JLMBC Regular Meeting
INTRODUCTION
(1) Call to Order
(2) Public Comments
ACTION ITEMS
(3) Minutes - Recommendation to approve minutes of the December 5. 2024 regular meeting.
(4) Committee Report 25-26: Creation of Ad Hoc Subcommittee on Governance – That the JLMBC create an Ad Hoc Subcommittee on Governance for the purpose of recommending changes to the Los Angeles Administrative Code authorizing the Administration of Employee Benefit Programs. (Estimated 10 minutes)
(5) Committee Report 25-27: 2025 International Foundation of Employee Benefit Plans (IFEBP) Annual Conference – That the JLMBC consider its options and approve one of the following actions:
a) Deny any use of funding for staff or JLMBC members to attend IFEBP in person or virtually in November 2025; or
b) Approve the necessary funding from the Employee Benefits Trust Fund for any interested JLMBC member to attend IFEBP virtually only in November 2025; or
c) Approve the necessary funding from the Employee Benefits Trust Fund for up to two (2) JLMBC members to attend in-person for the November 2025 IFEBP conference in Honolulu, Hawaii.
(Estimated 15 minutes)
(6) Committee Report 25-28: Benefits Trust Fund Budget for Fiscal Year 2025-26 – That the JLMBC:
a) Adopt the draft budget of the Employee Benefits Trust Fund for Fiscal Year 2025-26;
b) Reaffirm that the Personnel Department is the sole designee of the JLMBC to authorize expenditures from the Employee Benefits Trust Fund in accordance with the JLMBC’s adopted budget;
c) Direct staff to bring a mid-year financial update to the JLMBC to consider any necessary adjustments to Fiscal Year 2025-26 proposed expenditures.
(Estimated 30 minutes)
INFORMATIONAL ITEMS
(7) Committee Report 25-29: Planned changes to LAwell communications – Informational report regarding the initial discussion on potential changes to communications executed for the LAwell Program.
(Estimated 15 minutes)
(8) Committee Report 25-30: Projects and Activities – Report regarding informational, project, and staffing summary updates for the LAwell Civilian Benefits Program (LAwell Program) for the months of March through May 2025 and the upcoming meetings calendar.
(Estimated 15 minutes)
CONCLUDING ITEMS
(9) Request for Future Agenda Items
(10) Next Regular Meeting Dates:
● June 2025 – Special Meeting [Date TBD] (In-Person with live broadcast/teleconference option for participation from the public)
● July 2025 – Special Meeting [Date TBD] (In-Person with live broadcast/teleconference option for participation from the public)
● August 7, 2025 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)
JLMBC Special Meeting
Agenda
INTRODUCTION
(1) Call to Order
(2) Public Comments
ACTION ITEMS
(3) Committee Report 25-25: Report on Medical Request for Proposal (RFP) Findings and Recommendation for Plan Year 2026 (Corrected formatting for Attachment A can be viewed here)– That the JLMBC:
(A) Receive and note this report from the Medical RFP Review Committee regarding its evaluation and analysis of the Medical RFP;
(B) Approve the recommendation from the Medical RFP Review Committee as follows:
a. Recommend to the General Manager of the Personnel Department that Blue Shield be selected as the provider of the Blue Shield Trio HMO, Blue Shield PPO, and Blue Shield HDHP PPO plans, for a two-year contract beginning January 1, 2026 through December 31, 2027 with an option for up to three additional one-year terms, pending successful negotiations by the Personnel Department with Blue Shield for, at minimum, contract requirements, prices/premiums, and service level agreements;
b. Recommend to the General Manager of the Personnel Department that Kaiser Permanente be selected as the provider of the Kaiser Integrated HMO plan for a two-year contract beginning January 1, 2026 through December 31, 2027 with an option for up to three additional one-year terms, pending successful negotiations by the Personnel Department with Kaiser Permanente for, at minimum, contract requirements, prices/premiums, and service level agreements;
c. Recommend to the General Manager of the Personnel Department that United Health Care be selected as the provider of United Health Care Harmony HMO and United Health Care Select Value HMO plans for a two-year contract beginning January 1, 2026 through December 31, 2027 with an option for up to three additional one-year terms, pending successful negotiations by the Personnel Department with United Health Care for, at minimum, contract requirements, prices/premiums, and service level agreements;
(C) Receive and note the information in the report from the Medical RFP Review Committee regarding the 2nd place and 3rd place bidder packages and RFP Section 3.1.14 regarding the bidder selection process;
(D) Instruct staff to report back to the JLMBC at its next meeting, or soon thereafter, the results of each negotiation, inclusive of pricing and clarified service agreement details, prior to the award of any contract.
