HomeMy WebLinkAboutMINUTES - 10131987 - 1.49 JL-®49
.'110 ;; BOARD OF SUPERVISORS 2 v
;Y
FROM: COnt
Mark Finucane
ra
Health Services Director Cosa
DATE: October 13 , 19$7 cUU'
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SUBJECT:
Approval of monthly rates for membership in Contra
Costa Health Planfor Group Members with Medicare
Twn_Tior Ratoc
SPECIFIC REQUESTS) OR RECOMMENDATIONS) as BACKGROUND AND JUSTIFICATION
I RECOMMENDED ACTION
Adopt the attached two-tier monthly rates for membership
in Contra ' Costa Health Plan for group members with-
Medicare , and by adoption include them in the rates
structure approved by the Board on August 25 , 1987 .
II FINANCIAL IMPACT
This action establishes a unique two-tier rate for group
members with Medicare . Even though these proposed rates
are 4.4% higher than last year , they are merely a two-
tier representation of the same rate structure previously
approv.ed by the Board . Therefore , they do not change
the anticipated revenue increase of $92 ,428.
III REASON FOR RECOMMENDATION/BACKGROUND
The Board approved a rate structure for Contra Costa
Health Plan on August 25 , 1987 , which included a formula
for group members with Medicare . Contra Costa County,
the Plan ' s largest single employee group , must have a
two-tier representation of the rates to meet the require-
ments of its payroll system . The Board , by approving
these rates , establishes a two-tier structure for group
members with Medicare . These rates will be used by
Contra Costa County and all other employee groups using
two-tier rate structuring .
IV CONSEQUENCES OF NEGATIVE ACTION
The Plan must implement the current year ' s rates , by
October 1 , 1987 . If this two-tier structure is not
approved the rates cannot be implemented by the Plan ' s
largest employee group and, therefore, the revenue
increase will not be realized .
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
S I GNATURE IS 1:
ACTION OF BOARD ON _ October 13 . 1987 APPROVED AS RECOMMENDED — OTHER
VOTE OF SUPERVISORS .
1 HEREBY CERTIFY THAT THIS IS A TRUE
X UNANIMOUS (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: CCHP ATTESTED I QCto.b.er- - . 13 , 1987
PHIL BATCHELOR. CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
BY
M382/7-83 DEPUTY
CONTRA COSTA COUNTY
CONTRA COSTA HEALTH PLAN -
PROPOSED AMENDMENT TO HEALTH PLAN PREMIUM RATES
GROUP .MEMBERS WITH MEDICARE
TWO-TIER
Single with Medicare $ 62. 05
Family (One Medicare) . . . $191.10
Family (Two Medicare) . . . $173. 20
RTH:smp
9/22/87