meeting calendar and staffing summary.
(8) Benefit Service Provider Presentation: Delta Dental – Presentation from Delta Dental regarding the Delta PPO, HMO, and Preventive Only plans.
CONCLUDING ITEMS
(9) Request for Future Agenda Items
(10) Next Meeting Date: November 3, 2016
(11) Adjournment
JLMBC Special Meeting
AGENDA
INTRODUCTION
(1) Call to Order
(2) Public Comments
ADMINISTRATIVE ITEMS
(3) Minutes – Recommendation to approve the minutes of the June 9, 2016, July 7, 2016, and August 4, 2016 special meetings.
(4) Committee Report 16-26: 2016 Open Enrollment Communications Campaign Overview for Plan Year 2017 – Recommendation to receive and file information regarding the October 2016 Open Enrollment communications campaign for Plan Year 2017.
(5) Committee Report 16-27: Wellness Program Implementation – Recommendation to (a) receive and file report regarding Wellness Program implementation; (b) approve staff’s proposed “Financial Wellness” engagement initiative for October-December 2016; and (c) approve the creation of a standing Wellness Subcommittee and identify those JLMBC members who would have an interest in participating on the subcommittee.
(6) Committee Report 16-28: Member Refunds and Other Updates – Recommendation to receive and file report from staff regarding member refunds, projects update, meeting calendar and staffing summary.
(7) Benefit Service Provider Presentation: Managed Health Network – Presentation from Managed Health Network regarding the Employee Assistance Program (EAP).
CONCLUDING ITEMS
(8) Request for Future Agenda Items
(9) Next Meeting Date: October 6, 2016
(10) Adjournment
JLMBC Special Meeting
AGENDA
INTRODUCTION
(1) Call to Order
(2) Public Comments
ADMINISTRATIVE ITEMS
(3) Minutes - Recommendation to approve the minutes of the May 19, 2016 and May 26, 2016, special meetings.
(4) Committee Report 16-23: 2017 LAwell Program Implementation - Recommendation to receive and file information regarding the 2017 LAwell Benefits Program, including updates regarding the Kaiser contract, PPO disruption analysis, health plan access, and member communication re program changes.
(5) Committee Report 16-24: International Foundation of Employee Benefit Plans Conference – Recommendation to approve funding for interested JLMBC members and staff to attend the November, 2016 Annual Conference of the International Foundation of Employee Benefit Plans.
(6) Committee Report 16-25: Member Refunds, Staffing Updates, and Other Updates - Recommendation to receive and file report from staff regarding upcoming meetings/projects, staffing/subcommittee assignments, and the following information items related to administration of the City’s Flex Benefits Program:
Member Refunds Update
Staffing Update
CONCLUDING ITEMS
(7) Request for Future Agenda Items
(8) Next Meeting Date: September 1, 2016
(9) Adjournment
JLMBC Special Meeting
AGENDA
INTRODUCTION
(1) Call to Order
(2) Public Comments
ADMINISTRATIVE ITEMS
(3) Minutes - Recommendation to approve the minutes of the May 12, 2016, special meeting.
(4) Committee Report 16-20: 2017 Flex Benefits Program Adoption and Related Updates - Recommendation to receive and file information regarding the 2017 Flex Benefits Program Adoption and related updates, including the Kaiser contract, Full/Narrow Network disruption analysis, health plan access by residential/worksite proximity, and projected Flex Benefits Fiscal Year 16/17 expenditures.
(5) Committee Report 16-21: Benefits Program Rebranding and Communication Strategy for Plan Year 2017 – Recommendation to approve proposed Benefits Program Rebranding and Communications Strategy for Plan Year 2017.
(6) Committee Report 16-22: Member Refunds, Wellness Program Development, and Other Updates - Recommendation to receive and file report from staff regarding upcoming meetings/projects, staffing/subcommittee assignments, and the following information items related to administration of the City’s Flex Benefits Program:
Member Refunds Update
Wellness Program Update
CONCLUDING ITEMS
(7) Request for Future Agenda Items
(8) Next Meeting Date: August 4, 2016
(9) Adjournment
JLMBC Special Meeting
AGENDA
INTRODUCTION
(1) Call to Order
(2) Public Comments
ADMINISTRATIVE ITEMS
(3) Committee Report 16-19: Flex Benefits Program Provider Sections, Rate Renewals, and Benefit Design for Plan Year 2017 – Recommendation that the JLMBC recommend to the General Manager Personnel Department that:
A. Provider Selections
(1) Kaiser Permanente be selected as the provider of the Staff Model HMO option for a three-year contract beginning January 1, 2017, through December 31, 2019, providing however that the Personnel Department further negotiate with Kaiser as part of contract development expanded commitments in the areas of Wellness and onsite member advocacy resources.
(2) Anthem Blue Cross be selected as the provider of the Flex Program’s PPO, HMO Full Network, and HMO Narrow Network plans, as well as an alternate regional network plan (“Vivity”) to be added as an additional option for Flex members, for a three-year contract beginning January 1, 2017, through December 31, 2019.