(Estimated 90 minutes)
CONCLUDING ITEMS
(4) Request for Future Agenda Items
(5) Next Regular Meeting Dates:
June 5, 2025 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)
June 2025 – Special Meeting [Date TBD] (In-Person with live broadcast/teleconference option for participation from the public)
JLMBC Special Meeting
Agenda
INTRODUCTION
(1) Call to Order
(2) Public Comments
ACTION ITEMS
(3) Committee Report 25-21: Employee Benefits Trust Fund Staffing Reimbursements Third Quarter Fiscal Year 2024-25 – 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 $210,525.08 inclusive of the third quarter of fiscal year 2024-25; 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 $80,770.94 inclusive of the third quarter of fiscal year 2024-25. (Estimated 10 minutes)
(4) Committee Report 25-22: City Budget for Fiscal Year 25-26 and its Application to the LAwell Program – That the JLMBC consider either to:
a) Approve reimbursement of indirect and direct salary costs from the Benefits Trust Fund for the five (5) positions identified for layoff in the proposed FY 25-26 City budget which support the LAwell and LIVEwell programs; or
b) Approve reimbursement of indirect and direct salary costs from the Benefits Trust Fund for every staff position supporting the LAwell and LIVEwell programs. (Estimated 15 minutes)
(5) Committee Report 25-23: Updated Draft Language Change to Subsidy Maximum Authority – That the JLMBC consider the proposed revisions relating to the City subsidy under the Los Angeles Administrative Code (LAAC) section 4.307, “City Contributions to Health Plan Costs”, and direct staff to proceed with drafting an ordinance. (Estimated 30 minutes)
(6) Committee Report 25-24: Plan Changes for 2026 – That the JLMBC:
A. Receive and note this report from LAwell Staff regarding proposed 2026 LAwell Plan changes as referenced in Section 2.5 of the Medical Plans Request for Proposals;
B. Approve a recommendation from staff to set the default medical plan(s) for new hire and rehire employees as the lowest cost HMO health care plan(s) for any employee based on the employee’s zip code starting with Plan Year 2026;
C. Approve a recommendation from staff to implement an Active Enrollment process for all employees during Open Enrollment 2025;
D. Approve a recommendation from staff to default all enrolled employees and their actively covered dependents into the lowest cost HMO medical plan for their zip code during Open Enrollment 2025 for Plan Year 2026;
E. Approve a recommendation from staff to implement a Dependent Document Action during Open Enrollment 2025 for Plan Year 2026 aimed at assisting the City with its dependent verification efforts;
F. Approve a recommendation from staff to freeze new enrollment of any single health plan which exceeds 50% of all active enrollments, except if the health plan is the lowest cost plan available, to be first applicable to new enrollments in Plan Year 2026; and
G. Instruct staff to report back with additional details and logistics on the Active Enrollment process, communication plan, and overall strategy to implement the recommended plan changes for 2026 which ensure a positive member experience. (Estimated 60 minutes)
CONCLUDING ITEMS
(7) Request for Future Agenda Items
(8) Next Regular Meeting Dates:
● May 29, 2025 – Special Meeting (If needed for Medical RFP) (In-Person with live broadcast/teleconference option for participation from the public)
● June 5, 2025 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)
● June 2025 – Special Meeting (If needed) [Date TBD] (In-Person with live broadcast/teleconference option for participation from the public)
JLMBC Regular Meeting
INTRODUCTION
(1) Call to Order
(2) Public Comments
ACTION ITEMS
(3) Minutes – Recommendation to approve minutes of the November 7. 2024 regular meeting. (Estimated 5 minutes)
(4) Committee Report 25-15: Election of Officer – That the JLMBC conduct elections to fill the recently vacant Vice-Chairperson (Management) seat for the remainder of calendar year 2025. (Estimated 5 minutes)
(5) Committee Report 25-16: Draft Language Change to Subsidy Maximum Authority – That the JLMBC consider the proposed revisions relating to the City subsidy under the Los Angeles Administrative Code (LAAC) section 4.307, “City Contributions to Health Plan Costs”, and direct staff to proceed with drafting an ordinance. (Estimated 15 minutes)
(6) Committee Report 25-17: Citywide Cash-In-Lieu (CIL) Survey – That the JLMBC approve the draft CIL survey to be used Citywide. (Estimated 10 minutes)
