Fresno City Employees Health & Welfare Trust Agenda for the Regular Board Meeting January 9, :00 AM

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1 621 Santa Fe Street Fresno, CA ~n~te'!'''i~\i/-2- rlfr",;;;;;~;'wi~~~~ CITY EMPLOYEES HEA[;m AND WELFARE TRUST ADMINISTRATION OFFICE o Health Camp Third Party Administration TELEPHONE (559) FAX (559) MAILING ADDRESS P.O. BOX FRESNO, CA Fresno City Employees Health & Welfare Trust Agenda for the Regular Board Meeting January 9, :00 AM I, I Employer Trustees-City of Fresno Bruce RUdd, Vice Chairperson Bob Koury, Trustee Administrator Phil Musson, CEO, Jennifer Weeks, Pian Manager : Legal Counsel Michael E. Moss, Esq. Moss Tucker Chiu Hebesha & Ward PC 1) Approval of Agenda ""Discussion and action as required Roll Call 8:00 A.M. Employee Trustees Shane Archer, Chairperson Sheila Chandler, Trustee Douglas Landy, Trustee William Dearsan, Trustee Terran Nyberg, Trustee Robert Mesel, Trustee Patricia Tierce, Trustee Mike Alforque, Trustee Marina Magdaieno, Trustee Jo Billings, Trustee Vacant Consultants Jim Rhein Rael & Letson FFA FPOA ATU IBEW FCEA CFPEA CFMEA FFA Local 39 FPOA FAPSS 2) Approval of the Minutes 9Discussion and action as required 3) Public Discussion** c)discussion as required 4) Correspondence a) The University of California at Berkeley Wellness Letter ""Discussion as required b) FPOA Trustee Appointment c?discussion and action as required 5) Administrator's Report ""Discussion as required a) Claim and Benefit Reports b) Specific Stop-Loss Report c) Turnaround Time Report d) Special Open Enrollment for Local 39

2 Fresno City Employees Health & Welfare Trust Regular Board Meeting Agenda January 9, ) Review & Approval of Appeal Interpretations, Report from Appeals Committee None 7) Reports from Managed Care Vendors a) Blue Shield of California Discussion as required b) Kaiser Permanente Discussion as required C) Psy-Care d) Pacific Union Dental/United HealthCare e) Catamaran Discussion as required f) Delta Dental i) DHMO Proposal Discussion and action 8S required g) ChiroMetrics 8) Consultant's Report a) Cost Analysis Report for the Requested Benefit Changes for the Fiscal Year Discussion and action as required b) Vendor Rates for the Fiscal Year Discussion and action as required c) Contribution Rates for the Fiscal Year q Discussion and action as required 9) Healthcare Reform Bill 9 Discussion as required 10) Attorney's Report a) Dependent Eligibility Audit Funds Recovery Update 11) Board Meeting Schedule q Discussion and action as required 12) Executive Session Items 13) Future Agenda Items

3 Fresno City Employees Health & Welfare Trust Regular Board Meeting Agenda January 9, ) Adjournment 9Discussion and action as required "Provides an opportunity for members of the public to address the Board of Trustees on items of interest to the public within the Board's jurisdiction and which are not already on the agenda. It is the policy of the Board not to answer questions impromptu but refer such matters to the Administration Office for placement on the next agenda. Speakers should limit their comments to no more than three (3) minutes. No more than ten (10) minutes per issue will be allowed. For items which are on the agenda for this meeting, members of the public will be provided an opportunity to address the Board before a vote is taken on each item. NOTICE APPEALS COMMITTEE Next Meeting: Monday, February 4,2013 at 4:00 p,m. Committee Members to Attend: Marina Magdaleno, Bruce Rudd, William Dearsan

4 621 Santa Fe Street Fresno, CA I!'nl!'~.III",\II", rnlle~;'li~4~~ CITY EMPLOYEES HEALfH AND WELFARE TRUST o ADMINISTRATION OFFICE Health Camp Third Party Administration TELEPHONE (559) FAX (559) MAILING ADDRESS P.O. BOX FRESNO, CA FRESNO CITY EMPLOYEES HEALTH &WELFARE TRUST MINUTES OF THE REGULAR BOARD MEETING December 12,2012 CALL TO ORDER The regular monthly meeting of the Board of Trustees for the Fresno City Employees Health & Welfare Trust was called to order by Vice Chairperson, Bruce Rudd at 8:10 A.M., Wednesday, December 12, 2012 in the Conference Room at 621 Santa Fe Street. A quorum was present including the following: EMPLOYEE TRUSTEES PRESENT: EMPLOYEE TRUSTEES ABSENT: EMPLOYER TRUSTEES PRESENT: EMPLOYER TRUSTEES ABSENT: OTHERS PRESENT: Jo Billings Robert Mesel Terran Nyberg Sheila Chandler Shane Archer Bruce Rudd William Dearsan Douglas Landy Marina Magdaleno Mike Alforque Pat Tierce Bob Koury HealthComp, Inc. Phil Musson Jennifer Weeks Moss Tucker Law Mike Moss Rael & Letson Jim Rhein, Consultant Benefit Analyst, COF Leslie Schoener Blue Shield of CA Linda Patron informedrx Marian Reilly PUD/UHC Psy-Care Kaiser Permanente David Manion FORCE ChiroMetrics Jeremy Oswald Dr. Stephen Albracht Delta Dental Jerry Sauter

