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Legislation Details
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On agenda:
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10/6/2026
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Final action:
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Title:
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Ratify a funding increase and approve an Amendment to the Contract with Sierra Health-Care Options, Inc., for RFP No. 605220-19, for Utilization Review Services; and authorize the Chief Financial Officer or her designee to sign the Amendment; or take other action as appropriate. (For possible action)
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CLARK COUNTY BOARD OF COMMISSIONERS
AGENDA ITEM
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Petitioner: |
Jessica Colvin, Chief Financial Officer Jessica Lyons, Director of Risk Management |
Recommendation:
title
Ratify a funding increase and approve an Amendment to the Contract with Sierra Health-Care Options, Inc., for RFP No. 605220-19, for Utilization Review Services; and authorize the Chief Financial Officer or her designee to sign the Amendment; or take other action as appropriate. (For possible action)
body
FISCAL IMPACT:
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Fund #: |
6520.000 |
Fund Name: |
Self-Funded Group Insurance |
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Fund Center: |
102020000 |
Funded PGM/Grant: |
N/A |
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Amount: |
Funding Increase Amount: $2,405,343 and Amendment No. 2 Amount: $5,452,412 for a total of approval of $7,857,755 |
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Description: |
Utilization Review Services |
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Additional Comments: |
Amendment No. 2 will increase the Contract amount by $5,452,412, and the funding increase of $2,403,343 combine for a new total Contract amount of $12,787,755. This amount is subject to change based on the number of eligible employees and retirees enrolled in the Clark County Self-Funded Group Medical and Dental Benefits Plan. |
BACKGROUND:
On November 5, 2019, the Board of County Commissioners (Board) approved the award of RFP No. 605220-19 to Sierra Health-Care Options, Inc. (LBE) in the amount of $2,800,000 for utilization review services.
The following are the pertinent provisions of the Contract:
• The term of the Contract was from January 1, 2020, through December 31, 2020 and included the option to renew for 3, one-year periods. Amendment No. 1 added 3 one-year renewal periods. There are no renewal option(s) remaining.
• Included the County’s option to terminate for cause, convenience or default and suspend the Contract with advanced written notice.
Amendment No. 1 provided for 3 additional one-year renewal options and included the fee schedule for these additional years.
Approval of this funding increase will formalize the additional funding used for the fluctuation of plan participants not captured in the amount referenced in the approval agenda for Amendment No. 1.
Approval of Amendment No. 2 will provide for 3 additional one-year renewal options and includes the fee schedule for these additional years. The attached Amendment No. 2 document details the modifications and costs involved.
Sierra Health-Care Options, Inc. currently holds a Clark County Business License.
Contract Summary:
BCC Agenda Date Agenda Item No. Description Amount (*)
11/5/2019 5 Contract Award $2,800,000
1/3/2023 16 Amendment No. 1 $2,130,000
TBD TBD Funding Increase & Amendment No. 2 $7,857,755
New Total Contract Amount $12,787,755
(*) Amounts reported reflect the maximum allowable and are inclusive of annual escalators.
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