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Group Benefits Policy and Planning Board, LA

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Thu Dec 4, 2025

Group Benefits Policy and Planning Board

Board to review emergency contract amendments and Medicare exchange broker

The OGB Policy and Planning Board and Estimating Conference are meeting to approve emergency contract amendments for 2026. The board will also consider a contract recommendation for an Individual Market Medicare Exchange Broker with Administrative Services for Health Reimbursement Arrangement.

healthcarecontractsmedicareprocurementinsurance
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If you have a disability and require an accommodation to participate in this meeting, please contact Christina Cardona via email at [email protected] or by telephone at (225) 342-6060 to discuss your accessibility needs. State of Louisiana Office of Group Benefits Heath Williams Chief Executive Officer Office of Group Benefits P .O. Box 44036 Baton Rouge, Louisiana 70804 Phone (800) 272-8451 Fax (225) 342-9919 AGENDA OGB POLICY AND PLANNING BOARD combined with OGB ESTIMATING CONFERENCE Thursday, December 4, 2025 1:30 PM Thomas Jefferson Room C (1-136C) 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order a. Estimating Conference Roll Call b. Policy and Planning Board Roll Call II. Appointment to Estimating Conference – Alan Boxberger III. Approval of Minutes from November 19, 2025 Estimating Conference Meeting IV. Approval of Minutes from September 4, 2025 Joint Estimating Conference and Policy & Planning Board Meeting V. Public Comment VI. CaremarkPCS Health, LLC (CVS Caremark) Emergency Contract Amendment No. 2 VII. Procurement Matters – Amendments to Emergency Contracts for 2026 a. New Orleans Regional Physician Hospital Organization, LLC, d/b/a Peoples Health Emergency Contract Amendment No. 2 b. Humana Health Plan of Louisiana, Inc. Emergency Contract Amendment No. 2 c. HMO Louisiana, Inc. Emergency Contract Amendment No. 3 VIII. Motion and Vote to Move to Executive Session--La. R.S. 42:19(A)(1)(b)(iii) St …
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Wed Nov 19, 2025

Group Benefits Policy and Planning Board

Board to review emergency contract amendments for health providers

The Office of Group Benefits Policy and Planning Board and Estimating Conference will meet to discuss procurement matters. The body is reviewing emergency contract amendments for several health organizations and an RFP for a Medicare exchange broker.

healthcarecontractsprocurementmedicarestate-government
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STATE OF L O U I S I A N A D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD combined with OGB ESTIMATING CONFERENCE Wednesday, November 19, 2025 9:00 AM Thomas Jefferson C (1-136 C) 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order a. Estimating Conference Roll Call b. Policy and Planning Board Roll Call II. Appointment to Policy & Planning Board – Sen. Edward J. “Ed” Price a. Oath of Office III. Approval of Minutes from September 4, 2025 Joint Estimating Conference and Policy & Planning Board Meeting IV. Public Comment V. CaremarkPCS Health, LLC (CVS Caremark) Emergency Contract Amendment No. 2 VI. Procurement Matters – Amendments to Emergency Contracts for 2026 a. New Orleans Regional Physician Hospital Organization, LLC, d/b/a Peoples Health Emergency Contract Amendment No. 2 b. Humana Health Plan of Louisiana, Inc. Emergency Contract Amendment No. 2 c. HMO Louisiana, Inc. Emergency Contract Amendment No. 3 VII. Procurement Matters – Updates (RFPs) a. Individual market Medicare exchange broker with administrative services for health reimbursement arrangement VIII. New Business IX. Adjournment If you have a disability and require an accommodation to participate in this meeting, please contact Christina Cardona via email at [email protected] or by telephone at (225) 342-6060 to discuss your acces …
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Thu Sep 4, 2025

Group Benefits Policy and Planning Board

Board to review 2026 emergency contracts and premium rate recommendations

The OGB Policy and Planning Board and Estimating Conference will meet to discuss procurement matters and financial updates. The body will consider emergency contracts and amendments for 2026 and review premium rate change recommendations for self-funded plans for 2026-2030.

healthcareprocurementinsurancecontractsbudget
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STATE OF L O U I S I A NA D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD combined with OGB ESTIMATING CONFERENCE Thursday, September 4, 2025 1:30 PM Louisiana Purchase Room (1-100) 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order a. Estimating Conference Roll Call b. Policy and Planning Board Roll Call II. Approval of Minutes from February 17, 2025 Joint Estimating Conference and Policy & Planning Board Meeting I. Election of Officers for Policy and Planning Board II. Public Comment III. Procurement Matters – Emergency Contracts for 2026 a. CVS Caremark Pharmacy Benefit Manager Services b. Liviniti Pharmacy Benefit Manager Services c. Louisiana Health Service & Indemnity Company d/b/a Blue Cross and Blue Shield of Louisiana Administrative Services Only IV. Procurement Matters – Contract Amendments for 2026 a. Buck Global, LLC Actuarial Services Contract Amendment b. Humana Health Plan of Louisiana, Inc. Fully Insured Medicare Advantage HMO c. New Orleans Regional Physician Hospital Organization, LLC, d/b/a Peoples Health Fully-insured Medicare Advantage HMO d. HMO Louisiana, Inc. Fully Insured Medicare Advantage HMO V. Financial Update VI. 2026 - 2030 Premium Rate Change Recommendations for Self-funded Plans VII. Procurement Matters – Updates (RFPs) a. Requests for proposals (RFPs) to be issued with con …
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Mon Feb 17, 2025

Group Benefits Policy and Planning Board

OGB to discuss PBM RFP issuance

The Office of Group Benefits Policy and Planning Board, combined with the Estimating Conference, will meet to discuss the issuance of a Request for Proposals for Pharmacy Benefits Manager services. The meeting will also include swearing in a new board member and approving prior meeting minutes.

✓ Decided: OGB outlines process for Pharmacy Benefits Manager RFP issuance

The board discussed the upcoming Pharmacy Benefits Manager (PBM) Request for Proposals (RFP) scheduled for release around March 10, 2025. Officials detailed the evaluation committee structure, the 30-day submission window, and the scoring process. No votes were taken on the RFP itself, as it is currently in the development phase.

Agenda (official) · cached copy · Minutes
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STATE OF L O U I S I A N A D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD combined with OGB ESTIMATING CONFERENCE Monday, February 17, 2025 2:00 PM Louisiana Purchase Room (1-100) 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order a. Estimating Conference Roll Call b. Policy and Planning Board Roll Call II. Swearing in of New Board Member III. Approval of Minutes from January 8, 2025 Joint Estimating Conference and Policy & Planning Board Meeting IV. Public Comment V. Discussion of Pharmacy Benefits Manager (PBM) Request for Proposals (RFP) Issuance VI. New Business VII. Adjournment If you have a disability and require an accommodation to participate in this meeting, please contact Christina Cardona via email at [email protected] or by telephone at (225) 342-6060 to discuss your accessibility needs.
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I. I. STATE OF LOUISIANA DIVISION OF ADMINISTRATION OFFICEOF GROUPBENEFITS MINUTES OGB POLICY AND PLANNING BOARD combined with OGB ESTIMATING CONFERENCE Monday, February 17, 2025 2:00 PM Louisiana Purchase Room (1-100) 1201 North Third Street Baton Rouge, LA 70802 Call to Order i. ii. Estimating Conference Roll Call a. Mr. Sam Blount Present b. Mr. Manfredo Dix Present c. Ms. Stephanie Little Present d. Mr. Chas Nichols Present e. Mr. Brett Robinson Present f. Mr. Robert Schneckenberger Arrived Late Policy and Planning Board Roll Call a. Ms. Emily Andrews Present b. Sen. Adam Bass Absent c. Rep. Chad Brown Absent d. Rep. Kim Carver Present e. Dr. Gwile Freeman Present f. Mr. Dannie Garrett II Present g. Mr. Frank Jobert Present h. Mr. Frank Opelka Present i. Mr. Mike Saylor Present j. Sen. Alan Seabaugh Absent k. Sen. Jeremy Stine Absent Swearing i in of New Board Member ii. Mr. Dannie Garrett, III made a motion to amend the agenda to add the swearing in of a new member of the Estimating Conference. Representative Kim Carver seconded the motion. The motion was approved unanimously. Ms. Lindsey Dupree, an attorney with the Office of General Counsel, administered the Oath of Office to Ms. Emily Andrews and Mr. Brett Robinson. P.O. Box 44036, Baton Rouge. LA 70804 *info.groupbenefits.org Ill. Approval of Minutes from January 8, 2025 Joint Estimating Conference and Policy & Planning Board Meeting ii. For the Estimating Conference, Mr. Sam Blount made a motion to …
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Wed Jan 8, 2025

Group Benefits Policy and Planning Board

OGB board to vote on insurance contracts and Medicare Advantage emergency amendments

The Office of Group Benefits Policy and Planning Board, combined with the Estimating Conference, will consider procurement matters including contracts for Prudential (group term life) and Access Health, amendments for CVS/Caremark, Blue Cross/Blue Shield, and Buck Global, plus emergency contract amendments for three Medicare Advantage plans. The board will also discuss requests for proposals for ASO, PBM, and other services.

benefitsinsuranceprocurementcontractsmedicareprescription-drugs
✓ Decided: OGB Board recommends multiple insurance contracts and warns of 2025 losses

The Policy and Planning Board recommended several insurance and healthcare contracts for approval. Financial updates indicated the Office of Group Benefits (OGB) anticipates losing money in 2025 due to rising medical and pharmacy costs.

