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AGENDA ITEM REVIEW FORM |
3.C.
Special Employee Benefit Trust Board Meeting
- Meeting Date:
- 04/13/2022
- Department Head:
- Maria Munoz
- Submitted By:
- Mary Barajas Gutierrez, Human Resources Coordinator, Human Resources Department
ITEM:
Discussion and possible action on any and all matters regarding Exclusive Behavioral Health contract and amendment of the benefits plan to include it. (Susan Posada, Broker and Consultant)
SUMMARY:
Exclusive Behavioral Health (EBH) has direct contracts with residential treatment centers across the nation. The contracted residential treatment centers have staff to provide individualized treatment and recovery.
If EBH is approved, the plan document would need to be changed.
The fee on Exhibit B of the proposed contract is as follows:
"Plan Sponsor shall pay EBH an amount equal to 23% of the total amount payable for services provided pursuant to a Single Case Agreement. Payment due to EBH shall be due and payable no later than the time of delivery of the Services. All Single Case Agreements prefer to be executed prior to any procedures being scheduled for Plan Participants. Plan Sponsor agrees to pay EBH a one-time program initiation administration fee of $900.00 and an annual renewal fee of $500.00 There is no Per Employee Per Monthly Fee.(PEPM)."
If EBH is approved, the plan document would need to be changed.
The fee on Exhibit B of the proposed contract is as follows:
"Plan Sponsor shall pay EBH an amount equal to 23% of the total amount payable for services provided pursuant to a Single Case Agreement. Payment due to EBH shall be due and payable no later than the time of delivery of the Services. All Single Case Agreements prefer to be executed prior to any procedures being scheduled for Plan Participants. Plan Sponsor agrees to pay EBH a one-time program initiation administration fee of $900.00 and an annual renewal fee of $500.00 There is no Per Employee Per Monthly Fee.(PEPM)."
RECOMMENDATION / SUGGESTED MOTION:
I MOVE TO APPROVE THE EXCLUSIVE BEHAVIORAL HEALTH CONTRACT ACCORDING TO THE FEES SCHEDULE PRESENTED AND AMEND THE PLAN TO INCLUDE IT.
Fiscal Impact
Fiscal Impact:
Plan Sponsor shall pay EBH an amount equal to 23% of the total amount payable for Services provided pursuant to a Single Case Agreement. Payment due to EBH shall be due and payable no later than the time of delivery of the Services. All Single Case Agreements prefer to be executed prior to any procedures being scheduled for Plan Participants. Plan Sponsor agrees to pay EBH a one time program initiation administration fee of $900.00 and an annual renewal fee of $500.00 There is no Per Employee Per Monthly Fee.(PEPM)