1. 334-info ❘ reno.gov ❘ @cityofreno Self-Insurance Changes By: Robert Chisel, Director of Finance & Administration and Kelly Leerman, Director of Human Resources

2. 334-info ❘ reno.gov ❘ @cityofreno Current Contracts City of Reno Self-Insured Health Plan “Reno Plan” 80/20 (Includes Fire & High- Deductible) City funds $$ $$ Employee Funds 489 Employees Enrolled City of Reno Self-Insured Health Plan “EPO Hometown Health Plan” Co-Pay Plan City funds $$ $$ Employee Funds 560 Employees Enrolled Hospital Contract - St. Mary’s Third Party Administrator - CDS Provider Network - St. Mary’s Pharmacy Benefit Management - CVS CareMark Hospital Contract - Renown Third Party Administrator - Hometown Health Provider Network - Renown Pharmacy Benefit Management - MedImpact

3. 334-info ❘ reno.gov ❘ @cityofreno 3 Nevada Business Group on Health “The Coalition” -WCSD- City of Sparks -Washoe County- City of Reno -Other Self-Insured Plans Requested RFP for Hospital Services St. Mary’s:Rates Confidential Rates Exclusive Renown: Rates Provided Best Rate Includes: TPA, PBM, Provider Network Process The Coalition approved Renown contract for Hospital Services City of Reno receives maximum financial savings by including contracts for Hometown Health TPA, Provider Network, and MedImpact Pharmacy Benefit Manager

4. 334-info ❘ reno.gov ❘ @cityofreno New Contracts City of Reno Self-Insured Health Plan “Reno Plan” 80/20 (Includes Fire & High- Deductible) City funds $$ $$ Employee Funds 489 Employees Enrolled City of Reno Self-Insured Health Plan “EPO Hometown Health Plan” Co-Pay Plan City funds $$ $$ Employee Funds 560 Employees Enrolled Hospital Contract -St. Mary’s Third Party Administrator - CDS Provider Network - St. Mary’s Pharmacy Benefit Management - CVS CareMark Hospital Contract - Renown Third Party Administrator - Hometown Health Provider Network - Renown Pharmacy Benefit Management - MedImpact

5. 334-info ❘ reno.gov ❘ @cityofreno Provider Disruption 95% of providers are on both provider networks Chiropractic Care and Pediatrics could have the most disruption Continuity of Care arrangements will be made for people currently in treatment for major medical Renown has demonstrated a willingness to credential new providers as requested by members Renown has a robust national provider network available to all members 1/14/20155