Board Agenda & Materials

February 18, 2022

The San Joaquin Valley Insurance Authority (SJVIA) Board will meet on Friday, February 18, 2022 at 9:00am. The meeting will take place at the Fresno County Board of Supervisors Chambers, 2281 Tulare St, #301, Fresno, CA 93721.  Links below include the agenda and items being considered at the meeting.

Agenda

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• Item 5 - Closed Session CONFERENCE WITH LEGAL COUNSEL - EXISTING LITIGATION

• Item 6 - Public Comment

• Item 7 - Approval of Consent Agenda - Items 19-23

• Item 8 - Receive Update from Auditor-Treasurer on Cash Flow Projections

  • Item 8 Attachment - Update on Cash Flow Projections

• Item 9 - Receive Update from Auditor-Treasurer on SJVIA Financials as of September 30, 2021

  • Item 9 Attachment - Update on SJVIA Financials

• Item 10 - Receive the 2021 Audited Financial Statements

  • Item 10 Attachment - 2021 Audited Financial Statements

• Item 11 - Receive Preliminary Budget for Fiscal Year 2022-2023

  • Item 11 Attachment - Preliminary Budget for Fiscal Year 2022-2023

• Item 12 - Receive Consultant's Medical, Dental, and Vision Experience Reports through December 2021 with Update on Projected Plan Experience Surplus Accumulation and Projections

  • Item 12 Attachment - Consultant's Report on Plan Experience

  • Item 12 Attachment - Medical Experience Report

  • Item 12 Attachment - Dental Experience Report

  • Item 12 Attachment - Vision Experience Report

• Item 13 - Receive and Accept Consultant’s SJVIA Actuarially Certified Incurred But Not Reported (IBNR) Reserve Report as of December 31, 2021 and Maintain the Fully-Funded Status of the IBNR Reserve

  • Item 13 Attachment - County of Fresno IBNR

  • Item 13 Attachment - County of Tulare IBNR

  • Item 13 Attachment - IBNR Summary

• Item 14 - Receive and Approve the Vendor List and Timeline for the Request for Proposal (RFP) for a Plan Administrator for the Self-Funded Medical Plans and a Pharmacy Benefits Manager (PBM) for the Self-Funded Prescription Drug Plans for Plan Year 2023

• Item 15 - Receive Consultant’s Report on the Health Claims Data

  • Item 15 Attachment - Consultant's Report on Health Claims Data

• Item 16 - Receive Consultant’s Report on JPA Administration Alternatives and Direct SJVIA Staff to Conduct an RFP for Outsourcing JPA Administration Including JPA Management, JPA Administration, Financial/Auditing Services, and Legal Counsel

  • Item 16 Attachment - Consultant's Report on JPA Administration Alternatives

• Item 17 - Director Questions, Announcements, and Activity Reports

• Item 18 - Adjourn

Consent Agenda

• Item 19 - Approve and Authorize President to Sign Settlement Agreement and General Release with Gallagher Settlement Benefit Services, Inc., to Receive Payment of $7,000,000 in Exchange for a Release of all Claims to Settle San Joaquin Valley Insurance Authority v. Gallgher Benefit Services, Inc., Fresno County Superior Court Case No. 17CECG01632, United States District Court for the Eastern District of California Cans No. 1:17-cv-00861-LIO-EPG

  • Item 19 Attachment - Settlement Agreement and General Release

• Item 20 - Approval of Minutes - Board Meeting of December 10, 2021

• Item 21 - Receive Update on Plan Year 2022 Anthem High Deductible PPO Pharmacy Discounts Through IngenioRx

• Item 22 - Receive Update on the Self-Funded Medical and Dental Claims Audit Through TFG Partners

  • Item 22 Attachment - SJVIA Agreement with TFG Partners

• Item 23 - Approve Revised 2022 Board Meeting Calendar

  • Item 23 Attachment - Revised 2022 Board Meeting Calendar