To: Charles Winfrey, Human Services Committee Chairperson
From: Joshua Freeman, Director of Administration
title
RE: Approval of an agreement between Genesee County and Genesee Health Plan, in an amount not to exceed $7,700,000.00, to provide for a health care delivery system for low-income Genesee County residents; the cost of this agreement will be paid from the Genesee County Health
recommendation
BOARD ACTION REQUESTED:
Approval of a contract between Genesee County and Genesee Health Plan to provide health care insurance services in an amount not to exceed $7,700,000.00.
BACKGROUND:
Genesee County has a dedicated millage to provide a health care services delivery system for uninsured, low-income residents of Genesee County. To help facilitate that, Genesee County has contracted with Genesee Health Plan to deliver those services.
DISCUSSION:
Genesee County originally entered into an agreement with Genesee Health Plan in 2007. Since that time, there have been several amendments that provide for continuation and payment of services. After analyzing requests for payment last year, the recommended amount is deemed adequate to cover anticipated costs. In addition, up to 20% of this contract amount may be used for administrative costs including, but not limited to, enrollment staffing. Of that 20%, up to fifty percent may be paid upon the approval of this contract to help with cash flow management issues that result from insurance claim payment lags. No dollars from the millage will be used for any campaign or millage renewal purposes.
IMPACT ON HUMAN RESOURCES:
There will be no additional impact to HR.
IMPACT ON BUDGET:
The funds for this contract are provided through a dedicated millage and will be paid from account 2230-255.01-835.006. A budget amendment is attached to increase from the original estimated budget of $6,000,000 to this contract amount of $7,700,000. There is available fund balance to cover this amendment.
IMPACT ON FACILITIES:
There is no impact on Facilities.
IMPACT ON TECHNOLOGY:
There is no impact on Technology.
CONFORMITY TO COUNTY PRIORITIES:
In approving this agreement, the Board of County Commissioners will help fulfill the priority of Healthy, Livable & Safe Communities by assisting those without health insurance obtain coverage.
resolution
TO THE HONORABLE CHAIRPERSON AND MEMBERS OF THE GENESEE COUNTY BOARD OF COMMISSIONERS, GENESEE COUNTY, MICHIGAN
LADIES AND GENTLEMEN:
BE IT RESOLVED, by this Board of County Commissioners of Genesee County, Michigan, that the request by the Director of Administration to authorize entering into a contract amendment between Genesee County and Genesee Health Plan Corporation, said amendment being necessary to extend the term for one additional year commencing October 1, 2025, through September 30, 2026, whereby the contractor will continue to provide a health care services delivery system to uninsured, low-income residents of Genesee County, at a total cost to the County not to exceed $7,700,000.00 to be paid from millage account number 2230-255.01-835.006 as set forth in the memorandum request and attached contract amendment, with no millage dollars being used for any campaign or millage renewal support purposes, is approved (a copy of the memorandum request and supporting documents being on file with the official records of the January 21, 2026 meeting of the Human Services Committee of this Board), the Chairperson of this Board is authorized to execute the attached amendment on behalf of Genesee County, and the Chief Financial Officer is directed to record the attached budget amendment.