Agenda (official) · cached copy · Minutes
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STATE OF L O U I S I A N A D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD combined with OGB ESTIMATING CONFERENCE Wednesday, January 8, 2025 2:00 PM Thomas Jefferson A & B (1-136 A & B) 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order a. Estimating Conference Roll Call b. Policy and Planning Board Roll Call II. Approval of Minutes from October 14, 2024 Joint Estimating Conference and Policy & Planning Board Meeting III. Public Comment IV. Financial Update V. Procurement Matters – Contracts a. Prudential Insurance Company of America (Group Term Life Insurance) b. Access Health Inc. (Access2day) VI. Procurement Matters – Amendments a. CVS/Caremark Emergency Contract Amendment #1 – Medicare Prescription Payment Plan b. Louisiana Health Service & Indemnity Company (Blue Cross/Blue Shield ASO) Amendment #4 – No Surprise Billing c. Buck Global Inc. Amendment #2 – Mental Health Parity and Addiction Equity Act VII. Procurement Matters – Medicare Advantage Emergency Contract Amendments a. HMO Louisiana, INC. d/b/a/Blue adVantage b. Humana Health Benefit Plan of Louisiana c. New Orleans Regional Physician Hospital Organization, LLC d/b/a Peoples Health VIII. Requests for Proposals a. Administrative Services Only (ASO) b. Pharmacy Benefits Manager (PBM) c. Individual Medicare Market Exchange Broker with Admini …
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STATE OF LOUISIANA DIVISION OFADMINISTRATION OFFICEOF GROUP BENEFITS MINUTES OGB POLICY AND PLANNING BOARD COMBINED WITH OGB ESTIMATING CONFERENCE January 8, 2025 2:00 PM Thomas Jefferson A & B (1-136 A & B) 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order 1. Policy and Planning Board Roll Call Sen. Adam Bass Present Rep. Chad Brown Present Rep. Kim Carver Absent Dr. Gwile Freeman Present Mr. Dannie Garrett Present Mr. Frank Jobert Present Mr. Frank Opelka Present Mr. Mike Saylor Present Sen. Alan Seabough Absent Sen. Jeremy Stine Absent 2. Estimating Conference Roll Call Mr. Sam Blount Present Mr. Manfredo Dix Present Mr. Chas Nichols Present Ms. Stephanie Little Present Ms. Andree Miller Present Mr. Robert Schneckenberger —_ Present II. Approval of Minutes from October 14, 2024 Joint Estimating Conference and Policy and Planning Board meeting. P.O. Box 41036, Baton Rouge. LA 70804 ¢ info.groupbenefits.org 1. For the Estimating Conference, Mr. Chas Nichols made a motion to approve the minutes as amended from the October 14, 2024 Joint Estimating. Conference and Policy & Planning Board Meeting. Ms. Andree Miller seconded the motion. The Estimating Conference approved the motion unanimously. 2. For the Policy and Planning Board (Board), Dr. Gwile Freeman made a motion to approve the minutes of the October 14, 2024 Joint Meeting of the OGB Estimating Conference and Policy and Planning Board Meeting. Mr. Dannie Garrett seconded the motion. The Board appro …
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Mon Oct 14, 2024

Group Benefits Policy and Planning Board

Group Benefits board to discuss emergency pharmacy contract

The OGB Policy and Planning Board, combined with the Estimating Conference, will meet to approve minutes from prior meetings and discuss procurement matters, specifically an emergency Pharmacy Benefit Manager (PBM) contract. The agenda includes public comment and new business items.

group-benefitsprocurementpharmacy-benefitspublic-meeting
✓ Decided: Board recommends emergency pharmacy benefit manager contract for 2025

The Policy and Planning Board and Estimating Conference approved a recommendation for an emergency Pharmacy Benefit Manager (PBM) contract with CVS effective January 1, 2025, through December 31, 2025. The contract aims to comply with House Bill 172 and Senate Bill 444 by updating pricing models and pharmacy network options.

Agenda (official) · cached copy · Minutes
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STATE OF LOUISIANA DIVISION OF ADMINISTR ATIO N OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD combined with OGB ESTIMATING CONFERENCE Monday, October 14, 2024 1:30 PM Louisiana Purchase Room (1-100) 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order a. Estimating Conference Roll Call b. Policy and Planning Board Roll Call II. Approval of Minutes from August 8, 2024 Estimating Conference Meeting III. Approval of Minutes from the August 15, 2024 Policy & Planning Board Meeting IV. Public Comment V. Procurement Matters – Emergency PBM Contract VI. New Business VII. Adjournment If you have a disability and require an accommodation to participate in this meeting, please contact Christina Cardona via email at [email protected] or by telephone at (225) 342-6060 to discuss your accessibility needs.
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STATE OF LOUISIANA DIVISION OF ADMINISTRATION OFFICEOFGROUP BENEFITS MINUTES OGB POLICY AND PLANNING BOARD COMBINED WITH OGB ESTIMATING CONFERENCE October 14, 2024 1:30 PM Louisiana Purchase Room 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order a. Estimating Conference Roll Call Mr. Sam Blount Present Mr. Manfredo Dix Absent Ms. Stephanie Little Absent Ms. Andree Miller Present Mr. Chas Nichols Present Mr. Robert Schneckenburger Present b. Policy and Planning Board Roll Call Sen. Adam Bass Absent Rep.Chad Brown Present Rep. Kim Carver Absent Dr. Gwile Freeman Present i Mr. Dannie Garrett Present i iI Mr. Frank Jobert Present | Mr. Frank Opelka Present Mr. Mike Saylor Present Sen. Alan Seabaugh Present Sen. Jeremy Stine Absent P.O. Box 44036, Baton Rouge, LA 70804 ¢ info.groupbenefits.org IL. TIL IV. Vi- Approval of Minutes from August 8, 2024 Estimating Conference Meeting a. Mr. Chas Nichols made a motion to approve the minutes from the August 8, 2024 Estimating Conference Meeting. Mr. Sam Blount seconded the motion. The Estimating Conference approved the motion unanimously. Approval of Minutes from the August 15, 2024 Policy and Planning Board Meeting a. Dr. Gwile Freeman made a motion to approve the minutes from the August 15, 2024 Policy & Planning Board Meeting. Mr. Dannie Garrett seconded the motion. The Board approved the motion unanimously. Public Comments a. No public comments. Procurement Matters — Emergency Pharmacy Benefit Manager (PBM) …
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Thu Aug 15, 2024

Group Benefits Policy and Planning Board

Board to discuss 2025 premium rates and contract amendments

The Group Benefits Policy and Planning Board will meet to review 2025 premium rates and financial updates. The board will also consider contract amendments for several healthcare and benefit providers.

healthcareinsurancegovernment-benefitscontracts
✓ Decided: Board recommends 6.65% premium rate increase for 2025

The Policy and Planning Board recommended a 6.65% premium rate increase across all plans for 2025 to ensure sustainability. The Board also approved changes to Medicare retiree out-of-pocket maximums to comply with the Inflation Reduction Act.

