HomeMy WebLinkAboutMINUTES - 07141992 - 1.64 IVI
PTO: '. BOARD OF SUPERVISORS ��
.If-� ontra
FROM: Mark Finucane, Health Services Director
By: Elizabeth A. Spooner, Contracts Administrat Costa
DATE: June 18, 1992 County
SUBJECT: Approval of Contract #29-764-1 with The California Major Risk
Medical Insurance Board
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director or his designee
(Milt Camhi) to execute on behalf of the County, Standard Agreement
#29-764-1, Drug-Free Workplace Certification and any modifications
Or amendments (to increase the maximum amount of the agreement or
administrative costs) , with The California Major Risk Medical
Insurance Board, in an amount not to exceed $100, 000, effective July
1, 1992 through June 30, 1993 , for the second year of funding for
the Major Risk Medical Insurance Program.
II. FINANCIAL IMPACT:
This Program is funded through a combination of Contra Costa County
Health Plan (CCHP) subscriber premiums and State of California
funding from tobacco tax monies. Neither CCHP nor County are at
risk for costs of services in the Major Risk Medical Insurance
Program. Each subscriber will pay 125% of the usual premium and the
State will fund the difference between that and the total cost of
care, up to $100, 000 during the term of this agreement.
The California Major Risk Medical Insurance Board has established
this contract as a confidential document for one year and requires
that the fiscal provisions attachment shall remain confidential for
a period of four years. Total revenue to the County under this
program will depend entirely upon enrollment volume.
III. REASONS FOR RECOMMENDATIONSfBACKGROUND:
The California Major Risk Medical Insurance Program is a State
program designed to provide health insurance to Californians who are
unable to obtain coverage on the open market. Eligible Californians
include those who have been denied individual or small group
coverage within the previous twelve months, those who have been
involuntarily terminated from health insurance coverage for reasons
CONTINUED ON ATTACHMENT: 'X' YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOM7 D TION OF BOA D COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
X UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
CC:
Health Services (Contracts) 9�
Auditor-Controller (Claims) ATTESTED
State Major Risk Medical Insurance Board Phil gatchelor, Clerk of the Board of
/f SupelftilandGWYAdministratV
M382/7-83 BY �'G'v DEPUTY
BOARD ORDER
Standard Agreement #29-764-1
Page 2
other than non-payment of premiums, and those who have been
requested to pay health insurance premiums higher than the Major
Risk Medical Insurance Program subscriber rate. The subscriber pays
125% of the usual premium cost, a deductible per household per year,
and a copayment for most services up to an annual maximum
requirement of $2, 000 per year per subscriber or $3, 000 for the
entire household. The State pays remaining health care costs and an
administrative fee per member per month.
On March 26, 1991, your Board approved Standard Agreement #29-764,
for participation by Contra Costa Health Plan in this newly created
Program. The Health Plan also received an endorsement for
participation in the Program from the HMO Advisory Board. The State
has been particularly interested in the Contra Costa Health Plan
because of its status as a local government-run Federally-qualified,
State-licensed HMO and its expertise in case management.
Approval of Standard Agreement #29-764-1 will allow the Contra Costa
Health Plan to continue to participate in the Major Risk Medical
Insurance Program through June 30, 1993 .
GM:jp