Board Agenda & Materials

August 25, 2023

The San Joaquin Valley Insurance Authority (SJVIA) Board will meet on Friday, August 25, 2023 at 9:00am. The meeting will take place at the County of Fresno Board of Supervisors Chambers, 2800 W. Burrel Ave., Visalia, CA 93291.  Links below include the agenda and items being considered at the meeting.

Agenda

Click here at 9:00am on Friday, August 25, 2023 to listen to the meeting live.

Listen to a recording of the meeting.

• Item 5 - Public Comment

• Item 6 - Approval of Minutes - Board Meeting of July 27, 2023

• Item 7 - Receive Update from Auditor-Treasurer on Cash Flows

  • Item 7 Attachment - Update on Cash Flows

• Item 8 - Receive Update from Auditor-Treasurer on Unaudited SJVIA Financials as of June 30, 2023

  • Item 8 Attachment - Unaudited SJVIA Financials as of June 30, 2023

• Item 9 - Receive Consultant's Medical, Dental, and Vision Experience Reports through June 2023 with Update on Projected Plan Experience Surplus Accumulation and Projections

  • Item 9 Attachment - Consultant's Report on Plan Experience through June 2023

  • Item 9 Attachment - SJVIA Medical Experience through June 2023

  • Item 9 Attachment - SJVIA Dental Experience through June 2023

  • Item 9 Attachment - SJVIA Vision Experience through June 2023

• Item 10 - Receive Keenan Pharmacy Services' Consultant's Report on EmpiRx First Half of 2023 Pharmacy Utilization

  • Item 10 Attachment - Consultant's Report on EmpiRx Pharmacy Utilization

• Item 11 - Receive and Accept Consultant's SJVIA Actuarially Certified Incurred But Not Reported (IBNR) Reserve Report as of June 30, 2023 and Maintain the December 31, 2022 IBNR Reserve Levels to Maintain a Fully Funded IBNR Reserve Status

  • Item 11 Attachment - SJVIA IBNR Summary as of June 30, 2023

  • Item 11 Attachment - SJVIA - County of Fresno IBNR as of June 30, 2023

  • Item 11 Attachment - SJVIA - County of Tulare IBNR as of June 30, 2023

• Item 12 - Receive Consultant's Plan Year 2024 Underwriting Renewal Report, Approve 2024 Rates and Fees, Authorize Consultant and SJVIA Staff to Negotiate Agreements, and President to Execute Agreements Subject to Approval of SJVIA Counsel and Staff

  • Item 12 Attachment - Consultant's Report Plan Year 2024 Renewal

  • Item 12 Attachment - Plan Year 2024 County of Fresno Rates

  • Item 12 Attachment - Plan Year 2024 County of Tulare Rates

  • Item 12 Attachment - County of Fresno Kaiser High Deductible Health Plan (HDHP) Plan Design

  • Item 12 Attachment - County of Fresno Kaiser Vision Plan Changes

• Item 13 - Receive Update on SJVIA's Direct Agreement with Community Medical Centers (CMC) and Community Health Partners (CHP) and Ratify SJVIA Manager Decision to Cease Claims Payment Under the Direct Agreement, Effective July 31, 2023, and to Move Forward with CMC/CHP Claims Payment, Effective August 1, 2023, Under Anthem's Contract with CMC/CHP; Additionally, Autorize SJVIA Manager to Send Letter to CMC and CHP Memorializing Decision and Requestiong Direct Agreement Between SJVIA and CMC/CHP be Placed on Hold Should the SJVIA Require Claims be Paid Under the Direct Agreement in the Future

• Item 14 - Director Questions, Announcements, and Activity Reports

• Item 15 - Adjourn