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STATE OF L O U I S I A N A D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD August 15, 2024 9:30 AM Louisiana Purchase Room (1-100) 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order II. Roll Call III. Appointment to Policy & Planning Board - Rep. Chad Brown, Dannie Garret, III and Sen. Jeremy Stine a. Oath of Office IV. Approval of Minutes from the May 9, 2024 Policy & Planning Board Meeting V. Election of Officers for Policy and Planning Board VI. Public Comment VII. Financial Update VIII. 2025 Premium Rates IX. Procurement Matters – Contract Amendments a. Blue Cross Blue Shield of Louisiana Amendment #3 b. Caremark Amendment #2 c. TASC Amendment #1 d. TASC Amendment #2 e. HMO Louisiana Amendment #1 X. Procurement Matters – Updates a. Prescription Care Network (Near Real-Time Monitoring) XI. Changes to Maximum Out-of-Pocket Amounts Required By the Inflation Reduction Act XII. New Business XIII. Adjournment If you have a disability and require an accommodation to participate in this meeting, please contact Christina Cardona via email at [email protected] or by telephone at (225) 342-6060 to discuss your accessibility needs.
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STATE OF LOUISIANA DIVISION OF ADMINISTRATION OFFICEOFGROUP BENEFITS Minutes OGB POLICY AND PLANNING BOARD August 15, 2024 9:30 AM Louisiana Purchase Room (1-100) 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order II. — Roll Call a. Senator Adam Bass Present b. Representative Chad Brown _— Present c. Representative Kim Carver Present d. Dr. Gwile Freeman Present e. Mr. Dannie Garrett, Ill Present f. Mr. Frank Jobert Present g. Mr. Frank Opelka Absent h. Mr. Mike Saylor Present i. Senator Alan Seabaugh Present || j. Senator Jeremy Stine Arrived late (10:02 am) Ill. | Appointment to Policy & Planning Board - Rep. Chad Brown, Dannie Garret, III, Sen. Alan Seabaugh, and Sen. Jeremy Stine a. Sen. Adam Bass made a motion to amend the agenda to issue the oath of office to Sen. Alan Seabaugh along with the other members taking their oaths at the meeting. Rep. Kim Carver seconded the motion. i. Roll Call Vote: 1. Senator Adam Bass Yes 2. Representative Chad Brown = Yes 3. Representative Kim Carver Yes 4. Dr. Gwile Freeman Yes 5. Mr. Dannie Garrett, III Yes 6. Mr. Frank Jobert Yes 7. Mr. Mike Saylor Yes ii. The Policy and Planning Board approved the motion unanimously. P.O. Box 44036, Baton Rouge, LA 70804 ¢ info.groupbenefits.org IV. V. VI. VIL. Vil. b. STATE OF LOUISIANA DIVISION OF ADMINISTRATION OFFICEOFGROUP BENEFITS Ms. Angela McCulloch, an attorney with the Office of General Counsel, administered the Oath of Office to Rep. Chad Brown, Mr. Dannie Garr …
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Thu May 9, 2024

Group Benefits Policy and Planning Board

OGB Board to review contract amendments and emergency procurement

The Office of Group Benefits Policy and Planning Board will meet to appoint new board members and review several procurement matters. The board is discussing contract amendments and emergency contracts for health and pharmacy services.

healthcarecontractsprocurementinsurancegovernment-administration
✓ Decided: Board recommends contract extensions for BCBSLA and Access Health

The Policy and Planning Board approved several contract amendments and emergency extensions to maintain health and life benefit programs. The Board also swore in new members and approved minutes from the October 2023 meeting.

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STATE OF L O U I S I A N A D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD May 9, 2024 1:00 PM Louisiana Purchase Room 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order II. Roll Call III. Appointment to Board, Sen. Adam Bass, Rep. Chad Brown, Rep. Kim Carver, Dannie Garret, III and Sen. Jeremy Stine a. Oath of Office IV. Health Insurance Portability and Accountability Act (HIPAA) Overview V. Approval of Minutes from October 25, 2023 Joint Estimating Conference and Policy & Planning Board Meeting VI. Public Comment VII. Introduction to OGB VIII. Procurement Matters – Contract Amendments a. Blue Cross Blue Shield of Louisiana Amendment #3 b. Caremark Amendment #2 c. TASC Amendment #1 d. TASC Amendment #2 IX. Procurement Matters – Emergency Contract a. Access Health Incorporated X. Procurement Matters – Updates a. Fully Insured Medicare Advantage HMO Emergency Contracts b. Group Term Life Insurance Contract c. Primary Care Network RFP d. Fully Insured Commercial HMO RFP e. Prescription Care Network ( Near Real-Time Monitoring) f. Buck Amendment (Mental Health Parity Analysis) g. Extend Health Contract Extension h. Blue Cross Blue Shield of Louisiana Amendment #4 (No Surprise Billing) XI. New Business XII. Adjournment If you have a disability and require an accommodation to participate in t …
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I. Il. Til. STATE OF LOUISIANA DIVISION OF ADMINISTRATION OFFICE OF GROUP BENEFITS MINUTES OGB POLICY AND PLANNING BOARD May 9, 2024 1:00 PM Louisiana Purchase Room 1201 North Third Street Baton Rouge, LA 70802 Call to Order a. Board Roll Call Senator Adam Bass Present Representative Chad Brown Absent Representative Kim Carver Present — late arrival Dr. Gwile Freeman Present Mr. Dannie Garrett, III Absent Mr. Jeremy Jackson Absent Mr. Frank Jobert Present Mr. Frank Opelka Present Mr. Mike Saylor Present Senator Jeremy Stine Absent New Members Appointment to Board, Sen. Adam Bass, Rep. Chad Brown, Rep. Kim Carver, Dannie Garret III and Sen. Jeremy Stine. a. Oath of Office i. Mrs. Angela McCulloch, attorney with the Office of General Counsel, administered the Oath of Office to the newly appointed members, Sen. Adam Bass and Rep. Kim Carver. Mrs. Chauntiel Gay, Group Benefits Accountant and OGB’s HIPAA Privacy Officer, provided an overview of the Health Insurance Portability and Accountability Act (HIPAA) and informed the Board members of what to do and not do if an OGB plan member contacts them. P.O. Box 44036, Baton Rouge, LA 70804 ® info.groupbenefits.org IV. Approval of Minutes from October 25, 2023 Joint Estimating Conference and Policy & Planning Board meeting. a. Dr. Gwile Freeman made a motion to approve the minutes from the October 25, 2023 Joint Estimating Conference and Policy & Planning Board Meeting. Mr. Frank Opelka seconded the motion. The Policy and …
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Wed Oct 25, 2023

Group Benefits Policy and Planning Board

OGB Board reviews Medicare Advantage contracts and insurance amendments

The OGB Policy and Planning Board and Estimating Conference will review procurement matters regarding Medicare Advantage emergency contracts and FSA/COBRA services. The meeting also includes updates on contract amendments for life insurance and Blue Cross Blue Shield of Louisiana.

healthcareprocurementinsurancegovernment-contractsmedicare
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STATE OF L O U I S I A N A D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD combined with OGB ESTIMATING CONFERENCE Wednesday, October 25, 2023 10:00 AM Thomas Jefferson C (1-136 C) 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order a. Estimating Conference Roll Call b. Policy and Planning Board Roll Call II. Approval of Minutes from August 15, 2023 Estimating Conference Meeting III. Approval of Minutes from the August 25, 2023 Policy & Planning Board Meeting IV. Public Comment V. Procurement Matters – Medicare Advantage Emergency Contracts a. HMO Louisiana, Inc. d/b/a Blue adVantage b. Humana Health Benefit Plan of Louisiana c. New Orleans Regional Physician Hospital Organization, LLC d/b/a Peoples Health VI. Procurement Matters – Contract a. FSA/COBRA – Total Administrative Services Corporation VII. Procurement Matters – Contract Amendments a. Group Term Life Insurance – Prudential Amendment 2 b. Blue Cross Blue Shield of Louisiana – Amendment 3 VIII. Litigation Update: Kim Wixson, et al. v. the State of Louisiana through the Office of the Governor, Division of Administration, Office of Group Benefits IX. New Business X. Adjournment If you have a disability and require an accommodation to participate in this meeting, please contact Christina Cardona via email at [email protected] or by …
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Fri Aug 25, 2023

Group Benefits Policy and Planning Board

OGB Board discusses 2024 premium rate increases and contract amendments

The Board will review 2024 premium rate increases for self-funded plans across different classifications. Members will also receive updates on contract amendments for Blue Cross Blue Shield of Louisiana and Access Health Incorporated. The Board intends to move into executive session to discuss prospective and pending litigation.

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✓ Decided: Board recommends 4.25% premium rate increase for 2024 self-funded plans

The Board recommended a 4.25% premium rate increase for all OGB self-funded plans for the 2024 plan year, rejecting a higher proposal of 6.15% and 12.4%. The Board also approved the appointment of two new members and the minutes from the July 19, 2023 meeting.

