MINUTES CONTRA COSTA COUNTY SCHOOLS INSURANCE GROUP HEALTH BENEFITS COMMITTEE MEETING. January 11, :00 A.M 12:00 P.M.

Transcription

1 MINUTES CONTRA COSTA COUNTY SCHOOLS INSURANCE GROUP HEALTH BENEFITS COMMITTEE MEETING January 11, :00 A.M 12:00 P.M. CCCSIG Conference Room 550 Ellinwood Way Pleasant Hill CA I. CALL TO ORDER Robin Yearby called the meeting to order at 10:02 AM with roll call. II. ROLL CALL & INTRODUCTIONS Bylaws of the Contra Costa County Schools Insurance Group I.G.4. Quorum. A majority of each Committee membership shall constitute a quorum for the transaction of business except that less than a quorum may adjourn from time to time. Member Districts = 9 Number required to achieve a quorum = 5 Those present were: CCCSIG: Contra Costa County Schools Insurance Group Contra Costa County Schools Insurance Group MEMBERS: Arcohe Union School District Brentwood Union School District Castro Valley Unified School District Oakley Union Elementary School District Travis Unified School District Walnut Creek School District CONSULTANTS Keenan & Associates Keenan & Associates ABSENT Byron Union School District Canyon School District Moraga School District Jürg Morach, Executive Director Erica Williamson, HR/Communications Manager Troy Miller Roxane Jablonski-Liu, Vice Chair Robin Yearby, Chair Maria de la Luz Bordanaro, Tammi Lauderdale Trudy Barrington Griselda Barraza Debra DeSpain Vickie Vales Open Monica Santiago Daniela Parasidis III. GUESTS Byron Union School District PUBLIC COMMENTS There were no public comments. Kathy Bell

2 IV. APPROVAL OF AGENDA Action A motion was made by Roxane Jablonski-Liu, seconded by Troy Miller, and unanimously carried to approve the Agenda as presented. Votes: Arcohe Aye Brentwood Aye Byron Absent Canyon Absent Castro Valley Aye Moraga - Absent Oakley Aye Travis Aye Walnut Creek Aye V. APPROVAL OF MINUTES November 9, Action A motion was made by Troy Miller, seconded by Roxane Jablonski-Liu and unanimously carried to approve the November 9, 2018, Minutes as presented. Votes: Arcohe Aye Brentwood Aye Byron Absent Canyon Absent Castro Valley Aye Moraga - Absent Oakley Aye Travis Aye Walnut Creek Aye VI. CORRESPONDENCE There was no correspondence received for this meeting. VII. ADMINISTRATION/HEALTH BENEFIT PROGRAM ADMINISTRATIVE UPDATE CCCSIG Year in Review Debra DeSpain reviewed the 2018 Year in Review with the committee. This report highlights the activities of the Health Benefits Program Committee during the prior year along with member, plan and rating information was a quiet year. Debra highlighted the meeting topics. In June Keenan conducted a Benefits Administration Workshop, which seemed to be well received. We have discussed conducting a second workshop in During the renewal review, Debra confirmed the Sutter Health Plus increase of 6.7% was in line with their increases across their business. SHP would not negotiate any renewal for SHP has been in the market for a few years and is beginning to gather data, which will continue to improve as it grows. Currently, SHP does not provide any claims or utilization reports for any client under 1,000 enrolled SHP members. For Western Health Advantage, their initial renewal came in at 3.9%. WHA would not reduce their renewal since they were already competitive with SHP. WHA can provide some reporting and Keenan will bring those to the HBPC at a future meeting. The HBPC added Building Blocks for Business/Colonial voluntary plans for 2019 Cancer, Critical Illness, Short-Term Disability, Medical Bridge/Hospital Confinement, Accident, Whole Life Insurance with LTC. These plans are being offered with preferred JPA pricing and underwriting.

