Jun
4

JLMBC Regular Meeting

Agenda

View a livestream of the meeting at bit.ly/JLMBC-livestream

INTRODUCTION

(1) Call to Order     

(2) Public Comments

ACTION ITEMS

(3) Minutes – Recommendation to approve minutes for the following JLMBC meetings:

(Estimated 5 minutes)

(4) Committee Report 26-12: Staffing Reimbursement – That the JLMBC approve (a) reimbursements from the Employee Benefits Trust Fund for Personnel Department salary costs of staff providing administrative support of the LAwell Program in the total amount of $710,057.36 inclusive of the third quarter of fiscal year 2025-26 and adjustments for first and second quarter fiscal year 2025-26; and (b) reimbursements from the Employee Benefits Trust Fund/Wellness sub-account for Personnel Department salary costs of staff providing administrative support of the LIVEwell Wellness Program in the total amount of $93,596.44 inclusive of the third quarter of fiscal year 2025-26 and adjustments for first and second quarter fiscal year 2025-26.

(Estimated 5 minutes)

(5) Committee Report 26-13: Third Party Administrator (TPA) Request For Proposals (RFP) – That the JLMBC:

a)  Receive and note staff’s report on the background and objective of the TPA RFP; and

b)  Approve the draft TPA RFP subject to final content changes and approval by the City Attorney; and

c)   Approve the proposed “Pledge Form Regarding Conflict-of-Interest, Confidentiality and Proposer Communications” for all JLMBC members and staff involved in the procurement development process pledge.

(Estimated 20 minutes)

(6) Committee Report 26-14: LAwell Program 2027 Service Renewal & Plan Design Changes, and 2027 Plan Adoption– That the JLMBC take the following actions:

A. Annual Service Provider Renewals – Recommend to the Personnel Department General Manager continuation of 2027 LAwell Program benefit service providers with the applicable premium rate changes as follows:

A-1) Health Maintenance Organization (HMO) medical plans for 2027 renewal as follows:

i.    Blue Shield Trio HMO (Trio HMO) (9.9% increase)

ii.   Kaiser Permanente HMO (Kaiser HMO) (6.32% increase)

iii.  United Healthcare (UHC) Harmony HMO (Harmony HMO) (6.8% increase)

iv. United Healthcare (UHC) Signature Value (SV HMO) (11.9% increase)

A-2) Preferred Provider Organization (PPO) medical plans for 2027 renewal as follows:

i.    Blue Card High Deductible Health Plan PPO (BS HDHP PPO) with Blue Shield (12.9% increase)

ii.    Blue Card PPO (BS PPO) with Blue Shield (12.9% increase)

A-3) Dental Insurance plans for 2027 renewal as follows:

i.  Delta Dental Preferred Provider Option (Delta PPO) (3.0% increase)

ii.  Delta Dental HMO (Delta DHMO) (no premium change)

iii. Delta Dental Preventative Only PPO (Preventative Only) (3.0% increase)

A-4) Vision Insurance plan for 2027 renewal with the Anthem Blue View Vision plan (no premium change)

A-5) Life Insurance Basic, Supplemental and Dependent Life Insurance plans for 2027 renewal with MetLife  (no premium change)

A-6) Accidental Death and Dismemberment (AD&D) plan for 2027 renewal with MetLife (no premium change)

A-7) Basic and Supplemental Disability with the Standard Insurance Company for the 2027 renewal of the  plans (no premium change)

A-8) Support Plus: Employee and Family Assistance Program (EFAP) with Optum for 2027 pending results of the EFAP Request for Proposal (RFP) for a self-fund option and implementation (11.9% premium increase).  

A-9) Tax-Advantaged Spending Accounts with Amerifex for 2027 renewal of the following plans:

i. Dependent Care Reimbursement Account (DCRA) (no premium change)

ii. Healthcare Flexible Spending Account (HCFSA) (no premium change

B. Contractual Service Terms – Recommend the following actions:

B-1) Direct staff, and its consultant Keenan, to continue negotiating service terms with Medical Service providers and report back with final results.