Agenda (official) · cached copy · Minutes
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STATE OF L O U I S I A N A D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD August 25, 2023 10:00 AM Thomas Jefferson Room A/B 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order II. Appointment to Vacant Positions, Dannie Garrett, III and Sen. Fred Mills a. Oath of Office III. Approval of Minutes from July 19, 2023 Joint Estimating Conference and Policy & Planning Board Meeting IV. Public Comment V. 2024 Premium Rate Increases for Self-Funded Plans a. School Board Classification b. Classification other than School Board Classification VI. Procurement Matters – Contract Amendments a. Blue Cross Blue Shield of Louisiana Amendment #2 Update b. Access Health Incorporated Amendment #4 Update VII. New Business VIII. Motion and Vote to Move to Executive Session a. See Attached Statement for Issues to be Discussed IX. Adjournment If you have a disability and require an accommodation to participate in this meeting, please contact Christina Cardona via email at [email protected] or by telephone at (225) 342-6060 to discuss your accessibility needs. STATE OF L O U I S I A N A D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org La. R.S. 42:19(A)(1)(b)(iii) Statement The Executive Ses …
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STATE OF LOUISIANA DIVISION OF ADMINISTRATION OFFICEOF GROUP BENEFITS MINUTES OGB POLICY AND PLANNING BOARD Friday, August 25, 2023 10:00 AM Thomas Jefferson Room A/B 1201 North Third Street Baton Rouge, LA 70802 Chairman: Jeremy Jackson Vice-Chairman: Frank Jobert, Jr. Secretary: Mike Saylor I. Call to Order — the meeting was called to order at 10:03 AM. a. Roll Call i. Senator Louie Bernard Present — early departure ii. Senator Joseph Bouie, Jr. Present iii. Representative Chad Brown Present iv. Dr. Gwile Freeman Present v. Mr. Dannie Garrett, III Present (Attendance noted after Oath of Office.) vi. Mr. Jeremy Jackson Present vii. Mr. Frank Jobert, Jr. Present viii. Mr. Kenneth Krefft Present ix. Senator Fred Mills Present (Attendance noted after Oath of Office.) x. Mr. Frank Opelka Absent xi. Mr. Mike Saylor Present b. Guests in Attendance i. Nancy Gaffney BUCK Global, LLC ii. Kevin Penderghest BUCK Global, LLC Il. | Appointment to Vacant Positions, Dannie Garrett, III and Sen. Fred Mills a. Mr. Mark Falcon, Special Counsel for the Division of Administration, informed the Board that due to a technical glitch, a revised version of the Agenda for this meeting was not sent via e-mail until this morning. However, the revised agenda was appropriately posted in various locations in the timeframe provided in law. The revised agenda that was sent via email that morning was identical to the prior agenda that was sent two days before the meeting except for Sen. Fred Mills’ ap …
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Tue Aug 15, 2023

Group Benefits Policy and Planning Board

Board to discuss 2024 premium rate increases for self-funded health plans

The Office of Group Benefits Policy and Planning Board and Estimating Conference will review health plan offerings and 2024 premium rate increases. The body will also receive updates on contract amendments and the acquisition of Blue Cross Blue Shield of Louisiana by Elevance.

health-insurancepremiumscontractslitigationbenefits
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STATE OF L O U I S I A N A D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD combined with OGB ESTIMATING CONFERENCE Tuesday, August 15, 2023 1:30 PM Louisiana Purchase Room 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order a. Estimating Conference Roll Call b. Policy and Planning Board Roll Call II. Approval of Minutes from July 19, 2023 Joint Estimating Conference and Policy & Planning Board Meeting III. Public Comment IV. Presentation of OGB’s Plan Offerings a. Fully-Insured Health Plans for Medicare Retirees b. Self-Funded Health Plans i. Magnolia Open Access 1. Retiree 100 ii. Magnolia Local Plus iii. Magnolia Local iv. Pelican HRA1000 v. Pelican HSA775 (Active Employees Only) V. 2024 Premium Rate Increases for Self-Funded Plans a. School Board Classification b. Classification other than School Board Classification VI. Acquisition of Blue Cross Blue Shield of Louisiana by Elevance Update VII. Procurement Matters – Contract Amendments a. Blue Cross Blue Shield of Louisiana Amendment #2 Update b. Access Health Incorporated Amendment #4 Update VIII. New Business IX. Motion and Vote to Move to Executive Session a. See Attached Statement for Issues to be Discussed X. Adjournment If you have a disability and require an accommodation to participate in this meeting, please contact Christina Cardona v …
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Wed Jul 19, 2023

Group Benefits Policy and Planning Board

OGB board to discuss 2024 premium rates, contract amendments, and litigation

The board will hear a financial update, discuss 2024 premium rates, and consider contract amendments for Access Health, Extend Health, and Blue Cross Blue Shield of Louisiana. It will also review procurement updates for group term life insurance, flexible spending accounts, and Medicare Advantage plans, and address a resolution of a contract dispute with MedImpact and a Louisiana Department of Insurance investigation.

group-benefitsinsuranceprocurementpremium-rateslitigation
✓ Decided: Board recommends 24-month contract extensions for Extend Health and BCBSLA

The Policy and Planning Board elected new officers and approved minutes from the April 2023 meeting. The Board recommended two contract amendments to the JLCB to extend services for Extend Health and Blue Cross Blue Shield of Louisiana for 24 months. Members also reviewed financial updates, 2024 premium rate scenarios, and the resolution of a contract dispute.

Agenda (official) · cached copy · Minutes
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STATE OF L O U I S I A N A D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD combined with OGB ESTIMATING CONFERENCE Wednesday, July 19, 2023 1:30 PM Louisiana Purchase Room 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order a. Estimating Conference Roll Call b. Policy and Planning Board Roll Call II. Election of Officers for the Policy and Planning Board III. Approval of Minutes from April 13, 2023 Joint Estimating Conference and Policy & Planning Board Meeting IV. Public Comment V. 2023 Regular Legislative Session VI. Financial Update VII. Discussion of School Boards’ Use of Gap Plans and the Effect on the Pelican HRA1000 Plan VIII. Discussion of 2024 Premium Rates IX. Procurement Matters – Contract Amendments a. Access Health Contract Amendment Update b. Extend Health Contract Amendment c. Blue Cross Blue Shield of Louisiana Contract Amendment X. Procurement Matters – Updates on Published Requests for Proposals a. Group Term Life Insurance b. Flexible Spending Accounts and COBRA Administrative Services c. Near Real-Time Monitoring XI. Procurement Matters – Medicare Advantage Plans a. Planned Emergency Contracts for Medicare Advantage Plans i. HMO Louisiana, Inc. d/b/a Blue adVantage ii. Humana Health Benefit Plan of Louisiana iii. New Orleans Regional Physician Hospital Organization, LLC d/b/a Peoples …
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STATE OF LOUISIANA DIVISION OFADMINISTRATION OFFICEOF GROUP BENEFITS MINUTES OGB POLICY AND PLANNING BOARD combined with OGB ESTIMATING CONFERENCE Wednesday, July 19, 2023 1:30 PM Louisiana Purchase Room 1201 North Third Street Baton Rouge, LA 70802 Chairman: Jeremy Jackson Secretary: Kenneth Krefft I. Call to Order a. Estimating Conference Roll Call i. Mr. Sam Blount Present ii, Mr. Manfredo Dix Present iii, | Ms. Stephanie Little Present iv. Ms. Connie Nelson Absent v. Mr.Robert Schneckenburger _ Present vi. Ms. Mei Su Present b. Policy and Planning Board Roll Call i. Sen. Louie Bernard Present ii, Sen. Joseph Bouie Absent iii, Rep. Chad Brown Absent iv. Dr. Gwile Freeman Present v. Mr. Jeremy Jackson Present vi. Mr. Frank Jobert Present vii. Mr. Kenneth Krefft Present viii. Mr. Frank Opelka Absent ix. Mr. Mike Saylor Present x. Sen. Kirk Talbot Present c. Guests in Attendance i. Ms. Nancy Gaffney ii. Mr. Kevin Penderghest BUCK Global, LLC BUCK Global, LLC Il. Election of Officers for the Policy and Planning Board a. Chairman - Mr. Frank Jobert nominated Mr. Jeremy Jackson. The nomination was seconded by Mr. Kenneth Krefft. With no objections, Mr. Jackson was elected as Chairman of the Board. b. Vice-Chairman - Mr. Krefft nominated Mr. Jobert. The nomination was seconded by Mr. Jackson. With no objections, Mr. Jobert was elected as Vice-Chairman of the Board. HI. IV. VI. VII. c. Secretary: Mr. Jackson nominated Mr. Mike Saylor. The nomination was seconded by …
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Thu Apr 13, 2023

Group Benefits Policy and Planning Board

OGB board to consider 2024 premium rates, pharmacy plan changes, and multiple contract actions

The Office of Group Benefits Policy and Planning Board and Estimating Conference will meet jointly to discuss and potentially act on several items, including 2024 premium rates based on medical loss ratio and claims experience, anticipated plan changes for pharmacy benefits and employer contributions, and multiple procurement matters such as contract amendments for Access Health and CaremarkPCS Health. The board will also receive an update on the Louisiana Legislative Auditor’s PBM performance audit and discuss impacts of externalities like the Inflation Reduction Act. The meeting includes a vote to move into executive session to discuss pending litigation and an investigation.

group-benefitspremium-ratespharmacy-benefitsprocurementexecutive-session
✓ Decided: Board appoints new member and recommends two contract amendments

The Board appointed Dr. Gwile Freeman to a vacant elected position and recommended contract amendments for Access Health, Inc. and CaremarkPCS Health, LLC. Members also voted to include the Financial Monitoring Report in all future meetings.

