Board Agenda & Materials

December 9, 2022

The San Joaquin Valley Insurance Authority (SJVIA) Board will meet on Friday, December 9, 2022 at 9:00am. The meeting will take place at the County of Tulare Human Resources & Development Department, 2500 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, December 9, 2022 to listen to the meeting live.

Listen to a recording of the meeting.

• Item 5 - Public Comment

• Item 6 - Approval of Consent Agenda - Itesm 15 - 20

• Item 7 - Receive Update from Auditor-Treasurer on Cash Flow Projections

  • Item 7 Attachment - Update on Cash Flow Projections

• Item 8 - Receive Update from Auditor-Treasurer on SJVIA Financials as of June 30, 2022

  • Item 8 Attachment - Update on Cash Flow Projections

• Item 9 - Receive Consultant's Medical, Dental, and Vision Experience Reports through September 2022 with Update on Projected Plan Experience Surplus Accumulation and Projections

  • Item 9 Attachment - Consultant's Report Plan Experience through September 2022

  • Item 9 Attachment - SJVIA Medical Experience through September 2022

  • Item 9 Attachment - SJVIA Dental Experience through September 2022

  • Item 9 Attachment - SJVIA Vision Experience through September 2022

• Item 10 - Receive Keenan Pharmacy Services' Consultant's Report on EmpiRx Q3 2022 Untilization

  • Item 10 Attachment - Consultant Report on EmpiRx Q3 2022 Utilization

• Item 11 - Receive Consultant's report on Marketing for a Pharmacy Benefits Manager (PBM) Consultant for the SJVIA's PBM, EmpiRx, and Approve Staff Recommendation to Retain Keenan Pharmacy Services (KPS) and Authorize President to Execute Agreement for a One-Year Term, Effective January 1, 2023, Subject to Approval of SJVIA Counsel and Staff

  • Item 11 Attachment - SJVIA PBM Consulting RFP Report

• Item 12 - Receive Consultant's Report on Plan Year 2023 Stop Loss/Reinsurance Renewal and Marketing Results and Authorize President to Execute Application and Agreement Subject to Approval of SJVI Counsel and Staff

  • Item 12 Attachment - Consultant's 2023 Stop Loss Renewal and Marketing Presentation

• Item 13 - Director Questions, Announcements, and Activity Reports

• Item 14 - Adjourn

Consent Agenda

These matters are routine in nature and are usually approved by a single vote. Prior to action by the Board, the Board Members and the public will be given the opportunity to remove any item from the Consent Calendar. Items removed from the Consent Calendar may be heard immediately following approval of this Consent Calender or set aside until later in the meeting.

• Item 15 - Approval of Minutes - Board Meeting of August 26, 2022

• Item 16 - Approve Proposed 2023 Board Meeting Calendar

  • Item 16 Attachment - 2023 Board Meeting Calendar

• Item 17 - Approve and Authorize President to Execute SJVIA Participation Agreements for the County of Fresno, Effective December 12, 2022 and the County of Tulare, Effective January 1, 2023

  • Item 17 Attachment - County of Fresno SJVIA Participation Agreement

  • Item 17 Attachment - County of Tulare SJVIA Participation Agreement

• Item 18 - Approve and Authorize President to Execute SJVIA Agreement with MyWorkplace, Inc. to Continue to Provide Benefits Management and Enrollment SaaS System Services for An Initial Three-Year Term with Two One-Year Options to Extend the Agreement

  • Item 18 Attachment - SJVIA Agreement with MyWorkplace, Inc.

• Item 19 - Approve and Authorize President to Execute SJVIA Agreement with Navia Benefit Solutions, Inc.. to Continue to Provide COBRA, FMLA, and Retiree Billing Srvices for an Initial Three-Year Term with Two One-Year Options to Extend the Agreement

  • Item 19 Attachment - SJVIA Agreement with Navia Benefit Solutions, Inc.

• Item 20 - Approve Renewal and Agreement with Elite Corporate Medical Services, Inc. to Provide On-Site Biometric Health Screening Services and Authorize President to Execute Agreement 

  • Item 20 Attachment - Renewal and Agreement with Elite Corporate Medical Services, Inc.