Board Agenda & Materials

February 17, 2023

The San Joaquin Valley Insurance Authority (SJVIA) Board will meet on Friday, February 17, 2023 at 9:00am. The meeting will take place at the County of Fresno Board of Supervisors Chambers, 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, February 17, 2023 to listen to the meeting live.

Listen to a recording of the meeting.

• Item 5 - Public Comment

• Item 6 - Approval of Consent Agenda - Items 19 - 20

• Item 7 - Appoint SJVIA Manager and Assistant Manager to Serve a Two-Year Term

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

  • Item 8 Attachment - Update on Cash Flow Projections

• Item 9 - Receive Consultant's Report on Community Medical Center (CMC) Claim Treatment During Anthem Non-Contract Status and Approve Modified Arrangement with Anthem for EPO and PPO Claims Payment During the Time in Which No Provider Contract is in Force Between Anthem and CMC

  • Item 9 Attachment - Consultant's Report on CMC Claim Treatment During Anthem Non-Contract Status

• Item 10 - Receive Preliminary Budget for Fiscal Year 2023 - 2024

  • Item 10 Attachment - SJVIA Fiscal Year 2023 - 2024 Preliminary Budget

• Item 11 - Receive Consultant's Medical, Dental, and Vision Experience Reports through December 2022 with Update on Projected Plan Experience Surplus Accumulation and Projections (I)

  • Item 11 Attachment - Consultant's Report Plan Experience through December 2022

  • Item 11 Attachment - SJVIA Medical Experience through December 2022

  • Item 11 Attachment - SJVIA Dental Experience through December 2022

  • Item 11 Attachment - SJVIA Vision Experience through December 2022

• Item 12 - Receive and Accept Consultant's SJVIA Actuarially Certified Incurred But Not Reported (IBNR) Reserve Report as of December 31, 2022 and Maintain the Fully-Funded Status of the IBNR Reserve (A)

  • Item 12 Attachment - SJVIA IBNR Summary as of December 31, 2022

  • Item 12 Attachment - SJVIA - County of Fresno IBNR as of December 31, 2022

  • Item 12 Attachment - SJVIA - County of Tulare IBNR as of December 31, 2022

• Item 13 - Receive Consultant's Report on SJVIA Reserve Reconciliation (I)

  • Item 13 Attachment - Consultant's Report on SJVIA Reserve Reconciliation

• Item 14 - Receive Report on the Variable Copay Assistance Program (VCAP) on High-Cost Specialty Drugs Through EmpiRx and Approve Staff Recommendation to Implement the Program Effective May 1, 2023 (A)

  • Item 14 Attachment - VCAP Report

• Item 15 - Receive Consultant's Report on Comparing EmpiRx Claims Clost vs. Prescription Discount Drug Cards (I)

  • Item 15 Attachment - Consultant's Report on EmpiRx Costs vs. Prescription Discount Drug Card

  • Item 15 Attachment - Top 50% Prescription Cost Summary

  • Item 15 Attachment - Top 50% Prescription Claims Summary

• Item 16 - Receive Draft Agenda for the Proposed SJVIA Strategic Planning Meeting (I)

  • Item 16 Attachment - SJVIA Strategic Planning Meeting Draft Agenda

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

• Item 18 - 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 19 - Approval of Minutes - Board Meeting of December 9, 2022

• Item 20 - Approve Amendment 2 to Agreement with 98point6, Which Provides Mobile Phone App-Based Telemedicine Services, Expanding Their Scope of Services for the Remainder of the Two-Year Agreement, and Authorize President to Execute Amended Agreement, Effective March 1, 2023, Subject to Approval of SJVIA Counsel and Staff (A)

  • Item 20 Attachment - 98point6 Amendment 2 to Agreement