HomeMy WebLinkAboutMINUTES - 07172001 - C.51 TO: BOARD OF SUPERVISORS
St
William Walker, M.D. , Health Services Director
FROM: _
By: Ginger Marieiro, Contracts Administrator -' Contra
Costa
DATE: July 3, 200X. 7° v County
OrT �(
COUN
SUBJECT: Approval of Standard Agreement (Amendment) #29-764-6 with the State of California
Major Risk Medical Insurance Board
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee (Milt Camhi) , to
execute on behalf of the County, Standard Agreement (Amendment) #29-764-6 with the
State of California Major Risk Medical Insurance Board effective June 30, 2001 to
increase the Payment Limit by $40, 000 to a new Total Payment Limit of $62, 607 and
extend the term through June 30, 2002, for the Major Risk Medical Insurance Program.
FISCAL IMPACT:
This Standard Agreement (Amendment) will increase the Payment Limit by $40, 000 for
the Major Risk Medical Insurance Program. This Program is funded through a
combination of Contra Costa County Health Plan (Health Plan) subscriber premiums and
State of California funding from tobacco tax monies. Neither Health Plan 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 $62, 607.
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.
BACKGROUND/REASON(S) FOR RECOMMENDATION(S) :
On August 17, 1999, the Board of Supervisors approved Standard Agreement #29-764-5,
for participation by Health Plan in the California Major Risk Medical Insurance
Program, for the period from July 1, 1999 through June 30, 2001.
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.
Approval of Standard Agreement (Amendment) #29-764-6 will allow Health Plan to
continue participating in the Major Risk Medical Insurance Program through June 30,
2002 .
G �
CONTINUED ON ATTACHMENT: Y S SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
_L, (APPROVE _OTHER
SIGNATURE(S):
ACTION OF BOARD O APPROVED AS RECOMMENDED OTHER
( 7
VOTE OF SUPERVISORS
�n,�,, o I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT•�d�J"�) 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.
ATTESTED I a l
JOHN'§ EETIAJ,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Milt Camhi (313-6004)
CC: California Managed Risk Medical Ins Bd p
Health Services Dept (Contracts) BY�I�� /(� DEPUTY