File #: 23-00945    Version: 1
Type: Administrative Item Status: Agenda Ready
File created: 9/22/2023 In control: BOARD OF SUPERVISORS
On agenda: 10/3/2023 Final action: 10/3/2023
Title: Consider recommendations regarding the 2024 Employee Benefits Insurance Program Renewal, as follows: (4/5 Vote Required) a) In the matter of setting health plan rates for 2024, approve the following renewals: i) Public Risk Innovation, Solutions, and Management (PRISM) Health Blue Shield Health Plans - The renewal of the PRISM Blue Shield Tandem Narrow Network, Blue Shield Exclusive Provider Organization (EPO) High, Blue Shield EPO Low, Preferred Provider Organization (PPO), and High Deductible Health Plan (HDHP) plans for a twelve-month period, at the existing benefit levels with a 12.2% increase in premiums, effective January 1, 2024, for all active employees and retirees; ii) Kaiser Permanente Health Maintenance Organization (HMO) Health Plans - The renewal of the active employees' and early retirees' Kaiser Permanente High and Low HMO plans for a twelve-month period at the existing benefit levels, with a 12.2% increase in premiums, effective January 1, 2024, and for all Medica...
Sponsors: HUMAN RESOURCES DEPARTMENT
Attachments: 1. Board Letter, 2. Attachment A1 - Active Employees Blue Shield Health Plans Monthly Premium Rates, 3. Attachment A2 - Early Retiree Blue Shield Health Plans Monthly Premium Rates, 4. Attachment A3 - Post 65 Blue Shield Health Plans Monthly Premium (no EGWP), 5. Attachment A4 - Post 65 Blue Shield Health Plans Monthly Premium (with EGWP), 6. Attachment B - Kaiser HMO Premium Rates for Active Employee, Early Retirees and Medicare Retirees Advantage Plan Rates, 7. Attachment C - United Healthcare Medicare Risk HMO Rate, 8. Attachment D - County Self-Funded Dental Actuarial Report, 9. Attachment E - County Self-Funded Delta Dental PPO Plan Rates for Active Employees and Retirees, 10. Attachment F - Delta Dental Dental Care USA DHMO Plan Rates for Active Employee and Retirees, 11. Attachment G - Vision Service Plan and Rates for Active Employees and Retirees, 12. Attachment H - PRISM Navigator PPO - Accolade, 13. Attachment I - Empathia, 14. Attachment J - PRISM Wellness Funds BJE #0009323, 15. Attachment K - Factors Driving Nationwide Healthcare Costs, 16. Attachment L - Health Oversight Committee Member List, 17. Attachment M - PRISM Navigator PPO - Accolade, 18. Attachment N - Jet Dental Mobile Dentistry, 19. Minute Order
Title
Consider recommendations regarding the 2024 Employee Benefits Insurance Program Renewal, as follows: (4/5 Vote Required)

a) In the matter of setting health plan rates for 2024, approve the following renewals:

i) Public Risk Innovation, Solutions, and Management (PRISM) Health Blue Shield Health Plans - The renewal of the PRISM Blue Shield Tandem Narrow Network, Blue Shield Exclusive Provider Organization (EPO) High, Blue Shield EPO Low, Preferred Provider Organization (PPO), and High Deductible Health Plan (HDHP) plans for a twelve-month period, at the existing benefit levels with a 12.2% increase in premiums, effective January 1, 2024, for all active employees and retirees;

ii) Kaiser Permanente Health Maintenance Organization (HMO) Health Plans - The renewal of the active employees' and early retirees' Kaiser Permanente High and Low HMO plans for a twelve-month period at the existing benefit levels, with a 12.2% increase in premiums, effective January 1, 2024, and for all Medicare-eligible retirees, with a 17.45% increase in premiums for the Senior Advantage Plans, at the existing benefit levels;


iii) United Healthcare Medicare Risk HMO Health Plans - The renewal of the United Healthcare Medicare Risk HMO Health Plans for County of Santa Barbara retirees, at existing benefit levels, and a 4% increase of premium, for a twelve-month period, effective January 1, 2024;

iv) County Self-Funded Delta Dental PPO Plan - The annual Actuarial Underwriting Report for the County Self-Funded Dental Plan and the continuation of the existing program benefits with an increase of 9.8% in premiums for both active employees and retirees. Rates are for a twelve-month period, effective January 1, 2024;

v) DeltaCare USA - Dental HMO Plan - The renewal of the existing DeltaCare USA Dental Health Maintenance Organization (DHMO) plan, continues the existing benefit levels for active employees and retirees, with a rate pass for one more year. The Delta Dental DHMO is in a r...

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