B-2) Recommend to the Personnel Department General Manager to:

i. Approve a one (1) year extension of Dental benefits with Delta Dental, for services through December 2027. 

ii. Approve a one (1) year extension of Vision benefits with Blue View Vision (Anthem), for services through December 2027.

iii. Approve a one (1) year extension of Support Plus EFAP with Optum, for services through December 2027 pending results of the EFAP Request for Proposal and a transition plan to changeover to a self-fund option 

C. Program Design Changes – Recommend to the Personnel Department General Manager approval of the following Program Design Changes for Plan Year 2027:

C-1)   High Deductible Health Plan (HDHP) – Health Savings Account (HSA) Administration Change

i.  Approve a change in administration for the HDHP HSA from Blue Shield to Ameriflex. 

ii.  Approve the contribution rate to align with the IRS maximum rates for 2027 as announced previously and have staff direct TELUS Health to program the new contribution maximum amount for Open Enrollment (est August)  

iii.  Approve for payment of the HSA administrative fee to be paid from the Benefits Trust Fund, instead of by participating employees, for the inaugural offering. 

C-2) Limited Purpose Healthcare Flexible Spending Account (LPHCFSA) 

i.   Approve a new version of the Healthcare Flexible Spending Account (HCFSA) which excludes medical expenses and is only offered to those enrolled into the HSA.

ii. Approve the annual maximum contribution for the LPHCFSA to match the HCFSA

C-3)      Dental Subsidy Maximum 

i.  Approve one of the following actions:

  1. No Change: Confirm retaining the maximum Dental PPO subsidy as 85% of the PPO Employee Only premium with no further action; OR

  2. Consider Future Change: Confirm retaining the maximum Dental PPO subsidy as 85% of the PPO Employee Only premium for 2027, and look to potential changes for 2028; OR

  3. Change Now: Confirm implementation of a change to 100% of the PPO Employee Only premium for 2027.

C-4)      Self-Funding Transition Plan

i.  Approve a preliminary plan for transition to self-funding of Dental, Vision, and/or EFAP at some point during the 2027 Plan Year

C-5)      Cash-in-Lieu Program Eligibility Changes

i.  Approve a policy change to Cash-In-Lieu for City couples to limit the eligible plan options to only when the City benefits from a decreased subsidy cost.

C-6)      Basic Disability Benefit Increase

i. Approve an increase of $157 to the basic disability benefit payment from $5,000 to $5,157.

C-7)      Basic Benefit Opt Out/Waiver

i. Allow for any employee to elect waiving enrollment into a basic benefit.

C-8)      Healthcare Flexible Spending Account (HCFSA) Election Maximum

i. Increase the annual maximum contribution for the HCFSA by $100 from $3,300 to $3,400. 

D. Program Expenditure for Fiscal Year 26/27 -  Receive and note information regarding the projected LAwell Program expenditure changes for Calendar Year 2026

E. Adoption of 2027 LAwell Program – Request that the Personnel Department transmit a report from the JLMBC Chairperson and Vice-Chairperson to the City Council for recommended adoption of the 2027 LAwell Program.

(Estimated 70 minutes)

INFORMATIONAL ITEMS

(7) Committee Report 26-15: Dependent Eligibility Verification (DEV) Services Update– Informational report about the DEV Audit.

a) Background on DEV Audit

b) DEV Audit Approach

c) Informational Updates

d) Communication Timeline

(Estimated 10 minutes)

(8) Committee Report 26-16: Projects and Activities – Informational report of activities, projects, and staffing updates for the LAwell Program for the month of April and May 2026.