Agenda (official) · cached copy · Minutes
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STATE OF L O U I S I A N A D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD combined with OGB ESTIMATING CONFERENCE Thursday, April 13, 2023 10:00 AM Louisiana Purchase Room 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order a. Estimating Conference Roll Call b. Policy and Planning Board Roll Call II. Appointment to Vacant Elected Position, Gwile Freeman, Ph.D a. Oath of Office III. Approval of Minutes from September 8, 2022 Joint Meeting a. Estimating Conference b. Policy & Planning Board IV. Opportunity for Public Comment V. Update on the Louisiana Legislative Auditor’s Pharmacy Benefits Manager (“PBM”) Performance Audit VI. Upcoming Impacts of Externalities on OGB a. Arthur J. Gallagher & Co.’s Acquisition of Buck Global, LLC b. Inflation Reduction Act of 2022 VII. Anticipated Plan Changes a. OGB’s Pharmacy Benefit Plan Design b. Employer Contributions for Pelican HSA775 Plan c. Vantage Medical Home HMO Plan VIII. Bariatric Surgery Update IX. Premium Rates a. Consideration of Basing 2024 Premium Rates on Medical Loss Ratio and Claims Experience in Each Plan b. Fund Balance Forecast X. Pelican HRA1000 Plan and School Boards’ Use of Gap Plans a. 2022 Claims Experience and Member Migration b. Discussion of Possible Next Steps XI. Proposed Legislation Affecting OGB XII. Procurement Matters – Upcomi …
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STATE OF LOUISIANA DIVISION OF ADMINISTRATION OFFICEOFGROUP BENEFITS MINUTES OGB POLICY AND PLANNING BOARD combined with OGB ESTIMATING CONFERENCE Thursday, April 13, 2023 10:00 AM Louisiana Purchase Room 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order — the meeting was called to order at10:04 AM. a. Estimating Conference Roll Call Mr. Sam Blount Present Mr. Manfredo Dix Present Ms. Stephanie Little Present Ms. Connie Nelson Absent Mr. Robert Schneckenburger Absent Ms. Mei Su Present b. Policy and Planning Board Roll Call Sen. Louie Bernard Present (Early Departure) Sen. Joseph Bouie, Jr. Absent Rep. Chad Brown Absent Ms. Deborah Copeland Absent Dr. Gwile Freeman Present (Attendance noted after Oath of Office} Mr. Jeremy Jackson (Chairman) Absent Mr. Frank Jobert, Jr. Present Mr. Kenneth Krefft (Secretary) Present Mr. Tony Murray (Vice Chairman) Present Mr. Frank Opelka Present Mr. Mike Saylor Present Sen. Kirk Talbot Absent c. Guests in Attendance Nancy Gaffney BUCK Global, LLC Gail Levenson BUCK Global, LLC Kevin Penderghest BUCK Global, LLC II. Appointment to Vacant Elected Position, Gwile Freeman, Ph.D. a. Oath of Office i. Margaret Collier, attorney for the Office of Group Benefits (“OGB”), informed the Board Members that La. R.S. 42:882(D) requires the Board to appoint a Member when a vacancy occurs because no person qualified to run for an elected position. The elected position that was now vacant was previously held by Deborah Cope …
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Thu Sep 8, 2022

Group Benefits Policy and Planning Board

Discussion of 2023 premium rate increases and pharmacy benefits contract

The Board will review 2023 premium rate increases for self-funded plans across various classifications. The meeting also includes discussions regarding the Caremark Pharmacy Benefits Manager contract and several Medicare Advantage contract amendments.

insurancehealthcarepremiumscontractsmedicare
✓ Decided: Board recommends 4.5% premium rate increase across all agencies for 2023

The Policy and Planning Board recommended a uniform 4.5% premium rate increase for all agencies, including school boards, for the 2023 plan year. The Board also recommended the Caremark PBM contract and several other contract amendments.

Agenda (official) · cached copy · Minutes
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STATE OF L O U I S I A N A D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD combined with OGB ESTIMATING CONFERENCE Thursday, September 8, 2022 10:00 AM Louisiana Purchase Room 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order a. Estimating Conference Roll Call b. Policy and Planning Board Roll Call II. Approval of Minutes from August 10, 2022 Estimating Conference Meeting III. Approval of Minutes from August 11, 2022 Policy and Planning Board Meeting IV. 2023 Premium Rate Increases for Self-Funded Plans a. Classifications other than School Board Classification b. School Board Classification c. Public Comment Regarding 2023 Premium Rate Increases for Self-Funded Plans V. Caremark Pharmacy Benefits Manager (PBM) Contract a. Public Comment Regarding Caremark Pharmacy Benefits Manager Contract VI. Buck Global, LLC Contract Amendment a. Public Comment Regarding Buck Global, LLC Contract Amendment VII. Fully-Insured HMO and Medicare Advantage Contract Amendments a. Vantage Health Plan MHHP b. HMO Louisiana, Inc. d/b/a Blue Advantage Medicare Advantage c. Humana Medicare Advantage d. Peoples Health Medicare Advantage e. Vantage Health Plan Medicare Advantage f. Public Comment regarding Fully-Insured HMO and Medicare Advantage Contract Amendments VIII. Public Comment – Non-Agenda Issues IX. New Business …
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STATE OF LOUISIANA DIVISION OF ADMINISTRATION OFFICE OF GROUP BENEFITS MINUTES OGB POLICY AND PLANNING BOARD combined with OGB ESTIMATING CONFERENCE Thursday, September 8, 2022 10:00 AM Louisiana Purchase Room 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order — the meeting was called to order at10:12 AM. a. Estimating Conference Roll Call Mr. Sam Blount Present Mr. Manfredo Dix Present Ms. Stephanie Little Absent Ms. Connie Nelson Absent Mr. Robert Schneckenburger Present Ms. Mei Su Present b. Policy and Planning Board Roll Call Sen. Louie Bernard Present Sen. Joseph Bouie, Jr. Present Rep. Chad Brown Present — early departure Ms. Deborah Copeland Present Mr. Jeremy Jackson (Chairman) Present Mr. Frank Jobert, Jr. Absent Mr. Kenneth Krefft (Secretary) Absent Mr. Tony Murray (Vice Chairman) Present Mr. Frank Opelka Present Mr. Mike Saylor Present Sen. Kirk Talbot c. Guests in Attendance Nancy Gaffney Alysa Farabaugh Reed Comelitti Present — late arrival / carly departure BUCK Global, LLC BUCK Global, LLC BUCK Global, LLC Il. Approval of Minutes from August 10, 2022 Estimating Conference Meeting a. Mei Su made a motion to approve the Estimating Conference Minutes from the August 10, 2022 meeting. Robert Schneckenburger seconded the motion. The Estimating Conference Minutes were approved unanimously. WI. Approval of Minutes from August 11, 2022 Policy and Planning Board Meeting a. Sen. Louie Bernard made a motion to approve the Policy and Planning Board …
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Thu Aug 11, 2022

Group Benefits Policy and Planning Board

Board to set 2023 premium rates and ER copay changes

The OGB Policy and Planning Board will vote on 2023 premium rates for self-funded health plans, including separate rates for school board and other classifications, and changes to emergency room copayments for Magnolia Open Access and Local plans. The board will also appoint a member to a vacant elected position, swear in new members, and receive a financial update with projections through 2026.

health-insurancepremium-ratespublic-employeesbudgetcontractsactuarial-services
✓ Decided: Board defers 2023 health plan premium rate increases

The Board deferred decisions on proposed premium rate increases for self-funded plans and the Pelican HRA1000 School Board Classification. Members approved increasing emergency room copayments for specific plans and recommended two contract amendments.

