San Bernardino header
File #: 11366   
Type: Consent Status: Passed
File created: 12/10/2024 Department: Human Resources
On agenda: 12/17/2024 Final action: 12/17/2024
Subject: Blue Shield Retiree Medical Plan Contract and 2025 Premium Rates
Attachments: 1. ADD ATT-HR-12-17-2024- Blue Shield Retiree Medical Premium Rates 2025, 2. ADD-ATT A-HR-12-17-2024- Blue Shield Performance Guarntees, 3. ADD-ATT B-HR-12-17-2024- Group Health Services Contract, 4. ADD-ATT C-HR-12-17-2024- Group Health Service Contract, 5. ADD-ATT D-HR-12-17-2024-Group Health Services Contract, 6. ADD-ATT E-HR-12-17-2024- Blue Shield Signature HMO High Opt COB Frozen M0039180eo, 7. ADD-ATT F-HR-12-17-2024-Blue Shield Sginature HMO High Opt M0039178eoc, 8. ADD-ATT G-HR-12-17-2024- Blue Shield Signature HMO Low Opt M0039179eoc, 9. ADD-ATT H-HR-12-17-2024- Blue Shield Hybrid PPO COB Frozen Plan M0039183eo, 10. ADD-ATT I-HR-12-17-2024- Blue Shield PPO High Opt M0039181eoc, 11. ADD-ATT J-HR-12-17-2024-J Blue Shield PPO Low Opt M0039182eoc, 12. R1-CON-HR-12-17-2024-BLUE SHIELD RETIREE CONTRACT AND RATES, 13. ADD-ATT L-HR-12-17-2024- Blue Shield PPO COB High Option M0039184eo, 14. ADD-ATT M-HR-12-17-2024- Blue Shield 65+HMO HighOption EOC, 15. ADD-ATT N-HR-12-17-2024- Blue Shied 65+HMO Low Option-EOC, 16. ADD-ATT O-HR-12-17-2024- Blue Shield Medicare RX Plan Evidence of Coverage, 17. ADD-ATT P-HR-12-17-2024-BSC Commitments to San Bernardino County_2025, 18. ADD-ATT Q-HR-12-17-2024-Blue Shield Certificate of Liability Insurance, 19. ADD-ATT K-HR-12-17-2024- Blue Shield Trio HMO M0039177eoc, 20. ADD-ATT -HR-12-17-2024-Exhibit A Master Services Agreement Template, 21. Item #49 Executed BAI, 22. 24-1279 Executed Contract
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION

December 17, 2024

FROM
LEONARDO GONZALEZ, Director, Human Resources Department

SUBJECT
Title
Blue Shield Retiree Medical Plan Contract and 2025 Premium Rates
End

RECOMMENDATION(S)
Recommendation
1. Approve the contract, including non-standard terms, and proposed rates, as shown in Attachment A, with Blue Shield of California, to provide group medical plan benefits for retired employees, Consolidated Omnibus Budget Reconciliation Act participants, and all eligible dependents, for the period of January 1, 2025, through December 31, 2027, with the option to extend for one additional two-year term.
2. Approve retired employee medical premium rates for Blue Shield of California for plan year 2024-25, as shown in Attachment A.
(Presenter: Leonardo Gonzalez, Director, 387-5570)
Body

COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.

FINANCIAL IMPACT
Approval of this item will not result in the use of additional Discretionary General Funding (Net County Cost). There is no additional cost to the County associated with the approval of this item as the County does not contribute to the cost of premiums for retired employees, Consolidated Omnibus Budget Reconciliation Act (COBRA) participants, and their eligible dependents.

BACKGROUND INFORMATION
On May 21, 2024 (Item No. 35), the Board of Supervisors (Board) approved providers Blue Shield of California (Blue Shield) and Kaiser Foundation Health Plan, Inc. (Kaiser) as the group health plan providers for active employees, COBRA participants, and their eligible dependents for plan years 2024-25 through 2026-27, with the option to extend for one additional two-year term. The item also directed Human Resources Department (HR) staff to negotiate plan design, rates, and contracts with both carriers. Approval of this item accepts the terms of t...

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