(Estimated 10 minutes)

CONCLUDING ITEMS

(9) Request for Future Agenda Items

(10) Next Regular Meeting Dates:

●  June Special Meeting  TBD

●  July 2026 – Regular Meeting CANCELED

● August 6, 2026 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)

‍ ‍

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May
7

JLMBC Regular Meeting (Canceled)

Cancellation Notice

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Apr
2

JLMBC Regular Meeting

Agenda

INTRODUCTION

(1) Call to Order     

(2) Public Comments

INFORMATIONAL ITEMS

(3) Committee Report 26-10: Update of 2027 LAwell Plan Renewal – Informational report providing an update on the timeline for adoption of plan for the 2027 plan year and presentation from Keenan on negotiation status with LAwell vendors.
(Estimated 20 minutes)

(4) Benefit Provider Presentation– Presentation from Blue Shield regarding enrollment activity and member utilization of medical services. (Estimated 20 minutes)

(5) Benefit Provider Presentation – Presentation from UnitedHealthcare (UHC) regarding enrollment activity and member utilization of medical services. (Estimated 20 minutes)

(6) Committee Report 26-11: Projects and Activities– Informational report of activities, projects, and staffing updates for the LAwell Program for the month of March 2026 including:

a)      Procurement Update

b)      Dependent Eligibility Verification Audit Update

c)       Self-Funded Study presentation from Keenan.
‍ ‍(Estimated 30 minutes)

CONCLUDING ITEMS

(7) Request for Future Agenda Items

(8) Next Regular Meeting Dates:

●  May 7, 2026 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)

●  June 4, 2026 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)

● May/June Special Meeting  TBD

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Mar
5

JLMBC Regular Meeting

AGENDA


INTRODUCTION

(1) Call to Order     

(2) Public Comments

ACTION ITEMS

(3) Committee Report 26-04: Staffing Reimbursements for the first and second quarters of fiscal year 2025-26 – Recommendation that the JLMBC approve

(a) reimbursements from the Employee Benefits Trust Fund for Personnel Department salary costs of staff providing administrative support of the LAwell Program in the total amount of $1,366,554.65 inclusive of the first and second quarters of fiscal year 2025-26; and

(b) reimbursements from the Employee Benefits Trust Fund/Wellness sub-account for Personnel Department salary costs of staff providing administrative support of the LIVEwell Wellness Program in the total amount of $195,488.59 inclusive of the first and second quarters of fiscal year 2025-26.(Estimated 10 minutes)

(4) Committee Report 26-05: Cash In Lieu Survey Update – That the JLMBC:

a)  receive and note results of the Cash in Lieu survey; and

b) direct staff to include a potential modification to the Cash-in-Lieu program benefit for employees who cover other City employees as dependents in any LAwell Program medical plan for Plan Year 2027 (Estimated 10 minutes)

(5) Committee Report 26-06: Dependent Eligibility Verification (DEV) Audit Timeline & Communication Campaign Update  –That the JLMBC : 

a) receive and note the update on work with Secova, Inc. (Secova); and

b) approve the proposed timeline of a two-phased dependent audit approach; and

c)  approve the draft communication plan concept; and

d)  direct staff to report back with monthly updates on the audit progress.(Estimated 20 minutes)

(6) Committee Report 26-07: Procurement Updates for Plan Year 2027 –That the JLMBC:

a)  direct staff, with support from its consultants, to begin negotiations for Plan Year 2027 services and costs; and

b) direct staff to report back to the JLMBC with a recommendation on contract extensions for all contract terms ending December 31, 2026; and

c) approve the proposed Request for Proposal (RFP) for Employee and Family Assistance Program (EFAP) services, subject to final approval by the City Attorney; and

d) approve the proposed “Pledge Form Regarding Conflict-of-Interest, Confidentiality and Proposer Communications” for use by JLMBC members (voluntary) and City staff (mandatory) involved in the EFAP services development and review process; and

e) receive and note the updates to upcoming RFPs; and

f) receive and note the update for self-funding implementation.(Estimated 20 minutes)