3 ACA Update Debra DeSpain distributed the Health Care Reform overview to the committee. The overview highlighted the ACA penalties, affordability Waivers/Cash-in-lieu. The ACA law is not going away, and all employer responsibilities are still required. Debra stressed to the committee that they should be collecting employee waiver acknowledgements each year. This will be an important document if a district receives any penalty notices from the IRS Migration Report Debra DeSpain reviewed the 2019 Migration Report for the committee. This report is created using the enrollment numbers by district and plan from December 2018 and January The overall enrollment between the three medical plans increased by 51 subscribers 41 subscribers with Kaiser, 2 subscribers for Sutter Health Plus and 8 subscribers for Western Health Advantage. It is encouraging that enrollment was gained for In reviewing each district, most had an increase in enrollment. Castro Valley offers a bronze level DHMO plan through Kaiser. They have a high enrollment in that plan as it remains very affordable for the employee as the employer contribution covers the full premium for this plan. Should anyone else be interested in adding this type of plan, let Debra know. Kaiser previously would add a 2% load to all plans should client add additional plan offerings. This penalty was added based on the possibility that most enrollment would move to the lower premium plan and the overall premium received would not cover utilization within the group. Kaiser no longer follows this practice Flu Clinic Update All flu clinics have been completed and the overall invoice received. The HBPC is still satisfied with Maxim and hosting the flu clinics. Keenan will bring this to the committee in either June or July to begin the process for the 2019 clinics. This year there were several non-eligible members receiving the vaccination. CCCSIG has sent the appropriate invoices to Brentwood, Oakley, Moraga and Walnut Creek for these members. The existing policy only allows employees enrolled in one of the HBCP health plans to receive the flu vaccination free. Brentwood proposed to extend the free vaccination to spouses of enrolled employees who are also district employees, but covered as a dependent. The HBPC agreed this should be allowed. Vickie will provide CCCSIG with an updated count for Brentwood to produce a corrected invoice. The corrected invoice will exclude the dependent spouses who are also employees. Legislative Updates/Briefings Debra DeSpain reviewed the legislative briefings included in the materials: Benefit Limits for Health & Welfare Plans 2. Health Care Reform: IRS Extends Reporting Deadline & Good Faith Relief Once Again 3. Health Care Reform: Texas Federal Court Invalidates ACA but Appeal is Expected to Follow

4 VIII. INFORMATION MEMBER COMMENTS There were no Member Comments. CONSULTANT COMMENTS There were no additional Consultant Comments. IX. AGENDA ITEMS NEXT MEETING The next meeting is scheduled for February 8, Agenda items are: 1. Kaiser Periodic Utilization Report, Kelsey Lesley 2. Building Blocks/Colonial Plan Overview Part 1 Debra DeSpain is not available for the March 8, 2019, meeting. It was decided to cancel the March meeting. X. ADJOURNMENT Robin Yearby adjourned the meeting at 11:35 AM. Americans with Disabilities Act: Contra Costa County Schools Insurance Group conforms to the protections and prohibitions contained in Section 202 of the Americans with Disabilities Act of 1990 and the federal rules and regulations adopted in implementation thereof. A request for disability-related modifications or accommodation, in order to participate in a public meeting of the Contra Costa County Schools Insurance Group, shall be made to: Bridget Moore, Executive Director, Contra Costa County Schools Insurance Group Ellinwood Way, Pleasant Hill, CA (866)

5 MINUTES CONTRA COSTA COUNTY SCHOOLS INSURANCE GROUP HEALTH BENEFITS COMMITTEE MEETING January 11, :00 A.M 12:00 P.M. CCCSIG Conference Room 550 Ellinwood Way Pleasant Hill CA I. CALL TO ORDER Robin Yearby called the meeting to order at 10:02 AM with roll call. II. ROLL CALL & INTRODUCTIONS Bylaws of the Contra Costa County Schools Insurance Group I.G.4. Quorum. A majority of each Committee membership shall constitute a quorum for the transaction of business except that less than a quorum may adjourn from time to time. Member Districts = 9 Number required to achieve a quorum = 5 Those present were: CCCSIG: Contra Costa County Schools Insurance Group Contra Costa County Schools Insurance Group MEMBERS: Arcohe Union School District Brentwood Union School District Castro Valley Unified School District Oakley Union Elementary School District Travis Unified School District Walnut Creek School District CONSULTANTS Keenan & Associates Keenan & Associates ABSENT Byron Union School District Canyon School District Moraga School District Jürg Morach, Executive Director Erica Williamson, HR/Communications Manager Troy Miller Roxane Jablonski-Liu, Vice Chair Robin Yearby, Chair Maria de la Luz Bordanaro, Tammi Lauderdale Trudy Barrington Griselda Barraza Debra DeSpain Vickie Vales Open Monica Santiago Daniela Parasidis III. GUESTS Byron Union School District PUBLIC COMMENTS There were no public comments. Kathy Bell

