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AGENDA ITEM REVIEW FORM
3.B.
Special Employee Benefit Trust Board Meeting
Meeting Date:
04/05/2023
Department Head:
Adela Cortez
Submitted By:
Maria Barajas Gutierrez, Human Resources Coordinator, Human Resources Department

ITEM:

Discussion and possible action on any and all matters regarding the employee benefits plan proposal which takes effect on July 1, 2023. (Susan Posada, Broker and Consultant)

SUMMARY:

Broker/Consultant Susan Posada will provide details regarding the following plan changes:
  • Network
    • Blue Cross Blue Shield 2-year contract.
    • Medical access fee of $21.50 per employee per month (PEPM) for the 1st year, will increase to $22.00 (PEPM) for the second year.
 
  • Prescription Medicine Management
    • Southern Scripts administrative fee of $10.00 per paid claim during the 1st year, will increase to $10.25 for the 2nd year and $10.50 for the 3rd year.
 
  • Telemedicine
    • The Healthiest You contract for telemedicine continues without change.
 
  • Wellness Program
    • HR is requesting the same budget of $18,000 as prior year.
The below motions are recommended. The Trustees are free to approve, deny or modify the recommendations within their fiduciary duty.


 

RECOMMENDATION / SUGGESTED MOTION:

(1) I MOVE TO APPROVE BLUE CROSS BLUE SHIELD 2 YEAR CONTRACT AS PRESENTED.
(2) I MOVE TO APPROVE A $18,000 BUDGET FOR THE WELLNESS PROGRAM FROM THE TRUST RESERVES.

 

Fiscal Impact

Fiscal Impact:

  • Network
Blue Cross Blue Shield Network medical access fee of $21.50 PEPM for the first year, will increase to $22.00 for the second year.
  • Southern Scripts Administrative Fee
Year 2: $10.25 Per Paid Claim
Year 3: $10.50 Per Paid Claim

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