The Public Employees Benefits Program
The PEBP Board met in regular session January 26 in Carson City with a video-conference in Las Vegas.
A recommendation before the PEBP (Public Employees’ Benefits Program) Board Tuesday (January 26) was dismissed in favor of yet another vote of support for Anthem Blue Cross/Blue Shield to provide HMO (Health Maintenance Organization) service in ALL of Nevada. PEBP Executive Officer Damon Haycock put the item on the board agenda stemming from concerns with the original Request for Proposal process the board completed January 12 that ended with a vote selecting Anthem over the other 3 proposals considered that day. That vote, however, was contingent on working out cost concerns some of the board had with Anthem’s proposal. After a lengthy discussion of the pros and cons of going back to the drawing board or staying with their original selection, Board Member Judy Saiz Tuesday (January 26) made a motion to NOT withdraw their original RFP and to proceed with Anthem for HMO state-wide service for the 2016-2017 plan year. Member Rosalie Garcia seconded the motion and the vote in favor of it was 4-2 with Members Saiz, Garcia, Chris Cochran and Don Bailey voting for it and Ana Andrews and Board Co-Chair Jacque Ewing-Taylor voting against it. Two Board Members, Jim Wells and Bob Moore abstained from voting due to potential conflicts. On January 12, Saiz favored Anthem because if offered all access in the North and South, meaning participants would not be limited to only certain hospitals. During public testimony on the issue Tuesday (January 26), Michael Murphy from Anthem testified there could be legal action if the board overturned their original vote from January 12. There was also discussion that legal action could also come from other vendors not selected at the January 12 meeting. There was also a lot of concern expressed that something had to be done very quickly because Open Enrollment will begin May 1. There was a lot of other action at the latest PEBP Board Meeting that will be shared in our next RPEN Review newsletter for our members next month.
To view the full REVISED Board Packet (270 pages), please click on the link provided below. The revision includes Item 10 on the agenda to reconsider an award decision taken January 12 on a Request for Proposal for an HMO provider, which was contingently awarded to Anthem Blue Cross/Blue Shield. The item further would authorize the PEBP Staff to negotiate amendments to extend contracts for current HMO vendors Hometown Health Plan and Health Plan of Nevada through plan year 2017 and authorize staff to take measures to issue a new Request for Proposal or Proposals for plan year 2018 for HMO services on a statewide or regional basis.
For further news on the January 12 PEBP Board meeting that led to Anthem receiving a contingent offer read the following synopsis of that meeting.
The meeting was for finalist consideration by vendors who responded to a request for proposals for Health Management Organization (HMO) Services for PEBP. Proposals were considered from Anthem, Prominence, Hometown Health and Health Plan of Nevada. Following additional rankings from the Board itself at this meeting, it looked like Anthem (who offered a statewide plan for the North and South) was a clear winner among board consideration, however when this 10-percent of the matrix was added to the 45% consideration from the Evaluation Committee and another 45% score from a December 7 meeting on presentations from the vendors, the clear leader appeared to be Hometown Health with Anthem in second place. This prompted additonal discussion among the board, at which time Boardmember Judy Saiz made a motion that the board accept Anthem as the statewide HMO vendor. Her motion was seconded by Member Chris Cochran in Las Vegas. Judy said throughout the meeting that her selection of Anthem was based on choice of hospitals, in that Anthem allows participants to choose the hospital of their choice, whereas Hometown Health does not. After another lengthy discussion of the motion, Board Chair Leo Drozdoff called for a vote on the motion that ended with a tie, with Leo forced to break the tie and voting in favor of the motion. Voting for the motion was Judy, Don Bailey and Chris Cochran, voting against the motion was Jacque Ewing Taylor, Rosalie Garcia and Ana Andrews. After the vote, Jacque wanted to put on the record that if differences over cost (PEBP Staff was asked during the discussion about cost differences in the North and South and said based on the proposal from Anthem that it could be $100 more than what already exists) could not be addressed, as well as audit concerns with Anthem, then would the board be allowed to proceed with an alternative proposal of having Hometown Health continue in the north and Anthem provide the service in the south. The answer to the question was yes, and PEBP Executive Officer assured everyone that PEBP will make the negotiations with Anthem a priority over the coming weeks. RPEN Legislative Advocate Marlene Lockard went on record during public comment that RPEN is concerned that PEBP look out for the interests of all participants and resolve the cost differential before moving ahead with Anthem. The next regular PEBP Board meeting will be in January 26 at 9:00 a.m. An agenda for the meeting will be posted here when it becomes available.
