Board Agenda & Materials

August 21, 2026

The San Joaquin Valley Insurance Authority (SJVIA) Board will meet on Friday, August 21, 2026 at 9:00am. The meeting will take place at the County of Fresno Board of Supervisors Chambers, 2281 Tulare St. #301, Fresno, CA 93721.  Links below include the agenda and items being considered at the meeting.

Agenda

Listen to a recording of the August 21, 2026 Board Meeting.

• Item 4 - Approval of Agenda

• Item 5 - Approval of Minutes – Board Meeting of July 17, 2026

• Item 6 - Public Comment

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

  • Item 7 Attachment - SJVIA Cash Flow Projections

• Item 8 - Receive and Approve Proposed Budget for Fiscal Year 2026-2027

  • Item 8 Attachment - Budgeted v. Actuals Report

• Item 9 - Receive and Approve Adjusted Delta Dental  DHMO Rates for the 2026 Plan Year and Authorize Finalization of Credit with Delta Dental

  • Item 9 Attachment - Delta Dental HMO Renewal

• Item 10 - Receive Consultant’s Medical, Dental, and Vision Experience Reports through June 2026 with Update on Projected Plan Experiance Surplus Accumulation and Projections

  • Item 10 Attachment 1 - Consultants Report on Plan Experience through June 2026

  • Item 10 Attachment 2 - SJVIA Medical Experience through June 2026

  • Item 10 Attachment 3 - SJVIA Dental Experience through June 2026

  • Item 10 Attachment 4 - SJVIA Vision Experience through June 2026

• Item 11 - Receive USI Pharmacy Services' Consultant's Report on Carelon Pharmacy Utilization

  • Item 11 Attachment - Consultant's Report on Pharmacy Utilization

• Item 12 -  Receive Consultant's SJVIA Actuarially Certified Incurred But Not Reported (INBR) Reserve Report as of June 30, 2026, and Approve Recommendation to Maintain the Current IBNR Reserve Levels for a Fully Funded IBNR Reserve Status

  • Item 12 Attachment 1 - Certified IBNR Exhibit

  • Item 12 Attachment 2 - COF Reserve Analysis

  • Item 12 Attachment 3 - COT Reserve Analysis

• Item 13 - Receive Consultant's Plan Year 2026 Underwritting Renewal Report, Approve 2027 Anthem Medical, Dental, and Vision Plan Designs, Rates and Fees, Authorize SJVIA Staff and Consultant to Finalize Kaiser and Stop Loss Renewal Terms; and AuthorizeSJVIA Staff to Execute All Related Agreements, Subject to Approval of SJVIA Counsel and Staff

  • Item 13 Attachment 1 - SJVIA Board Meeting Consultants Report Plan Year 2027 Renewal

• Item 14 - Receive Anthem High-Cost Claimant Report

  • Item 14 Attachment - Anthem High Cost Claimant Summary

• Item 15 -  SJVIA Director Questions, Announcements, and Activity Reports (Gov. Code, 54954.2, subd. (a)(2)) (I)

• Item 16 - Adjourn