Mr. Lowell Irby, President, called the NMPSIA Board Meeting to order at 9:00 a.m.

Transcription

1 NEW MEXICO PUBLIC SCHOOLS INSURANCE AUTHORITY BOARD MEETING MINUTES Cooperative Educational Services 4216 Balloon Park Rd., NE Albuquerque, NM (505) CALL TO ORDER Thursday, September 5, 2013 Mr. Lowell Irby, President, called the NMPSIA Board Meeting to order at 9:00 a.m. on Thursday, September 5, ROLL CALL Present: Lowell Irby, President Jose Cano, Vice President Mary Parr-Sanchez, Secretary Tonya Carrell Tim Crone Esther Marquez Millie Pogna Mark Space (arrived after roll-call) Kathy Ulibarri Absent: Bob Lowery Daniel Patterson Staff Members Present: Sammy J. Quintana, Executive Director Christy Edwards, Deputy Director Don Gonzales, Comptroller Ernestine Chavez, Benefits Manager Norma Henderson, Finance Manager Pamela Vigil, Executive Assistant

2 Audience: Martha Quintana The Standard Jerry Mayo CCMSI Michael Simpson BCBSNM Greg Ramirez CCMSI Albert Rhodes BCBSNM Julie Garcia Poms & Associates Ralph Montano Erisa Richard Cangiolosi CCMSI Steve Valdez Presbyterian Kevin Sovereign CCMSI Amy Daily Express Scripts Frank Coppler Coppler Law Firm James Vautire Poms & Associates Tim Farley Farley & Associates 3. INTRODUCTION OF GUESTS Ms. Julie Garcia, Poms & Associates introduced Mr. James Vautire, Poms & Associates. 4. CITIZENS TO ADDRESS THE BOARD Dr. Bruce Hegwer, Director, New Mexico Coalition for Charter Schools, requested coverage for a newly formed organization NM Charter School Educational Service Association (ACES). 5. APPROVAL OF THE AGENDA (Action Item) Mr. Don Gonzales, Comptroller, NMPSIA, requested that an item be added to the agenda under the Financial Report titled Revised Appropriation request. Mr. Sammy Quintana, Executive Director, NMPSIA requested that item 9.1 and 9.J 9.M under the Risk Advisory Committee Report be deleted from the agenda. and A motion was made to approve the agenda as amended. MOTION: M. Parr-Sanchez. SECONDED: T. Crone 6. APPROVAL OF THE MINUTES- July 30, (Action Item) Mr. Cano indicated that there was an inaccurate month listed under the financial reports. The correct monthly reports should be June. A motion was made to approve the minutes as amended. MOTION: J. Cano. SECONDED: M. Pogna

3 7. ADMINISTRATIVE MATTERS A. Election of Officers (Action Item) Mr. Sammy Quintana, Executive Director, NMPSIA called for nominations for President of the NMPSIA Board of Directors. Mr. Tim Crone made a motion to nominate Mr. Lowell lrby. Ms. Mary Parr- Sanchez seconded the motion. Mr. Jose Cano made a motion to cease nominations and approve by acclamation. Ms. Mary Parr-Sanchez seconded the motion. Vote carried unanimously. Mr. Lowell Irby called for nominations for Vice President of the NMPSIA Board of Directors. Ms. Esther Marquez made a motion to nominate Mr. Jose Cano. Ms. Mary Parr-Sanchez seconded the motion. Ms. Esther Marquez made a motion to cease nominations and approve by acclamation. Ms. Millie Pogna seconded the motion. Vote carried unanimously. Mr. Lowell lrby called for nominations for Secretary of the NMPSIA Board of Directors. Ms. Tonya Carrel made a motion to nominate Ms. Mary Parr-Sanchez. Mr. Tim Crone seconded the motion. Mr. Tim Crone made a motion to cease nominations and approve by acclamation. Ms. Millie Pogna seconded the motion. 8. FINANCIAL MATTERS A. Investment Reports (Action Item) Mr. Gonzales reviewed the Short-term Investment Report for the period ending July 31, The Employee Benefits Fund Wells Fargo Depository Account reported interest income in the amount of $51.54; the Wells Fargo Short-term Investment Account reported interest income in the amount of $2,193.79, the