(3) EyeMed be selected as the provider for a stand-alone vision option for Flex members for a three-year contract beginning January 1, 2017, through December 31, 2019.
B. Annual Service Provider Rate Renewals
(1) Standard Insurance for the Flex Program’s Life, Disability & AD&D insurance plans for a 0% rate increase for Plan Year 2017.
(2) WageWorks for the Flex Program’s tax-advantaged savings accounts third party administration for a 0% rate increase for Plan Year 2017.
(3) Managed Health Network for the Flex Program’s Employee Assistance Program services for a 0% rate increase for Plan Year 2017.
C. Plan Design
(1) Dental - Adjust the benefit levels for the Dental PPO Plan to include a Diagnostic & Preventive Waiver; equalize the In/Out of Network Annual Maximum at $1,500; and increase the Reasonable & Customary out-of-network reimbursement from the 51st to the 90th percentile.
(2) Vision – Establish a stand-alone vision plan for Flex members as a base benefit and administer on a composite rate basis at the benefit levels as identified in the staff report/attachments.
(3) Disability - Increase the monthly disability earnings cap for 2017 to $3,166 per month.
CONCLUDING ITEMS
(4) Request for Future Agenda Items
(5) Next Meeting Date: July 7, 2016
(6) Adjournment
JLMBC Special Meeting
AGENDA
INTRODUCTION
(1) Call to Order
(2) Public Comments
ADMINISTRATIVE ITEMS
(3) Health Services RFP Provider Presentation
2:00 – 2:45 - Kaiser
(4) Committee Report 16-17: Dental Services RFP Evaluation – Recommendation to approve the Dental Services RFP review panel recommendation that Delta Dental be selected as the combined provider of the Flex Program’s Dental PPO, HMO, and Preventive Care options for Flex members.
(5) Committee Report 16-18: Vision Services RFP Evaluation – Recommendation to (a) approve the Vision Services RFP review panel recommendation that EyeMed be selected as the stand-alone vision option for Flex members; and (b) approve staff’s recommended enrollment and benefit design for stand-alone vision services, including that vision enrollment tiers automatically correspond to the same tier enrollment used for medical benefits, and that the vision benefit program be implemented as a base benefit covering and applying equally to all represented and non-represented Flex members.
CONCLUDING ITEMS
(6) Request for Future Agenda Items
(7) Next Meeting Date: June 2, 2016
(8) Adjournment
JLMBC Special Meeting
AGENDA
INTRODUCTION
(1) Call to Order
(2) Public Comments
ADMINISTRATIVE ITEMS
(3) Health Services RFP Provider Presentations
2:00 – 2:45 - Aetna
2:50 – 3:35 - Anthem
3:40 – 4:25 - Blue Shield
CONCLUDING ITEMS
(4) Request for Future Agenda Items
(5) Next Meeting Date: May 26, 2016
(6) Adjournment
JLMBC Special Meeting
AGENDA
INTRODUCTION
(1) Call to Order
(2) Public Comments
ADMINISTRATIVE ITEMS
(3) Minutes – Recommendation to approve the minutes of the April 7, 2016 special meeting.
(4) Committee Report 16-15: Health, Dental and Vision Services Procurements – Recommendation to (a) consider the Health services RFP review panel recommendation that Anthem Blue Cross be recommended for selection as the combined provider of the Flex Program’s PPO, HMO Full Network, and HMO Narrow Network options, as well as the provider of a new alternate regional network option for Flex members; (b) consider the Health services RFP review panel recommendation that Kaiser Permanente be recommended for selection as the provider of the Staff Model HMO option; (c) receive and file updates regarding the dental and vision plan procurements; and d) receive and file an update regarding remaining steps for finalization of the Flex Benefits Program for Plan Year 2017.
(5) Committee Report 16-16: Staff Report - Recommendation to receive and file report from staff regarding upcoming meetings/projects, staffing/subcommittee assignments, and the following information items related to administration of the City’s Flex Benefits Program:
- Wellness Update - Premium Refunds Update
CONCLUDING ITEMS
(6) Requests for Future Agenda Items
(7) Next Meeting date: May 19, 2016
(8) Adjournment
JLMBC Special Meeting
AGENDA
INTRODUCTION
(1) Call to Order
(2) Public Comments
ADMINISTRATIVE ITEMS
(3) Minutes – Recommendation to approve the minutes of the March 3, 2016 regular meeting.
(4) Strategic Planning Discussion – General discussion regarding strategic planning objectives for the Flex Benefits Program.
(5) Committee Report 16-12: Member Communication and Survey Comment Analysis – Recommendation to (a) receive and file analysis of member comments from Flex Benefits Health and Dental Benefits Survey; (b) approve proposed member communication regarding 2015 survey results and an update regarding the heath/dental/vision procurement processes; and (c) approve proposed Pledge Form Regarding Conflict of Interest, Confidentiality and Proposer Communications and its execution by all JLMBC members/City staff involved in vision services procurement.
