|
Legislation Details
|
On agenda:
|
10/15/2024
|
Final action:
|
10/15/2024
|
|
Title:
|
Approve and authorize the Chair to sign an amendment to the Self-Funded Group Medical and Dental Benefits Exclusive Provider Organization (EPO) Plan among Clark County, Clark County Water Reclamation District, University Medical Center of Southern Nevada, Las Vegas Convention and Visitors Authority, Las Vegas Valley Water District, Clark County Regional Flood Control District, Regional Transportation Commission of Southern Nevada, Southern Nevada Health District, Henderson District Public Libraries, Mount Charleston Fire Protection District, Las Vegas Metropolitan Police Department, Moapa Valley Fire Protection District and Eighth Judicial District Court adopting an amended Self-Funded Group Medical and Dental Benefits EPO Plan, effective January 1, 2025. (Also sitting as Clark County Water Reclamation District Board of Trustees, University Medical Center of Southern Nevada Board of Hospital Trustees, Mount Charleston Fire Protection District Board of Fire Commissioners and Moapa Valley Fire Protection District Board of Fire Commissioners) (For possible action)
|
CLARK COUNTY BOARD OF COMMISSIONERS
AGENDA ITEM
|
Petitioner: |
Les Lee Shell, Deputy County Manager Jessica L. Colvin, Chief Financial Officer |
Recommendation:
title
Approve and authorize the Chair to sign an amendment to the Self-Funded Group Medical and Dental Benefits Exclusive Provider Organization (EPO) Plan among Clark County, Clark County Water Reclamation District, University Medical Center of Southern Nevada, Las Vegas Convention and Visitors Authority, Las Vegas Valley Water District, Clark County Regional Flood Control District, Regional Transportation Commission of Southern Nevada, Southern Nevada Health District, Henderson District Public Libraries, Mount Charleston Fire Protection District, Las Vegas Metropolitan Police Department, Moapa Valley Fire Protection District and Eighth Judicial District Court adopting an amended Self-Funded Group Medical and Dental Benefits EPO Plan, effective January 1, 2025. (Also sitting as Clark County Water Reclamation District Board of Trustees, University Medical Center of Southern Nevada Board of Hospital Trustees, Mount Charleston Fire Protection District Board of Fire Commissioners and Moapa Valley Fire Protection District Board of Fire Commissioners) (For possible action)
body
FISCAL IMPACT:
|
Fund #: |
6520.500 |
Fund Name: |
Self-Funded Group Insurance |
|
Fund Center: |
1020520000 |
Funded PGM/Grant: |
N/A |
|
Amount: |
No Fiscal Impact |
|
Description: |
Self-Funded Group Medical and Dental Benefits EPO Plan Changes |
|
Additional Comments: |
N/A |
BACKGROUND:
Clark County established a self-funded group medical and dental benefits program in 1984 to provide group medical and dental benefits to the employees of Clark County and affiliated entities. The program consists of a preferred provider organization (PPO) plan and an exclusive provider organization (EPO) plan. Annually, the Plan is put before the Board of County Commissioners for approval.
Following are the proposed modifications for the EPO plan for the upcoming Plan Year, effective January 1, 2025:
• The addition of a $30 specialist copay for University Medical Center of Southern Nevada outpatient clinics.
• The removal of a fourth-tier pharmacy benefit for GLP-1-FSA approved weight loss medication(s).
• The clarification of a benefit rule pertaining to the child of a surviving spouse.
• The change of the effective date of employee coverage from 60 days to 45 days.
• Broadening the coverage for speech therapy to include other types of communication disorders.
• The replacement of UMR CARE with Care Management.
• The addition of Alternative/Complementary Treatment to the Glossary of Terms.
The amended Plan has been discussed with represented members, as required by governing bargaining agreements.
|