(7) Committee Report 25-18: Benefits Plan Administration Consultant Request for Proposal (RFP) – That the JLMBC approve: (a) the proposed draft Benefits Plan Administration Consultant RFP, subject to final content changes and approval by the City Attorney; and (b) the proposed “Pledge Form Regarding Conflict-of-Interest, Confidentiality and Proposer Communications” for all JLMBC members and staff involved in the procurement development process. (Estimated 25 minutes)
(8) Committee Report 25-19: Dependent Eligibility Verification Audit (DEV) Request for Proposal (RFP) – That the JLMBC approve: (a) the proposed draft DEV RFP, subject to final content changes and approval by the City Attorney; and (b) the proposed “Pledge Form Regarding Conflict-of-Interest, Confidentiality and Proposer Communications” for all JLMBC members and staff involved in the procurement development process. (Estimated 30 minutes)
INFORMATIONAL ITEMS
(9) Committee Report 25-20: Medical RFP Preliminary Update Report Continuation – Continued preliminary update on Medical RFP costs after conclusion of the Best and Final (BAFO) solicitation process, and proposed next steps. (Estimated 25 minutes)
CONCLUDING ITEMS
(10) Request for Future Agenda Items
(11) Next Regular Meeting Dates:
● May 15. 2025 – Special Meeting (In-Person with live broadcast/teleconference option for participation from the public)
● May 29. 2025 – Special Meeting (if needed for Medical RFP) [Date TBD] (In-Person with live broadcast/teleconference option for participation from the public)
● June 5, 2025 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)
JLMBC Regular Meeting
INTRODUCTION
(1) Call to Order
(2) Public Comments
ACTION ITEMS
(3) Committee Report 25-12: 2025 International Foundation of Employee Benefit Plans (IFEBP) Annual Conference – That the JLMBC approve the necessary funding from the Employee Benefits Trust Fund for:
a) up to three (3) JLMBC members and two (2) staff to attend in
person; and/or
b) any JLMBC members or staff to virtually attend
(4) Committee Report 25-13: LAwell Plan Change Update Report – Cash In Lieu and Subsidy Authority – That the JLMBC:
a) direct staff to draft an ordinance amending Los Angeles Administrative
Code (LAAC) Sec. 4.307 to read that the JLMBC will set health subsidy
maximum;
b) approve release of a City-wide survey regarding the current Cash-in-
Lieu benefit; and
c) receive and note the LAwell Plan Change Update report
INFORMATIONAL ITEMS
(6) Benefit Provider Presentation – Presentation from TELUS Health regarding the 2025 Open Enrollment debrief, services performance, and planned enhancements.
(7) Medical Request For Proposal (RFP) Education Presentation (Funding Options) – Part four (out of four) of a multiple part presentation from Keenan and Associates covering health insurance plan basics
(8) Committee Report 25-14: Medical RFP Preliminary Update Report – Preliminary update on Medical RFP costs prior to the Best and Final (BAFO)
solicitation process.
CONCLUDING ITEMS
(9) Request for Future Agenda Items
(10) Next Regular Meeting Dates:
● May 1, 2025 – Regular Meeting (In-Person with live
broadcast/teleconference option for participation from the public)
● May 2025 – Special Meeting (if needed for Medical RFP) [Date TBD]
(In-Person with live broadcast/teleconference option for
participation from the public)
● June 5, 2025 – Regular Meeting (In-Person with live
broadcast/teleconference option for participation from the public)
● June 2025 – Special Meeting (if needed for Medical RFP) [Date TBD]
(In-Person with live broadcast/teleconference option for
participation from the public)
JLMBC Regular Meeting
AGENDA
INTRODUCTION
(1) Call to Order
(2) Public Comments
ACTION ITEMS
(3) Committee Report 25-08: 2025 State and Local Government Benefits Association (SALGBA) Annual Conference – That the JLMBC approve the necessary funding from the Employee Benefits Trust Fund for any interested JLMBC members and staff
a) for SALGBA Public Sector membership; and
b) to attend the April 2025 SALGBA conference in-person in St. Louis,
Missouri.
(4) Committee Report 25-09: 2025 International Foundation of Employee Benefit Plans (IFEBP) Annual Conference – That the JLMBC approve the necessary funding from the Employee Benefits Trust Fund for
a) up to two (2) JLMBC members and two (2) staff to attend in person;
and/or
b) any JLMBC members or staff to virtually attend the November 2025
IFEBP conference in Honolulu, Hawaii.