5 II Item 1 Item 2 Item 3 Item 4 Approval of Agenda - A Motion was made by Trustee Bob Koury and seconded by Trustee Robert Mesel to approve the agenda. The Motion was unanimously approved. Approval of Minutes a) October 10, 2012 Regular Board Meeting - A Motion was made by Trustee Robert Mesel and seconded by Trustee Bob Koury to approve the minutes, amended to add the Blue Shield of California representative in attendance for October 10, The Motion was unanimously approved. Public Discussion - None Correspondence a) The University of California at Berkeley Wellness Letter - Mr. Phil Musson reviewed the correspondence that consisted of the University of California at Berkeley Wellness. b) Board Meeting Calendar - Mr. Phil Musson referred to the annual Board Meeting Calendar and requested Board Members to contact the Administrators office for any scheduling conflicts. c) L~tter from Local 39 - Mr. Phil Musson referred to the Memorandum regarding the enrollment of Local 39 members into the Trust. After much discussion, Local 39 representative Marina Magdaleno stated that this enrollment would consist of active employees only, and would not include the retirees. It was also stated that all applicable deductibles will have to be met, those members currently opted out will be allowed to remain opted out if they so choose, and that this Special Open Enrollment for Local 39 members will be a qualifying event for spouses currently enrolled in the Trust. Mr. Jim Rhein informed the Board that this is a change in the census of more than 20% and vendors may have the right to re-rate their contracts. Mr. Rhein requested all vendors to contact him if any issue should arise. No action was required. Item 5 Administrator's Report Mr. Phil Musson reviewed the following reports for the Board of Trustees: a) Claim and Benefit Reports for five months ending November 30,2012. b) Specific Stop Loss Analysis Report for the period July 1, 2012 through June 30, 2013 had zero individuals that would have exceeded a specific Stop Loss deductible of $175,000 if such a policy existed. Two individuals would have been above a 50% specific stop loss claims level.

6 c) Turnaround Time Report for the month of November, III d) Special Open Enrollment for Local 39 - Mr. Musson referred to the proposed Special Open Enrollment materials for the Local 39 employees. After much discussion a Motion was made by Trustee Bob Koury and seconded by Trustee Terran Nyberg to approve the material with the requested changes. The Motion was unanimously approved. Item 6 Item 7 Review & Approval of Appeal Interpretations - None Reports from Managed Care Vendors a) Blue Shield of California - Ms. Linda Patron, Account Manager, was present and referred to the Blue Shield Performance Guarantees for the period of January 1, 2011 through June 30, 2012 resulting in a zero premium adjustment. Ms. Linda Patron referred to the Cost Savings Information included in the packet which consisted of facts about ambulatory surgery centers, how to maximize healthcare dollars and the benefits of staying in the network. After much discussion, Vice Chairperson Bruce Rudd stated that any vendor who provides the Board options or suggestions on how to possibly cut costs, must also provide a cost analysis. b) Kaiser Permanente - Mr. David Manion, Account Manager, was present and referred to the SBC (Summary of Benefits and Coverage) for the Kaiser Permanente Deductible HMO Plan. c) Psy-Care - Ms. Laurel Harper was not present. d) Pacific Union Dental - Ms. Devereux Corlett, Account Manager, was not present. e) informedrx - Ms. Marian Reilly, Account Manager, was present and requested to update their name to Catamaran on all Trust correspondence. Ms. Reilly informed the Board of CMS requirements on utilization review for EGWP members when opeoids are prescribed. The cost per review is $150 for case management. f) Delta Dental - Mr. Jerry Sauter, Account Manager, was present and referred to the Contract Year-End Performance Measurements and Delta Dental presentation slide show. Mr. Jim Rhein requested a quote for Delta Dental's DHMO network. g) ChiroMetrics - Dr. Stephen Albracht was present and had nothing new to report.

7 IV Item 8 Item 9 Consultant's Report a) Vendor Rates for the Fiscal Year - The Blue Shield of California and Kaiser Permanente rate submissions were tabled until the January 9, 2013 Board Meeting. A Motion was made by Trustee Terran Nyberg and seconded by Trustee Marina Magdaleno to approve the NuWest Fiduciary Liability renewal with no increase to premiums. The Motion was unanimously approved. b) Benefit Changes for the Fiscal Year - Mr. Jim Rhein requested that the Trustees submit any benefit change requests. Healthcare Reform Bill - Mr. Mike Moss had nothing new to report. Item 10 Attorney's Report a) Dependent Eligibility Audit Refunds Recovery Update - Mr. Mike Moss updated the Board on the status of the open litigation. Item 11 Item 12 Board Meeting Schedule - This item was tabled until the next Board Meeting. Executive Session Items - None Item 13 Future Agenda Items - a) Vendor Rates for the Fiscal Year Item 14 Adjournment- The Board Meeting adjourned at 10:31 AM. Shane Archer, Chairperson Fresno City Employees Health & Welfare Trust Date Phillip J. Musson, Administrator HealthComp Administrators Date