4 Local Government Investment Pool reported interest income in the amount of $3, The combined year to date total interest earned was $3, For the period ending July 31, 2013 the Risk Fund Wells Fargo Depository Account reported interest income in the amount of $103.12; the Wells Fargo Short-term Investment Account reported interest income in the amount of $1,059.18; the Local Government Investment Pool reported interest income in the amount of $665.36; the combined year to date total interest earned was $1, Mr. Gonzales reported that the Long-term Investment portfolio had interest income in the amount of $30, and Capital Appreciation in the amount of $873, through the period ending July 31, Management fees amounted to $0. The Long-term Investment portfolio was valued at $26,378, as of July 31, A motion was made to approve the investment reports as presented. MOTION: J. Cano SECONDED: M. Pogna B. Financial Reports (Action Item) Mr. Don Gonzales, Comptroller, reviewed the financial reports for the period ending July 31, The Operations Fund had revenues in the amount of $107,200; expenditures in the amount of $85,679; resulting in a loss of $856,518. Year to date revenues were $107,200; expenditures were $85,679; resulting in a surplus of $21,521. The Ending Fund Balance as of July 31, 2013 was $878,039. The Employee Benefits Fund reported revenues for July 31, 2013 in the amount of $23,142,034; expenditures in the amount of $25,231,524.; resulting in a loss of $2,089,489. The year to date revenues were $23,142,034; expenditures were $25,231,524; resulting in a loss of $2,089,489. The ending fund balance as of July 31, 2013 was $31,458,102. The Risk Coverage Fund reported revenues during the month of July 2013 in the amount of $5,612,889; expenditures in the amount of $7,702,258; resulting in a loss of $2,089,368. The year to date revenues received were $5,612,889; expenditures were $7,702,258; resulting in a loss of $2,089,368. The Ending Fund Balance as of July 31, 2013 was $9,888,764. A motion was made to approve the Financial Reports as presented. MOTION: J. Cano. SECONDED: M. Pogna

5 C. FY 2015 APPROPRIATION REQUEST (Action Item) Mr. Gonzales presented the revised FY 2015 Appropriation Request. Mr. Gonzales indicated that there was a slight change to the original request with respect to Program Support. It was increased to accommodate salary increases and reorganization of NMPSIA. Mr. Gonzales indicated that at the July Board meeting, flexibility was given to staff to make appropriate changes if necessary. A motion was made to approve the request as presented. MOTION: K. Ulibarri. SECONDED: M. Parr-Sanchez 9. Risk Advisory Committee Report A. PropertylLiability Monthly Claims Report Mr. Greg Ramirez, CCMSI, reported on the Property/Liability Monthly claims report as of July 31, He indicated that during the month of July there were a total of 336 open claims, 22 new claims and 70 claims were closed. Mr. Ramirez reported that reserves were at $17,662,953.52, payments were $14,565, for a total of $32,228, B. Property!Liability Large Loss Report There were no large losses to report. C. Worker s Compensation Monthly Claims Report Mr. Jerry Mayo, CCMSI, reported on the Workers Compensation Monthly Claims Report as of July 31, Mr. Mayo reported that during the month of July there were a total of 1178 open claims, 27 claims were re-opened, there were 99 new claims, and 250 claims were closed. 0. Worker s Compensation Large Loss Report There were no large losses to report E. Reserve In creases Excess of $50,000 Mr. Mayo reported on the Reserve Increases that were in excess of $50,000.

