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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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JLMBC Regular Meeting (Canceled)