6 IV. APPROVAL OF AGENDA Action A motion was made by Roxane Jablonski-Liu, seconded by Troy Miller, and unanimously carried to approve the Agenda as presented. Votes: Arcohe Aye Brentwood Aye Byron Absent Canyon Absent Castro Valley Aye Moraga - Absent Oakley Aye Travis Aye Walnut Creek Aye V. APPROVAL OF MINUTES November 9, Action A motion was made by Troy Miller, seconded by Roxane Jablonski-Liu and unanimously carried to approve the November 9, 2018, Minutes as presented. Votes: Arcohe Aye Brentwood Aye Byron Absent Canyon Absent Castro Valley Aye Moraga - Absent Oakley Aye Travis Aye Walnut Creek Aye VI. CORRESPONDENCE There was no correspondence received for this meeting. VII. ADMINISTRATION/HEALTH BENEFIT PROGRAM ADMINISTRATIVE UPDATE CCCSIG Year in Review Debra DeSpain reviewed the 2018 Year in Review with the committee. This report highlights the activities of the Health Benefits Program Committee during the prior year along with member, plan and rating information was a quiet year. Debra highlighted the meeting topics. In June Keenan conducted a Benefits Administration Workshop, which seemed to be well received. We have discussed conducting a second workshop in During the renewal review, Debra confirmed the Sutter Health Plus increase of 6.7% was in line with their increases across their business. SHP would not negotiate any renewal for SHP has been in the market for a few years and is beginning to gather data, which will continue to improve as it grows. Currently, SHP does not provide any claims or utilization reports for any client under 1,000 enrolled SHP members. For Western Health Advantage, their initial renewal came in at 3.9%. WHA would not reduce their renewal since they were already competitive with SHP. WHA can provide some reporting and Keenan will bring those to the HBPC at a future meeting. The HBPC added Building Blocks for Business/Colonial voluntary plans for 2019 Cancer, Critical Illness, Short-Term Disability, Medical Bridge/Hospital Confinement, Accident, Whole Life Insurance with LTC. These plans are being offered with preferred JPA pricing and underwriting.

7 ACA Update Debra DeSpain distributed the Health Care Reform overview to the committee. The overview highlighted the ACA penalties, affordability Waivers/Cash-in-lieu. The ACA law is not going away, and all employer responsibilities are still required. Debra stressed to the committee that they should be collecting employee waiver acknowledgements each year. This will be an important document if a district receives any penalty notices from the IRS Migration Report Debra DeSpain reviewed the 2019 Migration Report for the committee. This report is created using the enrollment numbers by district and plan from December 2018 and January The overall enrollment between the three medical plans increased by 51 subscribers 41 subscribers with Kaiser, 2 subscribers for Sutter Health Plus and 8 subscribers for Western Health Advantage. It is encouraging that enrollment was gained for In reviewing each district, most had an increase in enrollment. Castro Valley offers a bronze level DHMO plan through Kaiser. They have a high enrollment in that plan as it remains very affordable for the employee as the employer contribution covers the full premium for this plan. Should anyone else be interested in adding this type of plan, let Debra know. Kaiser previously would add a 2% load to all plans should client add additional plan offerings. This penalty was added based on the possibility that most enrollment would move to the lower premium plan and the overall premium received would not cover utilization within the group. Kaiser no longer follows this practice Flu Clinic Update All flu clinics have been completed and the overall invoice received. The HBPC is still satisfied with Maxim and hosting the flu clinics. Keenan will bring this to the committee in either June or July to begin the process for the 2019 clinics. This year there were several non-eligible members receiving the vaccination. CCCSIG has sent the appropriate invoices to Brentwood, Oakley, Moraga and Walnut Creek for these members. The existing policy only allows employees enrolled in one of the HBCP health plans to receive the flu vaccination free. Brentwood proposed to extend the free vaccination to spouses of enrolled employees who are also district employees, but covered as a dependent. The HBPC agreed this should be allowed. Vickie will provide CCCSIG with an updated count for Brentwood to produce a corrected invoice. The corrected invoice will exclude the dependent spouses who are also employees. Legislative Updates/Briefings Debra DeSpain reviewed the legislative briefings included in the materials: Benefit Limits for Health & Welfare Plans 2. Health Care Reform: IRS Extends Reporting Deadline & Good Faith Relief Once Again 3. Health Care Reform: Texas Federal Court Invalidates ACA but Appeal is Expected to Follow

8 VIII. INFORMATION MEMBER COMMENTS There were no Member Comments. CONSULTANT COMMENTS There were no additional Consultant Comments. IX. AGENDA ITEMS NEXT MEETING The next meeting is scheduled for February 8, Agenda items are: 1. Kaiser Periodic Utilization Report, Kelsey Lesley 2. Building Blocks/Colonial Plan Overview Part 1 Debra DeSpain is not available for the March 8, 2019, meeting. It was decided to cancel the March meeting. X. ADJOURNMENT Robin Yearby adjourned the meeting at 11:35 AM. Americans with Disabilities Act: Contra Costa County Schools Insurance Group conforms to the protections and prohibitions contained in Section 202 of the Americans with Disabilities Act of 1990 and the federal rules and regulations adopted in implementation thereof. A request for disability-related modifications or accommodation, in order to participate in a public meeting of the Contra Costa County Schools Insurance Group, shall be made to: Bridget Moore, Executive Director, Contra Costa County Schools Insurance Group Ellinwood Way, Pleasant Hill, CA (866)