(7) Committee Report 26-08: Authority for the Civilian Benefits Program Plan Document –That the JLMBC recommend that the Personnel Department, pursuant to City of Los Angeles Executive Directive 3 (Villaraigosa series), prepare a transmittal, subject to approval by the Office of the City Attorney, to the Office of the Mayor and City Council requesting that Los Angeles Administrative Code Division 4, Chapter 7, Article 5, Sec. 4.303, be amended to provide that the JLMBC recommend, and the Personnel Department prepare, adopt, maintain, and update, a Plan Document to govern the administrative terms, conditions, and procedures applicable to the City’s civilian employee benefit programs.(Estimated 15 minutes)

INFORMATIONAL ITEMS

(8)  Benefit Provider Presentation – Presentation from TELUS regarding an Open Enrollment debrief of enrollment activity and updates for upcoming enhancements. (Estimated 20 minutes)

(9) Legislative Update: California Senate Bill 729 (SB 729) – Informational report from Keenan regarding the status of implementing infertility treatment benefits with all LAwell medical providers pursuant to new California legislation effective January 1, 2026. (Estimated 15 minutes)

(10) Committee Report 26-09: Projects and Activities– Informational report of activities, projects, and staffing updates for the LAwell Program for the months of December 2025 through February 2026. (Estimated 10 minutes)

CONCLUDING ITEMS 

(11)       Request for Future Agenda Items

(12)       Next Regular Meeting Dates:

●        April 2, 2026 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)

●        May 7, 2026 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)

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Feb
5

JLMBC Regular Meeting

Agenda

INTRODUCTION

(1)  Call to Order     

(2) Public Comments

ACTION ITEMS

(3) Committee Report 26-01: Benefits Trust Fund Budget Mid-Year Update for Fiscal Year 2025-26 and Open Enrollment Update – Recommendation that the JLMBC– 

a)     Adopt a funding adjustment in the amount of $5,600,000 for anticipated changes in LAwell Program expenditures for the remainder of FY 25/26.

b)     Receive and note an update on the status of employee medical carrier transition effective January 1, 2026, estimated benefit costs, and the communication activities and strategy from July 2025 to January 2026 for Plan Year 2026.

c)      Receive and note an update to the LAwell and LIVEwell staffing

(Estimated 45 minutes)

(4) Committee Report 26-02: 2026 Educational Conferences –Recommendation that the JLMBC approve the necessary funding from the Employee Benefits Trust Fund for any interested JLMBC members and staff to attend, in-person, the following conference events:

a)   Thrive Personify Health Conference (March 2026: Phoenix, Arizona);

b) Art & Science of Health Promotion Conference  (March 2026: Colorado Springs, Colorado);

c) State and Local Government Benefits Association (SALGBA) Conference (May 2026: Providence, Rhode Island);

d)  Wellness Alliance Annual Wellness Summit Conference (July 2026: Nashville, Tennessee);

e)   International Foundation of Employee Benefit Plans (IFEBP) Annual Conference (October 2026: New Orleans, Louisiana)

(Estimated 15 minutes)

 

INFORMATIONAL ITEMS

(5)  Benefit Provider Presentation – Presentation from MetLife regarding utilization of the Life and Accidental Death and Dismemberment Insurances.

(Estimated 20 minutes)

 

(6) Benefit Provider Presentation – Presentation from Kaiser Permanente regarding utilization of the Kaiser HMO medical Insurance.

(Estimated 20 minutes)

 

(7) Committee Report 26-03: Plan Document– Informational report introducing a restated Plan Document for the LAwell Program, reserving final actions for a subsequent meeting to provide additional time for review and consideration.

(Estimated 20 minutes)

CONCLUDING ITEMS

(8)  Request for Future Agenda Items

 

(9)  Next Regular Meeting Dates:

 

●   March 5, 2026 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)

● April 2, 2026 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)

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