In other news from PEBP as of January 6, 2016, PEBP has partnered with Towers Watson's One Exchange, the Medicare Exchange, to offer a pilot program in the CARSON CITY area! This trial program will provide a local OneExchange representative who will be available to meet one-on-one with retirees to discuss issues regarding the Health Reimbursement Arrangement (HRA). Prior to the scheduled one-on-one meetings, Towers Watson's OneExchange will host an hour long information session followed by a question and answer period. The meeting topics will cover: HRA funding and reimbursement; Medicare Part B recurring reimbursement; One-time reimbursement requests; How to read the Explanation of Benefits (EOP; How to submit claims and Auto-reimubursement process. Representatives for the one-on-one meetings are available by APPOINTMENT ONLY. Appointment scheduling opens as of January 11, 2016 by calling 1-801-413-0993, Monday through Friday between the hours of 7:30 a.m. and 4:00 p.m. Pacific time. If you are unable to schedule an appointment or need immediate assistance with your HRA, please contact OneExchange toll free at 1-888-598-7545 Monday through Friday, from 5:00 a.m. to 6:00 p.m. Pacific time.
Meanwhile, PEBP's Executive Officer Damon Haycock also announces that Towers Watson's OneExchange hour long information session with Question and Answer will take place Thursday, January 28 and Friday, January 29 from 9:00 a.m. to 11:00 a.m. in the PEBP Board Room at 901 S. Stewart St., Suite 1002, Carson City, NV 89701. For additional information about these sessions in Carson City, please contact PEBP directly at 775-684-7000.
For additional information about PEBP, please visit their web-site by clicking on the link below.
Public Employees Retirement System of Nevada
The Nevada Public Employees' Retirement System Board of Directors met January 21 in Las Vegas, where it was announced that Karen Kimball, Administrative Services Coordinator would be retiring. Her replacement will be Pamela Young. Additionally, during an Education Session from Ken Lambert the Board received background information on private equity as a precursor to potential changes in the allocation of funds. The next regular meeting of the PERS Board is February 18 in Carson City.
For more information about Nevada PERS please visit their web-site by clicking on the link below.
Nevada State Legislature 2015-2016 Interim
Interim Retirement and Benefits Committee Meeting
| Interim Retirement and Benefits Committee
This is the first meeting of the 2015-2016 Interim. The agenda is not yet available.
- Senator Ben Kieckhefer, Chair
- Assemblyman Paul Anderson, Vice Chair
- Senator Pete Goicoechea
- Senator Joyce Woodhouse
- Assemblywoman Maggie Carlton
- Assemblyman Randy Kirner
Mark Krmpotic, Fiscal Analyst
Cindy Jones, Fiscal Analyst
Alex Haartz, Principal Deputy Fiscal Analyst
Judy Lyons, Secretary
Brenda J. Erdoes, Legislative Counsel
Eileen G. O'Grady, Chief Deputy Legislative Counsel
Northern Tri-County Chapter Keeps the Public in Their Area Informed During the Legislature and Beyond!!
NTC Chapter President Mike Bumgartner began authoring a regular article in the local newspapers in his area last year and is continuing with his series starting January 2016. To read last year's monthly columns, please click on the link below, and to read his latest column dated January 8, 2016, click on the second link below.
Retired Public Employees of Nevada (RPEN)
A meeting of RPEN's Executive Committee was held January 20 - 21 in Carson City at our new office, 777 East William Street, Suite 200, 89701. One of the primary objectives at this meeting was to discuss a replacement for long time Executive Director of RPEN, Marty Bibb, who retired at the end of December 2015. The Committee approved naming RPEN Director of Membership Development and Chapter Service as the Interim Executive Director. An announcement on a permanent replacement for Marty will be made prior to April 1. For more information about this meeting please contact the State Office at 775-882-7832. The next regular meeting for RPEN's Executive Committee will be June 29-30 in Elko, where the annual Board of Directors meeting for RPEN will be hosted in September.
* Legislative meetings can also be seen/heard live over the Internet at: www.leg.state.nv.us Just go to that Web site and click on Listen to Meetings Live on the Internet