HomeMy WebLinkAboutAgenda Report - January 18, 2023 C-10CITY OF
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CALIFORNIA
AGENDA ITEM Ca
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COUNCIL COMMUNICATION
AGENDA TITLE: Adopt Resolution Approving Renewal of Chiropractic Benefit Administration
Agreement with Landmark Healthplan of California; and Further Authorizing the City
Manager to Execute Agreement
MEETING DATE: January 18, 2023
PREPARED BY: Human Resources Manager
RECOMMENDED ACTION: Adopt Resolution Approving Renewal of Chiropractic Benefit
Administration Agreement with Landmark Healthplan of California; and
Further Authorizing the City Manager to Execute Agreement
BACKGROUND INFORMATION: The City of Lodi is contracted with Landmark Healthplan of California to
provide chiropractic services to the City's full-time employees and
COBRA participants. This chiropractic plan is a stand alone policy
separate from the City's medical plans offered through CalPERS.
The term of this agreement shall begin on February 1, 2023 and continue in effect until January 31, 2024.
This contract shall automatically renew for successive one-year terms on each anniversary of the
commencement date of this Agreement. The city may terminate this Agreement by providing Landmark
Healthplan with 30 calendar days' prior written notice.
FISCAL IMPACT: Annual cost of approximately $70,000.
FUNDING AVAILABLE: Included in Benefits Fund appropriations (65522000),
Adele Post
Human Resources Manager
OOAI&Ar X.�JhJ
Andrew Keys
Deputy City Manager/Internal Services Director
APPROVED: OjrtA� /uviod
Stephen Schwabauer, City Manager
AMENDMENT to the GROUP AGREEMENT
Between
City of Lodi
And
LANDMARK HEALTHPLAN OF CALIFORNIA, INC
This Amendment dated February, 2023, is entered into by and between City of Lodi ("Group"), and
Landmark Healthplan of California, Inc. ("Plan"), collectively referred to herein as "Parties", in order to
modify the Group Agreement ("Agreement"), February 1, 2021, as amended.
In consideration of the recitals, covenants, conditions, and promises contained in the Agreement, the
Parties agree to modify the Agreement as follows:
1. Cover Sheet, Provision 1, "Periodic Charges" is deleted in its entirety and replaced with the
following:
Renewal For Current Benefits
$10 copay/40 visits
Chiropractic
Current Rates
$5.71
S11.47
Family 1 $15.00
Renewal Rates
$6.57
$13.19
$17.25
All other provisions of the Agreement, its Addenda or Amendments not inconsistent herein shall remain
in full force and effect.
Pursuant to Section 3.06 of the Agreement, this Amendment is effective on the day and year set forth
above.
Please sign digitally and return via email or sign and fax to (916) 307-5250
Signature Date
Stephen Schwabauer City Manager
Print Name and Title
Approved as to Form:
JANICE D. MAGDICH
City Attorney
EXHIBIT A&B
SCHEDULE OF BENEFITS
Chiropractic Benefit
Your Employer Group has contracted with Landmark Healthplan of California, Inc. (Landmark) to provide
you with a chiropractic benefit that requires the use of Participating Chiropractors. You can obtain a direc-
tory of Participating Chiropractors through your employer, plan administrator, or Landmark, or you can
access a continuously updated directory on Landmark's Web site at www.LHP-CA.com under the "Mem-
ber" option. You may also call Landmark's Customer Service Department at 1-800-298-4875, option 2,
for referrals to Participating Practitioners in your area.
FREE LANGUAGE ASSISTANCE IS AVAILABLE
If you need help in understanding your Landmark chiropractic benefits or need help to handle an issue
about your benefits, please contact Landmark's Customer Service Department at 1-800-298-4875, option
2, between 8:30 AM and 5:00 PM, Monday through Friday, for free help. We can also help you in lan-
guages other than English.
If you or your dependents would like Landmark and your doctor to use a specific language when speaking
or writing to you, please go to https://www.LHP-CA.com/Survey.aspx on the Internet and complete Land-
mark's brief language preference survey. The survey only takes about 3 minutes to complete and your
answers will be strictly confidential. If you prefer to complete a paper copy of this survey, you may re-
quest one by writing to us at:
Landmark Healthplan of California, Inc.
Attn: QM Dept. -SURVEY
2629 Townsgate Road, Suite 235
Westlake Village, CA 91361
*X-ray Services must be prescribed by a Participating Chiropractor.