Agenda (official) · cached copy · Minutes
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STATE OF L O U I S I A N A D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD Thursday, August 11, 2022 1:00 PM Louisiana Purchase Room 1201 North Third Street, Baton Rouge, LA 70802 I. Call to Order a. Roll Call II. Appointment to Vacant Elected Position, Gwile Freeman, Ph.D a. Oath of Office III. Oaths of Office a. Jeremy Jackson b. Frank Opelka c. Frank Jobert d. Michael Saylor IV. Election of Officers V. Approval of Minutes from May 12, 2022 Meeting VI. Public Comment VII. Financial Update a. 2022 OGB Plan Participation b. Fiscal Year 2022 Financial Status c. Fiscal Year 2022 Self-Funded Health Plan Monitoring Report d. Financial Projections for Fiscal Years 2022 – 2026 VIII. 2023 Plan Year a. Premium Rates for Self-Funded Plans i. Classifications other than School Board Classification ii. School Board Classification b. Changes to Emergency Room Copayments for Magnolia Open Access and Magnolia Local Plans IX. Pharmacy Benefits Manager (PBM) Litigation Update X. Contract Amendments a. The Prudential Insurance Company for Group Life Insurance, Amendment #1 b. Blue Cross Blue Shield of Louisiana, Amendment #1 XI. Intent to Issue a Request for Proposals for Actuarial Services XII. Access Health Update XIII. New Business XIV. Adjournment
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I. IL. Tl. IV. STATE OF LOUISIANA DIVISION OF ADMINISTRATION OFFICE OF GROUP BENEFITS MINUTES Group Benefits Policy and Planning Board Thursday, August 11, 2022 1:00 PM 1201 North Third Street Louisiana Purchase Room (Claiborne 1-100) Baton Rouge, LA 70802 Call to Order -the meeting was called to order at 1:09 PM. A. Roll Call Sen. Louie Bernard Present Sen. Joseph Bouie, Jr. Present Rep. Chad Brown Absent Ms. Deborah Copeland Present Mr. Jeremy Jackson Present Mr. Frank Jobert, Jr. Present Mr. Kenneth Krefft Present Mr. Tony Murray Absent Mr. Frank Opelka Present Mr. Mike Saylor Present Sen. Kirk Talbot Present Appointment to Vacant Elected Position, Gwile Freeman, Ph.D A. Sen. Louie Bernard made a motion to defer the appointment for the vacant elected position to the next Policy and Planning Board meeting. Kenneth Krefft seconded the motion. The motion was approved unanimously. Oaths of Office A. Margaret Collier, attorney for the Office of Group Benefits (“OGB”), administered the Oath of Office to the newly reappointed members—Jeremy Jackson, Frank Opelka and Michael Saylor—as well as the newly reelected member, Frank Jobert, Jr. Election of Officers for 2022 - 2023 A. Chairman — Mr. Jobert nominated Mr. Jackson. The nomination was seconded by Mr. Krefft. With no objections, Mr. Jackson was elected as Chairman of the Board. B. Vice Chairman — Mr. Jobert nominated Tony Murray. The nomination was seconded by Mr. Krefft. With no objections, Mr. Murray was elect …
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Thu May 12, 2022

Group Benefits Policy and Planning Board

OGB Policy and Planning Board meets May 12, 2022

The board will meet to approve minutes from the March 20 and April 6, 2022 meetings. The agenda also includes a contract amendment for Access Health, Inc.

government-contractshealth-benefitsadministration
Agenda (official) · cached copy · Minutes
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STATE OF L O U I S I A N A D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD combined with OGB ESTIMATING CONFERENCE Thursday, May 12, 2022 8:00 AM 1201 North Third Street, Louisiana Purchase Room Baton Rouge, LA 70802 I. Call to Order a. Roll Call (Estimating Conference) b. Roll Call (Policy & Planning Board) II. Approval of Estimating Conference Minutes from March 20, 2022 Meeting III. Approval of Policy & Planning Board Minutes from April 6, 2022 Meeting IV. Public Comment V. Access Health, Inc. Contract Amendment VI. Adjournment
Wed Apr 6, 2022

Group Benefits Policy and Planning Board

Board to review health plan finances and FSA/COBRA contracts

The OGB Policy and Planning Board will receive a financial update covering 2022 health coverage membership, fiscal year status, self-funded plan monitoring, and projections through 2026. The board will also discuss current and emergency contracts for Flexible Spending Arrangements and COBRA administration services with Optum Financial, Inc., and consider a request to discuss pharmacy benefit manager (PBM) services.

group benefitshealth coveragefinancial updatecontractsPBM
✓ Decided: Board recommends $840,000 emergency contract for FSA and COBRA services

The Board unanimously recommended an emergency contract with Optum Financial, Inc. for administrative services. Members also received financial updates and discussed pharmacy benefits management and the Access Health contract.

Agenda (official) · cached copy · Minutes
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STATE OF L O U I S I A N A D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD Wednesday, April 6, 2022 1:00 PM Thomas Jefferson Rm. C (1-136C) 1201 North Third Street, Baton Rouge, LA 70802 I. Call to Order a. Roll Call II. Approval of Minutes from February 24, 2022 Meeting III. Public Comment IV. Financial Update a. 2022 Plan Year Health Coverage Membership b. Fiscal Year 2022 Financial Status c. Fiscal Year 2022 Self-Funded Health Plan Monitoring Report d. Financial Projections for Fiscal Years 2022 – 2026 V. Flexible Spending Arrangements and COBRA Administration Services Contract (Current) VI. Flexible Spending Arrangements and COBRA Administration Services Emergency Contract a. Optum Financial, Inc. VII. Access Health VIII. 2022 Tracked Legislation IX. Request to Discuss PBM Services X. New Business XI. Adjournment
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STATE OF LOUISIANA DIVISION OF ADMINISTRATION OFFICE OF GROUP BENEFITS MINUTES OGB POLICY AND PLANNING BOARD Wednesday, April 6, 2022 1:00 PM 1201 North Third Street Thomas Jefferson Room C (Claiborne 1-136C) Baton Rouge, LA 70802 L Call to Order —the meeting was called to order at 1:08 PM. A. Roll Call Sen. Louie Bernard Present Sen. Joseph Bouie, Jr. Present Rep. Chad Brown Absent Ms. Deborah Copeland Present (Late Arrival) Mr. Jeremy Jackson Absent Mr. Frank Jobert, Jr. Present Mr. Kenneth Krefft Absent Mr. Tony Murray Present Mr. Frank Opelka Absent Mr. Mike Saylor Present Sen. Kirk Talbot Present IL. Approval of Minutes A. Senator Kirk Talbot made a motion to approve the Policy and Planning Board Minutes from the February 24, 2022 meeting. Senator Louie Bernard seconded the motion. The Policy and Planning Board Minutes were approved unanimously. Il Request to Take the Agenda Out of Order Senator Bernard made a motion to take the agenda out of order by hearing the Flexible Spending Arrangements and COBRA Administrative Services Emergency Contract and the Financial Update prior to the other items on the agenda. Mr. Frank Jobert, Jr. seconded the motion. The motion was approved unanimously. It was noted that there would be an opportunity for Public Comment limited to these two agenda items prior to hearing these two items. Public Comment for the remaining agenda items would occur after the Flexible Spending Arrangements (“FSA”) and COBRA Administrative Services Emerg …
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Wed Mar 30, 2022

Group Benefits Policy and Planning Board

Group Benefits Policy and Planning Board meeting scheduled for March 30, 2022

The board will review financial updates regarding the 2022 plan year health coverage membership and fiscal status. The agenda includes discussions on flexible spending arrangements, COBRA administration services, and potential PBM services.

health-coveragefinancebenefitsgovernment-administration
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STATE OF L O U I S I A N A D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD Wednesday, March 30, 2022 1:30 PM Louisiana Purchase Room (1-100) 1201 North Third Street, Baton Rouge, LA 70802 I. Call to Order a. Roll Call II. Approval of Minutes from February 24, 2022 Meeting III. Public Comment IV. Financial Update a. 2022 Plan Year Health Coverage Membership b. Fiscal Year 2022 Financial Status c. Fiscal Year 2022 Self-Funded Health Plan Monitoring Report d. Financial Projections for Fiscal Years 2022 – 2026 V. Flexible Spending Arrangements and COBRA Administration Services Contract (Current) VI. Flexible Spending Arrangements and COBRA Administration Services Emergency Contract a. Optum Financial, Inc. VII. Access Health VIII. 2022 Tracked Legislation IX. Request to Discuss PBM Services X. New Business XI. Adjournment Canceled
Thu Feb 24, 2022

Group Benefits Policy and Planning Board

Board to discuss Flexible Spending Arrangements and COBRA administration contract

The Office of Group Benefits Policy and Planning Board and Estimating Conference are meeting to conduct business. The agenda includes the approval of minutes from October 2021 and a discussion regarding administration services for COBRA and Flexible Spending Arrangements.

benefitscontractsadministrationcobra
✓ Decided: Board recommends terminating contract with DataPath Administrative Services

The Policy and Planning Board recommended the termination of the Flexible Spending Arrangements and COBRA Administration Services contract with DataPath Administrative Services (DPAS) effective May 31, 2022. This action follows reports of DPAS' failure to comply with contract terms. The Estimating Conference approved forwarding this information to the Policy and Planning Board.

