HomeMy WebLinkAboutMINUTES - 06221993 - 1.77 u.,h
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to: ' BOARD OF SUPERVISORS ^
FROM: Mark Finucane, Health Services Director 1-�
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By: Elizabeth A. Spooner, Contracts Administrator Costa
DATE: June 10, 1993 County
SUBJECT: Approval of Standard Agreement #29-764-2 with the State of 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 #29-764-2 (State #93MR004) ,
the Drug-Free Workplace Certification and any subsequent amendments, with the State
of California Major Risk Medical Insurance Board, in an amount not to exceed
$100,000, for the period from July 1, 1993 through June 30, 1994, 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 the County is 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.
The California Major Risk Medical Insurance Board requires that this contract be a
confidential document for one year and requires that the fiscal provisions
attachment remains confidential for a period of four years.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
On July 14, 1992, the Board of Supervisors approved Standard Agreement #29-764-1,
for participation by CCHP in the California Major Risk Medical Insurance Program
during FY 1992-93.
This State program is 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 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.
CONTINUED ON ATTACHMENT: X YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM A ON OF BOARD OMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS C
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.
Contact: Milt Camhi (313-5604)
CC: Health Services (Contracts) ATTESTED / 9
Auditor-Controller (Claims)
State Major Risk Medical Insurance Board P ' atchelor, Clerk of the Board of
SupwWrs sad GWtyAdMWWaW
M382/7-83 BY ezaZAMW, DEPUTY
BOARD ORDER
Standard Agreement #29-764-2
Page 2
CCHP has received endorsement for participation in the Program from the HMO Advisory
Board. The State has been particularly interested in CCHP because of its status as
a local government-run, Federally-qualified, State-licensed HMO, and its expertise
in case management.
Approval of Standard Agreement #29-764-2 will allow CCHP to continue participating
in the Major Risk Medical Insurance Program through June 30, 1994.
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