**Services provided by Non -Participating Chiropractors are covered for Emergency Services only.
***Durable Medical Equipment must be prescribed by a Participating Chiropractor.
A. Covered Services
1. Chiropractic Treatment
Covered Chiropractic Services are those within
the scope of chiropractic care that are support-
ive to help Members achieve the physical state
enjoyed before an injury or illness and that are
furnished for the diagnosis and/or treatment of a
neuromusculoskeletal condition associated with
an injury or illness including the following sevic-
es:
■ Examinations
■ Manipulation
■ Conjunctive Physiotherapy
■ X-rays
■ Emergency Services
2. Emergency Services
Emergency Services are covered for the sudden
and unexpected onset of an acute illness, ex-
treme neuromusculoskeletal pain or accidental
injury to the nervous, musculoskeletal and/or
skeletal body systems, that, in the reasonable
judgment of the Member, requires immediate
care, the delay of which could decrease the like-
lihood of maximum recovery, and for which the
Member seeks to secure chiropractic services
immediately after the onset, or as soon thereaf-
ter as practicable. Emergency Services do not
require pre -authorization; however, Emergency
Services rendered by a Non -Participating Chiro-
practor are subject to Landmark's determination
Landmark Healthplan of California, Inc. • 2629 Townsgate Road, Suite 235 • Westlake Village, CA 91361 • 1-800-298-4875 Page 1
Benefits and Co -payments
Office Visit
$10 co -payment
Maximum Annual Visits
40 visits
X-ray Services*
$75 annual maximum benefit
Emergency Care**
I Same co -payment as office visit
Durable Medical Equipment Purchase or Rental*** 1 $50 annual maximum benefit
*X-ray Services must be prescribed by a Participating Chiropractor.
**Services provided by Non -Participating Chiropractors are covered for Emergency Services only.
***Durable Medical Equipment must be prescribed by a Participating Chiropractor.
A. Covered Services
1. Chiropractic Treatment
Covered Chiropractic Services are those within
the scope of chiropractic care that are support-
ive to help Members achieve the physical state
enjoyed before an injury or illness and that are
furnished for the diagnosis and/or treatment of a
neuromusculoskeletal condition associated with
an injury or illness including the following sevic-
es:
■ Examinations
■ Manipulation
■ Conjunctive Physiotherapy
■ X-rays
■ Emergency Services
2. Emergency Services
Emergency Services are covered for the sudden
and unexpected onset of an acute illness, ex-
treme neuromusculoskeletal pain or accidental
injury to the nervous, musculoskeletal and/or
skeletal body systems, that, in the reasonable
judgment of the Member, requires immediate
care, the delay of which could decrease the like-
lihood of maximum recovery, and for which the
Member seeks to secure chiropractic services
immediately after the onset, or as soon thereaf-
ter as practicable. Emergency Services do not
require pre -authorization; however, Emergency
Services rendered by a Non -Participating Chiro-
practor are subject to Landmark's determination
Landmark Healthplan of California, Inc. • 2629 Townsgate Road, Suite 235 • Westlake Village, CA 91361 • 1-800-298-4875 Page 1
that the Member would reasonably have consid-
ered that Emergency Services were required.
Emergency Services rendered by a
Non -Participating Chiropractor are covered only
when the chiropractor rendering services can
show that the services were for a neuromuscu-
loskeletal condition and were provided to reduce
the severity of the condition including pain until a
Participating Chiropractor could safely assume
treatment. Similarly, Emergency Services re-
ceived outside of Landmark's Service Area will
be covered only when the Non -Participating Chi-
ropractor rendering services can show that the
services were for a neuromusculoskeletal condi-
tion and were provided to reduce the severity of
the condition including pain until a Participating
Chiropractor could safely assume treatment. Un-
der the Landmark Plan, emergency care must
be transferred to a Participating Chiropractor as
soon as such transfer would not create an un-
reasonable risk to the Member's health.
B. Second Opinions and Referrals
1. Second opinions
On occasion, a Participating Chiropractor may
require a second opinion, which is for consulta-
tion only, from another chiropractor. Landmark
does not require an authorization for any second
opinion. Second opinions initiated by your Par-
ticipating Chiropractor will not count against your
maximum annual visits and will not require a
Member office visit co -payment.
Second opinions initiated by Members do not
require prior authorization but will count against
the maximum annual visits and will require a
Member office visit co -payment.