Agenda (official) · cached copy · Minutes
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STATE OF L O U I S I A N A D I V I S I O N OF A D M I N I S T R A T I ON OFFICE OF GROUP BENEFITS P.O. Box 44036, Baton Rouge, LA 70804  info.groupbenefits.org AGENDA OGB POLICY AND PLANNING BOARD c/w OGB ESTIMATING CONFERENCE Thursday, February 24, 2022 1:30 PM 1201 North Third Street, Louisiana Purchase Room Baton Rouge, LA 70802 I. Call to Order a. Roll Call (Estimating Conference) b. Roll Call (Policy & Planning Board) II. Approval of Estimating Conference Minutes from October 6, 2021 Meeting III. Approval of Policy & Planning Board Minutes from October 19, 2021 Meeting IV. Public Comment V. Flexible Spending Arrangements and COBRA Administration Services Contract VI. Consideration of Next Meeting Date VII. Adjournment
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I. Il. Ill. STATE OF LOUISIANA DIVISION OF ADMINISTRATION OFFICE OF GROUP BENEFITS OGB ESTIMATING CONFERENCE AND OGB POLICY AND PLANNING BOARD MINUTES Thursday, February 24, 2022 1:30 PM Louisiana Purchase Room (1-100) 1201 North Third Street Baton Rouge, LA 70802 Call to Order —The meeting was called to order at 1:38 PM. A. Roll Call Estimating Conference Manfredo Dix Present Bill Guerra Present Connie Nelson Present Mei Su Present Policy and Planning Board Sen. Louie Bernard Absent Sen. Joseph Bowie Present Rep. Chad Brown Absent Ms. Deborah Copeland Present Mr. Jeremy Jackson Present Mr. Frank Jobert Absent Mr. Kenneth Krefft Present Mr. Tony Murray Present Mr. Frank Opelka Present Mr. Mike Saylor Present Sen. Kirk Talbot Present Oath of Office A. A motion was made by Ms. Mei Su to add Oath of Office to the agenda. The motion was seconded by Mr. Bill Guerra. The motion was approved unanimously. B. Margaret Collier, attorney for the Office of Group Benefits (“OGB”), administered the Oath of Office to Ms. Stephanie Little, newly appointed Estimating Conference principal. Approval of Minutes A. For the Estimating Conference, Ms. Su made a motion to approve the Estimating Conference Minutes from the October 6, 2021 meeting. Mr. Guerra seconded the motion. The Estimating Conference Minutes were approved unanimously. B. For the Policy and Planning Board, Mr. Frank Opelka made a motion to approve the Policy and Planning Board Minutes from the October 19, 2022 meeti …
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Tue Oct 19, 2021

Group Benefits Policy and Planning Board

Board to review DataPath and Express Scripts contracts

The Group Benefits Policy and Planning Board is meeting to discuss and act on specific service contracts. The agenda includes reviews of administrative and pharmacy benefit management agreements.

contractsbenefitsadministrationhealthcare
✓ Decided: Board recommends two major contracts for FSA and pharmacy benefit services

The Board unanimously recommended that the JLCB accept contracts with DataPath Administrative Services and Express Scripts, Inc. These agreements cover flexible spending accounts, COBRA, and pharmacy benefit management services starting January 1, 2022.

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P.O. Box 44036, Baton Rouge, LA 70804 • info.groupbenefits.org OGB POLICY AND PLANNING BOARD AGENDA Tuesday, October 19, 2021 9:00AM Louisiana Purchase Room (1-100) 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order a. Roll Call II. Approval of Minutes from the October 6, 2021 Meeting III. Public Comment IV. Contracts a. DataPath Administrative Services – FSA and COBRA Contract b. Express Scripts, Inc. – PBM Emergency Contract V. New Business VI. Adjournment
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1, IL Til. IV. STATE OF LOUISIANA DIVISION OF ADMINISTRATION OFFICE OF GROUP BENEFITS OGB POLICY AND PLANNING BOARD MINUTES Tuesday, October 19, 2021 9:00AM Louisiana Purchase Room (1-100) 1201 North Third Street Baton Rouge, LA 70802 Call to Order — the meeting was called to order at 9:15 AM. A. Roll Call Sen. Louie Bernard Absent Sen. Joseph Bouie, Jr. Present Rep. Chad Brown Absent Ms. Deborah Copeland Present Mr. Jeremy Jackson Present Mr. Frank Jobert, Jr. Absent Mr. Kenneth Krefft Present Mr. Tony Murray Present Mr. Frank Opelka Present Mr. Mike Saylor Present Sen. Kirk Talbot Present Approval of Minutes from the October 6, 2021 Meeting A. A motion to approve the Minutes was made by Senator Talbot and seconded by Mike Saylor. The Minutes were approved unanimously. Public Comment A. Bret Schnadelbach — Chief Financial Officer for Tangipahoa Parish School System. Mr. Schnadelbach expressed dissatisfaction with the creation of the School Board Classification and the Pelican HRA1000 Plan premium rate increase for active employees in the School Board Classification. Contracts A. DataPath Administrative Services — Flexible Spending Account (“FSA”) and COBRA Contract. 1. Colonel David Couvillon, Chief Executive Officer of OGB, informed the Board that after a Request for Proposals (“RFP”), the Contract was awarded to DataPath Administrative Services. The Contract will be effective January 1, 2022 for a term of three (3) years and may be extended for an additional 2 …
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Wed Oct 6, 2021

Group Benefits Policy and Planning Board

Board to review benefit contracts and 2022 school board premium rates

The Group Benefits Policy and Planning Board is meeting to review administrative and pharmacy benefit contracts. The board will also consider premium rates for school boards for 2022.

benefitscontractshealthcareschool-boards
Agenda (official) · cached copy
📄 From the agenda
Extracted text of the official agenda document (automated extraction — may contain OCR/formatting errors).
P.O. Box 44036, Baton Rouge, LA 70804 • info.groupbenefits.org OGB POLICY AND PLANNING BOARD AGENDA Wednesday, October 6, 2021 2:00 PM Thomas Jefferson Room A-B (1-136 A-B) 1201 North Third Street Baton Rouge, LA 70802 I. Call to Order a. Roll Call II. Oaths of Office III. Approval of Minutes from August 27, 2021 Meeting IV. Public Comment V. Contracts a. DataPath Administrative Services – FSA and COBRA Contract b. Express Scripts, Inc. – PBM Emergency Contract VI. Contract Amendments a. HMO Louisiana, Inc. – Fully-insured MAPD Amendment VII. 2022 Premium Rates for School Boards VIII. New Business IX. Adjournment
Fri Aug 27, 2021

Group Benefits Policy and Planning Board

Board to discuss 2022 premium rates and health benefit contracts

The Group Benefits Policy and Planning Board is meeting to review financial projections and determine 2022 premium rates. The board will also discuss procurement updates and contract amendments for several health benefit plans.

health-benefitsinsurancepremiumscontractsprocurement
✓ Decided: OGB board approves recommending 2022 premium rate increases to JLCB

The board reviewed financial projections and premium rate increases for 2022, including a 5% increase for self-funded plans and a 10% increase for the Vantage MHHP. The board unanimously voted to recommend the meeting's information to the JLCB. OGB is also extending four health benefit contracts for 24 months.

Agenda (official) · cached copy · Minutes
📄 From the agenda
Extracted text of the official agenda document (automated extraction — may contain OCR/formatting errors).
OGB POLICY AND PLANNING BOARD AGENDA Friday, August 27, 2021 1:00 PM 1201 North Third Street, Louisiana Purchase Room Baton Rouge, LA 70802 I. Call to Order a. Roll Call II. Oaths of Office III. Approval of Minutes from July 13, 2021 Meeting IV. Public Comment V. Financial Projections VI. 2022 Premium Rates VII. Procurement Update a. FSA-COBRA RFP b. PBM SFO VIII. Contract Amendments a. Vantage MHHP (Commercial) b. Vantage MAPD c. Humana Health Benefits Plan d. Peoples Health IX. Annual Enrollment X. New Business XI. Adjournment
📄 From the minutes
Extracted text of the official minutes document (automated extraction — may contain OCR/formatting errors).
STATE OF LOUISIANA DIVISION OF ADMINISTRATION OFFICE OF GROUP BENEFITS OGB POLICY AND PLANNING BOARD MINUTES Friday, August 27, 2021 1:00 PM 1201 North Third Street, Louisiana Purchase Room Baton Rouge, LA 70802 I. Call to Order — The meeting was called to order at 1:02 PM a. Roll Call Sen. Louie Bernard Present Sen. Joseph Bouie, Jr. Absent Rep. Chad Brown Absent Deborah Copeland Present Jeremy Jackson Present Frank Jobert, Jr. Present Kenneth Krefft Present Tony Murray Present Frank Opelka Absent Mike Saylor Present Sen. Kirk Talbot Present — late arrival II. Oaths of Office a. The Policy and Planning Board members present completed their Oaths of Office. Ill. Approval of Minutes from July 13, 2021 Meeting a. A motion to approve the Minutes was made by Sen. Louie Bernard, Jr. and seconded by Mike Saylor. The Minutes were approved unanimously. IV. * Public Comment a. There were no public comments. V. Financial Projections a. Colonel David Couvillon, Chief Executive Officer of OGB, provided the financial projections for FY 2022 — FY 2025. The projections included all health plans with the following underlying assumptions considered: i. Annual Expenditure Trends, VI. Vil. VI. ii. Self-funded Medical and Rx Drug Administrative Fees, iti. January 1, 2022 Rebate Levels Based on the Original RFP Award, iv. New Access Health Agreement, v. The Impact of COVID-19 on Self-funded Health Plan Expenditures, vi. Federal Surprise Billing Mandate and vii. SB 150/Act 388 Bariat …
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Tue Jul 13, 2021

Group Benefits Policy and Planning Board

✓ Decided: Board elects new officers and approves May 26 meeting minutes

The Board elected Jeremy Jackson as Chairman, Tony Murray as Vice-Chairman, and Kenneth Krefft as Secretary. Members approved the minutes from the May 26, 2021 meeting. The board received updates on 2022 premium rates and new bariatric surgery coverage requirements.

