ࡱ> mpl] "bjbjRR >B8$b8$b  xxxxx8\ \^|4(\\\2]]]]]]]$_br]x]xx\\4]lllRx\x\]l]llN"NSU\^ӻl^uR0y]]0^RcNc`UcxUl]]T^c B >: 91ֱ Employee Benefits - Insurance Committee Group Memory of February 13, 2018 Committee Members:  FORMCHECKBOX  Duetta Langevin, Co-Chair  FORMCHECKBOX  Sokha Song, Co-Chair  FORMCHECKBOX  Jennifer Galbraith  FORMCHECKBOX  Catherine McKee  FORMCHECKBOX  Vicki Greco  FORMCHECKBOX  Barbara Quinn  FORMCHECKBOX  Brigitte Hebert  FORMCHECKBOX  Elizabeth Jauregui  FORMCHECKBOX  Zak Gallegos  FORMCHECKBOX  George Gutierrez  FORMCHECKBOX  Peter Gonzales  FORMCHECKBOX  Melissa Aguirre  FORMCHECKBOX  Norma Vizcarra  FORMCHECKBOX  Richard Lee  FORMCHECKBOX  Yadira Santiago (notes)  ITEM DISCUSSION/COMMENTS ACTION/OUTCOME1. Welcome/Introductions Richard Lee chaired todays meeting. Committee Member changes: Peter Gonzales - additional Unit 651 representative added to the committee after the December meeting.None2. Agenda Review Members received a printed copy.Agenda approved.3. Review Meeting Notes from December 12, 2017Members received a printed copy.Memory approved.4. SISC presentationNicole Henry and Armando Cabrera of Self-Insured Schools of California (SISC) conducted an interactive follow-up detailed presentation. Handouts provided: HMO (Full Network) Plans HMO (Select Network) Plans PPO (Full Network) Plans PPO (Select Network) Plans The SISC III Transition SISCs Value-Added Services Full Network = access to ALL network providers. You must select a Primary Care Physician or one is selected for you. Select Network = access to physicians in a subset network of the providers. Pomona Valley Medical Group and St. Jude are not in the Select Network. Out-of-Pocket Max = the maximum amount you will be responsible for annually. First figure is individual max/second figure is family max. HMO plans have $0 Individual/Family deductible. Specialists are referred by your physician. PPO plans have an Individual/Family deductible. Specialists are self-referred. Co-pays do not count towards the deductible. Medical plan options can be combined with any prescription/pharmacy plan options. Prescriptions filled at Costco are $0. Generic 90-day mail order supply is also free through Costco mail. You DO NOT need to be a Costco member to have your prescriptions filled at a Costco pharmacy. Prescriptions can be filled at any network pharmacy except for Walgreens pharmacy, they are not in the network of providers. Definition of a custom plan design option-SISC provides a set menu of medical plan options. Each bargaining unit can customize their medical and prescription plans, meaning each bargaining unit can pick a different option from the set menu of options that SISC provides. How does double insurance/dual coverage work? Technically, the provider can still collect the co-pay, most likely they will not collect the co-pay, due to the provider receiving capitation for the members.Peter Gonzales, of Unit 651, would like SISC to come out and do a presentation with all of the members of Unit 651. HR will coordinate. Zak asked if SISC could send HR the Bronze plan information for the committee to review. Composite rate has been given to HR by SISC. That information will be emailed to the committee members.     Insurance/Employee Benefits Committee Group Memory  PAGE \* MERGEFORMAT 2  PAGE \* MERGEFORMAT 1 ,5?@FOPavwǷ׷tgYgHg>hqdqOJQJ^J!jhh}qOJQJU^JhqdqOJQJ^JmH sH h|hPtOJQJ^J!jh}qOJQJU^Jh}qOJQJ^Jjh}qOJQJU^JhdY15OJQJ\^Jh'k5OJQJ\^Jh|hL5OJQJ\^Jh|h 5OJQJ\^Jhk5OJQJ\^Jhkp5OJQJ\^Jh|hLCJOJQJ^J@bcv . N p |l  0*$Ifgd}Y^$  0*$Ifa$gdqdqK$$  0*$Ifa$gdqdq$  0*$Ifa$gd& $  0*$Ifa$gdPt$  0*$Ifa$gdL$a$gdL$a$gdF $ %a$gdF gdg      ! 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