2. Referrals to non -chiropractic practitioners
For referrals to non -chiropractic practitioners,
Members or enrollees of full-service plans or
HMOs will be referred to the plan or HMO practi-
tioner network for non -neuromusculoskeletal
conditions, conditions not improving with chiro-
practic care, and other such services that cannot
be provided by another Participating Chiroprac-
tor.
C. Limitations and Exclusions
Circumstances Causing Services to be
Excluded or Limited
1. Services provided by a Non -Participating
Chiropractor, except for emergencies
2. Services provided outside of Landmark's
Service Area, except for emergencies
3. Services incurred prior to the beginning or
after the end of coverage
4. Services that exceed the maximum covered
visits for the benefit year
5. X-ray services that exceed the annual max-
imum benefit
6. Charges incurred for missed appointments
7. Educational programs
8. Pre-employment, school entrance, or athlet-
ic physical exams
9. Services for conditions arising out of em-
ployment, including self-employment or cov-
ered under any workers' compensation act
or law
10. Services for any bodily injury arising from or
sustained in an automobile accident that is
covered under an automobile insurance pol-
icy
11. Charges for which the Member is not legally
required to pay
12. Services rendered by a person who ordinari-
ly resides in the Member's home or who is
related to the Member by marriage or blood.
Specific Services that are Excluded or
Limited
1. Drugs, vitamins, nutritional supplements, or
herbs
2. Experimental or investigational services
3. Vocational, or long-term rehabilitation
4. Hypnotherapy, behavior training, sleep ther-
apy, or biofeedback
5. Rental or purchase of Durable Medical
Equipment (DME)
6. Treatment primarily for purposes of weight
control
7. Lab services
8. Thermography, hair analysis, heavy metal
screening, or mineral studies
9. Transportation costs, including ambulance
charges
10. Inpatient services
11. Massage
12. Manipulation under anesthesia
13. Services related to diagnosis and treatment
of jaw joint or TMJ disorders
14. Treatment of non -neuromusculoskeletal dis-
orders
15. Advanced diagnostic services, such as MRI,
CT, EMG, SEMG, and NCV
Landmark Healthplan of California, Inc. • 2629 Townsgate Road, Suite 235 • Westlake Village, CA 91361 • 1-800-298-4875 Page 2
RESOLUTION NO. 2023-16
A RESOLUTION OF THE LODI CITY COUNCIL APPROVING RENEWAL OF
CHIROPRACTIC BENEFIT ADMINISTRATION AGREEMENT WITH
LANDMARK HEALTHPLAN OF CALIFORNIA; AND FURTHER AUTHORIZING
THE CITY MANAGER TO EXECUTE THE AGREEMENT
------------------------------------------------------------------------
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WHEREAS, the City of Lodi utilizes Landmark Healthplan of California for the
administration of the chiropractic benefits offered to City of Lodi employees.
NOW, THEREFORE, BE IT RESOLVED that the Lodi City Council does hereby approve
the renewal of the Chiropractic Benefit Administration Agreement with Landmark Healthplan of
California; and
BE IT FURTHER RESOLVED that the City Council does hereby authorize the
City Manager to execute the agreement with Landmark Healthplan of California on behalf of the
City of Lodi; and
BE IT FURTHER RESOLVED that the term of the Agreement shall be effective
February 1, 2023 through January 31, 2024, and in the event no termination notice has been
given by either party, and a new agreement has not been negotiated, the contract shall
automatically renew for successive one-year terms on each anniversary of the commencement
date of this agreement; and
BE IT FURTHER RESOLVED, pursuant to Section 6.3q of the City Council Protocol
Manual (adopted 11/6/19, Resolution No. 2019-223), the City Attorney is hereby authorized to
make minor revisions to the above -referenced document(s) that do not alter the compensation
or term, and to make clerical corrections as necessary.
Dated: January 18, 2023
I hereby certify that Resolution No. 2023-16 was passed and adopted by the City
Council of the City of Lodi in a regular meeting held January 18, 2023 by the following vote:
AYES: COUNCIL MEMBERS — Craig, Khan, and Nakanishi
NOES: COUNCIL MEMBERS — None
ABSENT: COUNCIL MEMBERS — Bregman and Mayor Hothi
ABSTAIN: COUNCIL MEMBERS — None
g1iu,;.na�a�,
OLIVIA NASHED
City Clerk
2023-16