INFORMATIONAL ITEMS
(5) Benefit Provider Presentation – Presentation from Anthem regarding utilization of BlueView vision for LAwell members.
(6) Medical RFP Education Presentation (Benchmarking) – Resume and revisit part two of a multiple part presentation from Keenan and Associates covering health insurance plan basics
(7) Medical RFP Education Presentation (Underwriting) – Part three of a multiple part presentation from Keenan and Associates covering health insurance plan basics
(8) Committee Report 25-10: LAwell Plan Change Update Report – Update on the development and implementation of changes to the LAwell Program recommended by the JLMBC
(9) Committee Report 25-11: Projects and Activities – Informational, project, and staffing summary updates for the LAwell Civilian Benefits Program (LAwell Program) for the months of January and February 2025
CONCLUDING ITEMS
(10) Request for Future Agenda Items
(11) Next Regular Meeting Dates:
April 3, 2025 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)
May 1, 2025 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)
May 2025 – Special Meeting (if needed for Medical RFP) [Date TBD] (In-Person with live broadcast/teleconference option for participation from the public)
June 5, 2025 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)
JLMBC Regular Meeting
INTRODUCTION
(1) Call to Order
(2) Public Comments
ACTION ITEMS
(3) Minutes – Recommendation to approve minutes of the August 1, 2024 and October 3, 2024 regular meetings and the May 16, 2024 and August 14, 2024 special meetings.
(4) Committee Report 25-03: Employee Benefits Trust Fund Staffing Reimbursements Second Quarter Fiscal Year 2024-25 – 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 $155,743.65 inclusive of the second quarter of fiscal year 2024-25; 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 $91,709.08 inclusive of the second quarter of fiscal year 2024-25.
(5) Committee Report 25-04: Disability Insurance Contract extension – That the JLMBC recommend to the General Manager Personnel Department the extension of the term of Contract No C-134116 with the Standard Insurance Company for Disability Insurance Services for the City of Los Angeles’ LAwell Benefits Program, for two additional years through December 31, 2027, subject to City Council approval.
(6) Committee Report 25-05: Wildfire Impacted Employees – That the JLMBC consider a temporary suspension of LAwell eligibility rules regarding compensated hours for employees directly impacted by recent wildfires.
INFORMATIONAL ITEMS
(7) Benefit Provider Presentation – Presentation from Anthem regarding utilization of healthcare, trends, and high cost claims for LAwell members.
(8) Committee Report 25-06: Report back on Medical Request For Proposal (RFP) and Health Savings Accounts (HSA) – Report discussing the current status of the Medical RFP, further discussion on options asked in the RFP and potential next steps in pursuing them, and discussion on ability and options to pursue a HSA if determined as a result of the RFP.
(9) Medical RFP Education Presentation - Part two of a multiple part presentation from Keenan and Associates covering health insurance plan basics
(10) Committee Report 25-07: Plan Change and Procurement Update Reports – Introduction of two standing reports which will be brought to the JLMBC to provide updates moving forward.
CONCLUDING ITEMS
(11) Request for Future Agenda Items
(12) Next Regular Meeting Dates:
● March 6, 2025 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)
● April 3, 2025 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)
JLMBC Special Meeting
INTRODUCTION
(1) Call to Order
(2) Public Comments
ACTION ITEMS
(3) Minutes - Recommendation to approve minutes of the June 6, 2024 regular meeting.
(4) Committee Report 25-01: Employee Benefits Trust Fund Staffing Reimbursements First Quarter Fiscal Year 2024-25 –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 $153,539.81 inclusive of the first quarter of fiscal year 2024-25; 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 $91,766.03 inclusive of the first quarter of fiscal year 2024-25.
INFORMATIONAL ITEMS
(5) Benefit Provider Presentation: Presentation from Kaiser Permanente regarding utilization of healthcare, trends, and high cost claims for LAwell members.
(6) Medical RFP Education Presentation: Part one of a multiple part presentation from Keenan and Associates covering health insurance plan basics
(7) Committee Report 25-02: Projects and Activities – Report regarding informational, project, and staffing summary updates for the LAwell Civilian Benefits Program (LAwell Program) for the months of December 2024; including HRP Update.
CONCLUDING ITEMS
(8) Request for Future Agenda Items
(9) Next Regular Meeting Dates:
● February 6, 2025 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)
● March 6, 2025 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)
● April 3, 2025 – Regular Meeting (In-Person with live broadcast/teleconference option for participation from the public)