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)