HomeMy WebLinkAboutMINUTES - 09251990 - 1.56 � "
TO- BOARD OF SUPERVISORS 1-056
.FROM: Harry D. Cisterman, Director of Personnel C=tra
By: Eileen K. Bitten, Asst. Director of Personnel
Costa
DATE: September 13 , 1990 C(y �/
SUBJECT: Health Related Increases and Contract Renewals "`"� �`�
SPECIFIC REQUEST(S) OR RECCMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS
1. IT IS ORDERED that the County Administrator/Director of Personnel be
authorized to sign the necessary documents renewing the Contra Costa
Health Plan contract through September 30, 1991 .
2. IT IS ORDERED that the County Administrator/Director of Personnel be
authorized to sign the necessary documents renewing the Kaiser
Health Plan contract through September 30, 1991.
3 . IT IS ORDERED that the County Administrator/Director of Personnel be
authorized to sign the necessary documents renewing the Safeguard
Dental contract through September 30, 1992.
4 . Approve an 8% rate increase for the. County' s self-funded dental
(Delta) plan effective. October 1, 1990.
5. Approve an 18% rate increase for the 1st Choice Health Plan
effective October 1, 1990.
6. IT IS ORDERED that the County Administrator/Director of Personnel be
authorized to negotiate a contract with Safeguard Health
Enterprises, Inc. ,for the purpose of providing an additional prepaid
dental plan option to County employees and retirees.
BACKGROUND
1 . The Contra Costa Health Plan contract terminates September 30, 1990.
There are approximately 1,000 enrolled County members. In order to
ensure uninterrupted medical coverage, it is necessary to renew
this contract.
2. The Kaiser Health Plan contract terminates September 30, 1990.
There are approximately 4, 500 enrolled active and retired members.
In order to ensure uninterrupted medical coverage, it is necessary
to renew this contract.
CONTINUED ON ATTACHMENT: X YES SIGNATURE: 26-'e",
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE S :
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
AUNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN
AYES; NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE .SHOWN.
cc: Personnel Department - Benefits Div. ATTESTED SEP 2 5 1990
County Administrator PHIL BATCHELOR. CLERK OF THE BOARD OF
Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR
County Counsel
BY j�/ DEPUTY
M382/7-83
Board of Supervisors Page 2 September 13 , 1990
3 . The current Safeguard Dental Contract terminates September 30, 1990.
There are approximately 1,000 enrolled County members. In order. to
ensure uninterrupted dental coverage, it is necessary to renew this
contract.
4 . It is recommended that the County self-funded (Delta) dental plan
rates be increased 8% effective October 1, 1990 to ensure adequate
funding for the projected dental claim loses for the current fiscal
year.
5 . Through recent discussions and review of the plan experience by the
County Administrator, it is recommended that the lst Choice rates be
increased 18% effective October 1, 1990. The increase in premium is
necessary to ensure adequate funding for the projected 1st Choice
. claim losses for the current fiscal year.
6. Safeguard Health Enterprises, Inc. provides a variety of prepaid
dental programs. In a continuing effort to provide effective cost
control methods for the County dental programs, an additional
program is available from Safeguard that continues to provide
quality care .at an affordable premium.
FISCAL IMPACT
1 . The Contra Costa Health Plan rate increase will be funded from
budgeted fiscal year 1990-91 funds for County Departments and
Special Districts. The rate increase for retirees will be funded
from retiree member contributions and the County General Fund.
2 . The Kaiser Health Plan rate increase will be funded from active
members agreed contributions as outlined in the Memorandum of
Understanding and budgeted fiscal year 1990-91 funds for County
Departments and Special Districts. The rate increase for retirees
will be funded from retiree member contributions and the County
General Fund.
3 . The Safeguard program continues to provide quality care at
affordable premiums. By renewing a two year contract, the County is
able to negotiate a guaranteed premium rate regardless of program
utilization.
4.. The County's self-funded (Delta) dental plan rate increase will be
funded from active members agreed contributions as outlined in the
Memorandum of Understanding and budgeted. fiscal year 1990-91 funds
for County Departments and Special Districts. The rate increase for
retirees will be funded from retiree member contributions and the
County General Fund.
5. The entire 1st Choice Health Plan increase will be funded from
active members agreed contributions, as outlined in the Memorandums
of Understanding, and budgeted fiscal year 1990-91 funds from County
Departments and Special Districts. The rate increase for retirees
will be funded from the member contributions and the County General
Fund.
6. Savings from the Safeguard Health Enterprises, Inc. program will
depend upon the number of enrollees and program utilization.
Overall, it is anticipated that by offering this additional plan
option, it will further assist in reducing claim losses and premium
increases.