(6) Committee Report 16-13: 2016 Benefit Election Data/Results – Recommendation to receive and file report regarding data/results from the Flex Benefits Open Enrollment for Plan Year 2016.
(7) Committee Report 16-14: Staff Report - Recommendation to receive and file report from staff regarding upcoming meetings/projects, staffing/subcommittee assignments, and the following information items related to administration of the City’s Flex Benefits Program:
- Kaiser Site: School of Medicine
- Wellness Program Development
CONCLUDING ITEMS
(8) Requests for Future Agenda Items
(9) Next (Special) Meeting date: May 12, 2016
(10) Adjournment
JLMBC Regular Meeting
AGENDA
INTRODUCTION
(1) Call to Order
(2) Public Comments
ADMINISTRATIVE ITEMS
(3) Minutes – Recommendation to approve the minutes of the February 4, 2016 special meeting.
(4) Committee Report 16-07: Health, Dental and Vision Services Procurements – Recommendation to (a) adopt proposed Request for Proposal for Vision Services; and (b) reaffirm the published due date for responses to the Request for Proposal for Health Services.
(5) Committee Report 16-08: Proposed Wellness Program Status Report and Position Funding – Recommendation to (a) receive and file status report regarding development/implementation of a Wellness Program for the City’s Flex Benefits Program; and (b) approve funding from the Employee Benefits Trust Fund for staffing costs for two positions supporting the Wellness Program through the conclusion of FY 16/17.
(6) Committee Report 16-09: Request for Proposal for Third-Party-Administration Services – Recommendation to approve (a) moving forward with the proposed calendar for development of a Request for Proposal for Third-Party-Administration of the City’s Flex Benefits Program; and (b) execution of Conflict-of-Interest & Ex-Party Communication Pledge forms for all JLMBC members/City staff involved in the development process for this procurement.
(7) Committee Report 16-10: Survey Analysis & Member Communications –Recommendation to (a) receive and file update regarding Flex Benefits Health and Dental Benefits Survey results; (b) review timetable for review and analysis of member survey comments; and (c) approve proposed member communication plan regarding the survey results and update of the heath/dental procurement processes.
(8) Committee Report 16-11: Staff Report - Recommendation to receive and file report from staff regarding upcoming meetings/projects, staffing/subcommittee assignments, and the following information items related to administration of the City’s Flex Benefits Program:
- ACA Tax Reporting Update
CONCLUDING ITEMS
(9) Requests for Future Agenda Items
(10) Next Meeting date: April 7, 2016
(11) Adjournment
JLMBC Special Meeting
AGENDA
INTRODUCTION
(1) Call to Order
(2) Public Comments
ADMINISTRATIVE ITEMS
(3) Minutes – Recommendation to approve the minutes of the January 21, 2016 special meeting.
(4) Committee Report No. 16-05: Requests for Proposal for Health and Dental – Recommendation to (a) adopt the proposed final Request for Proposal for Health Services; (b) adopt the proposed final Request for Proposal for Dental Services; and (c) receive and file update regarding a pending RFP for vision benefits and the procurement schedule.
(5) Committee Report 16-06: Staff Report - Recommendation to receive and file report regarding upcoming meetings/projects, staffing/subcommittee assignments, and the following information items related to administration of the City’s Flex Benefits Program:
- Kaiser Facility - Wellness Program Update
- ACA Tax Reporting - Strategic Planning
- Survey Data Review
CONCLUDING ITEMS
(6) Requests for Future Agenda Items
(7) Next Meeting date: March 3, 2016
(8) Adjournment
JLMBC Special Meeting
AGENDA
INTRODUCTION
(1) Call to Order
(2) Public Comments
ADMINISTRATIVE ITEMS
(3) Minutes – Recommendation to approve the minutes of the December 2, 2015 special meeting and December 3, 2015 regular meeting.
(4) Committee Report No. 16-01: Health and Dental Survey Results – Recommendation to receive and file report regarding results of the proposed Flex Benefits Health and Dental Benefits Survey.
(5) Committee Report No. 16-02: Request for Proposal for Medical and Dental – Recommendation to (a) review and provide feedback on the attached preliminary draft Medical Services RFP and (b) receive and file update regarding development and issuance of the Medical and Dental Plan procurements.
(6) Committee Report 16-03: ACA Tax Reporting & Annual Eligibility Report – Recommendation to receive and file report regarding 2016 tax reporting and annual eligibility reporting for the Affordable Care Act (ACA).
(7) Committee Report 16-04: Staff Report - Recommendation to receive and file report from staff regarding upcoming meetings/projects, staffing/subcommittee assignments, and the following information items related to administration of the City’s Flex Benefits Program:
Blue Shield System Upgrade Generates New ID Cards
New Kaiser Facility in Downtown LA
CONCLUDING ITEMS
(8) Requests for Future Agenda Items
(9) Next Meeting date: February 4, 2016
(10) Adjournment