6 F. Worker s Compensation Form Policy Per NMAC Mr. Mayo reviewed the Workers Compensation Form Policy Per NMAC with respect to Primary and Secondary Education Insurance. G. Bill Review Discussion Mr. Richard Cangiolosi, CCMSI stated that Mr. David Donn, David Donn Consulting joined the Risk Advisory Committee Meeting via conference call to discuss the ongoing issue of NMSPIA Urinalysis Overpayments. Mr. Cangiolosi stated that staff is not taking an aggressive stance of resolving the issue. He indicated that RAC requested that a letter be drafted and presented at the October meetings for review and approval. This letter would go out to the providers in question. H. Claims Audit Presented by Farley & Associates (Action Item) Mr. Tim Farley, Farley & Associates presented the 2013 Workers Compensation and Property & Liability Claims Audit for the New Mexico Public Schools Insurance Authority. He stated that 75 Workers Compensation and 75 Property & Liability Claims files were reviewed. Mr. Farley indicated that separate exit discussions of audit findings on both programs were held with the respective program managers. He reviewed all findings in detail and provided a full copy of the audit to the NMPSIA Board of Directors for Review. Mr. Farley stated that CCMSI continues to do an excellent job of claims handling and there were no significant findings to report. A motion was made to approve the Claims Audit Presented by Farley & Associates. MOTION: M. Space. SECONDED: M. Parr-Sanchez K. Loss Control Report Ms. Garcia reported that staff has been busy conducting in service training for school districts. L. Introduction of New Employee Ms. Garcia introduced Mr. James Vautire. Montano who retired recently. Mr. Vautire replaced Mr. Nick

7 N. Presentation of Poms Risk Services to New Members Ms. Garcia provided some information with respect to the Risk Services that Poms & Associates offers to the NMPSIA Board. 10. BENEFITS ADVISORY COMMITTEE REPORT A. Action on Revising Eligibility (Action Item) Ms. Christy Edwards, Deputy Director, NMPSIA reported that surveys have been revised and sent out to members. This item was tabled at the BAC and will be discussed in nine months. A motion was made to table the item and defer any revision to eligibility for nine months. MOTION: M. Parr-Sanchez SECOND: J. Cano B. Approval for DentalNision Effective Date (Action Item) Ms. Edwards reported that the BAC recommends approval to change the Dental/Vision effective date for Belen Schools from 10/01/2013 to 9/1/ MOTION: M. Parr-Sanchez SECOND: T. Crone C. Consideration of a tiered Network (Action Item) Ms. Edwards explained the concept of a tiered network with higher co-pays applying to certain lab work performed in hospitals. No action was taken on this item. D. Approval of Life Insurance Increase- Taos Charter School (Action Item) Ms. Edwards reported that the BAC recommends approval of a Life Insurance increase for Taos Charter School from $25,000 to $50,000 effective October 1, MOTION: K. Ulibarri SECOND: M. Pogna

8 E. Approval of Part-Time Resolutions (Action Item) Ms. Edwards presented Part-time resolutions from Dora Consolidated Schools, Hondo Valley Public Schools, Jemez Mountain Public Schools, and Mountainair Public Schools for review and approval. A motion was made to approve the Part-time Resolutions as presented. MOTION: T. Crone SECOND: M. Parr-Sanchez F. Erisa Report Ms. Edwards stated that Mr. Ralph Montano briefly updated the BAC on the online system. She indicated that the online system would be available after September 19, G. Update on IBAC Ms. Edwards updated the board on the IBAC meeting. There was lengthy discussion with respect to the changes to health care. Mr. Cano requested that this item be placed on the next agenda to discuss the issue of individuals that decline insurance and then decide later on to add it because of an illness. H. Approval to Issue PBM RFP (Action Item) Ms. Edwards requested approval to issue the REP for PBM jointly with the other IBAC members. A motion was made to approve the request to jointly issue the PBM RFP. MOTION: M. Parr-Sanchez SECOND: M. Pogna I. Review of Newsletter Ms. Edwards reviewed the newsletter and outlined all the premium increases and the enhanced Davis Vision out-of-network reimbursement schedule. 11. NEXT MEETING DATE AND LOCATION The next meeting will be held on Thursday, October 3, 2013, at the Cooperative Educational Services, 4216 Balloon Park Road, NE, Albuquerque, NM

9 12. EXECUTIVE SESSION AS PER OPEN MEETING ACT (H) (7) There was no executive Session. 13. ACTION, IF ANY, COMING OUT OF EXECUTIVE SESSION There was no executive Session. 14. ADJOURNMENT The meeting adjourned at 11:15

10 APPROVED: