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Agenda Item
ASR
Control 22-000680 |
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MEETING DATE: |
08/09/22 |
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legal entity taking action: |
Board of Supervisors |
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board of supervisors
district(s): |
All Districts |
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SUBMITTING
Agency/Department: |
County Executive Office (Approved) |
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Department contact
person(s): |
Kim Derrick (714) 834-2564 |
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Kellie Aumond (714) 834-2482 |
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Subject: Renewal of Contract for
Dental Claims Administration
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ceo CONCUR |
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Clerk of the Board |
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Concur |
Approved Agreement to Form |
Consent Calendar |
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3 Votes Board Majority |
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Budgeted: Yes |
Current Year Cost:
$58,800 |
Annual Cost:
FY 2023-24 $58,800 |
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Staffing Impact: |
No |
# of Positions:
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Sole Source:
No |
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Current Fiscal Year Revenue: N/A
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Prior Board Action: 6/4/2019
#12 |
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RECOMMENDED ACTION(S):
Authorize the Chief Human Resources Officer or designee, to execute Amendment Number Two to the Contract with California Physicians’ Services, dba Blue Shield of California for dental claims administration for the self-insured Management and Attorney Dental Plan, under the same terms and conditions and scope of work for one additional year effective January 1, 2023, through December 31, 2023.
SUMMARY:
Approval of Amendment Number Two to the California Physicians’ Services, dba Blue Shield of California contract will provide for continued administration of dental claims for the self-insured Management and Attorney Dental Plan.
BACKGROUND INFORMATION:
The County utilizes a third-party administrator, California Physicians’ Services, dba Blue Shield of California (Blue Shield) for dental claims administration, network utilization management services and a Preferred Provider Organization (PPO) network. Human Resource Services (HRS) has a continuing need for these services for the County self-funded PPO dental plan.
The contract includes 48 Performance Guarantees (PGs) assessed on an annual basis. For calendar year 2021, Blue Shield met or exceeded 42 of 48 PG measurements for an overall 88 percent of the PGs met. The 2020 and 2021 PG results and explanations of unmet PGs are shown in Attachment D.
The Contractors’ performance has been confirmed as at least satisfactory. HRS has verified there are no concerns that must be addressed in respect to Contractors’ ownership/names, litigation status or conflicts with County interests. The Orange County Preference Policy is not applicable to this contract award.
This contract includes subcontractors. See Attachment C for information regarding subcontractors and Contract Summary Form.
Prior Board Actions
On June 4, 2019, the Board approved the execution of the contract with Blue Shield for dental claims administration for the self-insured Management and Attorney Dental Plan effective January 1, 2020.
FINANCIAL IMPACT:
The estimated 2023 annual cost is $117,600 for dental claims administration. There is no fee increase from the prior year. The actual cost will vary based on actual Plan enrollment.
Appropriations for this
Agreement are included in the FY 2022-23 budget and will be included in the
budgeting process for FY 2023-24.
STAFFING IMPACT:
N/A
ATTACHMENT(S):
Attachment A - Amendment Number Two to Contract with Blue
Shield
Attachment B - Redline Changes to Contract with Blue Shield
Attachment C - Contract Summary Form
Attachment D - Performance Guarantees for Calendar Year 2020-21