Minutes
📄 From the minutes
Extracted text of the official minutes document (automated extraction — may contain OCR/formatting errors).
STATE OF LOUISIANA DIVISION OF ADMINISTRATION OFFICE OF GROUP BENEFITS OGB POLICY AND PLANNING BOARD MINUTES Tuesday, July 13, 2021 1:00 PM 1201 North Third Street Louisiana Purchase Room Baton Rouge, LA 70802 i Call to Order — the meeting was called to order at 1:12 PM. a. Roll Call Sen. Louie Bernard Absent Sen. Joseph Bouie, Jr. Present Rep. Chad Brown Present Deborah Copeland Present Jeremy Jackson Present - late arrival Frank Jobert, Jr. Present Kenneth Krefft Present Tony Murray Present Frank Opelka Present Mike Saylor Present Sen. Kirk Talbot Absent I, Introduction and Swearing-in of New Board Member, Frank Opelka Ill. Election of Board Officers for 2021 - 2022 a. Chairman i. Frank Jobert opened the floor for nominations for Chairman of the Board. 1. Mr. Jobert nominated Jeremy Jackson. The nomination was seconded by Tony Murray. Mr. Jackson was elected Chairman of the Board by unanimous vote. b. Vice Chairman i. Mr. Jobert opened the floor for nominations for Vice-Chairman of the Board. 1. Kenneth Krefft nominated Mr. Murray. The nomination was seconded by Deborah Copeland. Mr. Murray was elected Vice-Chairman of the Board by unanimous vote. c. Secretary i. Mr. Jobert opened the floor for nominations for Secretary of the Board. 1. Mr. Jobert nominated Mr. Krefft. The nomination was seconded by Sen. Joseph Bouie, Jr. Mr. Krefft was elected Secretary of the Board by unanimous vote. VI. VIL. VII. XI. Approval of Minutes from May 26, 2021 Meeting a. A motion to …
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Wed May 26, 2021

Group Benefits Policy and Planning Board

Board to receive update on Pharmacy Benefits Manager

The Group Benefits Policy and Planning Board will meet to approve previous minutes and receive a status update regarding the Pharmacy Benefits Manager.

healthcarebenefitspharmacy
✓ Decided: Board approves switching pharmacy benefits manager to CVS Caremark

The Board unanimously voted to terminate the emergency contract with MedImpact and seek a new one-year emergency contract with CVS Caremark. The transition is scheduled to occur on October 1, 2021.

Agenda (official) · cached copy · Minutes
📄 From the agenda
Extracted text of the official agenda document (automated extraction — may contain OCR/formatting errors).
OGB POLICY AND PLANNING BOARD AGENDA Wednesday, May 26, 2021 10:00 AM 1201 North Third Street, Louisiana Purchase Room Baton Rouge, LA 70802 I. Call to Order a. Roll Call II. Approval of Minutes from April 6, 2021 Meeting III. Public Comment IV. Pharmacy Benefits Manager Status Update V. New Business VI. Adjournment
📄 From the minutes
Extracted text of the official minutes document (automated extraction — may contain OCR/formatting errors).
IL. Til. IV. V. STATE OF LOUISIANA DIVISION OF ADMINISTRATION OFFICE OF GROUP BENEFITS OGB POLICY AND PLANNING BOARD MINUTES Wednesday, May 26, 2021 10:00 AM Louisiana Purchase Room 1-100 1201 N. Third St. Baton Rouge, LA 70802 Call to Order a. Roll Call Sen. Louie Bernard Present Frank Jobert Present Sen. Joseph Bouie, Jr. Absent Kenneth Krefft Present Rep. Chad Brown Absent Tony Murray Present Deborah Copeland Present Mike Saylor Absent Jeremy Jackson Present Sen. Kirk Talbot Present Approval of Minutes from April 6, 2021 Meeting a. Motion to approve minutes made by Mr. Frank Jobert and seconded by Mr. Kenneth Krefft. Minutes approved unanimously. Public Comments a. Mr. Scott Kirkpatrick, speaking on behalf of MedImpact, spoke in favor of MedImpact keeping the Emergency Contract. i. Mr. Krefft asked for an explanation of rebate aggregator. ii. Mr. Jobert expressed concerns that MedImpact has not lived up to the terms of the contract. 1. Ms. Gail Levenson, a Buck consultant, provided the definition of rebate aggregator. Pharmacy Benefits Manager (PBM) Status Update a. Colonel David Couvillon advised that OGB plans to terminate the Emergency Contract with MedImpact and enter into another emergency contract to continue to provide pharmacy services to plan members. b. Colonel Couvillon asked the OGB Policy and Planning Board to recommend termination of the MedImpact Emergency Contract effective September 30, 2021 at 11:59 pm. c. Colonel Couvillon also asked the OGB Po …
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Tue Apr 6, 2021

Group Benefits Policy and Planning Board

Board to review health insurance membership and contract amendments

The Group Benefits Policy and Planning Board will review financial updates regarding health insurance membership and projections through FY 2025. The agenda also includes discussions on contract amendments for Access Health, Discovery Benefits, Inc., and Buck Global, LLC.

health-insurancefinancecontractsstrategic-planningbenefits
✓ Decided: Board approves forwarding Access Health contract amendment to appropriate entities

The Board unanimously approved the minutes from March 15 and March 18, 2021, and declared a vacancy for Agnes Andrews' seat. Members also voted to forward the Access Health Contract Amendment to all appropriate entities. The meeting included discussions on financial projections, ER copay increases, and obesity programs.

Agenda (official) · cached copy · Minutes
📄 From the agenda
Extracted text of the official agenda document (automated extraction — may contain OCR/formatting errors).
OGB POLICY AND PLANNING BOARD AGENDA Tuesday, April 6, 2021 1:00 PM 1201 North Third Street, Thomas Jefferson Room A/B 1-136 Baton Rouge, LA 70802 I. Call to Order a. Roll Call II. Approval of Minutes from March 15, 2021 Meeting III. Approval of Minutes from March 18, 2021 Meeting IV. Public Comment V. Financial Update a. 2021 PY Health Insurance Membership b. FY 2021 Financial Status c. Financial Projections FY 2021 – FY 2025 VI. Contract Updates a. Access Health Amendment b. Discovery Benefits, Inc. Amendment c. Buck Global, LLC. Amendment d. FSA & COBRA RFP VII. Strategic Planning Session Outcomes a. Now b. 2022/2023 c. Long Term VIII. Tracked Legislation IX. La. R.S. 42:882 –Attendance X. New Business XI. Adjournment
📄 From the minutes
Extracted text of the official minutes document (automated extraction — may contain OCR/formatting errors).
I. Hl. IV. STATE OF LOUISIANA DIVISION OF ADMINISTRATION OFFICE OF GROUP BENEFITS OGB POLICY AND PLANNING BOARD MINUTES Tuesday, April 6, 2021 1:00 PM 1201 North Third Street Thomas Jefferson Room A/B 1-136 Baton Rouge, LA 70802 Call to Order a. Roll Call Agnes Andrews Absent Frank Jobert Present Sen. Louie Bernard Present Kenneth Krefft Present Sen. Joseph Bouie, Jr. Present Tony Murray Present-late arrival Rep. Chad Brown Absent Mike Saylor Present Deborah Copeland Present Sen. Kirk Talbot Absent Jeremy Jackson . Present Approval of Minutes from March 15, 2021 Meeting a. Motion to approve minutes made by Sen. Louie Bernard and seconded by Mr. Kenneth Krefft. Minutes were approved unanimously. Approval of Minutes from March 18, 2021 Meeting a. Motion to approve minutes made by Sen. Bernard and seconded by Sen. Joseph Bouie, Jr. Minutes were approved unanimously. Public Comment a. There were no public comments. Financial Update a. Colonel David Couvillon updated the board members on OGB’s financial status and projections for fiscal years 2021 - 2025. i. Mr. Krefft expressed concerns about the projected decline of $30 million dollars for the remainder of 2021 and wanted to know the main reason for the projection. 1. Col. Couvillon stated that OGB is expecting an increase in claims due to medical procedures that were delayed because of COVID-19. He further stated that the trend is expected to continue through 2022. ii. Mr. Tony Murray asked if rebates are included in …
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